Opportunity Information: Apply for CDC RFA DP15 1508

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Working with Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable Populations" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.946 Cooperative Agreements to Support State Based Safe Motherhood and Infant Health Initiative Programs.
  • This funding opportunity was created on May 8, 2015 and posted on Mar 6, 2015.
  • Applicants must submit their applications by May 15, 2015 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $9,750,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $650,000.00 in funding.
  • The number of recipients for this funding is limited to 3 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • To be eligible for funding, applicant must propose implementing strategies and activities in a state that has teen birth rates higher than the 2013 national average (26.6 births per 1,000 female adolescents ages 15 19). In addition, proposed health centers and youth serving systems should be in an area (county, city) with high teen birth rates (gt26.6 births per 1,000 female adolescents ages 15 19). Applications will be reviewed for eligibility by the CDC NCCDPHP and PGO. Applications that do not meet the eligibility criteria will not advance to Phase II review. Clearly indicate your 2013 state teen birth rate in the Approach section of your narrative.Applicant must demonstrate the ability to assemble a network of publicly funded health centers that serve vulnerable youth, such as federally qualified health centers (FQHC), health departments, Title X clinics, and/or community health centers. MOUs from proposed health centers must be included in application submission. See Strategies and Activities for information that must be included in an MOU.Applicant must also demonstrate commitment from youth serving systems through an MOU. MOU should indicate agreement of youth serving system to participate in the strategies and activities required for this project and to allocate staff time to this project. See Strategies and Activities for information that must be included in an MOU.Proposed health centers and youth serving systems should be geographically located to facilitate successful referral and linkage relationships. Applicant must demonstrate how health centers and youth serving systems are appropriate selections for this initiative.
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Opportunity Summary:

The grant opportunity "Working with Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable Populations" (CDC RFA DP15-1508) was a CDC-funded, five-year cooperative agreement designed to help communities with high teen birth rates strengthen youth-friendly sexual and reproductive health care. The core idea was to improve both the supply of high-quality, adolescent-responsive services at publicly funded health centers and the demand for those services among young people who face elevated risk due to circumstances such as involvement with child welfare, juvenile justice, homelessness services, alternative education programs, or other youth-serving systems. Rather than focusing only on education or awareness campaigns in isolation, the initiative emphasized building practical, local infrastructure that makes it easier for vulnerable youth to get connected to care and actually use it.

The program had two primary goals. First, it aimed to enhance the capacity of publicly funded health centers to deliver youth-friendly sexual and reproductive health services. In practice, this typically means improving how clinics serve adolescents, such as reducing barriers to confidential care, training staff on adolescent-centered communication, making clinic environments welcoming, ensuring appropriate clinical practices for contraceptive access and counseling, and strengthening service delivery processes so youth can be seen quickly and comfortably. The second goal was to increase the number of youth who access those services. CDC specified two main routes to achieve this: (a) partnering with youth-serving systems to create effective referral and linkage strategies that move young people from those systems into clinic care, and (b) increasing community awareness of available health center services through communications efforts. The structure of the initiative reflects a recognition that vulnerable youth may not seek care on their own, even if services exist, unless trusted systems help identify needs, refer youth, and support follow-through.

Funding was offered under a discretionary cooperative agreement mechanism, meaning recipients would carry out the work with substantial CDC involvement typical of cooperative agreements. The total estimated funding for the opportunity was about $9.75 million, with an expected three awards. Individual awards were projected to fall between $500,000 (floor) and $650,000 (ceiling). There was no cost sharing or matching requirement listed, lowering the barrier to participation for eligible applicants. The program was associated with CFDA 93.946 (Cooperative Agreements to Support State Based Safe Motherhood and Infant Health Initiative Programs), even though the focus of this specific initiative was teen pregnancy prevention via improved clinical access and systems-level linkages.

