Deadline: 9-May-23
The Centers for Disease Control – NCIPC is inviting applications for the Essentials for Childhood (EfC): Preventing Adversity through Data to Action, a cooperative agreement which is designed to support states in the prevention of adverse childhood experiences (ACEs) and promotion of positive childhood experiences (PCEs).
ACEs are preventable, potentially traumatic events that occur in childhood (0-17 years) such as experiencing or witnessing violence, experiencing neglect; witnessing violence in the home.
Goals
- The three primary goals of this NOFO are to
- Enhance a state-level surveillance infrastructure that ensures the capacity to collect, analyze, and use ACE and PCE data to inform ACE prevention strategies and approaches;
- Support the implementation of data-driven, comprehensive, evidence-based ACE primary prevention strategies and approaches, particularly with a focus on health equity; and
- Conduct data to action activities on an ongoing basis to inform changes or adaptations to existing strategies or selection and implementation of additional strategies.
- Health equity is the attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and healthcare disparities.Health inequities are health differences or disparities that are systematic, unfair, and avoidable. Social determinants of health (SDOH) are the conditions in which people are born, grow, live, learn, work, and age. The goal is for everyone to attain equitable access to life circumstances such as education, occupation, and income to achieve optimal health, well-being, and safety.
- To support these goals, recipients are expected to leverage multi-sector partnerships and resources to improve ACE and PCE surveillance infrastructures and the coordination and implementation of ACE prevention strategies across the state and, for some recipients, communities within the state. As a result, there will be increased state capacity to develop and sustain a surveillance system that collects, uses, and disseminates data on ACEs and PCEs, including data used to identify health inequities; and increased implementation and reach of ACE prevention strategies that help to promote safe, stable, nurturing relationships and environments where children live, learn and play.
Purpose
- This NOFO will support the implementation of data-driven, comprehensive, evidence-based ACEs primary prevention strategies and approaches, with a particular focus on health equity, to prevent ACEs and ensure safe, stable nurturing relationships and environments for all children. Recipients will enhance a state-level surveillance infrastructure that ensures the capacity to collect, analyze, and use ACEs and PCEs data among youth; and conduct data-to-action activities to inform changes or adaptations to existing strategies or selection and implementation of additional prevention strategies
Funding Information
- Estimated Total Program Funding: $29,114,065
- Award Ceiling: $485,000
- Award Floor: $400,000
Strategies and Activities
- The strategies and activities outlined in the logic model center around three goal areas:
- Build or improve surveillance infrastructure and capacity;
- Implement and sustain ACEs prevention strategies; and
- Utilize ACEs/PCEs data for action.
- At the start of this cooperative agreement, recipients will simultaneously build or improve an ACEs and PCEs surveillance infrastructure and implement ACEs primary prevention strategies and approaches. To most effectively tailor prevention efforts, surveillance and program evaluation information garnered throughout the period of performance should be used to continuously identify specific types of ACEs with high burden; PCEs with low prevalence; and geographically or demographically specific subpopulations of interest that have a disproportionate burden of ACEs that contribute to health inequities. For recipients with existing youth-based surveillance data of ACEs and PCEs, and other comprehensive surveillance strategies, the use of tailored implementation of prevention strategies and approaches may begin earlier in the period of performance.
- Applicants can apply for enhanced funding to conduct one or more of the additional activities:
- Collect ACEs data using syndromic surveillance approaches,
- Implement ACEs primary prevention strategies at the local level; and/or
- Link state and local data on the social determinants of health to youthbased ACEs data.
Outcomes
- Measurable outcomes are essential for determining the extent to which implemented strategies and activities achieve their objectives. With technical guidance and support from CDC, recipients will identify, measure, and monitor indicators aligned with the outcomes related to the strategies and activities specified in their logic model. For the purpose of this NOFO, indicators are defined as a measurable piece of information from a data source regarding some aspect of the program outcomes being evaluated, including outcomes related to the tracking and measurement of ACEs and PCEs. Recipients will use indicators to monitor outcomes and evaluate program implementation per the logic model, and track progress toward reducing ACEs and promoting PCEs. Measures of intermediate risk and protective factors, including those related to the social determinants of health with a focus on those related to economic stability (e.g., child in poverty rates; unemployment rates); ensuring a strong start for children (e.g., availability of child care centers and cost burden; school funding adequacy); and structural factors that contribute to instability for children and families (e.g., food insecurity and access; access to healthcare providers; high housing cost), are important for assessing the gradual impact of community and societal level prevention strategies that may not show immediate impacts on ACEs prevention outcomes. While recipients are only expected to achieve the short-term and intermediate outcomes during the period of performance, CDC will work with recipients to measure outcomes that most likely demonstrate long-term impact on ACEs and PCEs.
- Applicants applying for optional enhanced activities will be required to do additional activities and assess the corresponding short-term outcomes and intermediate-term outcomes.
Target Populations
- Children and families will benefit from statewide implementation of programs focused on the prevention of ACEs and promotion of PCEs that support safe, stable, nurturing relationships and environments. Multiple strategies provide benefits for states because they focus on changes in community environments, structures and processes that address health equity (e.g., groups that have been economically and socially marginalized, under-resourced communities) and the social determinants of health.
Eligibility Criteria
- Eligibility Category:
- (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 without 501(c)(3) status with the IRS, other than institutions of higher education)
- (Private institutions of higher education)
- (For profit organizations other than small businesses)
- (Small businesses)
- (Others)
Eligibility Category
- Government Organizations:
- State governments or their bona fide agents (includes the District of Columbia)
- Local governments or their bona fide agents
- Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau
- State controlled institutions of higher education
- American Indian or Alaska Native tribal governments (federally recognized or state-recognized)
- Non-government Organizations
- American Indian or Alaska native tribally designated organizations
Additional Information on Eligibility
- All applicants may apply for the optional enhanced activities. Applicants applying for the enhanced activities will be required to do one or more additional activities.
- Applicants applying for the optional enhanced activities must clearly state their intent to apply for these activities in the project abstract. Funding for these activities will not be considered if it is not clearly stated in the project abstract.
For more information, visit NCIPC.