Expansion of HIV/AIDS Care Training Activities in the Republic of Kenya Under the President's Emergency Plan for AIDS Relief, 48764-48770 [05-16448]
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Recipients must mail these reports to
the Grants Management or Contract
Specialist listed in the ‘‘Agency
Contacts’’ section of this announcement.
Please note: the grantee is responsible
for accurate translation of all reports,
and should submit French-language
versions to the local HHS/CDC office in
Abidjan and English-language versions
to the HHS/CDC Grants office in the
United States, by the established
deadlines. See the HHS/CDC project
management officer in Abidjan for more
details.
VII. Agency Contacts
We encourage inquiries concerning
this announcement. For general
questions, contact: Technical
Information Management Section, CDC
Procurement and Grants Office, U.S.
Department of Health and Human
Services, 2920 Brandywine Road,
Atlanta, GA 30341, Telephone: 770–
488–2700.
For program technical assistance,
contact: Monica Nolan, Director, HHS/
CDC/Projet RETRO–CI, 2010 Abidjan
Place, Dulles, Virginia 20189–2010,
Telephone: (225) 21–25–41–89, E-mail:
mnolan@cdc.gov.
For financial, grants management, or
budget assistance, contact: Shirley
Wynn, Contract Specialist, CDC
Procurement and Grants Office, U.S.
Department of Health and Human
Services, 2920 Brandywine Road,
Atlanta, GA 30341, Telephone: 770–
488–1515, E-mail: zbx6@cdc.gov.
VIII. Other Information
Applicants can find this and other
HHS funding opportunity
announcements on the HHS/CDC Web
site, Internet address: https://
www.cdc.gov (Click on ‘‘Funding’’ then
‘‘Grants and Cooperative Agreements’’),
and on the Web site of the HHS Office
of Global Health Affairs, Internet
address: https://www.globalhealth.gov.
Dated: August 12, 2005.
William P. Nichols,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention,
U.S. Department of Health and Human
Services.
[FR Doc. 05–16445 Filed 8–18–05; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Expansion of HIV/AIDS Care Training
Activities in the Republic of Kenya
Under the President’s Emergency Plan
for AIDS Relief
Announcement Type: New.
Funding Opportunity Number:
AA174.
Catalog of Federal Domestic
Assistance Number: 93.067.
Key Dates: Application Deadline:
September 12, 2005.
I. Funding Opportunity Description
Authority: This program is authorized
under Sections 301(a) and 307 of the Public
Health Service Act [42 U.S.C. 241 and 242l],
as amended and Section 104 of the Foreign
Assistance Act of 1961, 22 U.S.C. 2151b, and
under Public Law 108–25 (United States
Leadership against HIV/AIDS, Tuberculosis
and Malaria Act of 2004) [22 U.S.C. 7601].
Background: President Bush’s
Emergency Plan for AIDS Relief has
called for immediate, comprehensive
and evidence-based action to turn the
tide of global HIV/AIDS. The initiative
aims to treat more than two million
HIV-infected people with effective
combination anti-retroviral therapy by
2008; care for ten million HIV-infected
and affected persons, including those
orphaned by HIV/AIDS, by 2008; and
prevent seven million infections by
2010, with a focus on 15 priority
countries, including 12 in sub-Saharan
Africa. The five-year strategy for the
Emergency Plan is available at the
following Internet address: https://
www.state.gov/s/gac/rl/or/c11652.htm.
Over the same time period, as part of
a collective national response, the
Emergency Plan goals specific to Kenya
are to treat at least 250,000 HIV-infected
individuals and care for 1,250,000 HIVaffected individuals, including orphans.
Purpose: The purpose of the program
is to support implementation of HIV
treatment training programs in Kenya as
part of President Bush’s Emergency Plan
for AIDS Relief. Access to anti-retroviral
treatment for HIV in Kenya is expanding
rapidly, and the needs for human
capacity development are very
substantial. The National AIDS and STD
Control Program of the Kenyan Ministry
of Health (MOH) has developed training
curricula; there is a need for partners to
conduct these trainings and develop and
provide programs for follow up.
Measurable outcomes of the program
will be in alignment with the numerical
goals of the President’s Plan for AIDS
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Relief and one (or more) of the following
performance goal(s) for the National
Center for HIV, STD, and TB Prevention
(NCHSTP) of the Centers for Disease
Control and Prevention (CDC) within
HHS: Initiate, expand or strengthen
HIV/AIDS prevention, care, treatment
and support activities globally. They
will also continue to contribute to the
goals of the President’s Emergency Plan
for AIDS Relief (The Emergency Plan) to
prevent seven million new infections,
provide ten million people with care
and support (including those orphaned/
vulnerable by HIV/AIDS) and place two
million people on anti-retroviral
treatment.
This announcement is only for nonresearch activities supported by HHS/
CDC. If applicants propose research,
HHS/CDC will not review the
application. For the definition of
‘‘research,’’ please see the HHS/CDC
Web site at the following Internet
address: https://www.cdc.gov/od/ads/
opspoll1.htm.
Activities: The recipient of these
funds is responsible for activities in
multiple program areas designed to
target underserved populations in
Kenya. Either the awardee will
implement activities directly or will
implement them through its subgrantees
and/or subcontractors; the awardee will
retain overall financial and
programmatic management under the
oversight of HHS/CDC and the strategic
direction of the Office of the U.S. Global
AIDS Coordinator. The awardee must
show a measurable progressive
reinforcement of the capacity of
indigenous organizations and local
communities to respond to the national
HIV epidemic, as well as progress
towards the sustainability of activities.
Applicants should describe activities
in detail as part of a four-year action
plan (U.S. Government Fiscal Years
2005–2008 inclusive) that reflects the
policies and goals outlined in the fiveyear strategy for the President’s
Emergency Plan.
The awardee will produce an annual
operational plan in the context of this
four-year plan, which the U.S.
Government Emergency Plan team on
the ground in Kenya will review as part
of the annual Emergency Plan for AIDS
Relief Country Operational Plan review
and approval process managed by the
Office of the U.S. Global AIDS
Coordinator. The awardee may work on
some of the activities listed below in the
first year and in subsequent years, and
then progressively add others from the
list to achieve all of the Emergency Plan
performance goals, as cited in the
previous section. HHS/CDC, under the
guidance of the U.S. Global AIDS
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Coordinator, will approve funds for
activities on an annual basis, based on
documented performance toward
achieving Emergency Plan goals, as part
of the annual Emergency Plan for AIDS
Relief Country Operational Plan review
and approval process.
Awardee activities for this program
are as follows:
1.Adapt training materials related to a
continuum of HIV treatment from
facility-based care (including the
provision of anti-retroviral therapy
{ART}) to care at the community level
(home-based care), in collaboration with
Kenyan and U.S. Government agencies
and non-governmental organizations in
Kenya.
2. Conduct classroom and practical
training related to HIV treatment.
3. Provide follow-up trainings,
continuing medical education, and
supportive supervisory visits for
trainees to ensure optimal quality of
program implementation following
classroom training.
4. Participate in the provision of HIV
care at supported sites to maintain
familiarity with clinical practice and the
challenges faced by those who provide
HIV care in these settings, and to assist
with current staffing shortages at the
supported clinics.
5. Assist with integration of HIV care
with other interventions, such as homebased care, tuberculosis (TB) treatment,
malaria treatment, and other HIV-related
care through training and supportive
supervision.
6. Develop plans for sustainable
training programs (i.e., through linkages
with local training facilities).
