Tribal Public Health Capacity Building and Quality Improvement

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The Centers for Disease Control and Prevention (CDC), Office for State, Tribal, Local and Territorial Support (OSTLTS), Tribal Support Unit announces availability of funds to strengthen and improve the infrastructure and performance of tribal public health agencies and tribal health systems through the provision of capacity building and quality improvement. Tribal health systems provide public health services to American Indian/Alaska Native (AI/AN) populations across the United States and are central to reducing health disparities in AI/AN communities . CDC is committed to supporting and improving public health at all levels: state, tribal, local and territorial. The Tribal Support Unit focuses on the agency’s supportive role in ensuring AI/AN communities receive public health services that keep them safe and healthy. As sovereign nations, AI/AN tribes exercise inherent sovereign powers over their members, territory, and lands. As a federal agency, CDC recognizes its special obligations to, and unique relationship with, the AI/AN population, and is committed to fulfilling its critical role in assuring that AI/AN communities establish a safer and healthier environment for its members and territory. CDC understands the AI/AN need to ensure that tribal health systems receive culturally appropriate capacity building and quality improvement that can support them in providing effective public health services to AI/AN persons . For the purpose of this Funding Opportunity Announcement (FOA), Tribal Public Health Capacity Building and Quality Improvement (CBQI) refers to improving tribal health system capacity by improving prevention, service delivery, quality of service systems, and organizational/systems performance, and evaluating the effectiveness of funded programs in AI/AN populations. The Priority Area 1 awardees are expected to achieve applicant-identified outcomes from the following: improve capacity and infrastructure to support the health of the community and/or target populations, increase ability of individual community members and public health workers to serve as advocates for health improvement, disseminate lessons learned, and decrease burden of disease among AI/AN. The Priority Area 2 awardee is expected to achieve applicant-identified outcomes from the following: assess Priority Area 1 awardees’ projects, evaluate tribal public health capacity building among Priority Area 1 awardees, disseminate lessons learned in order to improve tribal public health efforts for future improvements to the health of tribal populations, and provide technical assistance to Priority Area 1 awardees.In order to reduce health concerns within AI/AN populations in federally recognized tribes, the program strategies for Priority Area 1 are: (1) to develop disease interventions; (2) to strengthen and build organizational infrastructure; and, (3) to cultivate community partnerships. Under Priority Area 2, the program strategy is to conduct monitoring and evaluation for all Priority Area 1 awardees for quality improvement, and to disseminate lessons learned. Initiating tribal-specific programs will allow awardees to accelerate and expand the reach and health impact of tribal public health infrastructure. CDC/OSTLTS/Tribal Support Unit will fund federally recognized tribes in Priority Area 1 to develop disease interventions, build public health infrastructure, and cultivate community partnerships, and will fund a project evaluator in Priority Area 2 to conduct a program evaluation project.Once initial awards are made, awardees may be eligible to compete for additional funding over the course of the program. Cost sharing and matching funds are not required for this program. To be eligible to apply for this FOA, applicants must demonstrate significant experience and expertise in effectively and efficiently working in tribal communities to build tribal public health capacity (Priority Area 1) or evaluate program effectiveness (Priority Area 2).

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