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Funding Opportunity
RFA# HAA-0718-08
HIV
PREVENTION
and Care Interventions
DEADLINE: Monday, August 18, 2008 Late Applications will not be accepted
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Important Information:
Letter of Intent due date:
Thursday, July 31, 2008
Pre-application Conferences:
Monday, July 21, 2008
And
Thursday, July 24, 2008
Location: Government of the District of Columbia
HIV/AIDS Administration
64 New York Avenue, NE
5th Floor Conference Room
Washington, DC 20002
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TABLE OF CONTENTS
OVERVIEW ................................................................................................................................................. 1
Purpose .................................................................................................................................................. 1
Available Funding .................................................................................................................................. 1
AREA 1: Comprehensive HIV Prevention Strategies, $2,000,000 available. ................................. 1
AREA 2: Locally Funded Prevention, Linkage and Support, $840,000 available. .......................... 1
AREA 3: Partner Services Expansion, $140,000 available. ........................................................... 1
Eligible Applicants .................................................................................................................................. 1
ADDRESSING THE COMPLEXITY OF INDIVIDUALS’ LIVES THROUGH A NETWORK OF SERVICES ................. 3
DESCRIPTION OF FUNDED AREAS ...................................................................................................... 4
1.0 AREA 1: COMPREHENSIVE HIV PREVENTION STRATEGIES ....................................... 4
1.4 SAFE RE-ENTRY – RISK REDUCTION FOR YOUNG MEN ABOUT TO BE RELEASED FROM JAIL .............. 6
2.0 AREA 2: LOCALLY FUNDED PREVENTION, LINKAGE, AND SUPPORT ................. 6
3.0 AREA 3: PARTNER SERVICES EXPANSION ......................................................................... 7
PROGRAM ACTIVITY DETAILS ............................................................................................................ 8
PROGRAM ACTIVITY DETAILS—AREA 1 ......................................................................................... 8
1.1 PREVENTION FOR PEOPLE LIVING WITH HIV/AIDS ......................................................10
1.2 PREVENTION FOR PEOPLE OF HIV-NEGATIVE OR UNKNOWN STATUS..................13
1.3 YOUTH PREVENTION INTERVENTIONS.....................................................................................16
1.4 SAFE RE-ENTRY – RISK REDUCTION FOR YOUNG MEN ABOUT TO BE RELEASED
FROM JAIL .................................................................................................................................................19
PROGRAM ACTIVITY DETAILS—AREA 2 ........................................................................................22
2.1 NAVIGATOR SERVICES ...................................................................................................................22
2.2 YOUTH SERVICES: HIV MAINSTREAMING AMONG YOUTH-SERVING PROVIDERS .24
2.3 FAITH-BASED LEADERSHIP AND HIV MAINSTREAMING ...................................................26
2.4 COUPLES HIV COUNSELING AND TESTING SERVICES (CHCT) ........................................29
2.5 FOSTER PARENTS MATTER! .........................................................................................................31
2.6 INNOVATOR INTERVENTIONS .....................................................................................................33
PROGRAM ACTIVITY DETAILS—AREA 3 ........................................................................................35
3.1 PARTNER SERVICES—CAPACITY BUILDING FOR COUNSELING, TESTING, AND
REFERRAL PROVIDERS (CDC-FUNDED)...........................................................................................35
APPLICATION ELEMENTS ....................................................................................................................38
I. HAA ASSURANCE PACKET...........................................................................................................38
II. EXECUTIVE SUMMARY (REQUIRED TEMPLATE) ............................................................38
III. BACKGROUND, NEED, AND IMPACT DESCRIPTION (UP TO 7 PAGES).......................38
IV. ORGANIZATIONAL CAPACITY DESCRIPTION (UP TO 10 PAGES) ..............................38
V. PARTNERSHIP, LINKAGES AND REFERRALS DESCRIPTION (UP TO 5 PAGES) ...........38
VI. PROGRAM ACTIVITY PLAN (ONE FOR EACH ACTIVITY—UP TO 15 PAGES FOR
EACH ACTIVITY) .....................................................................................................................................38
VII. ATTACHMENTS ...........................................................................................................................38
*LIMITED APPLICATION: ADD-ON FOR PRIMARY CARE AND CASE MANAGEMENT
PROVIDERS ...............................................................................................................................................38
APPLICATION SUBMISSION PROCEDURES .....................................................................................39
1. PRE-APPLICATION CONFERENCES ........................................................................................................39
2. INTERNET ..............................................................................................................................................39
3. SUBMIT LOI (NOT REQUIRED BUT REQUESTED) ..................................................................................40
APPLICATION EVALUATION CRITERIA ..........................................................................................41
I. HAA ASSURANCE PACKET...........................................................................................................41
II. EXECUTIVE SUMMARY (REQUIRED TEMPLATE) ............................................................41
III. BACKGROUND, NEED, AND IMPACT DESCRIPTION .......................................................42
IV. ORGANIZATIONAL CAPACITY DESCRIPTION ..................................................................42
V. PARTNERSHIP, LINKAGES AND REFERRALS DESCRIPTION............................................44
VI. PROGRAM ACTIVITY PLAN* ..................................................................................................45
*LIMITED APPLICATION: ADD-ON FOR PRIMARY CARE AND CASE MANAGEMENT
PROVIDERS ...............................................................................................................................................45
REVIEW PROCESS AND FUNDING DECISIONS ...............................................................................46
POST-AWARD ACTIVITIES ...................................................................................................................47
BUDGET DEVELOPMENT AND DESCRIPTION ................................................................................49
ASSURANCES ............................................................................................................................................50
AREA 1: CRITICAL TOOLS AND INFORMATION ...........................................................................50
I. LIST OF PRIORITY TARGET POPULATIONS ..........................................................................50
II. UNDERSTANDING RISK BEHAVIORS ...................................................................................51
PREVENTION NEEDS OF HETEROSEXUALS ...............................................................................................52
PREVENTION NEEDS OF MEN WHO HAVE SEX WITH MEN (MSM) ...........................................................53
PREVENTION NEEDS OF INJECTING DRUG USERS (IDUS).......................................................................53
PREVENTION NEEDS OF YOUTH................................................................................................................54
III. LIST OF RECOMMENDED CORE APPROVED EFFECTIVE BEHAVIORAL
INTERVENTIONS (EBI) ...........................................................................................................................56
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IV. ADAPTING APPROVED CORE INTERVENTIONS ...................................................................58
V. CRITERIA FOR NEW CORE INTERVENTIONS (NOT EBI) ....................................................59
TEMPLATES AND TOOLS ......................................................................................................................64
I. LETTER OF INTENT .......................................................................................................................64
II. APPLICATION CHECK-LIST ....................................................................................................64
III. EXECUTIVE SUMMARY TEMPLATE .....................................................................................64
IV. ORGANIZATIONAL SERVICE SUMMARY CHECK-LIST..................................................64
V. WORK PLAN TEMPLATE ..............................................................................................................64
VI. CATEGORICAL BUDGET SAMPLE ........................................................................................64
ADDITIONAL RESOURCES ....................................................................................................................64
HIV/AIDS IN THE DISTRICT OF COLUMBIA ...............................................................................................64
INFORMATION ON EFFECTIVE INTERVENTIONS, FROM THE CDC................................................................64
A. OTHER INTERVENTIONS ....................................................................................................................65
B. RESOURCES FOR PREVENTION WITH POSITIVES ............................................................................66
C. OTHER RESOURCES ...........................................................................................................................66
HAA CONTACTS .......................................................................................................................................66
ATTACHMENTS ........................................................................................................................................74
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OVERVIEW
Purpose
The purpose of this request for applications (RFA) is to support local qualified applicants
to develop to provide culturally appropriate, science-based programs with evidence
based effectiveness, and which target persons at risk for infection, re-infection and/or
transmission of HIV and support persons living with HIV for continuity of care services in
all eight wards of the District of Columbia. The long-term goals include
decreasing the number of new HIV infections, eliminating stigma,
increasing individual, family, and community-level responses to HIV,
and increasing successful utilization of HIV testing, care, and
treatment services.
Available Funding
AREA 1: Comprehensive HIV Prevention Strategies, $2,000,000 available.
AREA 2: Locally Funded Prevention, Linkage and Support, $840,000
available.
AREA 3: Partner Services Expansion, $140,000 available.
Eligible Applicants
The following are eligible organizations/entities who can apply for grant funds under
this RFA:
Private non-profit and for-profit organizations
Private entities include community development corporations, community
action agencies, community-based and faith-based organizations
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Using Data to Drive Program Planning
In December 2007, HAA released the first data on AIDS in five years and the first-ever
data on HIV in the District of Columbia. The data showed that the District is impacted by
a modern HIV/AIDS epidemic – modern because of its sheer size and complexity, unlike
any jurisdiction in the country. In size, the District has the highest burden of disease of
any city, twice as high as New York City and four times as much as Detroit. In
complexity, the transmission of the District’s new infections were led by heterosexual
contact, followed closely by men who have sex with men (MSM) and still a substantial
portion attributable to injection drug use (IDU).
The milestone was not only the breadth of the data, but that the District is now entering
into a new era of using data to drive program planning. No longer will prevention and
care activities be based on assumptions, but on concrete information from case-based
surveillance and other sources. Planning and program design will benefit from new
studies on behavior – such as an upcoming survey of high-risk heterosexuals to be
followed by MSM and IDU – and other population-based data. The heterosexual study
yields significant findings for the direction of prevention and intervention programs:
Missed opportunities for HIV testing in clinical settings
High rates of concurrent partnerships and low rates of awareness of partner status and
condom use
Substantial use of non-injection drugs and alcohol
This critically valuable data is not intended to sit on a shelf. HAA encourages all
applicants to use the data in their program designs. We believe only by applying locally
relevant data to evidence-based approaches and interventions and incorporating front-
line experience will we be able to generate a powerful local response that will
fundamentally impact the trajectory of the epidemic.