7. Provide regular and timely reports
of activities to both the Kenya USG
interagency team and to appropriate
Ministry of Health Officials on
indicators as required by the Emergency
Plan and the Kenya National AIDS
Strategic Plan.
Administration: Winning applicants
must comply with all HHS management
requirements for meeting participation
and progress and financial reporting for
this cooperative agreement. (See HHS
Activities and Reporting sections below
for details.) Winning applicants must
comply with all policy directives
established by the Office of the U.S.
Global AIDS Coordinator.
In a cooperative agreement, HHS/CDC
staff is substantially involved in the
program activities, above and beyond
routine grant monitoring.
HHS Activities for this program are as
follows:
1. Organize an orientation meeting
with the awardee to brief them on
applicable U.S. Government, HHS, and
Emergency Plan expectations,
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regulations and key management
requirements, as well as report formats
and contents. The orientation could
include meetings with staff from HHS
agencies and the Office of the U.S.
Global AIDS Coordinator.
2. Review and approve the process
used by the awardee to select key
personnel and/or post-award
subcontractors and/or subgrantees to be
involved in the activities performed
under this agreement, as part of the
Emergency Plan for AIDS Relief Country
Operational Plan review and approval
process, managed by the Office of the
U.S. Global AIDS Coordinator.
Participate in the training of health staff
for the program activities.
3. Review and approve awardee’s
annual work plan and detailed budget,
as part of the Emergency Plan for AIDS
Relief Country Operational Plan review
and approval process, managed by the
Office of the U.S. Global AIDS
Coordinator.
4. Review and approve awardee’s
monitoring and evaluation plan,
including for compliance with the
strategic information guidance
established by the Office of the U.S.
Global AIDS Coordinator.
5. Meet on a monthly basis with
awardee to assess monthly expenditures
in relation to approved work plan and
modify plans as necessary.
6. Meet on a quarterly basis with
awardee to assess quarterly technical
and financial progress reports and
modify plans as necessary.
7. Meet on an annual basis with
awardee to review annual progress
report for each U.S. Government Fiscal
Year, and to review annual work plans
and budgets for subsequent year, as part
of the Emergency Plan for AIDS Relief
review and approval process for
Country Operational Plans, managed by
the Office of the U.S. Global AIDS
Coordinator.
8. Participate in technical review
meetings during the implementation of
the program.
9. Review training materials and plans
to ensure quality of these materials.
10. Assist in the identification of
trainees; support implementation of
programs by the trainees; and
participate in the evaluation of
programs implemented by the trainees.
11. Play an active role in development
of curricula and training courses,
including provision of technical
assistance.
12. Work with other stakeholders,
including faith- and community-based
organizations, to continuously evaluate
curriculum and training needs, and
adapt training as necessary to meet the
program needs in Kenya.
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13. Working with the awardee, HHS
will develop a monitoring evaluation
system to monitor the impact of the
programs, consistent with the strategic
information guidance established by the
Office of the U.S. Global AIDS
Coordinator.
Please note: Either HHS staff or staff
from organizations that have
successfully competed for funding
under a separate HHS contract,
cooperative agreement or grant will
provide technical assistance and
training.
Measurable outcomes of the program
will be in alignment with the following
performance goals for the Emergency
Plan:
A. Prevention
Number of individuals trained to
provide HIV prevention interventions,
including abstinence, faithfulness, and,
for populations engaged in high-risk
behaviors,1 correct and consistent
condom use.
1. Abstinence (A) and Be Faithful (B)
• Number of community outreach
and/or mass media (radio) programs that
are A/B focused.
• Number of individuals reached
through community outreach and/or
mass media (radio) programs that are A/
B focused.
B. Care and Support
1. Confidential counseling and
testing.
• Number of patients who accept
confidential counseling and testing in a
health-care setting.
• Number of clients served, direct.
• Number of people trained in
confidential counseling and testing,
direct, including health-care workers.
2. Orphans and Vulnerable Children
(OVC)
Number of service outlets/programs,
direct and/or indirect.
• Number of clients (OVC) served,
direct and/or indirect.
• Number of persons trained to serve
OVC, direct.
3. Palliative Care: Basic Health Care
and Support
• Number of service outlets/programs
that provide palliative care, direct and/
or indirect.
1 Behaviors that increase risk for HIV
transmission including engaging in casual sexual
encounters, engaging in sex in exchange for money
or favors, having sex with an HIV-positive partner
or one whose status is unknown, using drugs or
abusing alcohol in the context of sexual
interactions, and using intravenous drugs. Women,
even if faithful themselves, can still be at risk of
becoming infected by their spouse, regular male
partner, or someone using force against them. Other
high-risk persons or groups include men who have
sex with men and workers who are employed away
from home.
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• Number of service outlets/programs
that link HIV care with malaria and
tuberculosis care and/or referral, direct
and/or indirect.
• Number of clients served with
palliative care, direct and/or indirect.
• Number of persons trained in
providing palliative care, direct.
C. HIV Treatment With ART
• Number of clients enrolled in ART,
direct and indirect.
• Number of persons trained in
providing ART, direct.
D. Strategic Information
• Number of persons trained in
strategic information, direct.
E. Expanded Indigenous Sustainable
Response
• Project-specific quantifiable
milestones to measure:
a. Indigenous capacity-building.
b. Progress toward sustainability.
II. Award Information
Type of Award: Cooperative
Agreement. HHS involvement in this
program is listed in the Activities
Section above.
Fiscal Year Funds: 2005.
Approximate Total Funding:
$2,000,000 (This amount is an estimate,
and is subject to availability of funds.)
Approximate Number of Awards: One
or Two.
Approximate Average Award:
$250,000 (This amount is for the first
12-month budget period, and includes
direct and indirect costs).
Floor of Award Range: None.
Ceiling of Award Range: $400,000
(This ceiling is for the first 12-month
budget period.)
Anticipated Award Date: September
15, 2005.
Budget Period Length: 12 months.
Project Period Length: Four years.
Throughout the project period, HHS’
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, as determined by
the annual review and approval of
Country Operational Plans, managed by
the U.S. Global AIDS Coordinator.
III. Eligibility Information
III.1. Eligible Applicants
Public and private non-profit
organizations and by the Kenyan
national government, local governments
in Kenya, and their agencies may submit
applications, such as:
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• Public, non-profit organizations
• Private, non-profit organizations
• Small, minority and women-owned
businesses
• Universities
• Colleges
• Research institutions
• Hospitals
• Community-based organizations
• Faith-based organizations
Applicants must meet the following
criteria:
1. Have at least three years of
documented experience in
implementing HIV training programs in
Kenya with a focus on developing
follow-up support to ensure optimal
program implementation following
training.
2. Have an existing program in Kenya
and/or existing partnerships with
national and local MOH staff and
training institutions in Kenya such that
the applicant can begin training
activities with little start-up time.
3. Have demonstrated skills related to
working through, and building the local
capacity of MOH staff at the national,
provincial, district and facility levels to
plan and implement training programs.
4. Have experience in developing
training programs across a continuum of
care in HIV, from health facility to
community.
5. Have experience in promoting the
multi-disciplinary approach to HIV care
outlined in the policy of the National
AIDS and STD Control Program in
Kenya and the 5-year strategy of the
President’s Emergency Plan for AIDS
Relief.
Competition for this cooperative
agreement is limited to the types of
organizations listed above because of
the uniqueness of the specific activities
for this project and the location of
where the majority of the work will be
performed. The types of organizations
listed above are those that have direct
experience with performing this type of
activity.
