[Federal Register: July 9, 2004 (Volume 69, Number 131)]
[Notices]
[Page 41497-41501]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09jy04-92]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
HIV Prevention and Care Services for Young People in Kenya
Announcement Type: New.
Funding Opportunity Number: PA 04265.
Catalog of Federal Domestic Assistance Number: 93.941.
Dates: Application Deadline: August 9, 2004.
I. Funding Opportunity Description
Authority: This program is authorized under Sections 307 and
317(k)(2)of the Public Health Service Act, (42 U.S.C. 242l and
247b(k)(2)), as amended, and under Public Law 108-25 (United States
Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003) (22
U.S.C. 7601).
Purpose: The Centers for Disease Control and Prevention (CDC)
announces the availability of fiscal year (FY) 2004 funds for a
cooperative agreement program to implement model programs for youth
interventions in Kisumu, Kitale, Makindu, and other towns in Kenya.
This program should include community centers and/or services, and
outreach activities that target youth. The program should also involve
members of the community, including parents and religious leaders, to
reduce risk of HIV infection in young people in Kenya.
The Global AIDS Program (GAP) has established field operations to
support national HIV/AIDS control programs in 25 countries. The CDC's
GAP exists to help prevent HIV infection, improve care and support, and
build capacity to address the global AIDS pandemic. CDC/GAP provides
financial and technical assistance through partnerships with
governments, community and faith-based organizations, the private
sector, and national and international entities working in the 25
resource-constrained countries. CDC/GAP works with the Health Resources
and Services Administration (HRSA), the National Institutes of Health
(NIH), the U.S. Agency for International Development (USAID), the Peace
Corps, the Departments of State, Labor and Defense, and other agencies
and organizations. These efforts complement multilateral efforts,
including UNAIDS, the Global Fund to Combat HIV, TB and Malaria, World
Bank funding, and other private sector donation programs.
The U.S. Government seeks to reduce the impact of HIV/AIDS in
specific countries within sub-Saharan Africa, Asia, and the Americas
through the Presidential Emergency Plan for AIDS Relief (PEPFAR).
Through this new initiative, CDC's GAP will continue to work with host
countries to strengthen capacity and expand activities in the areas of:
(1) Primary HIV prevention; (2) HIV care, support, and treatment; and
(3) capacity and infrastructure development, especially for
surveillance and training. Targeted countries represent those with the
most severe epidemics where the potential for impact is greatest and
where U.S. government agencies are already active. Kenya is one of
these targeted countries.
To carry out its activities in these countries, CDC is working in a
collaborative manner with national governments and other agencies to
develop programs of assistance to address the HIV/AIDS epidemic. CDC's
program of assistance to Kenya focuses on several areas of national
priority including scaling up activities and funding for HIV
prevention, care, and treatment; improvement of the national blood
safety program; and support for the National AIDS and STD Control
Program.
The highest rates of HIV infection in Kenya occur in Kisumu and
Nyanza Province. A survey, in 1997, found 23 percent of young women
aged 15 to 19 to be HIV infected, compared to 3.5 percent of young men.
CDC Kenya has supported a rural intervention for youth, but now wishes
to support a more urban oriented intervention program for young people
in Kisumu. In addition, CDC Kenya proposes to support youth prevention
and care efforts in other areas of Kenya, including Kitale, Makindu,
the Mukuru slum and environs in Nairobi, and elsewhere.
The measurable outcomes of the program will be in alignment with
goals of the GAP to reduce HIV transmission and improve care of persons
living with HIV. They also will contribute to the goals of the PEPFAR
which are: within five years treat more than two million HIV-infected
persons with effective combination anti-retroviral therapy; care for
seven million HIV-infected and affected persons including those
orphaned by HIV/AIDS; and prevent ten million new infections. Some of
the specific measurable outcomes from this program will be: the number
of young people receiving HIV behavior change services; the number of
persons trained to provide HIV behavior change services for youth; the
number of community leaders, religious leaders, and parents involved
with the program; the number of young people who receive voluntary
counseling and testing (VCT) services as a result of activities
sponsored by the program; and the number of HIV+ young people linked to
care and treatment services.
Activities
Awardee activities for this program are as follows:
Establish or maintain youth centers and/or programs
intended to help young people reduce their risk of HIV infection.
Provide training in targeted HIV behavior change for
youth, including training related to abstinence and delay of sexual
debut.
Implement community outreach activities targeting youth,
parents, and community and religious leaders; and provide opportunities
for young people to participate in community outreach.
