Opportunity Information: Apply for HRSA 09 130
Apply for HRSA 09 130
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Initiative Eliminating Racial/Ethnic Disparities" 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 Oct 20, 2008 and posted on Oct 20, 2008.
- Applicants must submit their applications by Dec 5, 2008. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $78,456,834.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $2,350,000.00 in funding.
- The number of recipients for this funding is limited to 74 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Funding would be made available to projects which have 1) significant disparities in perinatal indicators which contribute to high infant mortality rates, among one or more subpopulations 2) A planned or existing active consortia of stakeholders which have underway, a perinatal disparity reduction initiative and, 3) a feasible plan to reduce barriers, improve the local perinatal system of care, and work towards eliminating existing disparities in perinatal health. These sites must have or plan to implement/adapt Healthy Start strategies of consortium, case management, and outreach services in a culturally and linguistically sensitive manner. In addition, they must demonstrate existing/planned collaborations with key State and local services and resources systems. Funding would be made available to projects which have 1) significant disparities in perinatal indicators which contribute to high infant mortality rates, among one or more subpopulations 2) A planned or existing active consortia of stakeholders which have underway, a perinatal disparity reduction initiative and, 3) a feasible plan to reduce barriers, improve the local perinatal system of care, and work towards eliminating existing disparities in perinatal health. These sites must have or plan to implement/adapt Healthy Start strategies of consortium, case management, and outreach services in a culturally and linguistically sensitive manner. In addition, they must demonstrate existing/planned collaborations with key State and local services and resources systems.
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Opportunity Summary:
The Healthy Start Initiative: Eliminating Racial/Ethnic Disparities (Funding Opportunity Number HRSA-09-130; CFDA 93.926) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) designed to reduce major gaps in perinatal health outcomes that contribute to high infant mortality. The program is centered on helping communities strengthen and coordinate their local service systems so they can better support women, infants, and families during pregnancy and through the critical period after birth, especially in populations experiencing persistent inequities.
The core purpose of the opportunity is to address significant disparities in perinatal health indicators, with a strong emphasis on communities where these disparities are tied to race, ethnicity, immigration status, or structural barriers. HRSA specifically highlights disparities affecting Hispanics, American Indians, African Americans, Alaska Natives, Asian/Pacific Islanders, and immigrant populations. It also recognizes disparities driven by social and geographic factors such as lower education levels, low income, disability, and residence in rural or geographically isolated areas. Rather than focusing only on clinical care, the program pushes applicants to improve the broader local perinatal system of care by reducing barriers to services and ensuring families can realistically access and stay connected to support over time.
Funded projects are expected to deliver a clear, community-based scope of services that spans both the pregnancy phase and the interconceptional period (the time between pregnancies). A key requirement is that services must be provided to both the mother and the infant for up to two years after delivery. This extended follow-up period is intended to promote healthier spacing between pregnancies (longer interconceptional intervals) and to reduce the likelihood that mothers return to unhealthy risk behaviors after birth. In practice, this reflects HRSA's emphasis on continuity, prevention, and long-term stabilization rather than short-term interventions ending soon after delivery.
Eligibility is framed less around a specific organization type and more around whether the applicant and its community are positioned to carry out meaningful disparity-reduction work. HRSA indicates funding is intended for projects that can demonstrate: (1) significant perinatal disparities linked to high infant mortality within one or more identified subpopulations; (2) an existing or planned active consortium of stakeholders already engaged in a perinatal disparity reduction initiative; and (3) a feasible, credible plan to reduce barriers, improve the local perinatal system of care, and work toward eliminating the documented disparities. In addition, applicants must be able to implement or adapt key Healthy Start strategies, including a functioning consortium model, case management, and outreach. These services are expected to be culturally and linguistically appropriate, meaning programs should be built to fit the language needs, cultural context, and lived realities of the populations being served, not simply offered as generic services.
Collaboration is also a central expectation. Applicants are expected to show existing or planned partnerships with key state and local service and resource systems, reflecting the program's goal of strengthening community-wide coordination. The grant is meant to act as a catalyst for system improvement, so proposals generally need to show how multiple stakeholders will align services, close gaps in care, and reduce fragmentation that often contributes to poor maternal and infant outcomes.
In terms of funding structure, this opportunity anticipated 74 awards nationwide, with an estimated total funding amount of $78,456,834. Individual awards ranged from an award floor of $270,000 up to an award ceiling of $2,350,000. There was no cost sharing or matching requirement, which lowers the barrier for organizations serving high-need communities to apply without having to secure additional non-federal dollars as a condition of eligibility.