The organizations listed below are
those that are excluded from
competition:
• Federally recognized Indian tribal
governments
• Indian tribes
• Indian tribal organizations
• State and local governments or their
Bona Fide Agents (this includes the
District of Columbia, 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)
• Political subdivisions of States (in
consultation with States)
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The organizations listed directly
above are excluded from competition
because inherently they neither have a
mandate to, nor have the resources,
skills or experience to, provide the types
of services requested as part of this
cooperative agreement.
III.2. Cost Sharing or Matching Funds
Matching funds are not required for
this program. Although matching funds
are not required, preference will go to
organizations that can leverage
additional funds to contribute to
program goals.
III.3. Other
If you request a funding amount
greater than the ceiling of the award
range, HHS will consider your
application non-responsive, and it will
not enter into the review process. We
will notify you that your application did
not meet the submission requirements.
Special Requirements: If your
application is incomplete or nonresponsive to the special requirements
listed in this section, it will not be
entered into the review process. We will
notify you that your application did not
meet submission requirements.
• HHS/CDC will consider late
applications will be considered nonresponsive. See section ‘‘IV.3.
Submission Dates and Times’’ for more
information on deadlines.
Note: Title 2 of the United States Code
Section 1611 states that an organization
described in Section 501(c)(4) of the Internal
Revenue Code that engages in lobbying
activities is not eligible to receive Federal
funds constituting an award, grant, or loan.
IV. Application and Submission
Information
IV.1. Address To Request Application
Package
To apply for this funding opportunity
use application form PHS 5161. HHS
strongly encourages you to submit your
application electronically by using the
forms and instructions posted for this
announcement at www.grants.gov.
Application forms and instructions
are available on the HHS/CDC Web site,
at the following Internet address:
https://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 HHS/CDC Procurement and
Grants Office Technical Information
Management Section (PGO–TIM) staff
at: 770–488–2700. We can mail
application forms to you.
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IV.2. Content and Form of Submission
Application: You must submit a
project narrative with your application
forms. You must submit the narrative in
the following format:
• Maximum number of pages: 25 if
your narrative exceeds the page limit,
we will only review, the first pages
within the page limit.
• Font size: 12 point unreduced
• Double-spaced
• Paper size: 8.5 by 11 inches
• 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.
• Your application MUST be
submitted in English
Your narrative should address
activities to be conducted over the
entire project period, and must include
the following items in the order listed:
• Plan—What is the plan for this
project?
• Methods—What methods will be
used to conduct activities?
• Objectives—What objectives will be
achieved by undertaking this project?
• Timeline—When will activities be
undertaken and objectives reached?
• Staff—What staff will be employed
to implement the activities?
• Understanding—What is the
understanding of this project and the
impact it will have on HIV/AIDS
treatment in Kenya?
• Need—What is the need for this
project in Kenya?
• Performance Measures—What
evaluation procedures will be used to
determine if the objectives of the project
are being met?
• Budget and justification of planned
expenditures. Budget is only requested
for the first year of program activities.
The budget justification will not be
counted in the page limit stated above.
You may include additional
information in the application
appendices. The appendices will not be
counted toward the narrative page limit.
This additional information includes:
• Curriculum Vitaes
• Organizational Charts
• Job descriptions of proposed key
positions to be created for the activity
• Quality-Assurance, Monitoringand-Evaluation, and StrategicInformation Forms
• Applicant’s Corporate Capability
Statement
• Letters of Support
• Evidence of Legal Organizational
Structure
You must have a Dun and Bradstreet
Data Universal Numbering System
(DUNS) number to apply for a grant or
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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
www.dunandbradstreet.com or call 1–
866–705–5711.
For more information, see the HHS/
CDC Web site at: https://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 could
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:
September 12, 2005.
Explanation of Deadlines:
Applications must be received in the
HHS/CDC Procurement and Grants
Office by 4 p.m. Eastern Time on the
deadline date.
You may submit your application
electronically at www.grants.gov. We
consider applications completed online
through Grants.gov as formally
submitted when the applicant
organization’s Authorizing Official
electronically submits the application to
www.grants.gov. We will consider
electronic applications as having met
the deadline if the applicant
organization’s Authorizing Official has
submitted the applications
electronically to Grants.gov on or before
the deadline date and time.
If you submit your application
electronically with Grants.gov, your
application will be electronically time/
date stamped, which will serve as
receipt of submission. You will receive
an e-mail notice of receipt when HHS/
CDC receives the application.
If you submit your application by the
United States Postal Service or
commercial delivery service, you must
ensure that the carrier will be able to
guarantee delivery by the closing date
and time. If HHS/CDC receives your
submission after closing because: (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 have the opportunity
to submit documentation of the carrier’s
guarantee. If the documentation verifies
a carrier problem, HHS/CDC will
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consider the submission as having been
received by the deadline.
If you submit a hard copy application,
HHS/CDC will not notify you upon
receipt of your submission. 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 submission deadline. This will
allow time for us to process and log
submissions.
This announcement is the definitive
guide on application content,
submission address, and deadline. It
supersedes information provided in the
application instructions. If your
submission does not meet the deadline
above, it will not be eligible for review,
and we will discard it. We will notify
you that you did not meet the
submission requirements.
IV.4. Intergovernmental Review of
Applications
Executive Order 12372 does not apply
to this program.
IV.5. Funding Restrictions
Restrictions, which you must take
into account while writing your budget,
are as follows:
• Funds may not be used for research.
• Funds may not be used for
reimbursement of pre-award costs.
• Funds may not be used for any new
construction.
• Antiretroviral drugs—the purchase
of ARVs, reagents, and laboratory
equipment for antiretroviral treatment
projects require pre-approval from HHS/
CDC officials.
• Needle exchange—No funds
appropriated under this solicitation
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,
travel, supplies, and services.
Equipment may be purchased if deemed
necessary to accomplish program
objectives, however, prior approval by
HHS/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, HHS/
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
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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
services for which funds are required).
• 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
HHS/CDC. The audit should specify the
use of funds and the appropriateness
and reasonableness of expenditures.
• A fiscal Recipient Capability
Assessment may be required, prior to or
post award, in order to review the
applicant’s 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
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public health benefits and failure rates
of such use.
In addition, any recipient must have
a policy explicitly opposing prostitution
and sex trafficking. The preceding
sentence shall not apply to any ‘‘exempt
organizations’’ (defined as the Global
Fund to Fight AIDS, Tuberculosis and
Malaria, the World Health Organization
and its six Regional Offices, the
International AIDS Vaccine Initiative or
to any United Nations agency).
The following definition applies 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).
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, must acknowledge that
compliance with this section,
‘‘Prostitution and Related Activities,’’ is
a prerequisite to receipt and
expenditure 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. 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 prime recipients that receive U.S.
Government funds (‘‘prime recipients’’)
in connection with this document must
certify compliance prior to actual
receipt of such funds in a written
statement that makes reference to this
document (e.g., ‘‘[Prime recipient’s
name] certifies compliance with the
section, ‘Prostitution and Related
Activities.’ ’’) addressed to the agency’s
grants officer. Such certifications by
prime recipients 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
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Sfmt 4703
document in the event HHS determines
the recipient has not complied with this
section, ‘‘Prostitution and Related
Activities.’’
You may find guidance for
completing your budget on the HHS/
CDC web site, at the following Internet
address: https://www.cdc.gov/od/pgo/
funding/budgetguide.htm.
IV.6. Other Submission Requirements
Application Submission Address:
HHS/CDC strongly encourages you to
submit electronically at:
www.grants.gov. You will be able to
download a copy of the application
package from www.grants.gov, complete
it offline, and then upload and submit
the application via the Grants.gov site.
