[Federal Register Volume 59, Number 66 (Wednesday, April 6, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-8154]
[[Page Unknown]]
[Federal Register: April 6, 1994]
_______________________________________________________________________
Part VII
Department of Health and Human Services
_______________________________________________________________________
Public Health Service
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General Family Planning Training Projects; Grant Availability; Notice
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
RIN 0905-ZA30
Announcement of Availability of Grants for General Family
Planning Training Projects
AGENCY: Office of Family Planning, OPA, PHS.
ACTION: Notice.
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SUMMARY: The Office of Family Planning (OFP) of the Office of
Population Affairs requests applications for grants under the Family
Planning Service Training Program authorized under section 1003 of the
Public Health Service (PHS) Act (42 U.S.C. 300a-1(a)). Funds are
available to train family planning personnel in order to maintain the
high level of performance of family planning services projects funded
under Title X of the PHS Act. Training is provided at general training
centers in the ten Department of Health & Human Services' (DHHS)
regions.
ADDRESS: Application kits may be obtained from and applications must be
submitted to: Grants Management Office, Office of Population Affairs,
East-West Towers, suite N1115, Rockville, MD 20857.
DATES: Applications must be postmarked or received at the above address
no later than June 6, 1994. Private metered postmarks will not be
acceptable as proof of timely mailing. Applications which are
postmarked or delivered to the Grants Management Office later than June
6, 1994 will be judged late and will not be accepted for review.
Applications which do not conform to the requirements of the program
announcement or meet the applicable requirements of 42 CFR part 59,
subpart C will not be accepted for review. Applicants will be notified,
and applications will be returned.
FOR FURTHER INFORMATION CONTACT: Mr. Sam Taylor, Acting Director,
Office of Family Planning at (301) 594-4008 is available for assistance
on scientific, technical and program aspects, or Mrs. Barbara N.
Rosenberg, Grants Management Officer at (301) 594-4012 is available for
business management issues. Staff are available to answer questions and
provide limited technical assistance in the preparation of grant
applications.
SUPPLEMENTARY INFORMATION: Title X of the PHS Act, 42 U.S.C. 300, et
seq., authorizes the Secretary of Health and Human Services to award
grants for projects to provide training for family planning service
personnel. (Catalog of Federal Domestic Assistance Number 93.260). This
notice announces the availability of approximately $2.7 million in
funding and solicits applications for ten general training projects to
assist in the establishment and operation of regional training centers.
Grants will be funded within certain ranges, as set out below. The
funding ranges for the regions are determined based on the assessment
of the Deputy Assistant Secretary for Population Affairs (DASPA) of the
regions' relative need for training funds; funding of individual grants
within each funding range will be based on the DASPA's assessment of
such factors as the training needs within the region and the cost and
availability of personnel for funding.
The training projects are as follows:
One general training grant for DHHS Region I (Connecticut, Maine,
Massachusetts, New Hampshire, Rhode Island and Vermont). A funding
range of $181,500-$200,600 is available for this grant.
One general training grant for DHHS Region II (New Jersey, New
York, Puerto Rico, and the Virgin Islands). A funding range of
$288,500-$318,900 is available for this grant.
One general training grant for DHHS Region III (Delaware, Maryland,
Pennsylvania, Virginia, West Virginia and the District of Columbia). A
funding range of $299,500-$331,000 is available for this grant.
One general training grant for DHHS Region IV (Alabama, Florida,
Georgia, Kentucky, Mississippi, N. Carolina, S. Carolina and
Tennessee). A funding range of $350,300-$387,200 is available for this
grant.
One general training grant for DHHS Region V (Illinois, Indiana,
Michigan, Minnesota, Ohio, Wisconsin). A funding range of $315,400-
$348,600 is available for this grant.
One general training grant for DHHS Region VI (Arkansas, Louisiana,
New Mexico, Oklahoma, Texas). A funding range of $269,800-$298,200 is
available for this grant.
One general training grant for DHHS Region VII (Iowa, Kansas,
Missouri, Nebraska). A funding range of $168,400-$186,100 is available
for this grant.
One general training grant for DHHS Region VIII (Colorado, Montana,
N. Dakota, S. Dakota, Utah, Wyoming). A funding range of $169,300-
$187,100 is available for this grant.
One general training grant for DHHS Region IX (Arizona, California,
Hawaii, Nevada, American Samoa, Federated States of Micronesia,
Republic of Marshall Islands, Commonwealth of the Northern Mariana
Islands, Republic of Palau and Guam). A funding range of $252,200-
$278,700 is available for this grant.