Eligibility was narrow and tied to need. Applicants were required to propose implementation in a state where the teen birth rate was higher than the 2013 national average of 26.6 births per 1,000 female adolescents ages 15 to 19. In addition, the health centers and youth-serving systems included in the proposal needed to be located in a high-rate area (such as a county or city) with teen birth rates above that same threshold. Applications had to clearly state the state teen birth rate in the narrative approach section, and CDC indicated that eligibility screening would occur before full review; proposals that did not meet the eligibility criteria would not move forward. Beyond the geographic and data-based requirements, applicants also needed to demonstrate the ability to assemble a network of publicly funded health centers serving vulnerable youth. CDC gave examples of acceptable partners, including federally qualified health centers (FQHCs), health departments, Title X clinics, and community health centers. Applicants were required to submit memoranda of understanding (MOUs) from proposed health centers as part of the application package, with MOUs expected to reflect the roles, commitments, and required elements described in the FOA.

A key feature of this opportunity was the expectation of strong, formal partnerships not only with clinics but also with youth-serving systems. Applicants had to show commitment from these systems through MOUs stating that the youth-serving partners would participate in the required strategies and activities and dedicate staff time to the project. The FOA also emphasized practicality: proposed health centers and youth-serving systems needed to be geographically situated in a way that would make referral and linkage relationships realistic and successful. Applicants were expected to justify why their selected clinics and systems were appropriate for the initiative and how the partnerships would function to move youth from system contact to clinic access.

Administratively, the opportunity was posted March 6, 2015, with an application due date of May 15, 2015 (electronic submissions due by 11:59 p.m. ET). The archive date was June 14, 2015, reflecting that this was a time-limited FY15 competition. The CDC noted that Frequently Asked Questions were added to Section H, with an update referenced on May 4, 2015, indicating that clarifications were provided during the application window. For access issues with the full announcement, CDC directed applicants to the Technical Information Management Section within the CDC Procurement and Grants Office via pgotim@cdc.gov.

Overall, this FOA funded a small number of sizable, multi-year projects focused on changing how communities connect vulnerable adolescents to clinical sexual and reproductive health services. The approach blended clinic quality improvement (making publicly funded health centers more adolescent-friendly and capable) with systems coordination (building dependable referral pathways from agencies already serving vulnerable youth) and targeted communications (making sure youth and communities know services exist and how to access them). The intended result was not only better services in theory, but measurable increases in youth actually obtaining care in settings positioned to reduce teen pregnancy through timely, confidential, and appropriate sexual and reproductive health services.

Frequently Asked Questions (FAQs)

What is the "Working with Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable Populations" opportunity?

It was a CDC-funded, five-year cooperative agreement (CDC RFA DP15-1508) designed to help communities with high teen birth rates strengthen youth-friendly sexual and reproductive health care. The focus was on improving access to and use of high-quality, adolescent-responsive services at publicly funded health centers, especially for youth from vulnerable populations.

What was the overall purpose of this cooperative agreement?

The purpose was to reduce teen pregnancy by building practical local infrastructure that connects vulnerable youth to clinical sexual and reproductive health services. The initiative emphasized both improving clinic services (supply) and increasing youth use of services (demand), rather than relying only on education or awareness campaigns in isolation.

How long was the project period?

The program was structured as a five-year cooperative agreement.

What were the two primary goals of the program?

The two goals were: (1) enhance the capacity of publicly funded health centers to deliver youth-friendly sexual and reproductive health services, and (2) increase the number of youth who access those services.

What does "enhancing capacity" at health centers mean in practice?

In practice, it typically meant improving how clinics serve adolescents, such as reducing barriers to confidential care, training staff on adolescent-centered communication, making clinic environments welcoming for youth, ensuring appropriate clinical practices for contraceptive access and counseling, and strengthening service delivery processes so youth can be seen quickly and comfortably.

How did CDC expect applicants to increase the number of youth accessing services?

CDC specified two main routes: (a) partnering with youth-serving systems to create effective referral and linkage strategies that move young people into clinic care, and (b) increasing community awareness of available health center services through communications efforts.

Who were the intended youth populations?

The initiative focused on youth from vulnerable populations, including youth involved with child welfare, juvenile justice, homelessness services, alternative education programs, or other youth-serving systems.

Why did the program emphasize partnerships with youth-serving systems?

The FOA reflected that vulnerable youth may not seek care on their own, even when services exist. Trusted youth-serving systems can help identify needs, refer youth, and support follow-through so youth actually connect to and use clinic services.