We will not accept e-mail submissions.
If you are having technical difficulties
in Grants.gov, you may reach them by
e-mail at support@grants.gov or by
phone at 1–800–518–4726 (1–800–518–
GRANTS). The Customer Support
Center is open from 7 a.m. to 9 p.m.
Eastern Time, Monday through Friday.
HHS/CDC recommends that you
submit your application to Grants.gov
early enough to resolve any
unanticipated difficulties prior to the
deadline. You may also submit a backup paper submission of your
application. We must receive any such
paper submission in accordance with
the requirements for timely submission
detailed in Section IV.3. of the grant
announcement. You must clearly mark
the paper submission: ‘‘BACK–UP FOR
ELECTRONIC SUBMISSION.’’
The paper submission must conform
to all requirements for non-electronic
submissions. If we receive both
electronic and back-up paper
submissions by the deadline, we will
consider the electronic version the
official submission.
We strongly recommended that you
submit your grant application by using
Microsoft Office products (e.g.,
Microsoft Word, Microsoft Excel, etc.). If
you do not have access to Microsoft
Office products, you may submit a PDF
file. You may find direction for creating
PDF files on the Grants.gov web site.
Use of file formats other than Microsoft
Office or PDF could make your file
unreadable for our staff; or
Submit the original and two hard
copies of your application by mail or
express delivery service to the following
address:
Technical Information Management
Section—AA174, CDC Procurement and
Grants Office, U.S. Department of
Health and Human Services, 2920
Brandywine Road, Atlanta, GA 30341.
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Federal Register / Vol. 70, No. 160 / Friday, August 19, 2005 / Notices
5. Budget and Justification (Reviewed,
But Not Scored)
V. Application Review Information
V.1. Criteria
Applicants must 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.
Applicants must submit these measures
of effectiveness with the application and
will be an element of evaluation.
Your application will be evaluated
against the following criteria:
1. Plan (30 Points)
Does the applicant demonstrate an
understanding of the national cultural
and political context and the technical
and programmatic areas covered by the
project? Does the applicant display
knowledge of the five-year strategy and
goals of the President’s Emergency Plan,
such that it can build on these to
develop a comprehensive, collaborative
project to meet the goals of the
Emergency Plan in Kenya? Does the
applicant describe strategies that are
pertinent and match those identified in
the five-year strategy of the President’s
Emergency Plan and activities that are
evidence-based, realistic, achievable,
measurable and culturally appropriate
in Kenya to achieve the goals of the
Emergency Plan? Does the plan include
quantitative process and outcome
measures?
2. Methods (30 Points)
Does the application include an
overall design strategy, including
measurable time lines, clear monitoring
and evaluation procedures, and specific
activities for meeting the proposed
objectives? Does the applicant describe
a plan to progressively build the
capacity of local organizations and of
target beneficiaries and communities to
respond to the epidemic?
3. Personnel (20 Points)
Do the staff members have
appropriate experience? Are the staff
roles clearly defined? As described, will
the staff be sufficient to accomplish the
program goals?
4. Need (20 Points)
To what extent does the applicant
justify the need for this program within
the target community?
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48769
VI.2. Administrative and National
Policy Requirements
Is the itemized budget for conducting
the project, along with the justification,
reasonable and consistent with stated
objectives and planned program
activities?
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: https://
www.access.gpo.gov/nara/cfr/cfr-tablesearch.html.
The following additional
requirements apply to this project:
• AR–4 HIV/AIDS Confidentiality
Provisions
• AR–6 Patient Care
• AR–8 Public Health System
Reporting Requirements
• AR–12 Lobbying Restrictions
• AR–14 Accounting System
Requirements
• AR–25 Release and Sharing Data
Applicants can find additional
information on these requirements on
the HHS/CDC web site at the following
Internet address: https://www.cdc.gov/
od/pgo/funding/ARs.htm.
V.2. Review and Selection Process
The HHS/CDC Procurement and
Grants Office (PGO) staff will review
applications for completeness, and HHS
Global AIDS program will review them
for responsiveness. Incomplete
applications and applications that are
non-responsive to the eligibility criteria
will not advance through the review
process. Applicants will receive
notification 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. All persons who serve on the
panel will be external to the U.S.
Government Country Program Office.
The panel may include both Federal and
non-Federal participants.
In addition, the following factors
could affect the funding decision:
It is possible for one organization to
apply as lead grantee with a plan that
includes partnering with other
organizations, preferably local.
Although matching funds are not
required, preference will be go to
organizations that can leverage
additional funds to contribute to
program goals.
In addition, the following factors may
affect the funding decision:
• No award will be made without the
concurrence of the U.S. Embassy and
the HHS/CDC representative for Sudan.
• HHS/CDC will provide justification
for any decision to fund out of rank
order if there are other factors beyond
the concurrence of the U.S Embassy.
V.3. Anticipated Announcement and
Award Dates
September 15, 2005.
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a
Notice of Award (NoA) from the HHS/
CDC Procurement and Grants Office.
The NoA shall be the only binding,
authorizing document between the
recipient and HHS/CDC. An authorized
Grants Management Officer will sign the
NoA, and mail it to the recipient fiscal
officer identified in the application.
Unsuccessful applicants will receive
notification of the results of the
application review by mail.
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VI.3. Reporting Requirements
You must provide HHS/CDC with an
original, plus two hard copies of the
following reports:
1. Interim progress report, due 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. Measures of Effectiveness,
including progress against the
numerical goals of the President’s
Emergency Plan for Kenya.
f. Additional Requested Information.
2. Annual progress report, due 90
days after the end of the budget period.
3. Financial status report, due 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.
Recipients must mail these reports to
the Grants Management or Contract
Specialist listed in the ‘‘Agency
Contacts’’ section of this announcement.
VII. Agency Contacts
We encourage inquiries concerning
this announcement.
For general questions, contact:
Technical Information Management
Section, CDC Procurement and Grants
Office, U.S. Department of Health and
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48770
Federal Register / Vol. 70, No. 160 / Friday, August 19, 2005 / Notices
Human Services, 2920 Brandywine
Road, Atlanta, GA 30341, Telephone:
770–488–2700.
For program technical assistance,
contact: Elizabeth Marum, Project
Officer, HHS/CDC, Mbagathi Way, Off
Mbagathi Road, Nairobi, Kenya,
Telephone: 254 20 271 3008, E-mail:
Emarum@cdcnairobi.mimcom.net.
For financial, grants management, or
budget assistance, contact: Diane
Flournoy, Grants Management
Specialist, CDC Procurement and Grants
Office, U.S. Department of Health and
Human Services, 2920 Brandywine
Road, Atlanta, GA 30341, Telephone:
770–488–2072, E-mail:
Dflournoy@cdc.gov.
VIII. Other Information
Applicants can find this and other
HHS/CDC funding opportunity
announcements on the HHS/CDC Web
site, Internet address: https://
www.cdc.gov (Click on ‘‘Funding’’ then
‘‘Grants and Cooperative Agreements’’),
and on the Web site of the HHS Office
of Global Health Affairs, Internet
address: https://www.globalhealth.gov.
Dated: August 12, 2005.
William P. Nichols,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention,
U.S. Department of Health and Human
Services.
