Opportunity Information: Apply for HRSA 14 112
Apply for HRSA 14 112
- 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" 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 Dec 19, 2013 and posted on Dec 5, 2013.
- Applicants must submit their applications by Jan 21, 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 $12,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Public housing authorities/Indian housing authorities Native American tribal governments (Federally recognized) Special district governments Independent school districts City or township governments Others (see text field entitled Additional Information on Eligibility for clarification) Private institutions of higher education Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments) State governments Public and State controlled institutions of higher education.
- 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 (HRSA-14-112) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) that funds community-driven efforts to reduce infant mortality and other poor birth outcomes in places where the burden is unusually high. The program is specifically aimed at communities with infant mortality rates at least equal to (or exceeding) the U.S. national average and that also experience high levels of related adverse perinatal outcomes such as low birthweight, preterm birth, and maternal morbidity and mortality. At its core, the opportunity is designed to close persistent gaps in outcomes between the overall population and groups that experience disproportionate risk, particularly racial and ethnic minority populations, consistent with the Healthy Start statutory purpose (42 U.S.C. 254c-8(e)(2)(B)).
Programmatically, Healthy Start is organized around five major aims that shape what applicants are expected to build and deliver. First, projects should improve womens health, which generally means strengthening health before conception, during pregnancy, and in the postpartum period, with attention to medical, behavioral health, and social factors that influence pregnancy outcomes. Second, the program emphasizes promoting quality services, pointing applicants toward improving access to and the quality of clinical and supportive services that pregnant and postpartum people and infants need. Third, projects are expected to strengthen family resilience, recognizing that stable, supported families are better positioned to navigate pregnancy, newborn care, and early childhood, especially in high-stress environments. Fourth, Healthy Start stresses achieving collective impact, meaning funded efforts should not operate as isolated programs but instead align multiple partners across a community (health care providers, public health, social services, community organizations, and others) around shared goals and coordinated action. Fifth, the program calls for increased accountability through quality improvement, performance monitoring, and evaluation, which signals that grantees are expected to use data to track progress, improve implementation over time, and demonstrate results.
A defining feature of Healthy Start is its service timeline and target population focus. Services begin in the prenatal period and are intended to follow the woman and child through two years after the end of the pregnancy. This longer continuum reflects the reality that risk does not stop at delivery; the postpartum period and early childhood are critical windows for preventing complications, supporting recovery, promoting healthy development, and addressing the underlying social and health system factors that contribute to disparities. The grant is intended to address the needs of high-risk women and their families before, during, and after pregnancy, rather than focusing narrowly on prenatal care alone.
From a funding and competition standpoint, the announcement listed an estimated total funding of $12,000,000 and anticipated making about 10 awards under CFDA 93.926 (Healthy Start Initiative). The notice indicated no cost sharing or matching requirement. The funding instrument is a grant, and the opportunity was posted on December 5, 2013, with the closing date updated to January 21, 2014 (originally January 17, 2014), and an archive date of April 4, 2014. While the award floor and ceiling were listed as 0 in the summary data, applicants typically rely on the full announcement for detailed budgeting expectations, allowable costs, and any program-specific funding ranges.
Eligibility was broad and described as a full and open competition that accepted both new applicants and competing continuations. Eligible applicants included a wide range of public and private entities, including state and local governments (such as city or township governments and special district governments), independent school districts, public housing authorities/Indian housing authorities, nonprofit organizations with 501(c)(3) status, and public or private institutions of higher education. Federally recognized Native American tribal governments and tribal organizations were eligible, and the notice explicitly stated that community-based organizations, including faith-based organizations, could apply. A key administrative requirement is that the applicant organization must have direct fiduciary and administrative responsibility for the project, meaning it must be able to manage the funds and oversee program operations and compliance rather than serving only as a pass-through or informal partner.
For applicants who needed help accessing the full announcement or had submission questions, HRSA provided support through the HRSA Grants Application Center and HRSA Call Center (877-464-4772) and the email address CallCenter@HRSA.GOV, with a mailing address in Gaithersburg, Maryland.
Frequently Asked Questions (FAQs)
What is the Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-14-112)?
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-14-112) is a discretionary grant program administered by the Health Resources and Services Administration (HRSA). It funds community-driven efforts designed to reduce infant mortality and other poor birth outcomes in communities where the burden is unusually high.
What is the main purpose of this grant opportunity?
The opportunity is intended to close persistent gaps in perinatal outcomes between the overall population and groups that experience disproportionate risk, particularly racial and ethnic minority populations, consistent with the Healthy Start statutory purpose (42 U.S.C. 254c-8(e)(2)(B)).
Which communities are the focus of this program?
