Opportunity Information: Apply for HRSA 24 033
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA 24-033) is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is a discretionary health grant designed to fund community-based projects that improve health outcomes before, during, and after pregnancy, with a specific focus on reducing persistent racial and ethnic inequities tied to infant mortality and other adverse perinatal outcomes. The program is aimed at places and populations facing the most severe maternal and infant health disparities, where preventable poor outcomes remain unacceptably common.
The opportunity centers on two connected focus areas. First, funded projects are expected to provide direct and enabling services to Healthy Start participants. These services commonly include screening and referrals, case management, care coordination, health education (including parenting education), and active linkages to clinical care. The intent is to make it easier for participants to access timely, appropriate health and supportive services across the perinatal period, not only during pregnancy but also before conception and after delivery, when many risks and gaps in care occur.
Second, recipients must convene a Community Consortium (previously called a Community Action Network or CAN). This is meant to be a diverse, multi-sector partnership that helps guide and strengthen Healthy Start work locally. The consortium advises on program activities and also supports the development and implementation of community plans to improve perinatal outcomes across the project area. In practice, this structure is meant to ensure the work is not isolated within a single agency, but instead coordinated with health care providers, public health partners, social service organizations, community leaders, and other stakeholders who can address barriers and influence systems.
A major ongoing emphasis of Healthy Start is addressing social determinants of health that shape pregnancy and infant outcomes, including practical needs such as access to adequate food, stable housing, and reliable transportation. HRSA highlights these factors because they strongly affect whether families can attend appointments, maintain health and safety, and sustain recovery and wellbeing in the postpartum period. For the FY 2024 competition, HRSA also notes that stakeholder feedback led to increased flexibility, giving recipients more room to tailor strategies to the specific needs, strengths, and circumstances of their target community or population rather than relying on a one-size-fits-all model.
The program goals are straightforward and outcome-driven: to continue reducing infant mortality rates in the United States overall, and to reduce disparities in infant mortality and poor perinatal outcomes in geographic areas and populations where rates are highest. In other words, Healthy Start is both a national infant mortality reduction effort and a targeted equity initiative intended to close gaps that have remained entrenched for decades.
From an administrative standpoint, the listing is under CFDA (Assistance Listing) 93.926. Eligible applicants include a wide range of entities such as state, county, and city or township governments; special district governments; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities/Indian housing authorities; and nonprofit organizations both with and without 501(c)(3) status (with additional eligibility details referenced in the full notice). The award ceiling is $1,100,000 per award, with an estimated 103 awards expected. The notice was created on September 22, 2023, and the original closing date listed is December 15, 2023.Apply for HRSA 24 033
- The Department of Health and Human Services, 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.
- This funding opportunity was created on Sep 22, 2023.
- Applicants must submit their applications by Dec 15, 2023. (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 $1,100,000.00 in funding.
- The number of recipients for this funding is limited to 103 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA 24-033)
What is the Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA 24-033)?
It is a federal discretionary health grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It funds community-based projects intended to improve health outcomes before, during, and after pregnancy, with a specific emphasis on reducing persistent racial and ethnic inequities linked to infant mortality and other adverse perinatal outcomes.
Which federal agency administers this grant?
The grant is administered by HRSA (Health Resources and Services Administration), an agency within HHS (the U.S. Department of Health and Human Services).
What is the main purpose of this opportunity?
The purpose is to fund community-based efforts that improve perinatal health outcomes across the perinatal period (preconception, pregnancy, postpartum) and reduce infant mortality, especially in communities experiencing the most severe maternal and infant health disparities.
What populations or communities is the program intended to serve?
The program is aimed at places and populations facing the most severe maternal and infant health disparities, where preventable poor outcomes are still common. It also specifically focuses on reducing persistent racial and ethnic inequities tied to infant mortality and other adverse perinatal outcomes.
What are the two main focus areas described for funded projects?
The opportunity centers on two connected focus areas: (1) providing direct and enabling services to Healthy Start participants, and (2) convening a Community Consortium (previously called a Community Action Network or CAN) to guide and strengthen local Healthy Start work and support community planning.
