[Federal Register Volume 59, Number 122 (Monday, June 27, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-15477]
[[Page Unknown]]
[Federal Register: June 27, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
RIN 0905-ZA70
[Program Announcement Number 476]
Violence Against Women; Multifaceted Community-Based
Demonstration Projects; Notice of Availability of Funds For Fiscal Year
1994
Introduction
The Centers for Disease Control and Prevention (CDC) announce the
availability of fiscal year (FY) 1994 funds for cooperative agreements
to create multifaceted community-based Violence Against Women (VAW)
prevention demonstration projects.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives described in
``Healthy People 2000,'' a PHS-led national activity to reduce
morbidity and mortality and improve the quality of life. This
announcement is related to the priority area of Violent and Abusive
Behavior. (For ordering a copy of ``Healthy People 2000,'' see the
section, ``Where to Obtain Additional Information.'')
Authority
This program announcement is authorized under sections 301, 317,
391, 392 and 393, of the Public Health Service Act (42 U.S.C. 241,
247b, 280b, 280b-1 and 280b-2), as amended.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Eligible Applicants
Applications may be submitted by public and private, nonprofit and
for-profit organizations, and governments and their agencies. Thus,
universities, colleges, research institutions, hospitals, other public
and private organizations, State and local governments or their bona
fide agents, federally recognized Indian tribal governments, Indian
tribes or Indian tribal organizations, and small, minority- and/or
women-owned businesses are eligible to apply.
Availability of Funds
Approximately $1,375,000 is available in FY 1994 to fund up to five
demonstration projects. Awards are expected to range from $250,000 to
$300,000 with an average award of $275,000, and are expected to begin
on or about September 30, 1994. Awards will be made for a 12-month
budget period within a project period up to 5 years. Funding estimates
may vary and are subject to change. Non-competing continuation awards
for new budget periods within the approved project period will be made
on the basis of satisfactory progress as evidenced by required reports
and site visits.
Note: At the request of the applicant, Federal personnel may be
assigned to a project area in lieu of a portion of the financial
assistance.
Definitions
Violence Against Women (VAW) is defined as threatened or actual use
of physical force against a woman that either results or has the
potential to result in injury or death. This type of violence includes
the physical, sexual, or psychological assault of women by partners,
intimates, family members, and acquaintances. Commonly referenced types
of behavior that fit within this definition include family and intimate
violence, spouse abuse, partner abuse (including same sex
relationships), women battering, courtship violence, sexual assault,
and date rape. Public health approaches violence as a health issue and
consequently, uses injuries, both fatal and nonfatal, psychological and
physical, to quantify the impact of violence.
For the purposes of this announcement, the area of attention is in
primary prevention of violence against adolescent (12+ years of age)
and adult women by persons known to the victim (family members,
partners, and intimates) rather than by strangers.
Interventions for VAW may encompass training/education, legal
(e.g., mandatory arrest policies), behavioral, or environmental change
strategies. Multifaceted programs are programs which incorporate
multiple interventions aimed at reducing the incidence of VAW and that
results in injury or death. Since beliefs and behaviors are difficult
to change, effective prevention models require a combination of
interventions that provide specific strategies for establishing a
coordinated program. For multifaceted programs to be effective,
interventions must be complementary. For example, the benefits of
referral protocols are potentiated by expanding emergency shelter and
support services for victims.
No single solution has been effective in the prevention of VAW. To
maximize effectiveness, primary prevention programs should be based on
multiple complementary interventions in multiple settings. These
programs should be community-based and tailored to meet the specific
needs of the community, including the most effective strategies and
personnel. Supporting and empowering communities to develop effective
prevention programs will represent an essential model for delivering
interventions for those in need. The community-based model has been
successful in dealing with other public health prevention efforts such
as HIV prevention.
Local Planning Group (LPG) is defined as a team of individuals
drawn from community-based organizations, State and local health
departments, and a local college or university. The LPG would
collaborate in the design, implementation, and evaluation of the
proposed VAW prevention program. A female victim of intimate violence
should be included as an additional team member. The LPG team
participants will serve as advisors and consultants on the practical
and scientific aspects of the proposed intervention and evaluation
activities. Each member or group represented on the LPG must have its
proposed activities, responsibilities, and contributions to the success
of the project clearly defined in the ``Application Content'' section
of the application. Applicants should also see the ``Program
Requirements'' section.