You may obtain HIV/AIDS statistics and HIV needs assessment data from the HAA
website:
2007 Epidemiology Annual Report
http://doh.dc.gov/doh/cwp/view,A,1371,Q,603431.asp
HIV Prevention Plan for 2006-2009
http://doh.dc.gov/doh/cwp/view,a,1371,q,598727.asp
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In addition, you may use data from research studies and other valid data sources.
Addressing the Complexity of Individuals’ Lives through a Network of Services
The District seeks proposals to implement comprehensive HIV prevention strategies that
use several components – either integrated fully or through connections to collaborative
providers – to protect as many people at risk for HIV as possible and address the needs
of residents in diverse communities, including broad-based efforts to reach individuals
who do not perceive themselves to be at high risk for HIV.
HAA does not expect that a single organization can provide every element in a
comprehensive prevention program. However, organizations should develop the
strategic connections to be closely linked to a package of services so that an individual’s
needs can be addressed. Those linkages must include HIV counseling and testing (CTR),
linkage to primary HIV care, individual-level prevention counseling when appropriate,
including interventions that promote safer sexual behaviors for both members of a
couple, and group-level and community-level programs to reach large numbers of
people.
A comprehensive program should:
Provide or be closely linked to services that ensure early access to, and
continuous participation in prevention interventions, including counseling and
early testing for HIV, sexually transmitted diseases (STDs) and hepatitis, and
continuous health care for HIV-positive individuals.
Provide evidence-based, culturally competent and language appropriate
prevention strategies that meet the needs of at-risk populations and those of
individuals who are HIV infected.
Address factors that put individuals at risk for HIV infection and transmission,
such as awareness of personal risk, communications skills, prevention message
burnout, fear of social rejection due to disclosure, lack of information about
services and limited access to care.
Address multiple needs and create linkages to a wide range of human service
programs and providers.
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Additional Non-funded Resources and Opportunities
HAA encourages applicants to consider adding complementary activities and resources
to its core prevention programs when appropriate. The following add-on opportunities
are available to address key District goals for reducing transmission of HIV.
Condom Distribution Recruitment: condom use is a critical tool in preventing the
transmission of HIV, as well as STDs and Hepatitis. Yet, new surveys of District
residents show that many are not using condoms regularly. Increasing the
quantity and accessibility of condoms is a high priority for HAA. Studies show
that public free condom distribution programs increase use – in Louisiana,
among African-American women with more than one sex partner by 50% and by
one-third among African-American men without an increase in sex partners –
and encourages take up rates. A recent survey revealed that three-quarters of
District residents would use more condoms if they were available for free.
Applicants could include recruitment of non-stigmatized locations within their
geographic or population group communities to receive free condoms from
HAA.
Needle Exchange Program: in December 2007, Congress lifted the nearly 10 year
ban on the District from using its local dollars for needle exchange programs.
HAA sees this new start with needle exchange as a tremendous opportunity for
the District to test new models of integrating needle exchange services into
existing service delivery models. Applicants can consider partnerships with
District needle exchange programs or taking advantage of the technical
assistance provided by HAA to initiate needle exchange services as part of the
DC NEX Program.
CTR technical/test kit supports: the District is committed to purchasing and
providing free oral rapid HIV tests to community partners to make this non-
invasive technology available to broader segments of the population. HAA
offers test kits, training for providers, and technical assistance.
DESCRIPTION OF FUNDED AREAS
1.0 AREA 1: Comprehensive HIV Prevention Strategies
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Funding Period: January 1, 2009-December 31, 2010. One year continuation through
December 31, 2010 based on availability of monies, fiscal and programmatic grant
performance, and alignment with developing data and community planning priorities.
Amount Available: A total of $2,000,000 in CDC-based funding is available for
comprehensive HIV prevention strategies that are effective for the populations
prioritized by the DC HIV Prevention Community Planning Group (HPCPG). Up to 20
awards, ranging from $50,000 to $250,000 each (with average awards of $100-150,000
each) will be awarded for specific program activities.
Purpose of Area 1 Awards: This area is intended to support core, evidence-based
behavioral prevention interventions with linkages to comprehensive services for at-risk
populations, in order to achieve District-wide decrease in new HIV infections. Successful
implementation of these strategies requires: sufficient technical expertise and
adherence to evidence-based interventions; creativity and resiliency in identifying,
recruiting, retaining and following-up the most-at-risk individuals; a true and current
understanding of the issues faced by the populations served; and dedicated linkages to
core HIV services. For maximum community impact through a combination of breadth
and depth, an overall mixture of community-level, group-level, and individual-level
interventions is sought.
Area 1 Program Activities: Program Activities for Area 1 are categorized in terms of
target populations and related effective behavioral interventions (see Area 1 Critical
Tools and Information for complete lists). The following Program Activities are available
for competition under this announcement. Organizations may apply for more than one
program activity. Each program activity listed below requires a dedicated narrative,
budget, and work plan. In addition, a strong organizational capacity section is required,
that demonstrates clear ability to deliver interventions to the targeted populations.
Note: Program activities intended to serve multiple populations allow for simplified
budgeting/shared resources of staff, but require a substantive explanation and
justification as to how the intervention will fully and appropriately serve or be adapted
and tailored to each population. Projected single population targets must be included in
the narrative and work plan.
1.1 Prevention for People Living with HIV/AIDS
1.11 Single Population Activities (gender, race, risk characteristics)
1.12 Multiple Population Activities
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1.13 Prevention as Part of Care (For Primary HIV care and Medical Case
Management Providers Only—See Limited Application* Instructions)
1.2 Prevention for People who are HIV-negative or of unknown HIV status
1.21 Single Population Activities (gender, race, risk characteristics)
1.22 Multiple Population Activities
1.3 Youth Prevention
1.4 SAFE RE-ENTRY – Risk Reduction for young men about to be released from Jail
2.0 AREA 2: LOCALLY FUNDED PREVENTION, LINKAGE, AND
SUPPORT
Funding Period: October 1, 2008-September 30, 2009. One year continuation through
September 30, 2010 based on availability of monies, fiscal and programmatic grant
performance, and alignment with developing data and priorities.
Amount Available: A total of $840,000 is available from the FY09 DC Budget Support
Act for new competitively-funded awards. [Note that additional BSA monies for HIV
prevention, linkage, and support services are dedicated to select named entities and
continuing and sole source grants. Services receiving support include: services for
transgendered persons; food and nutritional supports for persons living with HIV/AIDS;
counseling, testing, and referrals; bereavement and burial assistance; DC government
services training and youth social marketing.] Up to 8 awards, ranging from $50,000 to
$200,000 each will be awarded for specific program activities.
Purpose of Area 2 Awards: This area is intended to support critical priorities and
innovative services that respond to local District needs and are intended to complement
and enhance the impact of the Comprehensive Prevention Interventions from Area 1.
These activities fill important programming gaps, lead to the development of new and
innovative District strategies, and may form the basis of future Comprehensive
Prevention Interventions if shown to be effective for our communities.
Area 2 Program Activities: The following program activities are available for
competition under this announcement. Organizations may apply for more than one
program activity. Each program activity requires a dedicated narrative, budget, and
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work plan. In addition, organizational capacity section should demonstrates clear and
unique abilities to deliver the innovative interventions to the targeted populations.
2.1 Navigator Services
2.11 Latinos Living with HIV and Navigator Capacity-building
2.12 Pregnant Women and Prevention of Mother-to-Child
Transmission
2.2 Youth Services: HIV-mainstreaming among Youth-Serving Providers
2.3 Faith-based Leadership and HIV Mainstreaming
2.4 Couples HIV Counseling and Testing Services
2.5 Foster Parents Matter!
2.6 Innovator Activity
3.0 AREA 3: Partner Services Expansion
Funding Period: 9/15/2008-5/31/2009. At this time, CDC has indicated that this may
be one-time funding. If continued funding becomes available, this grant will be eligible
for a one-year continuation based on fiscal and programmatic grant performance and
alignment with developing data and priorities. [These monies are available to initiate
activities as soon as the decision and award processes are complete.]
Amount Available: Up to $140,000 is available in CDC-based funding is available for
capacity-building for partner services expansion. One Award of up to $140,000 will be
awarded for specific program activities.
Purpose of Area 3 Award: This area is intended to enhance the impact of current
DOH/HAA expansion of Partner Counseling and Referral Services in order to diagnose
more HIV-infected persons earlier in the course of their disease and to link more known
HIV-infected persons back into prevention and care services. Activities will focus on
building the capacity of public, private, and community HIV counseling and testing
partners to understand the availability of DOH/HAA Partner Services and to perform
initial assessments for follow-up by the DOH/HAA Partner Services team.
Area 3 Program Activities:
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3.1 Partner Services—Capacity Building for Counseling, Testing, and Referral
Providers
PROGRAM ACTIVITY DETAILS
PROGRAM ACTIVITY DETAILS—AREA 1
SEE ALSO: Area 1 Critical Tools and Information for more in-depth technical guidelines
and descriptions for successful selection, design, and implementation of Area 1
programs.
This area is intended achieve a reduction in new infections of HIV among various groups and
populations in the District. Taken as a whole, the portfolio of projects supported through this
funding should contribute to an overall positive impact on HIV in the District.
