Child Health and Human Development Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE) Initiative

Child Health and Human Development IMPROVE
CFDA 93.HDM Active Grant Cooperative Agreement

Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$49.9M FY2026
$38.6M
FY24
$53.2M
FY25
$49.9M
FY26*
* estimated

Funded Projects

Examples of what this program has supported.

FY2025 For the NICHD IMPROVE Initiative, for both discretionary awards and cooperative agreement awards, in FY 2025 there were 15 research project grants funded; 11 center grants funded; and 2 other research grants funded.

NOTE: these amounts do not include Research & Development Contracts, Intramural Research operating funds or Research Management & Support operating funds.
FY2026 While we are currently under a Continuing Resolution, for the NICHD IMPROVE Initiative, for both discretionary awards and cooperative agreement awards, in FY 2026 there are a planned 9 research project grants to be funded; and estimated 12 center grants to be awarded; and 2 other research grants are expected to be supported.

NOTE: these amounts do not include Research & Development Contracts, Intramural Research operating funds or Research Management & Support operating funds.

Program Objective

The National Institutes of Health (NIH) launched the IMPROVE initiative in 2019 in response to high rates of pregnancy-related complications and deaths, also called maternal morbidity and mortality, in the United States.

The IMPROVE initiative supports research to reduce preventable causes of maternal deaths and improve health for women before, during, and after pregnancy. It includes a special emphasis on populations that are disproportionately affected.

Select from the following links to learn more about IMPROVE activities or read a summary of activities in the IMPROVE FY 26 Fact Sheet found at https://https://www.nichd.nih.gov/research/supported/IMPROVE

Eligibility

Eligible Applicants

  • U.S. State Government
  • U.S. Federal Government
  • Department/Agency of U.S. State
  • Federally Recognized Tribal Government
  • Tribal Government (other)
  • County Government
  • Local Government Consortium
  • Public Housing Authority
  • Nonprofit Organization
  • Not-for-Profit Organization
  • For-Profit Organization
  • International Organization
  • Tribally Designated Housing Authority
  • Department/Agency of U.S. Territorial Gov
  • U.S. Territory Government

Universities, colleges, medical, dental, and nursing schools, schools of public health, laboratories, hospitals, State, and local health departments, other public or private institutions, both nonprofit and for-profit, and individuals. Predoctoral research training grants to institutions are also supported. Proposed study must result in biomedical or behavioral research training in a specified shortage area, and which may offer opportunity to research health scientists, research clinicians, etc., to broaden their scientific background or to extend their potential for research in health-related areas. Applicants must be citizens of the United States or be admitted to the United States for permanent residency; they also must be nominated and sponsored by a public or private institution having staff and facilities suitable to the proposed research training. Domestic nonprofit organizations may apply for the institutional NRS grant. To be eligible for funding, a grant application must be approved for scientific merit and program relevance by a scientific review group, a national advisory council and reflect alignment with Administration Priorities.

Beneficiaries

  • Other

Any nonprofit or for-profit organization, company, or institution engaged in biomedical or biobehavioral research and reflect alignment with Administration Priorities.

How to Apply

Award Procedure

The major elements in evaluating proposals include assessments of the significance of the proposed research; approach; innovation; investigators; environment; and alignment with Administration Priorities.

Each application receives a dual scientific review by non-NIH scientists. Awards are issued by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). National Research Service Awards: Applications are reviewed for scientific merit by an appropriate study section committee or by an institute review committee. If recommended for approval and a decision is made to make an award, a formal award notice will be sent to the applicant and sponsor.

Contact the headquarters or regional office, as appropriate, for application deadlines, or consult the specific Funding Opportunity Announcement listed in the NIH Guide for Grants and Contracts at: https://grants.nih.gov/funding/searchGuide/nih-guide-to-grants-and-contracts.cfm. General guidance about application due dates may be found at: http://grants.nih.gov/grants/how-to-apply-application-guide/due-dates-and[1]submission-policies/standard-due-dates.htm

Decision Timeline

  • Approval: > 180 Days

six to nine months.

Program details & compliance

Description

About the IMPROVE Initiative: An estimated 700 U.S. women die each year from conditions related to or associated with pregnancy or childbirth, the highest maternal mortality rate among developed nations. In addition, more than 50,000 women experience severe maternal morbidity (SMM), life-threatening health problems that are present during labor and delivery that can cause significant short- and long-term health problems for mothers.

The NIH-wide IMPROVE initiative supports research on how to reduce preventable maternal mortality and decrease SMM. Using an integrated approach to understand the factors contributing to maternal mortality, SMM, and maternal morbidity, the IMPROVE initiative will build an evidence base for improved maternal care and outcomes.

This multipronged, innovative research initiative is designed to understand and reduce health disparities among populations disproportionately affected by maternal morbidity and mortality.

Mission Categories

Primary: Maternity, Infants, Children

Other categories:
General Health and MedicalPrevention and Control (includes Suicide Prevention)Mental Health

Use of Funds

Allowed Uses

Health/ Medical, Higher Education (includes Research). Grantee agrees to administer the grant in accordance with the regulations and policies governing the research grant programs of the Public Health Service as stated in the terms and conditions on the application for the grant.

Restrictions

Please note specific restrictions which may be listed within their unique Funding Opportunities & Notices: https://www.nichd.nih.gov/grants-contracts/funding-opps-and-notices

Required Documentation

Applicants should submit electronically via Grants.gov as directed in the relevant NIH Funding Opportunity Announcement. All required forms specified in the application kit are to be completed by the applicant and submitted with the application package. For-profit organizations' costs are determined in accordance with 48 CFR, Subpart 31.2 of the Federal Acquisition Regulations. For other grantees, costs will be determined by HHS Regulations, 45 CFR, Part 74, Subpart Q. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Reporting & Compliance

Audit Required
Yes — Determined at Time of Award
Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Contacts

Rebekah S. Rasooly, PhD — Director, Office of Extramural Policy
3018272599
Director, Division of Extramural Activities DHHS/NIH/NICHD/DEA 6710B Rockledge Drive, Bethesda, MD 20892-7510
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-21. Spec v2.0. Last synced: 2026-05-29 05:42:37.