Full working partners are defined as any of the organizations or
institutions that are collaborating in the VAW prevention project
either through participation on the local planning group or in some
other substantive way. It is essential that full working partners'
duties, responsibilities, and contributions to the success of the
project are clearly defined in the ``Application Content'' section of
the application. Applicants should also see the ``Program
Requirements'' section. For example, a full working partner may have
access to the community (target population) that the applicant does not
possess. Because the full working partner is substantially involved in
the project, the applicant can state that the project as a whole has
community access.
Primary prevention is defined as the reduction or control of
causative factors for a health problem and includes reducing risk
factors and environmental exposures, and includes health-service
interventions.
Purpose
The purposes of this program are to:
1. Identify or develop potentially effective intervention
strategies for delivering VAW primary prevention at the community
level.
2. Design and implement multifaceted community-based VAW primary
prevention programs based on these interventions.
3. Evaluate the extent to which the multifaceted community programs
reduce rates of violent behavior, injury, and death among intimates.
4. Develop formal replication guidelines from successful programs
for disseminating model VAW prevention programs.
Although a number of existing interventions and/or programs to
prevent VAW are perceived as useful, little is actually known about
their effectiveness, their impact on women, and their ability to be
replicated in a variety of settings. Evaluation will help identify
those programs that demonstrate the greatest promise for primary
prevention. Model programs should be able to address a particularly
important type of VAW or address violence in special settings.
Comprehensive, multifaceted, and innovative efforts to address VAW may
include, but are not limited to, the following strategies:
1. Public awareness campaigns to dispel misconceptions about VAW as
well as change knowledge, attitudes, and beliefs pertaining to VAW.
This could include school-based curricula, college- and university-
based efforts, and work-site education programs (non-Federal);
2. Coordination among the criminal justice system, family and
intimate violence programs, substance abuse programs, mental health
centers, and the medical community for referral, intervention, shelter,
and case management. This could include: (a) Victim identification and
referral protocols in hospital emergency rooms, community clinics, and
other health care settings, (b) expansion of emergency shelter and
support services for victims, and (c) worksite programs (non-Federal)
including identification and referral for victims through employee
assistance programs and worksite (non-Federal) promotional campaigns;
3. Expansion of court-ordered treatment programs for abusers which
would include intensive counseling and behavior modification treatment;
or
4. Training and education programs for professionals in health
care, legal, and social service fields who deal with potential victims
and abusers or who are involved in the planning and implementation of
prevention programs.
Program Requirements
Applications that do not meet the following requirements will be
considered non-responsive and will not be reviewed.
Applicants must:
1. Demonstrate that women in the target community (adolescents 12+
years of age and adult women) are victims of violence and are at risk
for injury and death from persons known to them rather than by
strangers.
2. Demonstrate their or a full working partner's access to the
target population.
3. Demonstrate their or a full working partner's experience in the
area of VAW prevention and in planning, delivering, and managing
complex interventions.
4. Demonstrate their or a full working partner's capacity to:
a. Design comprehensive program evaluations.
b. Collect and analyze both quantitative and qualitative data.
c. Synthesize, summarize, and report evaluation results which are
usable and decision-oriented.
5. Develop culturally relevant and linguistically appropriate
designs.
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities under A.
(Recipient Activities), and CDC will be responsible for the activities
listed under B. (CDC Activities).
A. Recipient Activities
Within the chronology of the following recipient activities,
applicants may be at varying stages in program development and
implementation and may have already accomplished certain activities.
Recipient activities should include but not necessarily be limited to
the following:
1. Develop written protocols to be used in carrying out and
evaluating the selected interventions which comprise the program. (See
letter G, Evaluation Plan, numbers 1 through 7, in ``Application
Content'' section of the Program Announcement included in the
application kit.)
2. Develop and pilot test data collection instruments.
3. Select study sample(s) based on the target population initially
identified.
4. Provide necessary training materials, protocols, and assurance
of competence for personnel who will be conducting various
interventions, if appropriate. Describe details of integration between
program interventions.
5. Collect and compile process, program monitoring and management,
cost, and outcome data in an ongoing fashion.
6. Produce replication guidelines which can serve as a template for
other organizations to reproduce program successes.
7. Collaborate with CDC in analyzing data and conducting the final
scientific evaluation of the program's contribution to reducing rates
of VAW and associated injuries and death.
B. CDC Activities
1. Provide consultation in conducting surveillance, establishing
baseline data, defining the target population, designing scientific
protocols, and evaluating the cost, process(es), and outcomes of the
multifaceted program.
2. Collaborate in the design of all phases of the demonstration
projects. Provide consultation on data collection instruments and
procedures, and provide coordination of research, evaluation, and
intervention activities among the cooperative agreement recipients.
