Opportunity Information: Apply for PAR 11 259

  • The National Institutes of Health in the education health income security and social services sector is offering a public funding opportunity titled "Pregnancy in Women with Disabilities (R21)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.361 Nursing Research 93.865 Child Health and Human Development Extramural Research.
  • This funding opportunity was created on Jul 19, 2011 and posted on Jul 19, 2011.
  • Applicants must submit their applications by Sep 7, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $275,000.00 in funding.
  • Eligible applicants include: For profit organizations other than small businesses Native American tribal governments (Federally recognized) Small businesses Others (see text field entitled Additional Information on Eligibility for clarification) Public and State controlled institutions of higher education Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Public housing authorities/Indian housing authorities Independent school districts City or township governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education County governments State governments Special district governments Native American tribal organizations (other than Federally recognized tribal governments) Private institutions of higher education.
  • Other Eligible Applicants include the following Alaska Native and Native Hawaiian Serving Institutions Eligible Agencies of the Federal Government Faith based or Community based Organizations Hispanic serving Institutions Historically Black Colleges and Universities (HBCUs) Indian/Native American Tribal Governments (Other than Federally Recognized) Regional Organizations Tribally Controlled Colleges and Universities (TCCUs) U.S. Territory or Possession Non domestic (non U.S.) Entities (Foreign Institutions) are eligible to apply. Non domestic (non U.S.) components of U.S. Organizations are eligible to apply.
Apply for PAR 11 259

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Opportunity Summary:

Pregnancy in Women with Disabilities (R21) (PAR-11-259) is a National Institutes of Health funding opportunity designed to support early-stage, exploratory research on pregnancy among women with disabilities. Sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Institute of Nursing Research (NINR), and the Office of Research on Women's Health (ORWH), the program uses the R21 mechanism, which is intended for developmental projects that can test new ideas, generate preliminary data, or open up new lines of inquiry rather than requiring a fully mature long-term research program at the outset. The central goal is to improve understanding of how pregnancy begins, progresses, and ends for women with disabilities, and to translate that knowledge into better counseling, care, and outcomes for mothers and families.

The focus of the research is broad and includes studying the incidence of pregnancy in women with disabilities, the clinical course of pregnancy, and outcomes for both the pregnant person and the infant. The FOA explicitly highlights disability groups including physical disabilities, intellectual and developmental disabilities, and sensory disabilities, with an emphasis on understanding health needs and risks that may be different from, or overlooked in, general obstetric care. Beyond documenting outcomes, the opportunity also calls for research that informs practical clinical guidance, such as preconception counseling and antenatal counseling tailored to disability-related needs. Another major priority is identifying and addressing barriers to prenatal care, which can include accessibility challenges, communication obstacles, gaps in clinician training, fragmented care coordination, stigma, and systems-level policies that unintentionally exclude or disadvantage people with disabilities.

In addition to pregnancy itself, the announcement encourages attention to the full continuum of the perinatal period. That includes management of pregnancy, the puerperium (the postpartum period), and the transition to parenthood, recognizing that disability-related considerations can influence recovery, infant care, mental health, social support needs, and access to postpartum services. Projects may examine strategies that improve care delivery and coordination, develop or test approaches for making prenatal and postpartum care more accessible, and generate evidence that can help clinicians and health systems optimize outcomes for women with disabilities and their families.

A distinctive expectation in this FOA is meaningful involvement of people with disabilities and community members in the design and conduct of the research. This points applicants toward community-engaged approaches that treat affected individuals as partners rather than only as subjects, which can improve relevance, feasibility, recruitment, measurement choices, and the real-world usefulness of findings. In practice, that could mean incorporating advisory boards of women with disabilities, partnering with disability advocacy or service organizations, and building study procedures that are accessible and respectful across a range of communication and mobility needs.

From an administrative standpoint, PAR-11-259 is a discretionary NIH grant opportunity in health-related research, listed under CFDA numbers 93.865 (Child Health and Human Development Extramural Research) and 93.361 (Nursing Research). It does not require cost sharing or matching. The award ceiling listed is $275,000, reflecting the typical scale of an R21 exploratory project. The opportunity was posted on July 19, 2011, and the final closing date was September 7, 2014, with an archive date of October 8, 2014, meaning it is no longer open for new applications but remains a useful reference point for the NIH priorities and the types of projects the agencies sought to stimulate.

Eligibility is intentionally wide, covering many organization types. Eligible applicants include public and private institutions of higher education, nonprofit organizations (including those with and without 501(c)(3) status), for-profit organizations (including small businesses, excluding for-profits other than small businesses as a special category already named), state and local governments, tribal governments and tribal organizations, public housing authorities, independent school districts, special district governments, and regional organizations. The eligibility language also explicitly includes various mission-serving institutions such as Historically Black Colleges and Universities (HBCUs), Hispanic-serving institutions, Tribally Controlled Colleges and Universities (TCCUs), and Alaska Native and Native Hawaiian-serving institutions, as well as faith-based and community-based organizations and eligible federal agencies. Importantly, foreign institutions and non-U.S. components of U.S. organizations are eligible to apply, signaling interest in rigorous research regardless of geography as long as it aligns with NIH rules and the scientific goals.