Develop formal relationships or linkages with other
programs and services providing VCT, sexually transmitted infections
(STI) care, and AIDS care and treatment; and ensure that these services
are provided in a manner which is ``youth friendly.''
If not available nearby, provide youth friendly VCT, STI
prevention and treatment, and AIDS care and treatment services.
Provide directly, or collaborate with, partner
organizations for the delivery of mobile VCT services targeting young
people.
Collect and analyze data on all of these services to track
and evaluate program progress.
Conduct regular and periodic assessments to determine the
effectiveness of the program in achieving specific targets relating to
the outcomes listed above, including the number of youth served and
trained, and the number of youth learning HIV status, etc. Applicants
may also propose to study the effectiveness of the interventions in
changing behavior, such as median age of first sex and rates of
abstinence and faithfulness.
Awardee should ensure that all of the above activities integrate
into the national HIV/AIDS strategy and support the CDC/GAP Kenya
mission priorities.
In a cooperative agreement, CDC staff is substantially involved in
the program activities, above and beyond routine grant monitoring.
CDC Activities for this program are as follows:
Provide technical assistance in youth interventions, youth
oriented counseling, training, data management, and program
development, monitoring and evaluation.
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Assist in the development of referral networks,
information exchange, and dissemination of lessons learned with other
CDC-supported youth interventions and care programs.
Assist, as needed, in monitoring and evaluation of
interventions funded by the program, and in development of further
appropriate initiatives.
Monitor project and budget performance to ensure
satisfactory progress towards the goals of the project.
II. Award Information
Type of Award: Cooperative Agreement.
CDC involvement in this program is listed in the Activities Section
above.
Fiscal Year Funds: 2004.
Approximate Total Funding: $8,000,000.
(This amount is the approximate total funding amount for the entire
five-year project period.)
Approximate Number of Awards: 4 to 6.
Approximate Average Award: $250,000.
(This amount is for the first 12-month budget period, and includes
direct costs.)
Floor of Award Range: $100,000.
Ceiling of Award Range: $500,000.
Anticipated Award Date: September 1, 2004.
Budget Period Length: 12 months.
Project Period Length: Five years.
Throughout the project period, CDC's commitment to continuation of
awards will be conditioned on the availability of funds, evidence of
satisfactory progress by the recipient (as documented in required
reports), and the determination that continued funding is in the best
interest of the Federal Government.
III. Eligibility Information
III.1. Eligible Applicants
Applications may be submitted by public nonprofit organizations,
private nonprofit organizations, universities or colleges, and faith-
based organizations that meet the following criteria:
1. Have at least three years of documented experience in conducting
HIV prevention interventions in Kenya.
2. Have an existing program in Kenya at the selected site because
it is critical that these activities commence quickly. Kisumu, Kitale,
Makindu, and the Mukuru slum area of Nairobi are priority sites, though
programs proposed for other locations will be considered.
III.2. Cost Sharing or Matching
Matching funds are not required for this program.
III.3. Other
If you request a funding amount greater than the ceiling of the
award range, your application will be considered non-responsive, and
will not be entered into the review process. You will be notified that
your application did not meet the submission requirements.
If your application is incomplete or non-responsive to the
requirements listed in this section, it will not be entered into the
review process. You will be notified that your application did not meet
submission requirements.
IV. Application and Submission Information
IV.1. Address To Request Application Package
To apply for this funding opportunity use application form PHS
5161. Application forms and instructions are available on the CDC web
site, at the following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm
.
If you do not have access to the Internet, or if you have
difficulty accessing the forms on-line, you may contact the CDC
Procurement and Grants Office Technical Information Management Section
(PGO-TIM) staff at: 770-488-2700. Application forms can be mailed to
you.
IV.2. Content and Form of Submission
Application: You must include a project narrative with your
application forms. The narrative must be submitted in the following
format:
Maximum number of pages: 15. If your narrative exceeds the
page limit, only the first pages which are within the page limit will
be reviewed.
Font size: 12 point unreduced.
Paper size: 8.5 by 11 inches.
Double spaced.
Page margin size: One inch.
Printed only on one side of page.
Held together only by rubber bands or metal clips; not
bound in any other way.
All pages should be numbered, and a complete index to the
application and any appendices must be included.
Submitted in English.
Your narrative should address activities to be conducted over the
entire project period, and should consist of, as a minimum, a plan,
objectives, activities, methods, an evaluation framework, a budget
highlighting any supplies mentioned in the Program Requirements and any
proposed capital expenditure. The budget justification will not be
counted in the page limit stated above. Guidance for completing your
budget can be found on the United States government Web site at the
following address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.