[FR Doc. 05–16448 Filed 8–18–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[Request for Application (RFA) AA212]
Building and Strengthening the
Development of the Republic of Haiti’s
Central HIV/AIDS Quality-Assurance/
Quality-Control (QA/QC) Laboratory
and the Associated National Network
of QA/QC Laboratories in Haiti, as Part
of the President’s Emergency Plan for
AIDS Relief; Notice of Intent To Fund
Single Eligibility Award
A. Purpose
The Centers for Disease Control and
Prevention (CDC) announces the intent
to fund fiscal year (FY) 2005 funds for
a cooperative agreement program to
fund the President’s Emergency Plan for
AIDS Relief (The Emergency Plan). The
plan has called for immediate action to
turn the tide of HIV/AIDS in Africa and
the Caribbean. The initiative hopes to
prevent at least seven million new HIV
infections, place two million people on
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treatment, and provide care for ten
million people, including orphans and
vulnerable children. An essential
element of preventing new cases of HIV
infection is to ensure that high-risk
groups have adequate access to
screening, treatment, and care facilities.
Haiti’s HIV prevalence rate in adults
is estimated to be between 3.1 and 5.6
percent according to the Haitian
`
´
Ministry of Health-Ministere de la Sante
Publique et de la Population (MSPP)
and the 2004 Annual Report from the
Joint United Nations Programme on HIV
and AIDS (UNAIDS), respectively.
Access to prevention and treatment is
limited to the Haitian population due to
the underdeveloped public health
infrastructure and lack of clinical
capacity. In order to improve this
capacity, this Cooperative Agreement
has been developed to provide much
needed funding and resources.
The Catalog of Federal Domestic
Assistance number for this program is
93.067.
B. Eligible Applicant
This is a single eligibility request for
application (RFA) from MSPP. No other
applicants are solicited.
The MSPP is the government. They
have the authority and responsibility for
both regulation and QA/QC of all
Laboratories within the country. They
are responsible for establishing norms
and standards for laboratories.
The MSPP, as the government, is the
only entity that has the authority to
establish and operate the entire public
health system which includes
departmental hospitals and clinics
where ARV services are being provided.
The Ministry has developed public/
private partnerships to help manage
some of these sites but even at those
sites that are managed by the private
sector they are ultimately accountable to
the MSPP for services provided and
quality care. The MSPP still maintains
a supervisor role for these sites.
The role of regulation and standard
setting at a national level is inherently
governmental. In order to fulfill its role
in this area the Haitian Ministry of
Health needs to have the capacity to
independently verify compliance
through a central HIV/AIDS quality
assurance/quality control laboratory. If a
private or non-governmental laboratory
were allowed to take on this role it
would call into question the
independence of the results in order to
favor laboratories associated with that
organization.
C. Funding
Approximately $2,765,000 is available
over a five year project period. $553,000
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is available for a 12-month budget
period in FY 2005, to be awarded
September 15, 2005. Funding estimates
may change.
D. Where To Obtain Additional
Information
For general comments or questions
about this announcement, contact:
Technical Information Management,
CDC Procurement and Grants Office,
2920 Brandywine Road, Atlanta, GA
30341–4146. Telephone: 770–488–2700.
For program technical assistance,
contact: Kathy Grooms, CDC Global
AIDS Program, 1600 Clifton Road, NE,
Mailstop E–04, Atlanta, GA 30333.
Telephone: 404–639–8394. E-mail:
Kgrooms@cdc.gov.
For financial, grants management, or
budget assistance, contact: Vivian
Walker, Grants Management Specialist,
CDC Procurement and Grants Office,
2920 Brandywine Road, Atlanta, GA
30341. Telephone: 770–488–2724. Email: VEW4@CDC.GOV.
Dated: August 12, 2005.
William P. Nichols,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention.
[FR Doc. 05–16450 Filed 8–18–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10110, CMS–
10136, CMS–10162, and CMS–R–0021]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
AGENCY:
E:\FR\FM\19AUN1.SGM
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Agencies
[Federal Register Volume 70, Number 160 (Friday, August 19, 2005)]
[Notices]
[Pages 48764-48770]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-16448]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
Expansion of HIV/AIDS Care Training Activities in the Republic of
Kenya Under the President's Emergency Plan for AIDS Relief
Announcement Type: New.
Funding Opportunity Number: AA174.
Catalog of Federal Domestic Assistance Number: 93.067.
Key Dates: Application Deadline: September 12, 2005.
I. Funding Opportunity Description
Authority: This program is authorized under Sections 301(a) and
307 of the Public Health Service Act [42 U.S.C. 241 and 242l], as
amended and Section 104 of the Foreign Assistance Act of 1961, 22
U.S.C. 2151b, and under Public Law 108-25 (United States Leadership
against HIV/AIDS, Tuberculosis and Malaria Act of 2004) [22 U.S.C.
7601].
Background: President Bush's Emergency Plan for AIDS Relief has
called for immediate, comprehensive and evidence-based action to turn
the tide of global HIV/AIDS. The initiative aims to treat more than two
million HIV-infected people with effective combination anti-retroviral
therapy by 2008; care for ten million HIV-infected and affected
persons, including those orphaned by HIV/AIDS, by 2008; and prevent
seven million infections by 2010, with a focus on 15 priority
countries, including 12 in sub-Saharan Africa. The five-year strategy
for the Emergency Plan is available at the following Internet address:
https://www.state.gov/s/gac/rl/or/c11652.htm.
Over the same time period, as part of a collective national
response, the Emergency Plan goals specific to Kenya are to treat at
least 250,000 HIV-infected individuals and care for 1,250,000 HIV-
affected individuals, including orphans.
Purpose: The purpose of the program is to support implementation of
HIV treatment training programs in Kenya as part of President Bush's
Emergency Plan for AIDS Relief. Access to anti-retroviral treatment for
HIV in Kenya is expanding rapidly, and the needs for human capacity
development are very substantial. The National AIDS and STD Control
Program of the Kenyan Ministry of Health (MOH) has developed training
curricula; there is a need for partners to conduct these trainings and
develop and provide programs for follow up.
Measurable outcomes of the program will be in alignment with the
numerical goals of the President's Plan for AIDS Relief and one (or
more) of the following performance goal(s) for the National Center for
HIV, STD, and TB Prevention (NCHSTP) of the Centers for Disease Control
and Prevention (CDC) within HHS: Initiate, expand or strengthen HIV/
AIDS prevention, care, treatment and support activities globally. They
will also continue to contribute to the goals of the President's
Emergency Plan for AIDS Relief (The Emergency Plan) to prevent seven
million new infections, provide ten million people with care and
support (including those orphaned/vulnerable by HIV/AIDS) and place two
million people on anti-retroviral treatment.
This announcement is only for non-research activities supported by
HHS/CDC. If applicants propose research, HHS/CDC will not review the
application. For the definition of ``research,'' please see the HHS/CDC
Web site at the following Internet address: https://www.cdc.gov/od/ads/
opspoll1.htm.
Activities: The recipient of these funds is responsible for
activities in multiple program areas designed to target underserved
populations in Kenya. Either the awardee will implement activities
directly or will implement them through its subgrantees and/or
subcontractors; the awardee will retain overall financial and
programmatic management under the oversight of HHS/CDC and the
strategic direction of the Office of the U.S. Global AIDS Coordinator.
The awardee must show a measurable progressive reinforcement of the
capacity of indigenous organizations and local communities to respond
to the national HIV epidemic, as well as progress towards the
sustainability of activities.
Applicants should describe activities in detail as part of a four-
year action plan (U.S. Government Fiscal Years 2005-2008 inclusive)
that reflects the policies and goals outlined in the five-year strategy
for the President's Emergency Plan.