What types of services are projects expected to provide to Healthy Start participants?
Funded projects are expected to provide direct and enabling services that commonly include screening and referrals, case management, care coordination, health education (including parenting education), and active linkages to clinical care. The intent is to improve access to timely and appropriate health and supportive services before pregnancy, during pregnancy, and after delivery.
Does the program focus only on pregnancy care?
No. The intent is to support participants across the perinatal period, including before conception and after delivery, recognizing that many risks and gaps in care occur outside the pregnancy window itself.
What is a Community Consortium and why is it required?
A Community Consortium is a diverse, multi-sector partnership that advises on program activities and supports the development and implementation of community plans to improve perinatal outcomes across the project area. It is required to help ensure the work is coordinated with partners beyond a single agency, including health care providers, public health partners, social service organizations, community leaders, and other stakeholders.
What was the Community Consortium called previously?
It was previously called a Community Action Network (CAN).
What role does the Community Consortium play in program implementation?
Based on the description provided, the consortium helps guide and strengthen Healthy Start locally by advising on program activities and supporting the creation and execution of community plans to improve perinatal outcomes in the project area.
How does Healthy Start address social determinants of health?
A major emphasis is addressing social determinants of health that influence pregnancy and infant outcomes. HRSA highlights practical needs such as access to adequate food, stable housing, and reliable transportation because these factors affect appointment attendance, health and safety, and recovery and wellbeing during the postpartum period.
What does HRSA mean by increased flexibility in FY 2024?
For the FY 2024 competition, HRSA notes that stakeholder feedback led to increased flexibility, giving recipients more room to tailor strategies to the specific needs, strengths, and circumstances of their target community or population instead of relying on a one-size-fits-all approach.
What are the overall goals of the Healthy Start program?
The program goals are to continue reducing infant mortality rates in the United States overall and to reduce disparities in infant mortality and poor perinatal outcomes in the geographic areas and populations where rates are highest.
Is this program considered an equity-focused initiative?
Yes. The opportunity is described as both a national infant mortality reduction effort and a targeted equity initiative intended to close entrenched gaps, including persistent racial and ethnic inequities tied to infant mortality and other adverse perinatal outcomes.
What is the Assistance Listing (CFDA) number for this opportunity?
The listing is under CFDA (Assistance Listing) 93.926.
Who is eligible to apply?
Eligible applicants include state, county, and city or township governments; special district governments; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities/Indian housing authorities; and nonprofit organizations both with and without 501(c)(3) status (with additional eligibility details referenced in the full notice).
Are nonprofit organizations without 501(c)(3) status eligible?
Yes. The eligibility description includes nonprofit organizations both with and without 501(c)(3) status, with a note that additional eligibility details are referenced in the full notice.
How much funding is available per award?
The award ceiling is $1,100,000 per award.
How many awards does HRSA expect to make?
The opportunity estimates about 103 awards expected.
When was the notice created?
The notice was created on September 22, 2023.
What is the closing date listed for this opportunity?
The original closing date listed is December 15, 2023.
What kinds of partners are typically involved in the Community Consortium?
The description indicates a multi-sector partnership, coordinated with health care providers, public health partners, social service organizations, community leaders, and other stakeholders who can address barriers and influence systems.
What does “direct and enabling services” mean in the context of this opportunity?
In this context, direct and enabling services refer to participant-facing supports such as screening and referrals, case management, care coordination, health education (including parenting education), and active linkages to clinical care, designed to help participants access timely, appropriate care and supportive services.
Why does the program emphasize the postpartum period?
The description notes that many risks and gaps in care occur after delivery, and that practical supports (like food, housing, transportation) affect recovery and wellbeing in the postpartum period.
What is meant by “community-based” projects in this opportunity?
The opportunity describes funding for projects grounded in local communities and designed to coordinate services and systems through both participant services and a multi-sector Community Consortium that supports community planning across the project area.
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