Additional information is optional and may be included in the
application appendices. The appendices will not be counted toward the
narrative page limit. Additional information could include but is not
limited to: organizational charts, curriculum vitas, letters of
support, etc.
You are required to have a Dun and Bradstreet Data Universal
Numbering System (DUNS) number to apply for a grant or cooperative
agreement from the Federal government. The DUNS number is a nine-digit
identification number, which uniquely identifies business entities.
Obtaining a DUNS number is easy and there is no charge. To obtain a
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711.
For more information, see the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm
.
If your application form does not have a DUNS number field, please
write your DUNS number at the top of the first page of your
application, and/or include your DUNS number in your application cover
letter.
Additional requirements that may require you to submit additional
documentation with your application are listed in section ``VI.2.
Administrative and National Policy Requirements.''
IV.3. Submission Dates and Times
Application Deadline Date: August 9, 2004.
Explanation of Deadlines: Applications must be received in the CDC
Procurement and Grants Office by 4 p.m. eastern time on the deadline
date. If you send your application by the United States Postal Service
or commercial delivery service, you must ensure that the carrier will
be able to guarantee delivery of the application by the closing date
and time. If CDC receives your application after closing due to: (1)
Carrier error, when the carrier accepted the package with a guarantee
for delivery by the closing date and time, or (2) significant weather
delays or natural disasters, you will be given the opportunity to
submit documentation of the carriers guarantee. If the documentation
verifies a carrier problem, CDC will consider the application as having
been received by the deadline.
This announcement is the definitive guide on application submission
address and deadline. It supersedes information provided in the
application instructions. If your application does
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not meet the deadline above, it will not be eligible for review, and
will be discarded. You will be notified that your application did not
meet the submission requirements.
CDC will not notify you upon receipt of your application. If you
have a question about the receipt of your application, first contact
your courier. If you still have a question, contact the PGO-TIM staff
at: 770-488-2700. Before calling, please wait two to three days after
the application deadline. This will allow time for applications to be
processed and logged.
IV.4. Intergovernmental Review of Applications
Executive Order 12372 does not apply to this program.
IV.5. Funding Restrictions
Restrictions, which must be taken into account while writing your
budget, are as follows:
Funds may be used for: Hiring of staff needed to establish
and operate the center or program; hiring and/or renovating facilities
to ensure adequate and appropriate premises for the center or program;
coordination and evaluation of the program; and purchase of supplies,
equipment, vehicles, and commodities needed to provide the services.
Antiretroviral Drugs--The purchase of antiretrovirals,
reagents, and laboratory equipment for antiretroviral treatment
projects require pre-approval from the GAP headquarters.
Needle Exchange--No funds appropriated under this Act
shall be used to carry out any program of distributing sterile needles
or syringes for the hypodermic injection of any illegal drug.
Funds may be spent for reasonable program purposes,
including personnel, training, travel, supplies and services. Equipment
may be purchased and renovations completed if deemed necessary to
accomplish program objectives; however, prior written approval by CDC
officials must be requested in writing.
All requests for funds contained in the budget shall be
stated in U.S. dollars. Once an award is made, CDC will not compensate
foreign grantees for currency exchange fluctuations through the
issuance of supplemental awards.
The costs that are generally allowable in grants to
domestic organizations are allowable to foreign institutions and
international organizations, with the following exception: With the
exception of the American University, Beirut, and the World Health
Organization, Indirect Costs will not be paid (either directly or
through sub-award) to organizations located outside the territorial
limits of the United States or to international organizations
regardless of their location.
The applicant may contract with other organizations under
this program, however, the applicant must perform a substantial portion
of the activities, including program management and operations, and
delivery of prevention and care services for which funds are requested.
An annual audit of these funds is required by a U.S. based
audit firm with international branches and current licensure/authority
in-country, and in accordance with International Accounting Standards
or equivalent standard(s) approved in writing by CDC. The audit should
specify the use of funds and the appropriateness and reasonableness of
expenditures.
A fiscal Recipient Capability Assessment may be required
with the potential awardee, pre or post award, in order to review their
business management and fiscal capabilities regarding the handling of
U.S. Federal funds.
Prostitution and Related Activities: The U.S. Government
is opposed to prostitution and related activities, which are inherently
harmful and dehumanizing, and contribute to the phenomenon of
trafficking in persons.
