Opportunity Information: Apply for HRSA 14 113
Apply for HRSA 14 113
- 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 $18,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 9 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Public housing authorities/Indian housing authorities City or township governments State governments Private institutions of higher education Special district governments Native American tribal organizations (other than Federally recognized tribal governments) Public and State controlled institutions of higher education Independent school districts 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 (HRSA-14-113) is a federal grant program run by the Health Resources and Services Administration (HRSA) that funds community-driven efforts to reduce infant mortality and improve outcomes for pregnant and postpartum people and their babies. The program is specifically aimed at narrowing the gap in perinatal health outcomes experienced by racial and ethnic minority populations and other high-risk groups, consistent with the Healthy Start statutory purpose referenced in 42 U.S.C. 254c-8(e)(2)(B). The central idea is to support local systems of care in places where babies and birthing people are experiencing disproportionately poor outcomes, and to hold grantees accountable for measurable improvements through ongoing performance monitoring and evaluation.
This opportunity targets communities with an infant mortality rate at least equal to (or exceeding) the U.S. national average, along with high levels of other adverse perinatal outcomes such as low birthweight, preterm birth, maternal morbidity, and maternal mortality. Rather than focusing only on clinical care during pregnancy, Healthy Start is structured to address risk across a wider window of time and influence, starting in the prenatal period and continuing with the woman and child through two years after the end of the pregnancy. That longer service horizon reflects the program's emphasis on sustained support, prevention, and continuity of care during the critical early childhood period.
Applicants are expected to design projects that advance five core program aims: improving women's health, promoting quality services, strengthening family resilience, achieving collective impact, and increasing accountability through quality improvement, performance monitoring, and evaluation. In practice, this means projects should not only connect participants to needed health and social services, but also work to improve the quality and coordination of those services across providers and systems. It also implies an expectation that grantees will build partnerships strong enough to create community-level change (collective impact), while using data and continuous quality improvement methods to track what is working, identify gaps, and demonstrate progress over time.
The funding mechanism is a discretionary grant with no cost-sharing or matching requirement. HRSA anticipated making 9 awards under this announcement, with an estimated total program funding level of $18,000,000. The listing is associated with CFDA number 93.926 (Healthy Start Initiative). While the posted data show an award ceiling and floor of $0, this typically indicates that specific award amounts are defined in the full announcement or depend on HRSA's final award decisions rather than being fixed in the summary fields.
Eligibility is broad and described as a full and open competition that allows both new applicants and competing continuations. Eligible applicants include public or private entities, including Indian tribes and tribal organizations (as defined at 25 U.S.C. 450b), as well as state, local, and special district governments; federally recognized tribal governments; tribal organizations; nonprofit organizations with 501(c)(3) status (other than institutions of higher education); public housing authorities/Indian housing authorities; and public or private institutions of higher education. Community-based organizations, including faith-based organizations, are explicitly stated as eligible. A key administrative requirement is that the applicant organization must have direct fiduciary and administrative responsibility for the project, meaning it must be capable of managing the grant, overseeing operations, and being accountable for compliance and results.
Key dates in the public summary indicate the opportunity was posted on December 5, 2013, with an original closing date of January 17, 2014, later extended to January 21, 2014. The opportunity was archived on April 5, 2014. For applicants that period, HRSA provided support through the HRSA Grants Application Center and HRSA Call Center for technical assistance with accessing the announcement and submitting an application.
Frequently Asked Questions (FAQs): Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-14-113)
1) What is the Healthy Start Initiative (HRSA-14-113)?
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-14-113) is a federal discretionary grant program administered by the Health Resources and Services Administration (HRSA). It funds community-driven efforts intended to reduce infant mortality and improve outcomes for pregnant and postpartum people and their babies, with a specific focus on eliminating disparities in perinatal health.
2) What is the main purpose of this grant opportunity?
The purpose is to support local systems of care in communities where infant and perinatal outcomes are disproportionately poor, particularly among racial and ethnic minority populations and other high-risk groups. The program emphasizes measurable improvements through performance monitoring and evaluation and aligns with the Healthy Start statutory purpose referenced in 42 U.S.C. 254c-8(e)(2)(B).
3) Who is this program intended to help?
This program is designed to benefit pregnant and postpartum people and their babies in high-need communities, especially where racial and ethnic minority populations and other high-risk groups experience worse perinatal health outcomes.
4) What types of communities are targeted for funding?
The opportunity targets communities with an infant mortality rate that is at least equal to, or higher than, the U.S. national average, and that also have high levels of adverse perinatal outcomes such as low birthweight, preterm birth, maternal morbidity, and maternal mortality.
5) What perinatal outcomes does Healthy Start aim to improve?