One general training grant for DHHS Region X (Alaska, Idaho,
Oregon, Washington). A funding range of $154,900-$171,200 is available
for this grant.
Statutory and Regulatory Background
Title X of the PHS Act, enacted by Public Law 91-572, authorizes
grants for projects to provide family planning services to persons from
low-income families and others. Section 1001 of the Act, as amended,
authorizes grants ``to assist in the establishment and operation of
voluntary family planning projects which shall offer a broad range of
acceptable and effective family planning methods and services,
(including natural family planning methods, infertility services, and
services for adolescents).'' Section 1003 of the Act, as amended,
authorizes the Secretary to make grants to entities to provide the
training for personnel to carry out the family planning services
programs.
The regulations set out at 42 CFR part 59, subpart C, govern grants
for family planning services training. Prospective applicants should
refer to the regulations in their entirety.
Role and Operation of the Training Program
Under the regulations, ``training'' means job-specific skill
development. Continuing education activities that are innovative or
non-traditional are encouraged. The development or use of self-paced,
self-instructional or mediated training materials which utilize
technological advancements in the learning field are also acceptable.
The purpose of the general training program is to provide short-
term training, continuing education, inservice education and staff
development for personnel to improve or maintain at a high level the
performance of Title X family planning services providers.
Successful applicants will be required to work closely with a
network of other PHS agencies, including the central and regional
office staffs, Title X service delivery providers, and regional
training advisory committees which provide representation from all
service grantees. Successful applicants will be required to review and
consider policy and program goals of the Title X family planning
program, solicit advice from the regional training advisory committee,
and consult with Title X service delivery providers about training
priorities, course content, and curriculum. Because of outcomes from
the community planning process and emphasis on community involvement,
successful applicants should also stress mechanisms that solicit input
from the ``customer,'' both clinician and client.
In developing their curricula and training schedules, general
training programs supported under this announcement should be sensitive
to the importance of supporting the program priorities of the Title X
services program, which include:
Expansion of current clinic sites and development of new
clinics in high need areas;
Outreach to low-income women, adolescents and persons at
high risk of unintended pregnancy or infection with STD (including HIV)
not now receiving family planning services;
Increased emphasis on services to adolescents, including
enhanced counseling as well as new service arrangements for providing
services to teens;
Increased focus on quality and comprehensiveness of
services, including treatment of STD's, screening for cervical cancer
and prevention of breast cancer, substance abuse counseling, and
counseling on avoidance of high risk behavior which may place clients
at risk for STD and HIV, and
Increased emphasis on training and retention of Family
Planning nurse practitioners, particularly minority nurse practitioners
and those working in clinics serving high risk populations.
Training programs should also be sensitive to the need to focus
training on emerging priorities, such as the revised Title X Guidelines
(when issued), the requirements of the Americans With Disabilities Act,
health care reform, changes in delivery of traditional family planning
in nontraditional sites and program data reporting requirements
currently under revision.
The application should set out how the general training program
will address the national health objectives relating to family planning
that are discussed in section 5 of the PHS document, Healthy People
2000. In the context of Healthy People 2000, attention should be given
to training which would enable trainees to: Work more effectively to
reduce teen pregnancy; reduce unintended pregnancy among all women;
reduce the initiation of sexual activity by teenagers; increase the
effectiveness of contraception, including barrier contraception, among
all women; implement pre-conception care; and reduce sexually
transmitted diseases, including HIV.
Successful applicants will be responsible for the overall
management of a general training program within the geographic area for
which the grant is made. This responsibility includes:
Developing an annual training plan, which reflects
national and regional goals and the training needs of local Title X
service grantees;
Developing criteria for selection of staff for training,
including prerequisite qualifications. Such criteria should reflect a
sensitivity to the unique needs of grantees for certain types of
training, priority for trainees serving rural areas or Health
Professional Shortage Areas (HPSAs), or other relevant factors;
Developing a process to review training applications
submitted by Title X services grantee personnel. Training grantees will
make the final decision about candidates' suitability for training,
applying the criteria discussed above;
Maintaining data on general training characteristics
sufficient to allow evaluation by central and regional offices, and
self-evaluation by the training grantees;
Developing and implementing general training plans and
continuing professional education programs which include measurable
objectives;
Sharing materials developing with other training programs
so as to avoid unnecessary duplication of effort. All materials
developed with Title X funds must be made available at cost to other
Title X projects upon request;
Facilitating trainees' receipt of continuing education
units where appropriate, and
Planning an annual continuing education conference and
attending at least one national training meeting annually.