Any entity that receives, directly or indirectly, U.S. Government
funds in connection with this document (``recipient'') cannot use such
U.S. Government funds to promote or advocate the legalization or
practice of prostitution or sex trafficking. Nothing in the preceding
sentence shall be construed to preclude the provision to individuals of
palliative care, treatment, or post-exposure pharmaceutical
prophylaxis, and necessary pharmaceuticals and commodities, including
test kits, condoms, and, when proven effective, microbicides. A
recipient that is otherwise eligible to receive funds in connection
with this document to prevent, treat, or monitor HIV/AIDS shall not be
required to endorse or utilize a multisectoral approach to combating
HIV/AIDS, or to endorse, utilize, or participate in a prevention method
or treatment program to which the recipient has a religious or moral
objection. Any information provided by recipients about the use of
condoms as part of projects or activities that are funded in connection
with this document shall be medically accurate and shall include the
public health benefits and failure rates of such use.
In addition, any foreign recipient must have a policy explicitly
opposing, in its activities outside the United States, prostitution and
sex trafficking, except that this requirement shall not apply to the
Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health
Organization, the International AIDS Vaccine Initiative or to any
United Nations agency, if such entity is a recipient of U.S. government
funds in connection with this document.
The following definitions apply for purposes of this clause:
Sex trafficking means the recruitment, harboring,
transportation, provision, or obtaining of a person for the purpose of
a commercial sex act. 22 U.S.C. 7102(9).
A foreign recipient includes an entity that is not
organized under the laws of any State of the United States, the
District of Columbia or the Commonwealth of Puerto Rico. Restoration of
the Mexico City Policy, 66 FR 17303, (March 28, 2001).
All recipients must insert provisions implementing the applicable
parts of this section, ``Prostitution and Related Activities,'' in all
subagreements under this award. These provisions must be express terms
and conditions of the subagreement, acknowledge that each certification
to compliance with this section, ``Prostitution and Related
Activities,'' are a prerequisite to receipt of U.S. government funds in
connection with this document, and must acknowledge that any violation
of the provisions shall be grounds for unilateral termination of the
agreement prior to the end of its term. In addition, all recipients
must ensure, through contract, certification, audit, and/or any other
necessary means, all the applicable requirements in this section,
``Prostitution and Related Activities,'' are met by any other entities
receiving U.S. government funds from the recipient in connection with
this document, including without limitation, the recipients' sub-
grantees, sub-contractors, parents, subsidiaries, and affiliates.
Recipients must agree that HHS may, at any reasonable time, inspect the
documents and materials maintained or prepared by the recipient in the
usual course of its operations that relate to the organization's
compliance with this section, ``Prostitution and Related Activities.''
All primary grantees receiving U.S. Government funds in connection
with this document must certify compliance prior to actual receipt of
such funds in a written statement referencing this document (e.g.,
``[Recipient's name] certifies compliance with the section,
`Prostitution and Related Activities.' '')
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addressed to the agency's grants officer. Such certifications are
prerequisites to the payment of any U.S. Government funds in connection
with this document.
Recipients' compliance with this section, ``Prostitution and
Related Activities,'' is an express term and condition of receiving
U.S. government funds in connection with this document, and any
violation of it shall be grounds for unilateral termination by HHS of
the agreement with HHS in connection with this document prior to the
end of its term. The recipient shall refund to HHS the entire amount
furnished in connection with this document in the event it is
determined by HHS that the recipient has not complied with this
section, ``Prostitution and Related Activities.''
Awards will not allow reimbursement of pre-award costs.
Guidance for completing your budget can be found on the CDC Web
site at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm
.
IV.6. Other Submission Requirements
Application Submission Address: Submit the original and two hard
copies of your application by mail or express delivery service to:
Technical Information Management--PA 04265, CDC Procurement and Grants
Office, 2920 Brandywine Road, Atlanta, GA 30341.
Applications may not be submitted electronically at this time.
V. Application Review Information
V.1. Criteria
You are required to provide measures of effectiveness that will
demonstrate the accomplishment of the various identified objectives of
the cooperative agreement. Measures of effectiveness must relate to the
performance goals stated in the ``Purpose'' section of this
announcement. Measures must be objective and quantitative, and must
measure the intended outcome. These measures of effectiveness must be
submitted with the application and will be an element of evaluation.
Your application will be evaluated against the following criteria:
1. Understanding the Issues Relating to the Prevalence of HIV Infection
in Young People in Kenya, and Developing a Creative and Innovative
Approach to Preventing HIV Infection in This Population (30 points)
Does the applicant demonstrate an understanding of the social,
behavioral, and contextual issues relating to the high risk of HIV
infection in young people in Kenya? Does the applicant demonstrate
creative and innovative ideas for addressing this multi-sectoral
problem? Does the applicant provide evidence that the proposed approach
has been effective in changing behavior of young people in Kenya or
elsewhere, or that it is based on best practices in HIV prevention?