In order to maximize District-level reductions in new infections, the final portfolio of
prevention activities must not only address specific a variety of priority risk groups and at-risk
individuals, but must also deliver a combination of breadth and depth. To achieve meaningful
breadth, we are encouraging substantial attention to overall community-level and group-level
interventions that are designed to reach large numbers of at-risk persons over time and to
foster community and group action for HIV prevention. To achieve depth, we maintain that the
role of individual-level interventions is critical to supporting substantial and enduring safer
behaviors among most-at-risk persons.
Specific target populations for Program Area 1 described in the Area 1 Critical Tools and
Information section, and include: HIV-positive heterosexual men and women, injecting drug
users (IDU), black men who have sex with men (MSM) and youth (13-24); individuals who are
HIV negative or do not know their status, including Black heterosexual men and women
(including couples and men about to be released from jail), youth, Latino men and women, male
injecting drug users and all men who have sex with men. Proposals for interventions targeting
additional populations and access groups, such as HIV-infected white MSM, transgendered
persons, sex workers, and mixed groups will also be accepted.
To maximize impact, we have an overriding interest in the delivery of comprehensive
interventions—that is programs that provide linkages to a essential HIV services, and that also
recognize the importance of social networks and linked groups. Some examples of naturally
linked groups are injecting drug users and their sexual partners; heterosexual men, women and
couples; and HIV-positive and HIV-negative heterosexuals or men who have sex with men.
Funding proposals should clearly explain the links among the different groups and how your
program would address those links, in addition to addressing the specific prevention needs of
each group. Note that programs are NOT expected to ‘do it all’—they should deliver based on
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core competencies and client access and identify which strategic linkages with external partners
are most important.
For Area 1, all applicants must form their program around a core prevention intervention—an
evidence-based and effective behavioral intervention for at-risk persons with linkages to
comprehensive services. These activities will be supported by CDC funds, and therefore must
meet criteria for behavioral interventions that have been shown to be effective. A targeted list
of CDC-approved interventions is provided, and a more extensive list of CDC recommended
interventions is also available. For the most part, to achieve effect, these interventions require
routine and repeated contact with clients over time. Fidelity to the basic elements of the
interventional design is required.
Selection and implementation of a core prevention intervention is necessary but insufficient
for success—additional elements are also required. Implementation success also requires
creativity and resiliency in identifying, recruiting, retaining and following-up the most-at-risk
individuals as well as a true and current understanding of the issues faced by the populations
served. Development of concrete linkages for core HIV services is critical. Thus a common
theme for successful implementation and improvement of programs is: know your clients,
know your population(s), know your population(s) as they are now, given that specific needs
and barriers may change over time.
Assessments of the risk behavior and the factors that contribute to those behaviors among your
population currently are very important. Failure to review real-time data or to conduct an
assessment could result in using an intervention that is not the most appropriate for your
target. Area 1 Critical Tools and Information section provides additional suggestions and details
on conducting needs assessments and establishing mechanisms for ongoing feedback from your
targeted populations.
Problem solving and creative efforts have been particularly important to maintaining service
delivery to and participation of clients over time. Recruiting and then retaining high-risk
individuals for individual counseling and group-level interventions can be challenging. Non-
traditional and creative approaches are often necessary. One organization has had success
conducting individual counseling sessions over the phone with clients who have a difficult time
coming into the office for their sessions, and another organization meets with clients at their
homes. To deal with retention for group level interventions, where clients must return for
several sessions, several organizations have had success conducting the interventions during
weekend retreats.
Another challenge has been the reluctance of clients to open up to different counselors,
describing intimate details of their lives, because of staff changes. Transition planning and
transition supports to clients around staffing changes may be needed.
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Recruitment has been more successful for organizations that use a social network approach,
asking individuals who have successfully completed an intervention to spread the word on the
benefits they received from their participation. Incentives are used to promote this networking.
Note: Program activities intended to serve multiple populations allow for simplified
budgeting/shared resources of staff, but require a substantive explanation and justification as
to how the intervention will fully and appropriately serve or be adapted and tailored to each
population. Projected single population targets must be included in the narrative and work
plan.
1.1 Prevention for People Living with HIV/AIDS
1.11 Single Population Activities (gender, race, risk characteristics)
1.12 Multiple Population Activities
For this Program Activity, Prevention for People Living with HIV/AIDS, HCPCG and HAA
recommend you select from among the following core interventions. These
interventions are recommendations are based on population relevance and availability
of training now or in the near future. Some of these interventions have been
successfully implemented in DC.
1.11, 1.12: People Living with HIV
Organizations serving this population must provide one of the evidence-based interventions listed below. They must also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
Healthy Relationships Group Level (GLI) All
Safety Counts GLI IDUs and crack users
Together Making Choices (previously Teens GLI HIV-positive Youth (13-24)
Linked to Care)
Specific Required Program Elements:
o Selection and implementation of core intervention (EBI/etc) –including
approaches to adaptation to new population if needed. Non-EBI
interventions should provide appropriate documentation of/explanation
of how they meet the criteria described in the Area 1 Critical Tools and
Information Section.
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o Direct Linkages to key HIV services (such as CTR, condoms, STD diagnosis
and treatment, HIV care and treatment, mental health, substance abuse,
etc.)
o Population assessment, access, recruitment, retention, and follow-up
plans.
o Approach to capacity-building or preparations for this intervention (TA
needs, training needs, etc).
o Performance and monitoring/evaluation plan, including targets and
projected impact of persons served/risk reduction achieved.
Program Activity Plan Evaluation Criteria:
In addition to general evaluation criteria and standard evaluation criteria for Area 1
Programs that are list in the Program Activity Evaluation Criteria section and the Area 1
Critical Tools and Information Section, including the “Summary of Standard
Elements—Area 1 Program Design and Implementation” the additional specific criteria
will be applied to 1.11 and 1.12 activities:
Willingness to accept referrals from a variety of other providers, including
primary medical providers, STD clinic, Partner Services Team, etc, for higher risk
HIV-infected clients in need of services.
Effective demonstration of the required program elements described above,
including:
o Documented experience with and knowledge of the population(s) to be
served, including approaches to updating data or applying updated data
on specific population needs and requirements;
o Feasible implementation plan of a population-appropriate approach,
including effective and innovative recruitment and retention plans,
adequate staffing and delineated training or capacity-building;
integration of persons living with HIV/AIDS into service delivery when
possible and appropriate;
o Appropriate linkages to specific critical services for HIV-infected persons;
o Adequate monitoring and evaluation plan including reasonable and
achievable targets.
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1.13 Prevention as Part of Care: (For current Primary HIV care and Case management
Providers Only—See Limited Application Instructions), multiple awards of $25-50,000
Note: A current Assurance Packet and *Limited Application only are required for this
option.
Participating in ongoing medical care is a strong predictor of lower risk behaviors among
persons living with HIV/AIDS. However, clients may still benefit from additional and
explicit individual-level prevention supports. Clinical care settings provide opportunities
to deliver enhanced prevention supports routinely and repeatedly during routinely
scheduled visits, and are a platform to provide unscheduled access during higher need
or higher risk times. Moreover, individual clinical and medical issues, such as acute
STDs, may provide clear indications for more intensive prevention supports that may be
invisible to non-care providers. Currently, HAA does not specifically fund enhanced
prevention activities in clinical care settings.
Two basic approaches to individual-level prevention supports are CRCS and IDL. CRCS is
a structured and scheduled set of counseling sessions that are effective for risk
reduction. However, stand-alone CRCS programs have encountered challenges in
retaining clients throughout the program or sometimes are at a loss to provide follow up
services after the initial sessions are completed. IDL uses similar techniques as CRCS,
but does not have a pre-determined schedule or fixed set of deliverable sessions. This
Program Activity requires that implementers be trained in CRCS and IDL (HAA can
provide this training) and that CRCS or IDL be used as a main approach to risk reduction.
CRCS/IDL should be complemented in the care setting by instituting limited but
coordinated prevention messages across the entire team of care providers.
Specific Required Program Elements and Evaluation Criteria:
Access to higher risk population: Overall goal is to provide prevention
services targeting especially the highest risk clients at the highest risk
times. Describe indicators of need for prevention with positive services
among your clientele, including rates of new STD infections, reported
unsafe sex practices, issues surrounding disclosure, patterns of
discontinuity of care or loss to follow-up. Description should highlight
specific issues, practices, or risks of the client population to be addressed
by this program.
Provision of Services and Continuity of Access: Describe how CRCS
and/or IDL will be provided. Prevention services must be available during
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routine appointments/visits; program should also describe innovative
methods for service delivery and prevention support, such as telephone,
evening, or weekend drop-in access. Also, plan should consider ways to
engage multiple providers in the routine care setting to reinforce limited
and targeted prevention messages.
Innovative Staffing and Strategies: Programs are strongly encouraged to
consider effective use of persons living with HIV/AIDS as volunteer, part-
time, or full time providers of prevention with positive services.
Description should highlight training or capacity-building needs for CRCS
and IDL skills. These trainings can be mobilized by HAA for providers. In
addition, describe how repeated interaction with individual clients over
time will be achieved.
Performance and Evaluation Plan: Include targets in terms of number of
persons to be reached with these services and targets for reduction in
risky behavior. Describe how program will be monitored and how success
will be determined.
Priority for funding will be given to Primary HIV Care Providers and to
Medical Case Management Providers who are co-located with clinical
services. Case Management Providers who are not co-located with
clinical services should describe the direct linkages and communications
with Primary HIV Care Team that will allow these Prevention Services to
be truly integrated into care.