The awardee will produce an annual operational plan in the context
of this four-year plan, which the U.S. Government Emergency Plan team
on the ground in Kenya will review as part of the annual Emergency Plan
for AIDS Relief Country Operational Plan review and approval process
managed by the Office of the U.S. Global AIDS Coordinator. The awardee
may work on some of the activities listed below in the first year and
in subsequent years, and then progressively add others from the list to
achieve all of the Emergency Plan performance goals, as cited in the
previous section. HHS/CDC, under the guidance of the U.S. Global AIDS
[[Page 48765]]
Coordinator, will approve funds for activities on an annual basis,
based on documented performance toward achieving Emergency Plan goals,
as part of the annual Emergency Plan for AIDS Relief Country
Operational Plan review and approval process.
Awardee activities for this program are as follows:
1.Adapt training materials related to a continuum of HIV treatment
from facility-based care (including the provision of anti-retroviral
therapy {ART{time} ) to care at the community level (home-based care),
in collaboration with Kenyan and U.S. Government agencies and non-
governmental organizations in Kenya.
2. Conduct classroom and practical training related to HIV
treatment.
3. Provide follow-up trainings, continuing medical education, and
supportive supervisory visits for trainees to ensure optimal quality of
program implementation following classroom training.
4. Participate in the provision of HIV care at supported sites to
maintain familiarity with clinical practice and the challenges faced by
those who provide HIV care in these settings, and to assist with
current staffing shortages at the supported clinics.
5. Assist with integration of HIV care with other interventions,
such as home-based care, tuberculosis (TB) treatment, malaria
treatment, and other HIV-related care through training and supportive
supervision.
6. Develop plans for sustainable training programs (i.e., through
linkages with local training facilities).
7. Provide regular and timely reports of activities to both the
Kenya USG interagency team and to appropriate Ministry of Health
Officials on indicators as required by the Emergency Plan and the Kenya
National AIDS Strategic Plan.
Administration: Winning applicants must comply with all HHS
management requirements for meeting participation and progress and
financial reporting for this cooperative agreement. (See HHS Activities
and Reporting sections below for details.) Winning applicants must
comply with all policy directives established by the Office of the U.S.
Global AIDS Coordinator.
In a cooperative agreement, HHS/CDC staff is substantially involved
in the program activities, above and beyond routine grant monitoring.
HHS Activities for this program are as follows:
1. Organize an orientation meeting with the awardee to brief them
on applicable U.S. Government, HHS, and Emergency Plan expectations,
regulations and key management requirements, as well as report formats
and contents. The orientation could include meetings with staff from
HHS agencies and the Office of the U.S. Global AIDS Coordinator.
2. Review and approve the process used by the awardee to select key
personnel and/or post-award subcontractors and/or subgrantees to be
involved in the activities performed under this agreement, as part of
the Emergency Plan for AIDS Relief Country Operational Plan review and
approval process, managed by the Office of the U.S. Global AIDS
Coordinator. Participate in the training of health staff for the
program activities.
3. Review and approve awardee's annual work plan and detailed
budget, as part of the Emergency Plan for AIDS Relief Country
Operational Plan review and approval process, managed by the Office of
the U.S. Global AIDS Coordinator.
4. Review and approve awardee's monitoring and evaluation plan,
including for compliance with the strategic information guidance
established by the Office of the U.S. Global AIDS Coordinator.
5. Meet on a monthly basis with awardee to assess monthly
expenditures in relation to approved work plan and modify plans as
necessary.
6. Meet on a quarterly basis with awardee to assess quarterly
technical and financial progress reports and modify plans as necessary.
7. Meet on an annual basis with awardee to review annual progress
report for each U.S. Government Fiscal Year, and to review annual work
plans and budgets for subsequent year, as part of the Emergency Plan
for AIDS Relief review and approval process for Country Operational
Plans, managed by the Office of the U.S. Global AIDS Coordinator.
8. Participate in technical review meetings during the
implementation of the program.
9. Review training materials and plans to ensure quality of these
materials.
10. Assist in the identification of trainees; support
implementation of programs by the trainees; and participate in the
evaluation of programs implemented by the trainees.
11. Play an active role in development of curricula and training
courses, including provision of technical assistance.
12. Work with other stakeholders, including faith- and community-
based organizations, to continuously evaluate curriculum and training
needs, and adapt training as necessary to meet the program needs in
Kenya.
13. Working with the awardee, HHS will develop a monitoring
evaluation system to monitor the impact of the programs, consistent
with the strategic information guidance established by the Office of
the U.S. Global AIDS Coordinator.
Please note: Either HHS staff or staff from organizations that have
successfully competed for funding under a separate HHS contract,
cooperative agreement or grant will provide technical assistance and
training.
Measurable outcomes of the program will be in alignment with the
following performance goals for the Emergency Plan:
A. Prevention
Number of individuals trained to provide HIV prevention
interventions, including abstinence, faithfulness, and, for populations
engaged in high-risk behaviors,\1\ correct and consistent condom use.
---------------------------------------------------------------------------
\1\ Behaviors that increase risk for HIV transmission including
engaging in casual sexual encounters, engaging in sex in exchange
for money or favors, having sex with an HIV-positive partner or one
whose status is unknown, using drugs or abusing alcohol in the
context of sexual interactions, and using intravenous drugs. Women,
even if faithful themselves, can still be at risk of becoming
infected by their spouse, regular male partner, or someone using
force against them. Other high-risk persons or groups include men
who have sex with men and workers who are employed away from home.
---------------------------------------------------------------------------
1. Abstinence (A) and Be Faithful (B)
Number of community outreach and/or mass media (radio)
programs that are A/B focused.
Number of individuals reached through community outreach
and/or mass media (radio) programs that are A/B focused.
B. Care and Support
1. Confidential counseling and testing.
Number of patients who accept confidential counseling and
testing in a health-care setting.
Number of clients served, direct.
Number of people trained in confidential counseling and
testing, direct, including health-care workers.
2. Orphans and Vulnerable Children (OVC)
Number of service outlets/programs, direct and/or indirect.
Number of clients (OVC) served, direct and/or indirect.
Number of persons trained to serve OVC, direct.
3. Palliative Care: Basic Health Care and Support
Number of service outlets/programs that provide palliative
care, direct and/or indirect.
[[Page 48766]]
Number of service outlets/programs that link HIV care with
malaria and tuberculosis care and/or referral, direct and/or indirect.
Number of clients served with palliative care, direct and/
or indirect.
Number of persons trained in providing palliative care,
direct.
C. HIV Treatment With ART
Number of clients enrolled in ART, direct and indirect.
Number of persons trained in providing ART, direct.
D. Strategic Information
Number of persons trained in strategic information,
direct.
E. Expanded Indigenous Sustainable Response
Project-specific quantifiable milestones to measure:
a. Indigenous capacity-building.
b. Progress toward sustainability.
II. Award Information
Type of Award: Cooperative Agreement. HHS involvement in this
program is listed in the Activities Section above.
Fiscal Year Funds: 2005.
Approximate Total Funding: $2,000,000 (This amount is an estimate,
and is subject to availability of funds.)
Approximate Number of Awards: One or Two.
Approximate Average Award: $250,000 (This amount is for the first
12-month budget period, and includes direct and indirect costs).
Floor of Award Range: None.
Ceiling of Award Range: $400,000 (This ceiling is for the first 12-
month budget period.)
Anticipated Award Date: September 15, 2005.
Budget Period Length: 12 months.
Project Period Length: Four years.
Throughout the project period, HHS' 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, as determined by the annual review
and approval of Country Operational Plans, managed by the U.S. Global
AIDS Coordinator.