3. Collaborate in data collection strategies and in the analyses
from these projects and other related activities.
4. Provide consultation in establishing standardized data
collection and reporting systems to monitor program activities.
5. Provide up-to-date scientific information about VAW prevention.
Evaluation Criteria
Applications will be reviewed and evaluated according to the
following criteria (maximum 100 total points):
A. Background and Need (10 Points)
The extent to which the community and target population are victims
of, or are at risk for, violence and have been affected by injuries and
deaths associated with such violence. The extent to which the applicant
provides statistical summaries of the target population and community
including demographics, morbidity and mortality data, and the
availability of existing VAW prevention services.
B. Community Access (10 Points)
The extent to which the applicant has demonstrated an understanding
of the population at risk, e.g., levels and patterns of risk behavior,
and cultural and linguistic patterns in the community. The extent to
which the applicant or full working partner has access to the target
population and experience in the management and delivery of
interventions at the community level. The extent to which the applicant
has detailed its or a full working partner's history of working in the
field of VAW or with the affected population.
C. Collaboration (20 Points)
The extent to which the applicant has demonstrated that a full
working partnership for the design, implementation, and evaluation of
the project has been established between--at a minimum--a community-
based organization, a university or other institution of higher
learning, and a State or local health department; also, the extent
which the applicant or full working partner provides evidence of other,
beneficial collaborative relationships between service providers and
researchers, and between government, health, and community-based
organizations who are or will be involved in the design,
implementation, and evaluation of the project. Did the applicant submit
organizational charts of collaborating agencies and institutions? Did
the applicant establish culturally relevant and linguistically
appropriate linkages in the community and with paraprofessionals?
D. Goals and Objectives (10 Points)
The extent to which the applicant's goals are clearly articulated
and objectives are time-phased, specific, measurable, and achievable;
the extent to which the outcome objectives intend to achieve a results-
oriented program, measure the degree to which a multifaceted
intervention program reduces the risk behaviors associated with VAW,
and reduces the incidence of VAW in the community setting.
E. Plan of Operation and Interventions (15 Points)
The quality and specificity of the applicant's proposed plan to
operationalize a program of interventions to prevent injuries and
deaths associated with VAW. Based on information provided in this
section, how realistic are the applicant's chances of achieving the
stated program objectives and for successfully delivering interventions
at the community level? To what extent the proposed interventions are
realistic and meet the intended purposes of the funding? To what extent
does the applicant describe the interventions and their linkages,
provide evidence of applicability to the target population, and explain
the interventions' capacities for producing the desired outcomes? How
well does the applicant ensure the availability of staff and facilities
to carry out the described program plan?
F. Evaluation Plan (25 Points)
How well the applicant describes the proposed evaluation design and
the methods for measuring the processes and outcomes of individual
interventions; how does the evaluation design purport to measure the
degree to which these interventions collectively reduce rates of VAW at
the community level. Does the applicant provide sufficient evidence of
its or a full working partner's expertise and capacity to collaborate
with program staff, identify/create and test appropriate instruments,
and collect and analyze quantitative and qualitative data for measuring
program effectiveness? How well does the applicant ensure the
availability of staff and facilities to carry out the described
evaluation plan?
G. Project Management and Staffing (10 Points)
The extent to which the management staff and their working partners
are clearly described, appropriately assigned, and have appropriate
skills and experiences. The extent to which the applicant or a full
working partner has the capacity and facilities to design, implement,
and evaluate a multifaceted intervention project. The extent to which
the applicant provides details regarding the level of effort and
allocation of time for each staff position. Did the applicant submit an
organizational chart and curriculum vitae for each proposed staff
member? Does the applicant provide details of involving personnel who
reflect the racial and ethnic composition of the target group?
H. Proposed Budget (Not Scored)
The extent to which the budget request is clearly explained,
adequately justified, reasonable, sufficient for the proposed project
activities, and consistent with the intended use of the cooperative
agreement funds.
Funding Priorities
Funding priority under this announcement will be given to: (a)
Those applicants whose primary interest is in preventing violence
against adolescent (12+ years of age) and adult women by persons known
to the victim rather than by strangers, and (b) those applicants that
plan to undertake primary prevention activities.
Public comments are not being solicited regarding the funding
priority because time does not permit solicitation and review prior to
the funding date.