Application Requirements
Applications must be submitted on the forms supplied (PHS-5161-1)
(OMB Approval No. 0937-0189) and in the manner prescribed in the
application kits available from the Office of Grants Management.
Applicants are required to submit an application signed by an
individual authorized to act for the applicant agency or organization
and to assume for the organization the obligations imposed by the terms
and conditions of the grant award. Applicants are required to submit an
original application and two copies.
Accepted applications will be subjected to a competitive review
process. The results of this review will assist the Deputy Assistant
Secretary for Population Affairs in considering competing applications
and in making the final funding decisions.
Any public or private nonprofit organization or agency is eligible
to apply for a grant. It is not required that an entity applying for a
grant be physically located in the region to be served by the proposed
project.
A copy of the legislation and regulations governing this program
will be sent to applicants as part of the application kit package.
Applicants should use the legislation, regulations and information
included in this announcement to guide them in developing their
applications. Applications should be limited to 50 doubled-spaced
pages, not including appendices providing curriculum vitae or
statements of organizational capabilities. Awards will be made only to
those applicants who have met all applicable requirements.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of Healthy People
2000, a PHS-led national activity which involves the establishment and
pursuit of goals designed to prevent disease and promote health. This
announcement is related to the priority areas of Family Planning and
Educational and Community-Based Programs. Potential applicants may
obtain a copy of Healthy People 2000 (Full Report: Stock No. 017-001-
00474-0) or Healthy People 2000 (Summary Report; Stock No. 017-001-
00473-1) through the Superintendent of Documents, Government Printing
Office, Washington, DC 20402-0325. (Telephone (202) 783-3238.)
Grant Award
Eligible competing grant applications will be reviewed and assessed
against the following criteria:
1. The extent to which the proposed training program will increase
the delivery of services to Title X clients, particularly persons from
low-income families. (15 points)
2. The extent to which the proposed training program has the
potential to fulfill the training needs of the family planning services
grantees in the areas to be served, which may include among other
things:
a. Development of a capability within family planning services
projects to provide pre- and in-service training to their own staffs;
b. Improvement of the family planning service delivery skills of
family planning and health services personnel; and
c. Improvement in the utilization and career development of
paraprofessional and paramedical manpower in family planning services.
Total consideration for a, b, and c. (15 points)
3. The extent to which the training program proposes appropriate
strategies to improve the provision of family planning services in
rural areas and HPSAs. (15 points)
4. The capacity of the applicant to make rapid and effective use of
the training grant. (10 points)
5. The administrative and management capability and competence of
the applicant. (15 points)
6. The competence of the project staff and/or trainers in relation
to the services to be provided. (15 points)
7. The degree to which the project plan adequately provides for the
requirements set forth in 42 CFR 59.205, including the applicant's
presentation of the project's objectives, the methods for achieving
project objectives, the ability to involve providers and the regional
office, and the results or benefits expected. (15 points)
In making grant award decisions the Deputy Assistant Secretary for
Population Affairs (DASPA) will fund those projects which will in his
judgment best promote the purposes of section 1003 of the Act, within
the limits of funds available for such projects.
Grants will be approved for project periods of up to 5 years.
Grants are funded in annual increments (budget periods). Funding for
all approved budget periods beyond the first year of the grant is
contingent upon satisfactory progress of the project, efficient and
effective use of grant funds provided, and availability of funds.
Review Under Executive Order 12372
Applicants under this announcement are subject to the review
requirements of Executive Order 12372, State Review of Applications for
Federal Financial Assistance, as implemented by 45 CFR part 100. As
soon as possible, the applicant should discuss the project with the
State Single Point of Contact (SPOC) for each State in the area to be
served. The application kit contains the currently available listing of
the SPOCs which have elected to be informed of the submission of
applications. For those States not represented on the listing, further
inquiries should be made by the applicant regarding the submission to
the relevant SPOC. The SPOC's comment(s) should be forwarded to the
Grants Management Office, Office of Population Affairs, East-West
Towers, suite N1115, 5600 Fishers Lane, Rockville, MD 20857. Such
comments must be received by the Office of Population Affairs by June
6, 1994 to be considered.
When final funding decisions have been made, each applicant will be
notified by letter of the outcome. The official document notifying an
applicant that a project application has been approved for funding is
the Notice of Grant Award, which specifies to the grantee the amount of
money awarded, the purposes of the grant, and terms and conditions of
the grant award.
Dated: February 22, 1994.
Gerald J. Bennett,
Acting Deputy Assistant Secretary for Population Affairs.
[FR Doc. 94-8154 Filed 4-5-94; 8:45 am]
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