Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement

This program's ultimate outcomes are 1) decreased morbidity and mortality among American Indians (AI) and Alaska Natives (AN); 2) advanced capacity of Indian Country to identify, respond to, and mitigate public health threats;
3) improved capacity of the workforce to deliver essential public health services; 4) increased culturally-appropriate practice-based evidence programs and policies that are effective and sustainable throughout Indian Country; and 5) improved capacity to collaboratively and strategically address AI/AN health needs and advance health equity.

Executive Order 13175, “Consultation and Coordination with Indian Tribal Governments,” 65 FR 67, 249, issued by President Clinton on November 6, 2000, and the Presidential Memorandum for the Heads of Executive Departments and Agencies on Tribal Consultation, 74 FR 57881, signed by President Obama on November 5, 2009 [http://www.gsa.gov/portal

/content/101569] encourage strengthening intergovernmental relations between the federal government and AI/AN tribal nations. As such, eligibility for this CoAg is limited to federally recognized American Indian and Alaska Native (AI/AN) tribal nations and regional tribally designated organizations.
AI/AN tribal nations have the right of self-determination and governance over their citizens. In addition, AI/AN tribal nations and regional tribally designated organizations have a unique understanding of AI/AN cultures, fluency in Native languages, knowledge of indigenous history and traditional practices. These entities are the best qualified to address AI/AN public health needs in an efficient, effective, and culturally-appropriate manner.
AI/AN tribal public health infrastructure and capacity initiatives and quality improvements are more likely to be sustained when they begin as tribal initiatives rather than as external initiatives. This CoAg will further efforts in Indian Country by supporting a culturally- appropriate approach advocated for and by the CDC/ATSDR Tribal Advisory Committee, tribal public health practitioners and partners. Direct funding will support tribal governments and tribal-serving organizations in making sound and efficient public health planning and resource allocation. The funding method for this CoAg will allow for more programs in CDC to provide direct funding to Indian Country in order to improve tribal public health systems and reach the outcomes stated in the logic model.

Eligible applicants should be able to demonstrate tribal affiliation including (1) a record of effectively working with American Indian and Alaska Native populations (2) an ability to methodically and efficiently reach tribal members in American Indian and Alaska Native communities and (3), if recipient is a tribally owned and operated organization, it should provide a letter of approval from Tribal council for the proposed program.

The primary funding opportunity under this listing uses a two-part strategy.
Funding Strategy 1: Initial Funding - Responsive applications submitted under this funding opportunity will be reviewed objectively as described in the Review and Selection Process section of this NOFO. Awards under Funding Strategy 1 will support building capacities and capabilities. Applicants selected for Funding Strategy 1 will become part of a group of organizations that are eligible for funding under Funding Strategy 2.
Funding Strategy 2: CIO Project Plans - The second funding strategy is subject to the availability of appropriated funds and agency priorities. To maximize CDC's program priorities and health system needs in Indian Country, applicants funded under Funding Strategy 1 will be eligible to apply for additional funding under Funding Strategy 2. Under Funding Strategy 2, CDC will publish and compete CIO project plans according to geographic categories. The plans will be published on www.grants.gov as a supplement. Org