1.2 Prevention for People of HIV-negative or Unknown Status
1.21 Single Population Activities (gender, race, risk characteristics)
1.22 Multiple Population Activities
For this Program Activity, Prevention for People Living with HIV/AIDS, HCPCG and HAA
recommend you select from among the following core interventions. These
interventions are recommendations are based on population relevance and availability
of training now or in the near future. Some of these interventions have been
successfully implemented in DC.
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1.2 Heterosexuals
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
PROMISE Community Level (CLI) Men or women and their sex
partners (adults)
PROMISE Community Level (CLI) Men or women and their sex
partners (youth 13-24)
Real AIDS Prevention Project (RAPP) CLI Women and their sex partners
SISTA GLI African American women
Project Connect ILI/GLI Black Heterosexual
Couples/Black men and women
1.2 Injecting Drug Users
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
PROMISE Community Level (CLI) Men or women and their sex
partners
Safety Counts GLI IDUs and crack users
Modelo de Intervención Psicomédica (MIP) ILI Hispanics/Latinos and Blacks
1.2 MSM
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
d-up! CLI Black MSM
Mpowerment CLI White, Hispanic/Latino MSM
Popular Opinion Leader CLI White MSM
PROMISE CLI Black, Latino or white MSM
Many Men, Many Voices GLI Black MSM
Sex Workers
PROMISE CLI Black, Latino or white MSM
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Safety Counts GLI Black heterosexual females,
transgender women and MSM
Specific Required Program Elements:
o Selection and implementation of core intervention (EBI/etc) –including
approaches to adaptation to new population if needed. Non-EBI
interventions should provide appropriate documentation of/explanation
of how they meet the criteria described in the Area 1 Critical Tools and
Information Section.
o Direct Linkages to key HIV services (such as CTR, condoms, STD diagnosis
and treatment, HIV care and treatment, mental health, substance abuse,
etc.)
o Population assessment, access, recruitment, retention, and follow-up
plans.
o Approach to capacity-building or preparations for this intervention (TA
needs, training needs, etc).
o Performance and monitoring/evaluation plan, including targets and
projected impact of persons served/risk reduction achieved.
Program Activity Plan Evaluation Criteria:
In addition to general evaluation criteria and standard evaluation criteria for Area 1
Programs that are list in the Program Activity Evaluation Criteria section and the Area 1
Critical Tools and Information Section, including the “Summary of Standard
Elements—Area 1 Program Design and Implementation” the following additional
specific criteria will be applied to 1.2 activities:
Effective demonstration of the required program elements described above,
including:
o Documented experience with and knowledge of the population(s) to be
served, including approaches to updating data or applying updated data
on specific population needs and requirements;
o Feasible implementation plan of a population-appropriate approach,
including effective and innovative recruitment and retention plans,
adequate staffing and delineated training or capacity-building;
integration of persons living with HIV/AIDS into service delivery when
possible and appropriate;
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o Appropriate linkages to specific critical services for HIV-infected persons;
o Adequate monitoring and evaluation plan including reasonable and
achievable targets.
1.3 Youth Prevention Interventions
This area is intended to expand prevention intervention strategies to young people and diversify
the portfolio of approaches to best address the diversity and dynamic nature of the epidemic’s
impact on District youth. The combination of high risk behavior, incomplete or misinformed
health education, a lack of self-risk perception and prevention fatigue are fueling increases in
HIV transmission and disease. DOH/HAA considers this funding as a critical opportunity to
engage young people at community and group levels effectively to change behavior leading to
increase recognition of HIV risk, maintain negative status, prevent further transmission among
young people living with HIV, raise level of safe behavior activity, equip young people to better
utilize health resources, and negotiate relationships successfully. Healthy behaviors adopted by
young people at an early age will remain with them as they grow older.
Roughly one out of every 100 young people ages 13 to 24 in the District is HIV infected or has
full-blown AIDS. HIV infection rates among District young people tripled for the period 2000 to
2005 compared to the previous five years while chlamydia rates are nearly three times the
national average at up to 9%. While youth under age 25 have represented up to 6% of all the
reported DC AIDS cases, HIV incidence among young people for 2001 through 2005 – reported
for the first time in 2007 and depicting the current trend in infections – was nearly double at
10% of all HIV cases. HIV incidence among certain high-risk populations has increased in the last
five reported years at an alarming rate. Since 2001, young men who have sex with men ages 13
to 24, particularly among young men of color, experienced a 900% increase of reported HIV
infection and young heterosexual women of color by more than a third when compared to the
previous five year period. Despite the high rates of disease and risky behavior, only about half
of all District young adults under 25 are aware of their HIV status or have actively sought an HIV
test.
DOH/HAA wants support a comprehensive HIV prevention approach to the scale and size of the
epidemic’s impact to address successfully the needs of District youth. Under Mayor Fenty’s
Child Health Action Plan, the District has set goals for adolescents of increasing awareness of
HIV status by 25% and reducing HIV transmission by 25% through the year 2010.
The purpose of this Program Activity for Youth Prevention is to fund organization(s) to support a
range of prevention strategies. In reviewing the Youth and HIV Initiative Plan and the list of
available interventions, HAA has considered the following evidence-based initiatives to address
the needs of District young people:
16
1.3 Youth Prevention
Organizations serving this population must provide one of the evidence-based interventions listed below. They
may also provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services
(CRCS).
Community Promise CLI All Youth
Real AIDS Prevention Project (RAPP) CLI Black Heterosexual and
YMSM
d-up! CLI Black YMSM
Together Learning Choices GLI Latino, Black, White Youth
living with HIV (13-24)
Popular Opinion Leader CLI Black YMSM
Street Smart GLI Female, Male Youth (11-18)
FOK + ImPACT (Focus on Youth with GLI Black Youth (9-15) and their
ImPACT) parents
Prevention for Positive Youth
Together Learning Choices is a group-level intervention that is proven to assist youth in
achieving core secondary HIV prevention goals. It achieves the goals through skills building
support groups.
Community Level Interventions
With the scale of the epidemic’s impact on District young people – and current statistics likely
undercount the full extent of risky behavior and infection rates – HAA seeks to support
community-level interventions targeting youth. Providers can propose among the following:
Community Promise is adaptable to all population groups, but is effective when one group is
designated. Providers can consider several populations, including heterosexual young men or
women.
Real AIDS Prevention Project (RAPP) can be effectively implemented among heterosexual
young people and young men who have sex with men, and has been used in the District
previously.
d-up! has been adapted from Popular Opinion Leader and targets black young men who have
sex with men. Recently, the CDC reported a 93 percent increase in infections among this
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population from 2001 to 2006 (as reported from 33 states). District data shows a 22 percent
increase from 2001 to 2006 from code-based reporting, which is likely an undercount. Note this
is a relatively new intervention, and has generated considerable excitement for specifically
addressing the rising rates of HIV among young MSM.
Like RAPP, Popular Opinion Leader has been adapted to reach young men who have sex with
men. The District saw an overall increase of nearly 25 percent in infections among 13 to 24 year
old men who have sex with men.
Group-Level Interventions
HAA has identified two group-level interventions that is interested in seeing implemented for
young people: Street Smart has had very promising results among young people aged 11-18
and FOK + Impact (Focus on Youth with ImPACT) integrates intervention approaches for black
youth ages 9 to 15 and their parents.
Specific Required Program Elements:
Selection of core intervention with identification of youth population to be reached and
implementation plan addressing the particular needs of District young people.
Demonstrated integrated or linkages to key HIV services, including counseling, testing
and referral, condom distribution, STD diagnosis and treatment, HIV care and
treatment, mental health, housing and other support services.
Assessment and analysis of population(s), access to services, and recruitment and
retention of participants.
Capacity building approach and preparations to effectively implement the intervention
that encompass technical assistance needs, training, and other resources.
Performance and monitoring evaluation plan.
Program Activity Plan Evaluation Criteria:
Demonstrates knowledge of and experience in best practices in youth prevention
interventions. On-the-ground implementation experience in delivering youth services.
Demonstration of cultural sensitivity and diversity with youth populations.
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Completeness of approach that address the HIV co-factors that contribute to adolescent
decision-making and perception of risk behaviors to modify health behavior and avoid
certain health choices or actions.
Established relationships with other community providers to coordinate and link
services; developing partnerships with youth serving organizations, particularly to
extend prevention activities in non-stigmatized locations; promotion of safe sex
information and materials, especially condoms, in community locations accessible to
young people.
Detailed work plan on training and technical assistance to build capacity for delivering
effective interventions; also, quality assurance program for appropriate performance of
prevention activities.
Performance and evaluation plan for documenting the reach, effectiveness, and impact
of youth prevention activities. Includes targets for number and types of young people
to be reached and outcomes for intervention goals.
1.4 SAFE RE-ENTRY – Risk Reduction for young men about to be
released from Jail
Up to one award
This area is intended to address the HIV prevention needs of individuals who are about
to be released from jail by providing them with risk-reduction information and
counseling on HIV and other STDs both shortly before and after their release back into
the community.
Studies have shown that prisoners re-entering the community have higher rates of
serious infectious diseases, including HIV and AIDS; substance abuse, including injecting
drug use and addiction, compared with non-incarcerated person. Of the estimated
21,000 individuals that pass through the D.C. Department of Corrections facilities in any
given year approximately 80% are Black males, of which about 87% spend 120 days or
less in the jail.
Importantly, re-entry may be a particularly vulnerable time for new infection with or
transmission of HIV. One study in Rhode Island, Mississippi, California, and Wisconsin
found that men engaged in unprotected sexual activity soon after release from prison,
with 51% engaging in unprotected sex on the first day and 86% by the end of the first
week. In DC, with the high rates of HIV in the community, high rates of unprotected sex
place the returning individual at real risk for new infection.