III. Eligibility Information
III.1. Eligible Applicants
Public and private non-profit organizations and by the Kenyan
national government, local governments in Kenya, and their agencies may
submit applications, such as:
Public, non-profit organizations
Private, non-profit organizations
Small, minority and women-owned businesses
Universities
Colleges
Research institutions
Hospitals
Community-based organizations
Faith-based organizations
Applicants must meet the following criteria:
1. Have at least three years of documented experience in
implementing HIV training programs in Kenya with a focus on developing
follow-up support to ensure optimal program implementation following
training.
2. Have an existing program in Kenya and/or existing partnerships
with national and local MOH staff and training institutions in Kenya
such that the applicant can begin training activities with little
start-up time.
3. Have demonstrated skills related to working through, and
building the local capacity of MOH staff at the national, provincial,
district and facility levels to plan and implement training programs.
4. Have experience in developing training programs across a
continuum of care in HIV, from health facility to community.
5. Have experience in promoting the multi-disciplinary approach to
HIV care outlined in the policy of the National AIDS and STD Control
Program in Kenya and the 5-year strategy of the President's Emergency
Plan for AIDS Relief.
Competition for this cooperative agreement is limited to the types
of organizations listed above because of the uniqueness of the specific
activities for this project and the location of where the majority of
the work will be performed. The types of organizations listed above are
those that have direct experience with performing this type of
activity.
The organizations listed below are those that are excluded from
competition:
Federally recognized Indian tribal governments
Indian tribes
Indian tribal organizations
State and local governments or their Bona Fide Agents
(this includes the District of Columbia, 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)
Political subdivisions of States (in consultation with
States)
The organizations listed directly above are excluded from
competition because inherently they neither have a mandate to, nor have
the resources, skills or experience to, provide the types of services
requested as part of this cooperative agreement.
III.2. Cost Sharing or Matching Funds
Matching funds are not required for this program. Although matching
funds are not required, preference will go to organizations that can
leverage additional funds to contribute to program goals.
III.3. Other
If you request a funding amount greater than the ceiling of the
award range, HHS will consider your application non-responsive, and it
will not enter into the review process. We will notify you that your
application did not meet the submission requirements.
Special Requirements: If your application is incomplete or non-
responsive to the special requirements listed in this section, it will
not be entered into the review process. We will notify you that your
application did not meet submission requirements.
HHS/CDC will consider late applications will be considered
non-responsive. See section ``IV.3. Submission Dates and Times'' for
more information on deadlines.
Note: Title 2 of the United States Code Section 1611 states that
an organization described in Section 501(c)(4) of the Internal
Revenue Code that engages in lobbying activities is not eligible to
receive Federal funds constituting an award, grant, or loan.
IV. Application and Submission Information
IV.1. Address To Request Application Package
To apply for this funding opportunity use application form PHS
5161. HHS strongly encourages you to submit your application
electronically by using the forms and instructions posted for this
announcement at www.grants.gov.
Application forms and instructions are available on the HHS/CDC Web
site, at the following Internet address: https://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 HHS/CDC
Procurement and Grants Office Technical Information Management Section
(PGO-TIM) staff at: 770-488-2700. We can mail application forms to you.
[[Page 48767]]
IV.2. Content and Form of Submission
Application: You must submit a project narrative with your
application forms. You must submit the narrative in the following
format:
Maximum number of pages: 25 if your narrative exceeds the
page limit, we will only review, the first pages within the page limit.
Font size: 12 point unreduced
Double-spaced
Paper size: 8.5 by 11 inches
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.
Your application MUST be submitted in English
Your narrative should address activities to be conducted over the
entire project period, and must include the following items in the
order listed:
Plan--What is the plan for this project?
Methods--What methods will be used to conduct activities?
Objectives--What objectives will be achieved by
undertaking this project?
Timeline--When will activities be undertaken and
objectives reached?
Staff--What staff will be employed to implement the
activities?
Understanding--What is the understanding of this project
and the impact it will have on HIV/AIDS treatment in Kenya?
Need--What is the need for this project in Kenya?
Performance Measures--What evaluation procedures will be
used to determine if the objectives of the project are being met?
Budget and justification of planned expenditures. Budget
is only requested for the first year of program activities. The budget
justification will not be counted in the page limit stated above.
You may include additional information in the application
appendices. The appendices will not be counted toward the narrative
page limit. This additional information includes:
Curriculum Vitaes
Organizational Charts
Job descriptions of proposed key positions to be created
for the activity
Quality-Assurance, Monitoring-and-Evaluation, and
Strategic-Information Forms
Applicant's Corporate Capability Statement
Letters of Support
Evidence of Legal Organizational Structure
You must 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
www.dunandbradstreet.com or call 1-866-705-5711.
For more information, see the HHS/CDC Web site at: https://
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 could 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: September 12, 2005.
Explanation of Deadlines: Applications must be received in the HHS/
CDC Procurement and Grants Office by 4 p.m. Eastern Time on the
deadline date.
You may submit your application electronically at www.grants.gov.
We consider applications completed online through Grants.gov as
formally submitted when the applicant organization's Authorizing
Official electronically submits the application to www.grants.gov. We
will consider electronic applications as having met the deadline if the
applicant organization's Authorizing Official has submitted the
applications electronically to Grants.gov on or before the deadline
date and time.
If you submit your application electronically with Grants.gov, your
application will be electronically time/date stamped, which will serve
as receipt of submission. You will receive an e-mail notice of receipt
when HHS/CDC receives the application.
If you submit your application by the United States Postal Service
or commercial delivery service, you must ensure that the carrier will
be able to guarantee delivery by the closing date and time. If HHS/CDC
receives your submission after closing because: (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 have the opportunity to submit documentation of the
carrier's guarantee. If the documentation verifies a carrier problem,
HHS/CDC will consider the submission as having been received by the
deadline.
If you submit a hard copy application, HHS/CDC will not notify you
upon receipt of your submission. 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 submission deadline.
This will allow time for us to process and log submissions.
This announcement is the definitive guide on application content,
submission address, and deadline. It supersedes information provided in
the application instructions. If your submission does not meet the
deadline above, it will not be eligible for review, and we will discard
it. We will notify you that you did not meet the submission
requirements.
IV.4. Intergovernmental Review of Applications
Executive Order 12372 does not apply to this program.
IV.5. Funding Restrictions
Restrictions, which you must take into account while writing your
budget, are as follows:
Funds may not be used for research.
Funds may not be used for reimbursement of pre-award
costs.
Funds may not be used for any new construction.
Antiretroviral drugs--the purchase of ARVs, reagents, and
laboratory equipment for antiretroviral treatment projects require pre-
approval from HHS/CDC officials.
Needle exchange--No funds appropriated under this
solicitation 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, travel, supplies, and services. Equipment may be
purchased if deemed necessary to accomplish program objectives,
however, prior approval by HHS/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, HHS/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
[[Page 48768]]
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 services for which funds are required).
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 HHS/CDC. The audit
should specify the use of funds and the appropriateness and
reasonableness of expenditures.
A fiscal Recipient Capability Assessment may be required,
prior to or post award, in order to review the applicant's 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 recipient must have a policy explicitly opposing
prostitution and sex trafficking. The preceding sentence shall not
apply to any ``exempt organizations'' (defined as the Global Fund to
Fight AIDS, Tuberculosis and Malaria, the World Health Organization and
its six Regional Offices, the International AIDS Vaccine Initiative or
to any United Nations agency).
The following definition applies 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).