The program is specifically aimed at communities with infant mortality rates that are at least equal to (or exceed) the U.S. national average and that also experience high levels of related adverse perinatal outcomes.
What kinds of adverse perinatal outcomes does HRSA highlight for this program?
Examples of related adverse outcomes referenced in the opportunity include low birthweight, preterm birth, and maternal morbidity and mortality.
What are the five major aims Healthy Start projects are expected to address?
Healthy Start is organized around five major aims that shape expectations for applicants and funded projects:
- Improve women's health (before conception, during pregnancy, and postpartum, including medical, behavioral health, and social factors).
- Promote quality services (improving access to and quality of clinical and supportive services for pregnant/postpartum people and infants).
- Strengthen family resilience (supporting families so they can better navigate pregnancy, newborn care, and early childhood).
- Achieve collective impact (aligning multiple community partners around shared goals and coordinated action).
- Increase accountability (using quality improvement, performance monitoring, and evaluation to track progress and demonstrate results).
What does “improve women's health” mean in the context of this program?
In this opportunity, improving women's health generally refers to strengthening health before conception, during pregnancy, and in the postpartum period, with attention to medical, behavioral health, and social factors that influence pregnancy outcomes.
What does the program mean by “promoting quality services”?
Promoting quality services points applicants toward improving both access to services and the quality of clinical and supportive services needed by pregnant and postpartum people and infants.
What is meant by “strengthening family resilience”?
The opportunity frames family resilience as helping families become more stable and supported so they are better positioned to manage pregnancy, newborn care, and early childhood, particularly in high-stress environments.
What does “collective impact” mean for applicants?
Collective impact means funded efforts are expected to align multiple partners across a community rather than operate as isolated programs. The opportunity references potential partners such as health care providers, public health, social services, community organizations, and others working toward shared goals and coordinated action.
What does “increased accountability” involve for grantees?
Increased accountability is described as using quality improvement, performance monitoring, and evaluation. The expectation is that grantees use data to track progress, improve implementation over time, and demonstrate results.
When do services start and how long do they continue under Healthy Start?
Services begin in the prenatal period and are intended to follow the woman and child through two years after the end of the pregnancy.
Why does Healthy Start extend services beyond delivery?
The opportunity emphasizes that risk does not stop at delivery. The postpartum period and early childhood are described as critical windows for preventing complications, supporting recovery, promoting healthy development, and addressing underlying social and health system factors that contribute to disparities.
Who is the target population for services?
The grant is intended to address the needs of high-risk women and their families before, during, and after pregnancy, rather than focusing narrowly on prenatal care alone.
How much funding was estimated to be available under this announcement?
The announcement listed an estimated total funding amount of $12,000,000.
About how many awards did HRSA anticipate making?
The opportunity anticipated making about 10 awards.
What is the CFDA number associated with this program?
The CFDA number listed for this opportunity is 93.926 (Healthy Start Initiative).
Is there a cost sharing or matching requirement?
No. The notice indicated there was no cost sharing or matching requirement.
What type of funding instrument is used?
The funding instrument for this opportunity is a grant.
When was the opportunity posted and when was it due?
The opportunity was posted on December 5, 2013. The closing date was updated to January 21, 2014 (originally January 17, 2014).
When was the archive date for this opportunity?
The archive date listed in the notice is April 4, 2014.
What were the listed award floor and ceiling amounts?
In the summary data, the award floor and ceiling were listed as 0. The notice indicates applicants typically rely on the full announcement for detailed budgeting expectations, allowable costs, and any program-specific funding ranges.
Who is eligible to apply?
Eligibility was described as a full and open competition accepting both new applicants and competing continuations. Eligible applicants included a wide range of public and private entities, including:
- State and local governments (including city or township governments and special district governments)
- Independent school districts
- Public housing authorities/Indian housing authorities
- Nonprofit organizations with 501(c)(3) status
- Public or private institutions of higher education
- Federally recognized Native American tribal governments
- Tribal organizations
- Community-based organizations, including faith-based organizations
Can faith-based or other community-based organizations apply?
Yes. The notice explicitly stated that community-based organizations, including faith-based organizations, could apply.
Can tribal governments and tribal organizations apply?
Yes. Federally recognized Native American tribal governments and tribal organizations were listed as eligible.
Does the applicant organization need to manage the project directly?
Yes. A key administrative requirement stated that the applicant organization must have direct fiduciary and administrative responsibility for the project. In other words, it must be able to manage the funds and oversee program operations and compliance, rather than serving only as a pass-through or informal partner.
Where can applicants get help or ask questions about submitting an application?
HRSA provided support through the HRSA Grants Application Center and the HRSA Call Center at 877-464-4772, and by email at CallCenter@HRSA.GOV. A mailing address was also provided in Gaithersburg, Maryland.
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