Executive Order 12372 Review
Applications are subject to the Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants (other than federally recognized
Indian tribal governments) should contact their State Single Point of
Contact (SPOC) as early as possible to alert them to the prospective
applications and receive any necessary instructions on the State
process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC of each affected State. A
current list of SPOCs is included in the application kit. If SPOCs have
any State process recommendations on applications submitted to CDC,
they should forward them to Henry S. Cassell III, Grants Management
Officer, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later
than 30 days after the application deadline date. (A waiver for the 60-
day requirement has been requested.) The granting agency does not
guarantee to ``accommodate or explain'' State process recommendations
it receives after that date.
Indian tribes are strongly encouraged to request tribal government
review of the proposed application. If tribal governments have any
tribal process recommendations on applications submitted to CDC, they
should forward them to Henry S. Cassell III, Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Room 300, Mailstop E-13, Atlanta, Georgia 30305. This should be done no
later than 30 days after the application deadline date. The granting
agency does not guarantee to ``accommodate or explain'' for tribal
process recommendations it receives after that date.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements. Under these requirements, all community-based
nongovernmental applicants must prepare and submit the items identified
below to the head of the appropriate State and/or local health
agency(ies) in the program area(s) that may be impacted by the proposed
project no later than the receipt date of the Federal application. The
appropriate State and/or local health agency is determined by the
applicant. The following information must be provided:
A. A copy of the face page of the application (SF 424).
B. A summary of the project that should be titled ``Public Health
System Impact Statement'' (PHSIS), not to exceed one page, and include
the following:
1. A description of the population to be served;
2. A summary of the services to be provided; and
3. A description of the coordination plans with the appropriate
State and/or local health agencies.
If the State and/or local health official should desire a copy of
the entire application, it may be obtained from the State Single Point
of Contact (SPOC) or directly from the applicant.
Catalog of Federal Assistance Number
The Catalog of Federal Domestic Assistance number for this project
is 93.262.
Other Requirements
A. Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by the Violence Against Women Multifaceted
Community-Based Demonstration Projects Cooperative Agreement program
will be subject to review by the Office of Management and Budget (OMB)
under the Paperwork Reduction Act.
B. Human Subjects
If the proposed project involves research on human subjects, the
applicant must comply with the Department of Health and Human Services
Regulations (45 CFR Part 46) regarding the protection of human
subjects. Assurance must be provided to demonstrate that the project
will be subject to initial and continuing review by an appropriate
institutional review committee. The applicant will be responsible for
providing assurance with the appropriate guidelines and form provided
in the application kit.
In addition to other applicable committees, Indian Health Services
(IHS) institutional review committees also must review the project if
any component of IHS will be involved or will support the research. If
any Native American community is involved, its tribal government must
also approve that portion of the project applicable to it.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Henry
S. Cassell III, Grants Management Officer, Grants Management Branch,
Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300, Mailstop E-
13, Atlanta, Georgia 30305, on or before August 15, 1994.
1. Deadline: Applications shall be considered as meeting the
deadline if they are either:
a. Received on or before the deadline date; or
b. Sent on or before the deadline date and received in time for
submission to the objective review committee. For proof of timely
mailing, applicants must request a legibly dated U.S. Postal Service
postmark or obtain a legibly dated receipt from a commercial carrier or
the U.S. Postal Service. Private metered postmarks will not be
acceptable as proof of timely mailing.
2. Late Applications: Applications that do not meet the criteria in
1.a. or 1.b. above are considered late. Late applications will not be
considered in the current competition and will be returned to the
applicant.
Where to Obtain Additional Information
To receive additional written information, call (404) 332-4561. You
will be asked to leave your name, address, and phone number and will
need to refer to Announcement 476. You will receive a complete program
description, information on application procedures, and application
forms.
If you have questions after reviewing the contents of all the
documents, business management technical assistance, and an application
package may be obtained from Georgia Jang, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Mailstop E-12, Atlanta, Georgia 30305, telephone (404) 842-
6814.
Programmatic assistance may be obtained from Chester L. Pogostin,
D.V.M., M.P.A., Centers for Disease Control and Prevention (CDC),
National Center for Injury Prevention and Control, Division of Violence
Prevention, Mailstop F-41, Atlanta, Georgia 30333, telephone (404) 488-
4400.
Please refer to Announcement Number 476 when requesting information
and submitting an application.
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) referenced in the
``Introduction'' through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325, telephone (202) 783-3238.
Dated: June 21, 1994.
Ladene H. Newton,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
Certified to be a true copy of the original.
Dated: June 21, 1994.
Angie Frey,
Certifying Officer.
[FR Doc. 94-15477 Filed 6-24-94; 8:45 am]
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