Overall, this FOA is best understood as an NIH effort to fill major evidence gaps at the intersection of disability and reproductive health. It supports research that can clarify risks and protective factors, improve clinical counseling and decision-making, reduce access barriers, and strengthen pregnancy and postpartum care for women with disabilities, while encouraging collaboration with the disability community to ensure the work is grounded in real needs and produces results that can actually be used.

FAQs: Pregnancy in Women with Disabilities (R21) (PAR-11-259)

What is the Pregnancy in Women with Disabilities (R21) funding opportunity (PAR-11-259)?

PAR-11-259 is a National Institutes of Health (NIH) funding opportunity announcement focused on early-stage, exploratory research about pregnancy among women with disabilities. It uses the NIH R21 mechanism, which is intended to support developmental research that tests new ideas, generates preliminary data, or opens new lines of inquiry.

Which NIH organizations sponsored this FOA?

The opportunity was sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Institute of Nursing Research (NINR), and the Office of Research on Women's Health (ORWH).

What is the main goal of this grant opportunity?

The central goal is to improve understanding of how pregnancy begins, progresses, and ends for women with disabilities, and to translate that knowledge into better counseling, care, and outcomes for mothers and families.

What does the R21 mechanism mean in this context?

R21 awards are designed for exploratory and developmental projects. This mechanism supports research that may still be building an evidence base, such as pilot studies, proof-of-concept work, and studies meant to generate preliminary data rather than requiring a fully mature long-term research program at the outset.

What research topics are included under this FOA?

The FOA describes a broad scope that includes (1) incidence of pregnancy in women with disabilities, (2) the clinical course of pregnancy, and (3) outcomes for both the pregnant person and the infant. It also supports work that leads to practical clinical guidance and improvements in care delivery.

Which disability groups are specifically highlighted?

The FOA explicitly highlights physical disabilities, intellectual and developmental disabilities, and sensory disabilities.

Does the FOA focus only on documenting outcomes?

No. In addition to describing pregnancy and birth outcomes, the FOA calls for research that can inform practical clinical guidance, including preconception counseling and antenatal counseling tailored to disability-related needs.

What kinds of barriers to care does the FOA encourage applicants to address?

The FOA points to barriers to prenatal care such as accessibility challenges, communication obstacles, gaps in clinician training, fragmented care coordination, stigma, and systems-level policies that may unintentionally exclude or disadvantage people with disabilities.

Does this opportunity include postpartum and longer perinatal considerations?

Yes. The FOA encourages attention to the full continuum of the perinatal period, including pregnancy management, the puerperium (the postpartum period), and the transition to parenthood.

What postpartum-related topics does the FOA suggest are important?

It recognizes that disability-related considerations may influence recovery, infant care, mental health, social support needs, and access to postpartum services, and it encourages research that can improve postpartum services and care coordination.

What types of projects might fit the FOA's emphasis on improving care delivery?

Projects may examine strategies that improve care delivery and coordination, develop or test approaches to make prenatal and postpartum care more accessible, and generate evidence that helps clinicians and health systems optimize outcomes for women with disabilities and their families.

Is community engagement expected as part of the research approach?

Yes. A distinctive expectation in this FOA is meaningful involvement of people with disabilities and community members in the design and conduct of the research.

What does "meaningful involvement" of people with disabilities look like in practice (per the FOA description)?

The FOA points toward community-engaged approaches that treat affected individuals as partners rather than only as subjects. Examples mentioned include incorporating advisory boards of women with disabilities, partnering with disability advocacy or service organizations, and designing study procedures to be accessible and respectful across a range of communication and mobility needs.

What is the award ceiling listed for this opportunity?

The award ceiling listed is $275,000, reflecting the typical scale of an R21 exploratory project.

Is cost sharing or matching required?

No. The FOA states that it does not require cost sharing or matching.

Which CFDA numbers are associated with this funding opportunity?

The FOA is listed under CFDA 93.865 (Child Health and Human Development Extramural Research) and 93.361 (Nursing Research).

When was this FOA posted, and is it still open?

It was posted on July 19, 2011. The final closing date was September 7, 2014, and the archive date was October 8, 2014. Based on those dates, it is no longer open for new applications.

What types of organizations were eligible to apply?

Eligibility was broad and included public and private institutions of higher education, nonprofit organizations (with and without 501(c)(3) status), for-profit organizations (including small businesses), state and local governments, tribal governments and tribal organizations, public housing authorities, independent school districts, special district governments, and regional organizations.

Are mission-serving institutions and community organizations included in eligibility?

Yes. The eligibility language explicitly includes Historically Black Colleges and Universities (HBCUs), Hispanic-serving institutions, Tribally Controlled Colleges and Universities (TCCUs), Alaska Native and Native Hawaiian-serving institutions, as well as faith-based and community-based organizations and eligible federal agencies.

Could foreign institutions apply?

Yes. The FOA states that foreign institutions and non-U.S. components of U.S. organizations were eligible to apply.

What is the overall intent of the FOA in the bigger picture?

The FOA is aimed at filling evidence gaps at the intersection of disability and reproductive health by supporting research that clarifies risks and protective factors, reduces access barriers, strengthens pregnancy and postpartum care, and produces findings that can be used in real-world counseling and clinical decision-making.

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Funding Number: PA 11 329
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Funding Number: PAR 12 084
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Funding Number: PA 12 111
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Research on the Health of LGBTI Populations R03 Apply for PA 12 112

Funding Number: PA 12 112
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Funding Number: PA 12 113
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Funding Number: PA 12 142
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