Opportunity Information: Apply for HRSA 14 122
Apply for HRSA 14 122
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 3 Leadership and Mentoring Healthy Start)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926 Healthy Start Initiative.
- This funding opportunity was created on Feb 14, 2014 and posted on Feb 14, 2014.
- Applicants must submit their applications by Mar 31, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $8,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $2,000,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This is a full and open competition. New applicants and competing continuations will be considered for this funding. An eligible applicant for funding in this competition under the Healthy Start program is any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b). Community based organizations, including faith based organizations, are eligible to apply. An eligible applicant must have both direct fiduciary and administrative responsibility over the project.
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Opportunity Summary:
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (Level 3 Leadership and Mentoring Healthy Start) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) focused on reducing unequal outcomes in infant and maternal health. The program is designed for communities experiencing especially high burdens of infant mortality and other serious perinatal challenges, with a clear emphasis on narrowing gaps that disproportionately affect racial and ethnic minority populations, consistent with the authorizing language referenced in 42 U.S.C. 254c-8(e)(2)(B). The overall intent is not just to expand services, but to strengthen systems and local coordination so that high-risk women, infants, and families receive effective support before pregnancy, throughout pregnancy, and well into early childhood.
At the center of the Healthy Start approach is the goal of reducing disparities in infant mortality and adverse perinatal outcomes through five connected strategies. First, the program prioritizes improving womens health, recognizing that outcomes for infants are closely tied to health status and support long before delivery. Second, it promotes quality services, pushing communities toward better, more consistent care and stronger service linkages across clinical and community settings. Third, it aims to strengthen family resilience, which reflects the understanding that stable, supported families are better positioned to manage stressors, navigate health systems, and sustain healthy practices over time. Fourth, it emphasizes achieving collective impact, meaning applicants are expected to coordinate across multiple partners and sectors rather than operating in isolation. Fifth, Healthy Start seeks to increase accountability through quality improvement, performance monitoring, and evaluation, reinforcing that funded work should be measurable, continuously improved, and guided by data.
The opportunity is targeted geographically and epidemiologically. HRSA indicates that grants are provided to communities with infant mortality rates at least one time the U.S. national average and with high rates of other adverse perinatal outcomes such as low birthweight, preterm birth, and maternal morbidity and mortality. The focus on these indicators highlights a strong public health framing: funding is directed where the need is greatest, and where improvements in prevention, care coordination, and support services could have meaningful impact on population-level outcomes.
A defining feature of Healthy Start is the service timeframe. Program services begin in the prenatal period and follow the woman and child through two years after the end of the pregnancy. That extended postpartum and early childhood window is important because many drivers of infant health, maternal well-being, and family stability unfold after birth, including postpartum health complications, caregiving demands, access to pediatric and maternal follow-up, and social determinants that shape ongoing health and development.
From an applicant and competition standpoint, this funding announcement is described as a full and open competition that considers both new applicants and competing continuations. Eligibility is broad: any public or private entity may apply, including Indian tribes and tribal organizations (as defined at 25 U.S.C. 450b). Community-based organizations, including faith-based organizations, are explicitly included as eligible. A key administrative requirement is that the applicant entity must have direct fiduciary and administrative responsibility for the project, meaning the applying organization must be able to manage the funds and oversee the program rather than serving only as a pass-through or informal partner.
In terms of award structure, the funding opportunity number is HRSA-14-122 under CFDA 93.926 (Healthy Start Initiative). HRSA anticipated making 4 awards with an estimated total funding level of $8,000,000. The award ceiling was listed as $2,000,000, and there was no cost-sharing or matching requirement, which can reduce barriers for community organizations that may not have access to local matching funds. Key dates included a posted date of February 14, 2014, and a closing date of March 31, 2014, with the opportunity later archived on May 30, 2014.
For applicants needing help accessing materials or navigating the submission process at the time of the announcement, HRSA provided support through the HRSA Grants Application Center and the HRSA Call Center, including a phone number (877-464-4772) and an email contact (CallCenter@HRSA.GOV).
Frequently Asked Questions (FAQs)
What is the Healthy Start Initiative: Eliminating Disparities in Perinatal Health (Level 3 Leadership and Mentoring Healthy Start)?
It is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) focused on reducing unequal outcomes in infant and maternal health. The program is designed to strengthen systems and local coordination so that high-risk women, infants, and families receive effective support before pregnancy, throughout pregnancy, and into early childhood.
What is the main purpose of this grant opportunity?