2. Ability To Carry Out the Proposal (25 points)
Does the applicant demonstrate the capability to achieve the
purpose of this proposal? Does the applicant demonstrate an ability to
set up and operate an intervention program in Kenya? Does the applicant
demonstrate an ability, and a reasonable plan, to scale up activities
quickly and reach large numbers of young people with HIV prevention
messages and services?
3. Personnel (20 points)
Are the technical personnel involved in this project qualified,
including evidence of at least three years' experience in providing HIV
interventions for youth? Do the technical personnel have demonstrated
capacity for creative approaches to complex problems?
4. Plans for Administration, Management, and Evaluation of the Project
(15 points)
Does the applicant describe activities that are realistic,
achievable, time-framed and appropriate to complete this program? Are
the plans for monitoring and evaluating the project appropriate and
consistent with monitoring requirements associated with the PEPFAR?
5. Administrative and Accounting Plan (10 points)
Is there a plan to account for, prepare reports, monitor and audit
expenditures under this agreement; manage the resources of the program;
and produce, collect and analyze performance data?
6. Budget (not scored, but evaluated)
Is the itemized budget for conducting the project, along with
justification, reasonable and consistent with stated objectives and
planned program activities?
V.2. Review and Selection Process
Applications will be reviewed for completeness by the Procurement
and Grants Office (PGO) staff, and for responsiveness by the National
Center for HIV, STD and TB Prevention (NCHSTP). Incomplete applications
and applications that are non-responsive to the eligibility criteria
will not advance through the review process. Applicants will be
notified that their application did not meet submission requirements.
An objective review panel will evaluate complete and responsive
applications according to the criteria listed in the ``V.1. Criteria''
section above.
No award will be made without the concurrence of the U.S. Embassy
and the CDC representative in Kenya.
V.3. Anticipated Announcement and Award Date
September 1, 2004.
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a Notice of Grant Award (NGA)
from the CDC Procurement and Grants Office. The NGA shall be the only
binding, authorizing document between the recipient and CDC. The NGA
will be signed by an authorized Grants Management Officer, and mailed
to the recipient fiscal officer identified in the application.
Unsuccessful applicants will receive notification of the results of
the application review by mail.
VI.2. Administrative and National Policy Requirements
45 CFR Part 74 and Part 92
For more information on the Code of Federal Regulations, see the
National Archives and Records Administration at the following Internet
address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
The following additional requirements apply to this project:
AR-1--Human Subjects Requirements.
AR-4--HIV/AIDS Confidentiality Provisions.
AR-6--Patient Care.
AR-8--Public Health System Reporting Requirements.
AR-10--Smoke-Free Workplace Requirements.
AR-14--Accounting System Requirements.
Additional information on these requirements can be found on the
CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm
.
VI.3. Reporting Requirements
You must provide CDC with an original, plus two hard copies of the
following reports:
1. Semi-annual progress reports, no more than 30 days after the end
of the budget period.
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2. Interim progress report, no less than 90 days before the end of
the budget period. The progress report will serve as your non-competing
continuation application, and must contain the following elements:
a. Current Budget Period Activities Objectives.
b. Current Budget Period Financial Progress.
c. New Budget Period Program Proposed Activity Objectives.
d. Budget.
e. Additional Requested Information.
f. Measures of Effectiveness.
3. Financial status report, no more than 90 days after the end of
the budget period.
4. Final financial and performance reports, no more than 90 days
after the end of the project period.
These reports must be mailed to the Grants Management or Contract
Specialist listed in the ``Agency Contacts'' section of this
announcement.
VII. Agency Contacts
For general questions about this announcement, contact: Technical
Information Management Section, CDC Procurement and Grants Office, 2920
Brandywine Road, Atlanta, GA 30341, telephone: 770-488-2700.
For program technical assistance, contact: Elizabeth Marum, Ph.D.,
Project Officer, Global Aids Program [GAP], Kenya Country Team,
National Center for HIV, STD and TB Prevention, Centers for Disease
Control and Prevention [CDC], PO Box 606 Village Market, Nairobi,
Kenya, telephone: 256-20-271-3008, e-mail:
emarum@cdcnairobi.mimcom.net.
For budget assistance, contact: Diane Flournoy, Contract
Specialist, CDC Procurement and Grants Office, 2920 Brandywine Road,
Atlanta, GA 30341, telephone: 770-488-2072, e-mail: dmf6@cdc.gov.
Dated: July 2, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease
Control and Prevention.
[FR Doc. 04-15602 Filed 7-8-04; 8:45 am]
BILLING CODE 4163-18-P