1.4 Men about to be release from jail
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Individual-level risk reduction intervention for ILI Men about to be released from
men soon to be released from jail, such as jail
START
One intervention that targets this issue is START, the goal of which is to eliminate or
reduce risk behaviors for HIV, STD and hepatitis. This 6-session individual-level HIV, STD,
and hepatitis risk reduction intervention for men features prevention case
management, motivational interviewing and incremental risk reduction. It consists of 2
individual sessions conducted within the 2 weeks before release and 4 individual
sessions at 1, 3, 6, and 12 weeks after release. Pre-release sessions deal with personal
risk-reduction and community reentry needs (referrals for housing, employment,
finances, substance abuse, mental treatment, legal issues, and avoiding re-
incarceration). The post-release sessions involve discussion of the facilitators and
barriers to implementing the risk reduction plan.
The purpose of this Program Activity for Incarcerated/Re-entry HIV Prevention is to fund
one organization to implement an evidenced-based intervention, preferably the CDC-
recommended START program, that spans from pre-release to re-entry to reduce HIV
infection and transmission.
Specific Required Program Elements:
o Description of the core
elements and goals of
the intervention to be
implemented (START or
another intervention)
and how they apply to
the HIV/STD prevention
needs of DC and inmates
at the DC jail.
o Implementation plan
that includes: capacity
to assess the risk
behavior, access,
recruitment and
retention of the target population including a plan to ensures that participants
will complete the intervention; plan to link clients to key HIV and social services,
such as CTR, condoms, housing, job-training, STD screening, mental health,
substance abuse, etc. upon discharge from corrections; projected impact
through number of persons reached and amount of risk reduction achieved.
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o Demonstrated experience working with the target population and the ability
(access) to provide services within and outside the jail.
o Identification of staff training and technical assistance needs to implement the
funded intervention, and obtain and/or provide training within a reasonable
time after funding is awarded.
o Plan to assess the organization’s performance and to and measure and analyze
the outcomes of the intervention.
Program Activity Plan Evaluation Criteria
Demonstrates experience working with the target population both within and
outside the jail, as well as experience providing HIV prevention services to this
and/or other risk groups in the District of Columbia.
Demonstrates access to the population during incarceration and ability to follow
up upon release. Letter of support from collaborating agencies will strengthen
application.
Understands or has a realistic plan to assess the risk behaviors and contributing
factors of the target population and how the intervention will address them,
including a description of the core elements, goals and objectives of the
intervention.
Provides feasible implementation plan that includes projections of possible
impact through targets of number of persons reached and amount of risk
reduction achieved.
Describes systems and protocols in place to make and track referrals and
linkages to the health and social services needed by the target population.
Evaluation plan/protocol will adequately assess the performance of the program,
including monitoring reported behavior changes in the target population.
Willingness to collaborate with HAA should opportunities for more intensive
evaluation of outcomes and impact arise.
Note: final award will be dependent on full approval and concurrence
of program activity plan by both DOH/HAA and DC Department of
Corrections
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PROGRAM ACTIVITY DETAILS—AREA 2
2.1 Navigator Services
2.11 *One award for Latino Navigator-services and Navigation Capacity-Building, $200,000
2.12 Up to one award for “Pregnancy Navigator”, including access to peer supports, up to
$100,000
The journey between testing HIV-positive and reaching a medical home for
comprehensive care services can be unnecessarily confusing and difficult. Nationwide,
only about 50% of persons are in care within 12 months of testing positive. In DC, a
system of HIV services is available, but not always immediately easy to access or to
understand. Language and cultural factors can present additional barriers to learning
the system and effectively connecting to care. Moreover, special circumstances such as
pregnancy present an additional urgency to rapid connection to HIV care for prevention
of mother-to-child transmission, and also may present unique needs for social supports
and planning assistance. It is estimated that between 50 to 100 women might benefit
from Pregnancy Navigator services each year.
This program activity is designed to augment, but not replace, existing systems of
referral and case management, and ensure that clients with HIV are intensively
supported and thereby successful in their initial entry or re-entry into HIV services and
especially HIV primary care. It is intended to reduce the time between testing positive
and accessing primary HIV care and case management, to increase the number of
persons previously diagnosed and out-of-care who establish a medical home, and to
reduce the mother-to-child transmission of HIV. Expert navigator organizations will also
help to refine the navigator model and share best practices for expansion of navigator
services across other providers and to expand the model over time to include navigation
to prevention-for-positive programs and partner services.
The purpose of this Program Activity for Navigator Services is to fund one organization
for Latino Navigator Services and Navigation Capacity-building and one organization to
develop and provide Navigator services for pregnant women (‘Pregnancy Navigator’).
Specific Required Program Elements:
Identify partners, sites and locations at which potential clients for the
―navigator‖ service can be found. In addition to established HIV
counseling and testing sites, the successful applicant(s) will identify
innovative strategies to become a connection point for clients from a
22
variety of settings including emergency rooms, family planning centers,
pre- and post-natal care providers and the like.
Implementation approach: Creating strategies that ensure that the
potential client is not lost to care following diagnosis with HIV. Developing
methods to assist potential clients to addressing and reduce the impact of
any barriers potential clients might experience in enrolling in care.
Ensuring an appropriate level and kind of support to family members of
potential clients and surrounding issues of disclosure.
Targeted additional services: Navigation to prevention-with-positive
programs for clients assessed to have specific needs for ongoing risk
reduction; assessment for and assistance accessing partner services.
Quality and efficiency: Creating or maintaining partnerships to minimize
cost, maximize coordinator and avoid unnecessary duplication of services.
Ensuring that all services are provided in ways that are culturally
appropriate and linguistically competent.
For Latino Navigator: Collaboration with HAA to help establish best
practices to navigator services, including willingness to provide targeted
technical assistance to new navigator providers. Willingness to accept
referrals from all providers identifying Latino clients with navigator needs.
For Pregnancy Navigator: Linkage to or direct access to HIV-infected
women who have and who can serve as peer supports during pregnancy.
Special consideration should be given to engagement of women living with
HIV/AIDS as navigation service providers. Follow up with clients after
delivery to ensure that mother is still connected to primary HIV care for her
ongoing health. Willingness to accept clients from all providers identifying
HIV-infected pregnant women and to establish direct partnerships with the
select group of District HIV primary care providers who have committed to
enroll pregnant women within 72 hours of initial diagnosis.
Performance monitoring and evaluation plan, including approach to
ensuring that navigated clients remain in care 6 months and 12 months
after initial linkage. Targets for number of clients served and projected
navigation success rate should be included.
Program Activity Plan Evaluation Criteria:
Demonstrates experience working with the target population – Latino residents or
pregnant women – as well as experience providing HIV prevention services to this
and/or other risk groups in the District of Columbia.
23
Demonstration of cultural sensitivity and diversity with target populations. For
Pregnancy Navigator: provides access to interaction with HIV-positive women who have
formerly gone through pregnancies and prevention of mother-to-child transmission
interventions.
For Latino Navigator: willingness to work with HAA to build capacity of other
organizations for navigator services.
Established relationships with other community providers to recruit potential clients to
coordinate and link services.
Provides feasible implementation plan that includes projections of possible impact
through targets of number of persons reached and amount of risk reduction achieved.
Describes systems and protocols in place to make and track referrals and linkages to the
health and social services needed by the target population.
Evaluation plan/protocol will adequately assess the performance of the program,
including monitoring reported behavior changes in the target population.
2.2 Youth Services: HIV Mainstreaming among Youth-serving
Providers
*One award for increasing mainstreaming among youth providers up to $115,000
Additional youth-programming opportunities under Area 1 / CDC funding.
Capacity Building to Mainstream HIV/AIDS among Non-HIV/AIDS Youth Serving Providers
There are many youth development and other social service agencies with long-standing
relationships with at-risk youth that are well-positioned to assist District young people in
meeting their HIV prevention needs and healthy sexual behavior choices. The agencies could be
very effective with hard-to-reach young people, who are either unable or unwilling to access
stand-alone HIV/AIDS service programs. Characteristics of these young people may include:
Routinely accessing non-HIV/AIDS youth services
Uninterested in accessing explicit HIV/AIDS services
Unaware of their HIV status
Living in high prevalence wards
Unaware of their personal risk for HIV infection
Unaware of and unfamiliar with how to navigate HIV/AIDS social service systems
Already diagnosed as positive but not in care, treatment or support services
These youth may be more open to receiving HIV prevention education from agencies they
already are participating with than from an unfamiliar HIV/AIDS service provider. With proper
training and planning, general youth programs could seamlessly incorporate HIV prevention
intervention elements into their program offerings as part of routine service delivery. The
24
mainstreaming of HIV and sexual health behavior prevention will contribute to the reduction of
stigma associated with the disease and persons at-risk for the disease – a significant barrier to
healthy choices. An effective component of mainstreaming will be the recruitment and training
of peer educators, especially in reach hard-to-reach young people.
The goal of this program will be to have HIV prevention service offerings in the majority of
entities engaging District teens and young adults.
The purpose of this Program Activity for Youth Services: HIV Mainstreaming among Youth-
serving Providers is to fund one provider to build capacity for HIV prevention interventions and
other sexual health behavior change approaches to mainstream HIV/AIDS among non-HIV/AIDS
youth serving agencies. The provider will identify and form partnerships, assess the capacities
and barriers of agencies, and discern the most appropriate HIV/AIDS prevention components.
The provider will also work with the agencies on recruiting and training peer educators.