The overall intent is to reduce disparities in infant mortality and adverse perinatal outcomes, especially those that disproportionately affect racial and ethnic minority populations, and to improve local systems and coordination rather than only expanding services.
Who is the program intended to serve?
The program targets communities experiencing especially high burdens of infant mortality and other serious perinatal challenges, focusing on high-risk women, infants, and families from the prenatal period through early childhood.
What disparities does the program aim to address?
The opportunity emphasizes narrowing gaps in infant and maternal health outcomes that disproportionately affect racial and ethnic minority populations, consistent with authorizing language referenced in 42 U.S.C. 254c-8(e)(2)(B).
What are the key strategies HRSA highlights for Healthy Start?
HRSA describes five connected strategies: improving women's health; promoting quality services; strengthening family resilience; achieving collective impact through coordinated partnerships; and increasing accountability through quality improvement, performance monitoring, and evaluation.
What does "improving women's health" mean in the context of this program?
It reflects the idea that infant outcomes are closely tied to a woman's health status and support long before delivery, so program work prioritizes women's health as a foundation for healthier pregnancies and infants.
What does "promoting quality services" mean?
It refers to pushing communities toward better, more consistent care and stronger linkages across clinical and community settings so participants experience more coordinated and effective services.
What is meant by "strengthening family resilience"?
This strategy recognizes that stable, supported families are better able to manage stressors, navigate health systems, and sustain healthy practices over time, which can influence maternal and infant outcomes.
What does "collective impact" require from applicants?
Applicants are expected to coordinate across multiple partners and sectors rather than operate in isolation, aligning efforts to improve perinatal health outcomes at the community level.
How does the program define "accountability"?
Healthy Start emphasizes quality improvement, performance monitoring, and evaluation, meaning funded work should be measurable, guided by data, and continuously improved.
Which communities are targeted for funding?
HRSA indicates grants are provided to communities with infant mortality rates at least one time the U.S. national average and with high rates of other adverse perinatal outcomes such as low birthweight, preterm birth, and maternal morbidity and mortality.
Which perinatal indicators are specifically mentioned?
The opportunity highlights infant mortality, low birthweight, preterm birth, and maternal morbidity and mortality as key indicators of need and focus.
When do Healthy Start services begin and how long do they continue?
Services begin in the prenatal period and follow the woman and child through two years after the end of the pregnancy.
Why does the program continue services for up to two years after the pregnancy ends?
The extended postpartum and early childhood window is emphasized because many drivers of infant health, maternal well-being, and family stability occur after birth, including postpartum complications, caregiving demands, follow-up care, and social determinants affecting health and development.
Is this a competitive grant opportunity?
Yes. The announcement describes it as a full and open competition that considers both new applicants and competing continuations.
Who is eligible to apply?
Eligibility is broad: any public or private entity may apply, including Indian tribes and tribal organizations (as defined at 25 U.S.C. 450b). Community-based organizations, including faith-based organizations, are explicitly eligible.
Can faith-based organizations apply?
Yes. The opportunity explicitly includes community-based organizations, including faith-based organizations, as eligible applicants.
Can Indian tribes and tribal organizations apply?
Yes. Indian tribes and tribal organizations are included as eligible applicants, with tribal organizations referenced as defined at 25 U.S.C. 450b.
What does it mean that the applicant must have "direct fiduciary and administrative responsibility"?
It means the applying organization must be able to manage the grant funds and oversee the project. The applicant cannot function only as a pass-through or informal partner; the applicant entity must hold responsibility for financial and administrative management of the project.
What is the funding opportunity number and CFDA number for this program?
The funding opportunity number is HRSA-14-122. The program is listed under CFDA 93.926 (Healthy Start Initiative).
How many awards did HRSA anticipate making and what was the total estimated funding level?
HRSA anticipated making 4 awards, with an estimated total funding level of $8,000,000.
What was the maximum award amount?
The award ceiling was listed as $2,000,000.
Was cost-sharing or matching required?
No. The announcement states there was no cost-sharing or matching requirement.
What were the key dates for this opportunity?
The posted date was February 14, 2014, and the closing date was March 31, 2014. The opportunity was later archived on May 30, 2014.
Where could applicants get help with application materials or submission issues?
HRSA provided support through the HRSA Grants Application Center and the HRSA Call Center.
What contact information was provided for the HRSA Call Center?
The phone number was 877-464-4772 and the email contact was CallCenter@HRSA.GOV.
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Previous opportunity: Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 1 Community based Healthy Start)
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