What kinds of health centers were considered appropriate partners?

CDC provided examples including federally qualified health centers (FQHCs), health departments, Title X clinics, and community health centers, as long as they were publicly funded health centers serving vulnerable youth.

What funding mechanism was used?

Funding was offered under a discretionary cooperative agreement mechanism, meaning recipients would carry out the work with substantial CDC involvement typical of cooperative agreements.

How much total funding was estimated for the opportunity?

The total estimated funding was about $9.75 million.

How many awards were expected?

The FOA anticipated approximately three awards.

What was the expected award size per recipient?

Individual awards were projected to range from $500,000 (floor) to $650,000 (ceiling).

Was cost sharing or matching required?

No. The opportunity stated that there was no cost sharing or matching requirement.

What CFDA number was associated with this program?

The program was associated with CFDA 93.946 (Cooperative Agreements to Support State Based Safe Motherhood and Infant Health Initiative Programs).

Was this program focused on teen pregnancy prevention or maternal/infant health?

While it was associated with CFDA 93.946, the focus of this specific initiative was teen pregnancy prevention through improved clinical access and systems-level linkages that connect vulnerable youth to sexual and reproductive health services.

Who was eligible to apply?

Eligibility was narrow and tied to need. Applicants were required to propose implementation in a state where the teen birth rate was higher than the 2013 national average of 26.6 births per 1,000 female adolescents ages 15 to 19.

Did the project also need to be in a specific type of local area?

Yes. The health centers and youth-serving systems included in the proposal needed to be located in a high-rate area (such as a county or city) with teen birth rates above the same threshold of 26.6 births per 1,000 females ages 15 to 19.

What teen birth rate threshold did CDC use for eligibility?

CDC used the 2013 national average teen birth rate of 26.6 births per 1,000 female adolescents ages 15 to 19 as the threshold. Proposed states and local areas needed to be above that rate.

Where in the application did applicants have to address the teen birth rate?

Applications had to clearly state the state teen birth rate in the narrative approach section.

How did CDC handle eligibility screening?

CDC indicated that eligibility screening would occur before full review, and proposals that did not meet the eligibility criteria would not move forward.

Were Memoranda of Understanding (MOUs) required?

Yes. Applicants were required to submit MOUs from proposed health centers as part of the application package. MOUs were expected to reflect the roles, commitments, and required elements described in the FOA.

Were MOUs also required from youth-serving systems?

Yes. Applicants had to show commitment from youth-serving systems through MOUs stating that youth-serving partners would participate in required strategies and activities and dedicate staff time to the project.

What did CDC expect regarding the practicality of partnerships?

The FOA emphasized that proposed health centers and youth-serving systems needed to be geographically situated in a way that makes referral and linkage relationships realistic and likely to succeed. Applicants were expected to justify why selected clinics and systems were appropriate and how partnerships would function to move youth from system contact to clinic access.

Was the opportunity time-limited?

Yes. It was an FY15 competition with a defined application window and an archive date.

When was the FOA posted?

The opportunity was posted on March 6, 2015.

What was the application due date and time?

The application due date was May 15, 2015. Electronic submissions were due by 11:59 p.m. ET.

When was the opportunity archived?

The archive date was June 14, 2015.

Did CDC publish additional FAQs during the application period?

Yes. CDC noted that Frequently Asked Questions were added to Section H, and an update was referenced on May 4, 2015.

Who could applicants contact if they had trouble accessing the full announcement?

For access issues with the full announcement, CDC directed applicants to the Technical Information Management Section within the CDC Procurement and Grants Office via pgotim@cdc.gov.

What was the main strategy of the initiative, in plain terms?

The initiative blended (1) clinic quality improvement to make publicly funded health centers more adolescent-friendly and capable, (2) systems coordination to create dependable referral pathways from agencies already serving vulnerable youth, and (3) targeted communications to make sure youth and communities know services exist and how to access them.

What outcomes was this initiative trying to achieve?

The intended result was stronger youth-friendly services and measurable increases in youth actually obtaining sexual and reproductive health care in publicly funded settings positioned to help reduce teen pregnancy through timely, confidential, and appropriate services.

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