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.

  • 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).
Apply for HRSA 24 033

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