Key administrative details include a posted date of October 20, 2008, and a closing date of December 5, 2008 (the opportunity was later archived on February 9, 2009). For access issues or assistance, HRSA directed applicants to its call center (877-464-4772) and the email CallCenter@HRSA.GOV, and provided an announcement link through the HRSA grants site.
FAQs: Healthy Start Initiative: Eliminating Racial/Ethnic Disparities (HRSA-09-130; CFDA 93.926)
What is the Healthy Start Initiative: Eliminating Racial/Ethnic Disparities grant?
It is a discretionary grant program run by the Health Resources and Services Administration (HRSA) focused on reducing major gaps in perinatal health outcomes that contribute to high infant mortality. The program emphasizes community-based efforts that strengthen and coordinate local service systems for women, infants, and families during pregnancy and after birth.
What is the main goal of this funding opportunity?
The core purpose is to address significant disparities in perinatal health indicators, especially where disparities are tied to race, ethnicity, immigration status, or structural barriers. The program aims to improve outcomes by reducing barriers to services and improving how the local perinatal system of care works as a whole.
Which communities and populations are specifically highlighted as experiencing disparities?
HRSA highlights disparities affecting Hispanics, American Indians, African Americans, Alaska Natives, Asian/Pacific Islanders, and immigrant populations. The opportunity also recognizes disparities driven by social and geographic factors such as lower education levels, low income, disability, and living in rural or geographically isolated areas.
Is the program only about clinical care?
No. Rather than focusing only on clinical care, the program pushes applicants to improve the broader local perinatal system of care. This includes reducing practical barriers to services and strengthening coordination so families can access and stay connected to supports over time.
What service period is expected for participants?
Funded projects are expected to provide services that span pregnancy and the interconceptional period (the time between pregnancies). A key requirement is that services must be provided to both the mother and the infant for up to two years after delivery.
Why does the grant require follow-up for up to two years after delivery?
The extended follow-up period is intended to promote healthier spacing between pregnancies (longer interconceptional intervals) and reduce the likelihood that mothers return to unhealthy risk behaviors after birth. This reflects an emphasis on continuity, prevention, and long-term stabilization.
What kinds of approaches or strategies are applicants expected to implement?
Applicants must be able to implement or adapt key Healthy Start strategies, including a functioning consortium model, case management, and outreach. Services are expected to be culturally and linguistically appropriate for the populations served.
What does "culturally and linguistically appropriate" mean in the context of this opportunity?
It means programs should be designed to fit the language needs, cultural context, and lived realities of the populations being served, rather than offering generic services that do not reflect community needs.
How is eligibility described for this grant?
Eligibility is framed less around a specific organization type and more around whether the applicant and its community are positioned to carry out meaningful disparity-reduction work. HRSA indicates funding is intended for projects that can demonstrate significant perinatal disparities linked to high infant mortality within one or more identified subpopulations, along with the partnerships and plan needed to address those disparities.
What must an applicant be able to demonstrate to be competitive under this opportunity?
HRSA indicates projects should be able to demonstrate: (1) significant perinatal disparities linked to high infant mortality within one or more identified subpopulations; (2) an existing or planned active consortium of stakeholders engaged in a perinatal disparity reduction initiative; and (3) a feasible, credible plan to reduce barriers, improve the local perinatal system of care, and work toward eliminating documented disparities.
What is the consortium requirement?
A key expectation is an existing or planned active consortium of stakeholders involved in perinatal disparity reduction. The program also references a functioning consortium model as one of the strategies applicants must be able to implement or adapt.
Is collaboration with other systems and organizations expected?
Yes. Collaboration is central to the program. Applicants are expected to show existing or planned partnerships with key state and local service and resource systems, supporting the goal of strengthening community-wide coordination and reducing fragmentation in maternal and infant services.
How many awards were anticipated and what was the total estimated funding?
The opportunity anticipated 74 awards nationwide, with an estimated total funding amount of $78,456,834.
What was the funding range for individual awards?
Individual awards ranged from an award floor of $270,000 up to an award ceiling of $2,350,000.
Was cost sharing or matching required?
No. There was no cost sharing or matching requirement.
When was the opportunity posted and when did it close?
The posted date was October 20, 2008, and the closing date was December 5, 2008. The opportunity was later archived on February 9, 2009.
Who can be contacted for access issues or application assistance?
HRSA directed applicants to its call center at 877-464-4772 and the email address CallCenter@HRSA.GOV.
How does this grant view its role in a community?
The grant is meant to act as a catalyst for system improvement. Proposals generally need to show how multiple stakeholders will align services, close gaps in care, reduce barriers, and improve coordination to address disparities and reduce high infant mortality.
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