Based on the opportunity summary, Healthy Start focuses on reducing infant mortality and improving outcomes tied to low birthweight, preterm birth, maternal morbidity, and maternal mortality, along with broader maternal and infant health outcomes.
6) How long does Healthy Start support participants?
Healthy Start is structured to address risk and support families from the prenatal period through two years after the end of the pregnancy, emphasizing sustained support, prevention, and continuity of care during early childhood.
7) Is this grant focused only on clinical prenatal care?
No. The program is explicitly described as extending beyond clinical care during pregnancy. It is structured to address risk across a wider window of time and influence, including ongoing support and coordination through two years after the pregnancy ends.
8) What are the five core program aims applicants are expected to address?
Applicants are expected to design projects that advance five core aims:
- Improving women's health
- Promoting quality services
- Strengthening family resilience
- Achieving collective impact
- Increasing accountability through quality improvement, performance monitoring, and evaluation
9) What does "collective impact" mean in the context of this opportunity?
Within the information provided, "collective impact" refers to an expectation that grantees will build partnerships strong enough to create community-level change, rather than operating in isolation. Projects should be designed to work across providers and systems to improve coordination and outcomes at a community scale.
10) What does HRSA mean by accountability for results?
The summary indicates that grantees are expected to demonstrate measurable improvements and to be accountable through ongoing performance monitoring, evaluation, and continuous quality improvement methods to track what is working, identify gaps, and show progress over time.
11) What kinds of activities are expected under this grant?
Based on the summary, projects are expected to (1) connect participants to needed health and social services and (2) improve the quality and coordination of those services across providers and systems. Applicants are also expected to use data-driven approaches for quality improvement, performance monitoring, and evaluation.
12) What type of funding mechanism is used for this opportunity?
This opportunity uses a discretionary grant funding mechanism.
13) Is there a cost-sharing or matching requirement?
No. The summary states there is no cost-sharing or matching requirement for this discretionary grant.
14) How many awards did HRSA anticipate making under this announcement?
HRSA anticipated making 9 awards under this funding announcement.
15) What was the estimated total funding level for the program?
The estimated total program funding level listed in the summary is $18,000,000.
16) What is the CFDA number associated with this program?
The listing is associated with CFDA number 93.926 (Healthy Start Initiative).
17) Why do the award ceiling and floor show as $0 in the posted data?
The summary notes that an award ceiling and floor of $0 typically indicates that specific award amounts are defined in the full announcement or depend on HRSA's final award decisions rather than being fixed in the summary fields.
18) Who is eligible to apply?
Eligibility is described as broad and offered through a full and open competition that allows both new applicants and competing continuations. Eligible applicants include public or private entities, including Indian tribes and tribal organizations (as defined at 25 U.S.C. 450b), and the following categories:
- State, local, and special district governments
- Federally recognized tribal governments
- Tribal organizations
- Nonprofit organizations with 501(c)(3) status (other than institutions of higher education)
- Public housing authorities/Indian housing authorities
- Public or private institutions of higher education
- Community-based organizations, including faith-based organizations
19) Are faith-based organizations eligible to apply?
Yes. The summary explicitly states that community-based organizations, including faith-based organizations, are eligible.
20) Are Indian tribes and tribal organizations eligible?
Yes. Indian tribes and tribal organizations are included as eligible applicants. Tribal organizations are referenced as defined at 25 U.S.C. 450b in the summary.
21) Can institutions of higher education apply?
Yes. The eligibility list includes public or private institutions of higher education.
22) Can nonprofits apply?
Yes. Nonprofit organizations with 501(c)(3) status (other than institutions of higher education) are listed as eligible applicants.
23) Can government entities apply?
Yes. State, local, and special district governments are listed as eligible, along with federally recognized tribal governments.
24) Can both new applicants and existing grantees apply?
Yes. The competition is described as full and open and allows both new applicants and competing continuations.
25) What does it mean that the applicant must have "direct fiduciary and administrative responsibility"?
It means the applicant organization must be able to directly manage the grant funds and administration of the project. The organization must oversee operations and be accountable for compliance requirements and performance results.
26) When was this opportunity posted, and what were the closing dates?
The opportunity was posted on December 5, 2013. The original closing date was January 17, 2014, and it was later extended to January 21, 2014.
27) Is this opportunity still open?
No. The summary states the opportunity was archived on April 5, 2014.
28) What technical assistance resources were available to applicants?
During the application period, HRSA provided support through the HRSA Grants Application Center and the HRSA Call Center for technical assistance related to accessing the announcement and submitting an application.
29) What makes Healthy Start different from a typical short-term maternal health program?
Based on the description provided, Healthy Start emphasizes a longer service horizon (from the prenatal period through two years after pregnancy ends), community-level systems of care, partnership-driven collective impact, and formal accountability through continuous quality improvement, performance monitoring, and evaluation.
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