In developing the program activity, applicants are encouraged to refer to the 2007 HIV/EPI
report, the 2007 Youth and HIV Prevention Initiative Plan, and the 2007 Youth Risk Behavior
Survey. Also, please note that services now available in the District include: expanded urine-
based testing for STDs; youth and HIV social marketing campaign with internet texting service.
Specific Required Program Elements:
Assessment and analysis of District youth provider community, and recruitment and
retention of partner organizations.
Development of a capacity-building plan that clearly defines number and types of
providers to be reached; strategies for engaging non-HIV/AIDS youth serving
organizations; stigma reduction approaches, and training and implementation of peer
educators.
Develop and implement a capacity-building approach that includes: training tools for
providers, follow-up technical assistance, identifies key provider facilitators and barriers
for uptake, recognizes potential provider issues.
Collaborates with HAA on development of best practices for linkages between HIV/AIDS
services providers and non-HIV/AIDS youth serving organizations.
Performance and evaluation plan.
Program Activity Plan Evaluation Criteria:
Demonstrates knowledge of and experience in best practices in youth serving
community. On-the-ground implementation experience in delivering youth services and
establishing partnerships with organizations.
25
Demonstration of cultural sensitivity and diversity with youth populations, especially
program approaches for stigma reduction and peer educator recruitment and training.
Detailed work plan on training and technical assistance to build capacity for delivering
effective interventions; also, quality assurance program for appropriate performance of
prevention activities.
Performance and evaluation plan for documenting the reach, effectiveness, and impact
of capacity building activities. Includes targets for number and types of providers to be
reached and outcomes for program goals.
2.3 Faith-based Leadership and HIV Mainstreaming
Up to one Award, up to $150,000
Faith-based organizations fill a unique and meaningful role in our society. It has
been estimated that over 80% of the world‘s population identifies with some type
of religion. Communities of faith have deep historical roots and have profoundly
shaped human culture. They possess tremendous legitimacy, credibility and
authority for many people. The faith community is among the most important
structures at the community level in reaching people on a regular and repeated
basis.
When HIV/AIDS originally emerged as a devastating
threat to District residents, many members of the
faith community rose to the challenge and offered
compassion and care to countless individuals with
dignity and grace. Twenty-five years later, the
District of Columbia is experiencing a ―modern HIV
epidemic‖—modern in both its sheer size and
complexity, that sees a greater number of persons
and diversity of risk than ever before. In this
environment where HIV is so present, individuals
may not recognize their own personal risk and may
not know where to turn for support and assistance.
For the District to achieve major gains in the fight
against HIV, we must empower all residents to
engage in responses for themselves, their families,
26
and their communities. Thus, the District is committed to reaching residents
through the communities in which they live and the health services that they use.
As part of this commitment, the District is seeking to galvanize participation of
faith-based organizations in to increase the number of individuals who: are aware
of the current state of HIV in our communities; have access to accurate
information on HIV and have the ability to assess their personal risks and risk
behaviors; understand what actions can protect them from HIV infection or help
stay healthy if they are HIV-positive; are willing to engage in meaningful dialogue
on individual, family, and community-level responses; understand what HIV
prevention and care services are available and how to access them; are willing
and skilled in communicating with their children and family members on sensitive
issues including relationships, sex and drugs, and HIV/AIDS; are empowered to
demand a standard-of-care from their medical providers to deliver routine HIV
testing services.
The purpose of this Program Activity for Faith-based Leadership and HIV
Mainstreaming is to fund a single organization to support faith-based leaders to
upgrade their current knowledge of the HIV situation and response, to effectively
and accurately mainstream the topic of HIV into their current programs, to link
their members with and promote uptake of existing HIV prevention and care
services, to develop additional innovative programs and services when
appropriate, and to encourage greater networking and partnership among faith
leaders and faith organizations on strengthening the HIV response.
Applicants are encouraged to refer to the 2007 Epi Profile and Fact Sheets in
preparation of their submission. Also, applicants should be aware of that a
―Places of Worship Needs Assessment‖ is anticipated to be completed in August
and September 2008 by HAA and the Places of Worship Advisory Board. The
results of this assessment should be used to help guide program implementation.
Specific Required Program Elements:
Recruit, train and provide technical assistance to faith-based leaders to
mainstream HIV messages, education and prevention activities into
current services, as well as develop new programs when appropriate.
Partner faith organizations/places of worship with long-standing effective
HIV programs and expertise with faith organizations that are newly
starting to engage in or scale up HIV activities for mentorship, support,
and sharing of strategies/best practices.
Support the faith community with appropriate and accurate tools and
resources for HIV-related activities.
27
Incorporate local information and data, including the ―Places of Worship
Needs Assessment‖ into ongoing project development and
implementation
Participate in District activities intended to share best practices on HIV
and faith-based organizations. Specifically, participate with and assist in
leading HAA‘s Places of Worship Advisory Board.
Performance monitoring and evaluation plan, including targets of the
number of leaders to effectively mainstream HIV and the number of
persons reached through those mainstreaming efforts.
Program Activity Plan Evaluation Criteria:
Organization with demonstrated experience leading Inter-faith activities and engaging
faith leaders, and experience in recruiting and engaging the faith community in health
and/or community concerns.
Demonstrated knowledge of HIV/AIDS issues and services and has established linkages
to community providers for a range of HIV prevention, testing, care, treatment and
other supports for people living with HIV and their caregivers.
Organization will develop plan to apply available data/assess capacity of faith based
community, determine which of organizations would benefit from this capacity building
assistance, what programs or activities are already in place, and what activities would
best accomplish the goal of increasing the participation of faith-based groups in
stemming the HIV epidemic in the district.
Implementation plan for establishing partnership/mentorship/twinning relationships
among faith organizations, including identification of and support for expert faith-based
organizations as mentors, and identifying, adapting or developing appropriate tools and
resources.
Participation and shared coordinating role in HAA Faith Based Advisory Board.
Data collection for ongoing assessments and tracking of progress of measurable
outcomes. Outcomes include increased number of faith leaders with up-to-date
knowledge/skills in HIV, increased number of faith organizations mainstreaming HIV into
existing activities, increase number of persons reached with HIV information, increased
number of persons accessing HIV prevention and/or care services, and increased
number of faith organizations accessing technical assistance and best practices from
other faith organizations.
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2.4 Couples HIV Counseling and Testing Services (CHCT)
Up to one award, CTR provider, up to $100,000
A recent DC survey of heterosexuals found that many persons were in stable
committed relationships, and that condom usage was low. However, about half
of those persons did not know their partner‘s HIV status. The combination of not
using condoms and not knowing your own and your partner‘s status may lead to
HIV exposure or infection within a relationship that may be perceived as ‗safe‘
due to its intimacy and commitment level. These risks are magnified in
relationships where one or both partners have additional sex partners outside the
relationship. This is true for all types of couples: heterosexual, homosexual,
transgendered, young, mature, married and unmarried.
Currently, HAA funds no counseling and testing services that are formally
designed for couples to get tested together and receive their results together.
General principles of couples‘ services include:
Providing clear, accurate, and culturally sensitive prevention messages
tailored to the couple‘s life stage and reasons for seeking HIV testing
services
Mitigating tension and diffusing blame by focusing on the present and
future
Dispelling myths about HIV transmission
Creating an environment that is safe for disclosure of HIV status among
partners
Couples HIV counseling and testing services (CHCT) are may require a
substantive shift from individual-level counseling and testing approaches.
Current overall DOH counseling, testing, and referral priorities remain on
routinizing HIV testing services for individuals and identifying HIV-infected
persons earlier in the course of their disease so that they may adopt preventive
behaviors and receive appropriate care services. In addition however, CHCT
may serve a primary prevention purpose by promoting dialogue and safer, more
informed decision-making regarding HIV within stable couples, also enhancing
family and community-level awareness and responses to HIV.
In CHCT, the couple‘s issues are more important than individual issues. In a safe
environment, the couple may reveal feelings that have not been discussed
previously within the couple. CHCT is NOT marriage or relationship counseling:
the couple—not the counselor—is ultimately responsible for what happens in the
relationship. Research shows that with support, couples do make it through the
difficulties and challenges that may arise from being tested for HIV together.
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The purpose of this Program Activity for Couples HIV Testing Services is to fund
an existing HIV counseling, testing and referral provider to develop and
implement a program that provides couples-level counseling and testing
services, and to gain early experience that will inform the potential expansion of
CHCT in DC.
Applicants are encouraged to refer to the following information in preparation of
their program: National HIV Behavioral Survey slide set; EBI Project Connect,
addressing counseling in black heterosexual couples; Couples HIV Counseling
and Testing Intervention and Training Curriculum—PEPFAR.
http://www.cdc.gov/nchstp/od/gap/CHCTintervention/page2.htm Note that while this
curriculum is not designed for/not directly appropriate for use in the US, it provides a useful
platform for adaptation and effectively highlights key principals of couples-level testing services.
Some of the information in this announcement was derived directly from these materials.
Specific Required Program Elements:
Develop of protocols/adaptation of training materials
Provide of couples-level HIV testing services
Implement an approach to recruiting couples for these services and
linkages for positive persons to care and treatment.
Evaluate services and program effectiveness
Demonstrate a willingness to share lessons learned, approaches, and
materials for use and adaptation by other CTR providers in
DC/participation in CTR providers‘ forum/willingness to participate as
technical implementation expert in capacity-building exercises & trainings
for other CTR providers
Program Activity Plan Evaluation Criteria:
Demonstrated experience working with target population, as well as experience
providing counseling and testing services specifically and HIV prevention services in
general to this and/or other risk groups in the District of Columbia.