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 sub-agreement, must acknowledge that compliance
with this section, ``Prostitution and Related Activities,'' is a
prerequisite to receipt and expenditure 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. 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 prime recipients that receive U.S. Government funds (``prime
recipients'') in connection with this document must certify compliance
prior to actual receipt of such funds in a written statement that makes
reference to this document (e.g., ``[Prime recipient's name] certifies
compliance with the section, `Prostitution and Related Activities.' '')
addressed to the agency's grants officer. Such certifications by prime
recipients 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 HHS determines
the recipient has not complied with this section, ``Prostitution and
Related Activities.''
You may find guidance for completing your budget on the HHS/CDC web
site, at the following Internet address: https://www.cdc.gov/od/pgo/
funding/budgetguide.htm.
IV.6. Other Submission Requirements
Application Submission Address: HHS/CDC strongly encourages you to
submit electronically at: www.grants.gov. You will be able to download
a copy of the application package from www.grants.gov, complete it
offline, and then upload and submit the application via the Grants.gov
site. We will not accept e-mail submissions. If you are having
technical difficulties in Grants.gov, you may reach them by e-mail at
support@grants.gov or by phone at 1-800-518-4726 (1-800-518-GRANTS).
The Customer Support Center is open from 7 a.m. to 9 p.m. Eastern Time,
Monday through Friday.
HHS/CDC recommends that you submit your application to Grants.gov
early enough to resolve any unanticipated difficulties prior to the
deadline. You may also submit a back-up paper submission of your
application. We must receive any such paper submission in accordance
with the requirements for timely submission detailed in Section IV.3.
of the grant announcement. You must clearly mark the paper submission:
``BACK-UP FOR ELECTRONIC SUBMISSION.''
The paper submission must conform to all requirements for non-
electronic submissions. If we receive both electronic and back-up paper
submissions by the deadline, we will consider the electronic version
the official submission.
We strongly recommended that you submit your grant application by
using Microsoft Office products (e.g., Microsoft Word, Microsoft Excel,
etc.). If you do not have access to Microsoft Office products, you may
submit a PDF file. You may find direction for creating PDF files on the
Grants.gov web site. Use of file formats other than Microsoft Office or
PDF could make your file unreadable for our staff; or
Submit the original and two hard copies of your application by mail
or express delivery service to the following address:
Technical Information Management Section--AA174, CDC Procurement
and Grants Office, U.S. Department of Health and Human Services, 2920
Brandywine Road, Atlanta, GA 30341.
[[Page 48769]]
V. Application Review Information
V.1. Criteria
Applicants must 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. Applicants must submit these measures of
effectiveness with the application and will be an element of
evaluation.
Your application will be evaluated against the following criteria:
1. Plan (30 Points)
Does the applicant demonstrate an understanding of the national
cultural and political context and the technical and programmatic areas
covered by the project? Does the applicant display knowledge of the
five-year strategy and goals of the President's Emergency Plan, such
that it can build on these to develop a comprehensive, collaborative
project to meet the goals of the Emergency Plan in Kenya? Does the
applicant describe strategies that are pertinent and match those
identified in the five-year strategy of the President's Emergency Plan
and activities that are evidence-based, realistic, achievable,
measurable and culturally appropriate in Kenya to achieve the goals of
the Emergency Plan? Does the plan include quantitative process and
outcome measures?
2. Methods (30 Points)
Does the application include an overall design strategy, including
measurable time lines, clear monitoring and evaluation procedures, and
specific activities for meeting the proposed objectives? Does the
applicant describe a plan to progressively build the capacity of local
organizations and of target beneficiaries and communities to respond to
the epidemic?
3. Personnel (20 Points)
Do the staff members have appropriate experience? Are the staff
roles clearly defined? As described, will the staff be sufficient to
accomplish the program goals?
4. Need (20 Points)
To what extent does the applicant justify the need for this program
within the target community?
5. Budget and Justification (Reviewed, But Not Scored)
Is the itemized budget for conducting the project, along with the
justification, reasonable and consistent with stated objectives and
planned program activities?
V.2. Review and Selection Process
The HHS/CDC Procurement and Grants Office (PGO) staff will review
applications for completeness, and HHS Global AIDS program will review
them for responsiveness. Incomplete applications and applications that
are non-responsive to the eligibility criteria will not advance through
the review process. Applicants will receive notification 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. All persons who serve on the panel will be external to
the U.S. Government Country Program Office. The panel may include both
Federal and non-Federal participants.
In addition, the following factors could affect the funding
decision:
It is possible for one organization to apply as lead grantee with a
plan that includes partnering with other organizations, preferably
local. Although matching funds are not required, preference will be go
to organizations that can leverage additional funds to contribute to
program goals.
In addition, the following factors may affect the funding decision:
No award will be made without the concurrence of the U.S.
Embassy and the HHS/CDC representative for Sudan.
HHS/CDC will provide justification for any decision to
fund out of rank order if there are other factors beyond the
concurrence of the U.S Embassy.
V.3. Anticipated Announcement and Award Dates
September 15, 2005.
VI. Award Administration Information
VI.1. Award Notices
Successful applicants will receive a Notice of Award (NoA) from the
HHS/CDC Procurement and Grants Office. The NoA shall be the only
binding, authorizing document between the recipient and HHS/CDC. An
authorized Grants Management Officer will sign the NoA, and mail it 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: https://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
The following additional requirements apply to this project:
AR-4 HIV/AIDS Confidentiality Provisions
AR-6 Patient Care
AR-8 Public Health System Reporting Requirements
AR-12 Lobbying Restrictions
AR-14 Accounting System Requirements
AR-25 Release and Sharing Data
Applicants can find additional information on these requirements on
the HHS/CDC web site at the following Internet address: https://
www.cdc.gov/od/pgo/funding/ARs.htm.
VI.3. Reporting Requirements
You must provide HHS/CDC with an original, plus two hard copies of
the following reports:
1. Interim progress report, due 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. Measures of Effectiveness, including progress against the
numerical goals of the President's Emergency Plan for Kenya.
f. Additional Requested Information.
2. Annual progress report, due 90 days after the end of the budget
period.
3. Financial status report, due 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.
Recipients must mail these reports to the Grants Management or
Contract Specialist listed in the ``Agency Contacts'' section of this
announcement.
VII. Agency Contacts
We encourage inquiries concerning this announcement.
For general questions, contact: Technical Information Management
Section, CDC Procurement and Grants Office, U.S. Department of Health
and
[[Page 48770]]
Human Services, 2920 Brandywine Road, Atlanta, GA 30341, Telephone:
770-488-2700.
For program technical assistance, contact: Elizabeth Marum, Project
Officer, HHS/CDC, Mbagathi Way, Off Mbagathi Road, Nairobi, Kenya,
Telephone: 254 20 271 3008, E-mail: Emarum@cdcnairobi.mimcom.net.
For financial, grants management, or budget assistance, contact:
Diane Flournoy, Grants Management Specialist, CDC Procurement and
Grants Office, U.S. Department of Health and Human Services, 2920
Brandywine Road, Atlanta, GA 30341, Telephone: 770-488-2072, E-mail:
Dflournoy@cdc.gov.
VIII. Other Information
Applicants can find this and other HHS/CDC funding opportunity
announcements on the HHS/CDC Web site, Internet address: https://
www.cdc.gov (Click on ``Funding'' then ``Grants and Cooperative
Agreements''), and on the Web site of the HHS Office of Global Health
Affairs, Internet address: https://www.globalhealth.gov.
Dated: August 12, 2005.
William P. Nichols,
Director, Procurement and Grants Office, Centers for Disease Control
and Prevention, U.S. Department of Health and Human Services.
[FR Doc. 05-16448 Filed 8-18-05; 8:45 am]
BILLING CODE 4163-18-P