Demonstration of cultural sensitivity and diversity with target populations.
Established relationships with other community providers to recruit potential clients to
coordinate and link services.
30
Provides feasible implementation plan that includes projections of possible impact
through targets of number of persons reached and amount of risk reduction achieved.
Willingness to collaborate with HAA in the sharing of best practices and implementation
experiences with other providers for the expansion of couples services over time.
Describes systems and protocols in place to make and track referrals and linkages to the
health and social services needed by the target population.
Evaluation plan/protocol will adequately assess the performance of the program,
including monitoring reported behavior changes in the target population. Willingness to
collaborate with HAA should expanded opportunities for more intensive evaluation
become arise.
2.5 Foster Parents Matter!
Up to one award, to support roll-out with CFSA/foster-parents, up to $75,000
The CDC-developed Parents Matter! Program is a community-based family
intervention designed to promote positive parenting and effective parent-
child communication about sexuality and sexual risk reduction. Its ultimate
goal is to reduce sexual risk behavior among adolescents. PMP offers parents
instruction and guidance in general parenting skills related to decreased
sexual risk behavior among youth (e.g., relationship building, monitoring)
and sexual communication skills necessary for parents to effectively convey
their values and expectations about sexual behavior—as well as critical HIV,
STD, and pregnancy prevention messages—to their children. It was originally
developed as a skills-building intervention for parents of pre-sexual children,
ages 4th to 6th grade, to establish early patterns of effective communications
to last a lifetime.
Children in the foster care system are at even higher
risk of lacking stable positive parenting and effective
parent-child communication. Foster parents are often
dedicated people who care for multiple children over the
course of their parenting experience. Some foster
parents may routinely care for specific age groups of
children, such as pre-teens or teenagers; other foster
parents may care for children of substantially different ages over time. While
foster parents may sometimes face unique challenges in establishing effective
parent-child communication regarding sexuality and sexual risk reduction, we
believe there are also unique opportunities for Parents Matter! to impact parents
and children in the foster care system.
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The purpose of this Program Activity for Foster Parents Matter! is to fund one
organization that has established capacity in the traditional Parents Matter!
program to support the adaptation and implementation for foster parents and for
parents working to regain custody of their children as part of existing DC Child
and Family Services Administration (CFSA) meetings, trainings, and activities.
Note that program plan must be approved by both HAA and CFSA prior to award
being made.
A summary of elements of the CDC Parents Matter! Program can be found at the
following link:
http://www.cdcnpin.org/2007_National_HIV_Prev_Conf/Public/ViewDocume
nt.aspx?DocumentID=d402235f-c897-43a0-a942-dd8d1779f6b6
Specific Required Program Elements:
Plan for adapting and implementing Parents Matter! among foster parents
and/or parents working to regain guardianship. Plan should identify
possible critical new issues and barriers related to working with this parent
population, and should provide potential for successfully addressing
unique issues that arise. Should highlight approaches to recruiting and
training the parent leaders of the sessions.
Delivery of adapted Parents Matter! Program to foster parents and/or
parents working to regain guardianship of their children in conjunction with
CFSA activities for parents. Projected impact based on number of parents
reached and average or actual number of children in the pre-teen or teen
years that they care for each year.
Monitoring and Evaluation Plan
Program Activity Evaluation Criteria:
Organization has completed training and has experience implementing
Parents Matter! Program. Preference will be given to organizations who
have at least 12 months experience in implementation and present data
regarding parents trained. If organizations without Parents Matter
experience would like to be considered, they must make a strong
argument as to their relevant skills and experience and present a capacity-
building plan.
Highlights foreseeable barriers to implementing Parents Matter! among
this new group of foster parents and/or parents working to resume
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guardianship of their children. Provides a feasible implementation plan
that addresses these barriers or allows the opportunity to respond to
barriers and new issues as they arise.
Willingness to work with HAA and CFSA to adapt Parents Matter! as
needed and to organize delivery of intervention in accordance with
existing CFSA activities and processes.
Performance monitoring and evaluation plan is reasonable and sufficient.
Targets and timeline are well defined. Willingness to work with HAA and
CDC if opportunities for a more intensive evaluation of the adapted
program arise.
2.6 Innovator Interventions
At least one award of $25,000-$100,000.
Note that while non-funded proposals will not be made public, all ideas and programs submitted
will be kept on file by HAA and may be used to develop future competitive funding opportunities
open to all applicants.
The District is seeking to lead the nation in creating a ‗modern response‘ to our
‗modern epidemic.‘ Core principals in this response are using relevant data and
information to identify and implement evidence-based practice that are
appropriately targeted and serve the large scale of the epidemic here. There is
also a need, however, to continue to identify unique approaches that are efficient,
effective and sustainable. This may include addressing some of the core drivers
or associated complex social factors related to HIV risk. It may include
innovative solutions that lead to ward-level ‗social tipping points‘ for risk
reduction, uptake of prevention and treatment services, or empowerment of
individuals and communities to demand high quality and standard of care health
services. It may include bridging the gaps between specialty providers and
services such as reproductive health services and HIV/AIDS services. It may
include combining existing services into desirable packages of care/interventions that
are more appealing and more effective together than when taken alone.
The purpose of this Program Activity for Innovator Interventions is to fund one or more
innovative HIV prevention programs that address the specific needs of the residents of
DC. Ward-level activities are encouraged, and if successful the program approach may
be expanded to other wards and other providers over time. Of particular interest are
activities that promote community mobilization and stigma reduction through regular
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and repeated activities, or that serve extremely hard-to-reach populations at high risk
for HIV, or that promote collaboration and synergies between usually disparate services.
Specific Required Program Elements:
Intervention with: defined goals and objectives; core elements of the intervention
that are clearly defined and maintained in the delivery; prevention approach that
is reasonable and preferably is embedded in a broader context that is relevant to
the target population.
Population assessment, access, recruitment, retention, and follow-up plans.
Approach to capacity-building or preparations for this intervention (TA needs,
training needs, staffing needs, etc) .
Performance monitoring and evaluation plan, including targets and projected
impact of persons served/risk reduction achieved. Special evaluation approach if
needed to assess the prevention outcomes of the intervention.
Program Activity Plan Evaluation Criteria:
Proposal demonstrates: experience with the target population; adherence to
sound principals and key elements of successful behavior change or other
evidence-based interventions; knowledge of HIV/AIDS issues and services;
linkages to community providers for a range of HIV prevention, testing, care,
treatment and other supports for people living with HIV and their caregivers.
Proposed activity responds to clear public health need, has high probability of
success and is likely to have important impact on the target population, by
reaching large numbers of people, accomplishing significant harm reduction, or
markedly enhancing the effectiveness of an existing intervention; demonstrates
a high degree of innovation or creative combination of services; effectively
leverages existing community resources;
If the program is demonstrated to be effective, the model/approach lends itself
to expansion to greater number of clients or to other wards; replication by other
providers is feasible;
Organization is willing to share lessons learned, and to collaborate with HAA in
providing support and technical assistance to additional providers for
implementation;
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Performance monitoring and evaluation plan is reasonable and sufficient.
Targets and timeline are well defined. Willingness to work with HAA and CDC if
opportunities for a more intensive evaluation of the adapted program arise.
Program Activity Details—AREA 3
3.1 Partner Services—Capacity Building for Counseling, Testing,
and Referral Providers (CDC-funded)
Up to one award, up to $140,000
This area is intended to enhance the impact of current DOH/HAA expansion of Partner
Counseling and Referral Services in order to diagnose more HIV-infected persons earlier
in the course of their disease and to link more known HIV-infected persons back into
prevention and care services. A substantial proportion—up to 25%--of HIV-infected
individuals are not aware of their infection. Lack of awareness creates missed
opportunities for both prevention of ongoing transmission and for maintaining the
health of the infected person.
There are emerging date that indicates that Partner Counseling and Referral Services
(PCRS), long a mainstay of traditional sexually transmitted disease (STD) control efforts,
is one of a number of public health strategies to control and prevent the spread of both
STDs and HIV. Through PCRS, many of whom are unsuspecting of their risk, are
informed of their possible to STDs including HIV and are provided with counseling,
testing, and referral services.
Early experience with PCRS for HIV in DC reveals that approximately 80% of persons
newly testing HIV-positive will participate in partner service activities if these services
are offered. Nearly all identified partners have accepted testing, with approximately
30% testing positive—many of whom were not aware of their risk or status. Partner
services also allows the opportunity to connect known HIV-positive partners back into
care and prevention services.
DOH/HAA wants to ensure that all newly diagnosed persons have access to partner
services from the time of their initial positive test. To achieve this goal, DOH/HAA is
committed to scaling up the availability of partner services, and to building the capacity
of District HIV counseling and testing providers to facilitate their clients’ access to and
use of partner services. DOH/HAA scale-up efforts entail full integration of HIV partner
35
services into the routine STD PCRS system, and are intended to achieve scale of offering
services to at least 500 newly diagnosed persons in the next year, and up to 1000 newly
diagnosed persons in the following year. Innovative programs such as internet partner
notification and social network testing supports will also be expanded.
The purpose of this Program Activity for Partner Services is to provide up to $140,000 in
CDC-based funding to a single organization to build the capacity of public, private, and
community HIV counseling and testing partners to understand the importance and
availability of DOH/HAA Partner Services and to perform initial partner or social network
assessments for follow-up by the DOH/HAA Partner Services team.
Specific Required Program Elements:
Provides credibility as a trainer and capacity-builder for partner services through direct
knowledge and experience working with newly diagnosed clients.
Development of a capacity-building plan that clearly defines number and types of
providers to be reached, with prioritization of partners to reflect volume of testing,
feasibility and potential impact of increasing uptake of partner services. Note that
awardee will be provided with information on partners currently directly funded by or
receiving free test kits from DOH/HAA as a group of priority providers.
Develop and implement a capacity-building approach that includes: training tools for
providers, follow-up technical assistance, identifies key provider facilitators and barriers
for uptake, recognizes potential client barriers and facilitators to partner services.
Collaborates with HAA on development of best practices for linkages between
counseling and testing providers and the scale up of partner services in the
context of evolving CDC Guidelines.
Performance and evaluation plan.
Program Activity Plan Evaluation Criteria:
Demonstrates knowledge of and experience in best practices in STD or HIV PCRS.
On-the-ground implementation experience in delivering partner services,
counseling newly diagnosed persons, conducting social network outreach is
highly desirable.
Experience in training or capacity-building, especially for implementation of new
approaches to services and use of new tools and standard operating procedures
such as those needed to support partner reviews. Demonstrates and
36
understanding of how providers may need to tailor supports and approaches to
address specific population needs in a culturally relevant way.
Willingness to collaborate with HAA on development of partner service protocols
for communications and referrals between counseling and testing providers and
the DOH/HAA PCRS team, and to incorporate CDC Guidelines for Partner Services
into trainings and implementation once they become available.
Performance and evaluation plan for documenting the reach, effectiveness, and
impact of capacity-building activities. Includes targets for number and types of
providers to be reached, and indicates willingness to collaborate with HAA on
development of final list and timeline for priority providers.
37
APPLICATION ELEMENTS
I. HAA Assurance Packet
II. Executive Summary (Required Template)
III. Background, Need, and Impact Description (up to 7
pages)
IV. Organizational Capacity Description (up to 10 pages)
V. Partnership, Linkages and Referrals Description (up to
5 pages)
VI. Program Activity Plan (one for each activity—up to 15
pages for each activity)
i. Program Activity Narrative, including evaluation plan (xx
pages)
ii. Work Plan (Required Template)
iii. Budget (Required Template)
VII. Attachments
*Limited Application: Add-on for Primary Care and Case
Management Providers
The Limited Application applies ONLY to Program Activity 1.13: For eligible applicants
who are established HIV Primary Care and Case Management Providers, and who are
applying ONLY for activity 1.13 in this RFA, a Limited Application will be accepted.
Limited Application consists of:
38
I. Assurance Packet
II. Brief Description of Organization and Services (1-2 pages)
III. Program Activity and Monitoring Description: (3-5 pages)
See Program Details Section 1.13 for more information.
IV. Budget: (1 page)
APPLICATION SUBMISSION PROCEDURES
1. Pre-application Conferences
Two Pre-Application Conferences will be held, on July 21 and July 24, 2008. On each day,
the morning session, from 10:30 am to 12 pm, will provide an overview of the
requirements that are common to all RFAs issued on July 18, 2008. The afternoon
sessions, from 1:30 pm to 3:30 pm, will address issues specific to the programmatic
requirements of each RFA.
The conferences will be held in the 5th Floor Conference Room at the HIV/AIDS
Administration, 64 New York Avenue NE, Suite 5001.
2. Internet
Applicants who received this RFA via the Internet shall provide the District of dependent
Columbia, Department of Health, and Office of Partnerships and Grants Services with
the information listed below, by contacting Terrell.Powell@dc.gov*. Please be sure to
put “RFA Contact Information” in the subject box.
Name of Organization
Key Contact
Mailing Address
Telephone and Fax Number
E-mail Address
* Please note the NOFA released on Julybe used to provide updates and/or addenda to the Prevention
This information shall 11, 2008 incorrectly listed this contact information.
and Intervention Services RFA.
39
3. Submit LOI (not required but requested)
A letter of intent (LOI) is not required, but this information will assist HAA in
planning for the review process. Please fax only one LOI per application to HAA,
using the template in Attachment A, no later than 5 p.m. on July 31, 2008. The
letter of intent should be faxed to Ricardo Branic at (202) 671-4860.
4. Check Assurances, complete and submit Assurance packet, confirm with HAA
Assurance Review Team that the packet is complete and sufficient.
a. We recommend that assurance packet is submitted to Sheree Avent by
August 11 and that applicants CONFIRM assurance packet has been
judged complete PRIOR TO the close date of this RFA. Applications with
incomplete assurance packets after the close of the RFA will not be
reviewed. Ms. Avent may be reached at (202) 671-4900 and
sheree.avent@dc.gov.
5. Prepare application according to the following format:
a. Font size: 12-point unreduced
b. Spacing: Double-spaced
c. Paper size: 8.5 by 11 inches
d. Page margin size: 1 inch
e. Numbering: Sequentially from page 1 (Application Profile, Attachment B)
to the end of the application, including all charts, figures, tables, and
appendices.
f. Printing: Only on one side of page
g. Binding: Only by metal (binder) clips or by rubber bands; do not bind in
any other way
6. Submit one original hardcopy, and one CD of your application to HAA by 5 p.m.
on August 18, 2008. Applications delivered after that deadline will not be
reviewed or considered for funding. Applications must be delivered to:
District of Columbia Department of Health
HIV/AIDS Administration
40
1st Floor Conference Room
64 New York Avenue NE
Washington DC 20002
The CD must have the following separate components of your application:
1. Executive Summary
2. Applicant Profile
3. Background, Need and Impact Description
4. Organizational Capacity Description
5. Partnership, Linkages and Referral Description
6. Program Activity Plan (one for each activity)
i. Program Activity Narrative, including evaluation plan
ii. Work Plan (Required Template)
iii. Budget (Required Template)
7. Attachments
The original hard copy and CD must each be submitted in separate envelopes. Each of
the envelopes must have attached a copy of the Application Receipt (Attachment C).
APPLICATION EVALUATION CRITERIA
I. HAA Assurance Packet
Required, not scored. [1 packet in good standing required from each
organization]
II. Executive Summary (Required Template)
Required, not scored.
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Template includes Summary Budget
III. Background, Need, and Impact Description
15 points
The extent to which the applicant:
I. demonstrates a clear understanding of the needs, gaps, and issues
affecting the selected population(s) and documents a clear need for the
proposed program activities;
II. includes data and other supporting evidence to justify the proposed
approach and target audience(s) and presents sources of such data;
III. demonstrates the potential for significant impact and success in
achieving the selected goal for the selected priority population;
IV. describes how the proposed activities enhance or complement existing
or planned activities of the applicant’s organization.
IV. Organizational Capacity Description
20 points
i. Demonstrated experience in serving the target population(s). (Please
explain how long you have provided services and describe what
kinds of services have been provided, the outcomes of services
you provided, and your relationship with the community.)
ii. Evidence of staff and organizational expertise and performance in
activities and services related to those proposed in this application.
(Please present any relevant performance results from prior or related
activities.)
iii. Structure, management and staffing, and administrative/fiscal
management supports: Describe how you will ensure that staff
42
members reflect the target population and have a history of
experience working with the proposed target population or can
demonstrate proven effectiveness in working with the target
population or on the proposed interventions. (Please describe, as
a group, the characteristics of your key program staff in terms of
experience working with the target population, gender,
race/ethnicity, HIV serostatus, area of risk expertise, or other
relevant factors.) Describe past management of governmental
grant funds, and/or current administrative structure in place to
support effective management.
iv. Overall monitoring & evaluation system and expertise—please
describe: current system of data collection and methods for
reporting HIV prevention activities including data system
specifications and data management information systems;
capacity to collect and report client-level data for HIV prevention
services and the effect of those services on client HIV risks and
health service utilization; any barriers and facilitators to the
collection of client level demographic and behavioral
characteristics; plans to ensure data quality and security; any
technical assistance needs to meet evaluation and monitoring
requirements.
v. Services Checklist—describe the core services your agency directly
provides and the core services for which direct linkages to other service
providers currently exist. This checklist will be kept on file as part of
cataloguing available services and service providers in DC.
vi. Effi Barry Program Participation (+5 points): Year-1 and Year-2 Effi Barry
Program participants who have: attended 80% or more of required
trainings/workshops; completed the signing of NOGAs for current year
grant funds; completed the assigned program improvement plan.
Please briefly describe how the Effi Barry Program has impacted
your ability to provide HIV services.
vii. Note: Organizations should only apply for the program services
areas they can effectively support and implement during the
upcoming year. That is, if an organization applies for multiple
program activities, the organizational capacity evaluation will be
43
based on the ability to realistically implement all of the proposed
plans, in keeping with the resource and scale-up approaches of
the application.
V. Partnership, Linkages and Referrals Description
15 points
As stated in the Overview to this RFA, recognizing the complexity of individuals’ lives
means mobilizing a variety of existing services to meet critical needs. We DO NOT
encourage organizations to try to ‘do it all’ themselves. Organizations that are most
successful are often those that have well-defined missions and implement programs
within their comparative advantage, extending or changing their mission strategically
and consciously over time.
We do, however, encourage organizations to be aware of critical partnerships that are
available and can provide complementary services to clients. In this section, we are
NOT looking for general information on referrals to each and every service that might be
available. Instead, we ARE looking for you to identify the complementary services that
are most often most critical to the clients you serve, and to describe the direct linkages
you have established or plan to establish with a handful of close providers to serve your
clients’ needs.
Specifically, describe your plans for a referral and linkage network to ensure that clients
identified through your program have access to comprehensive services, including
additional prevention services as well as primary care and essential support services
(substance abuse treatment, mental health services, housing, etc.) that will maintain
HIV-positive individuals in systems of care and potentially provide relevant services to
most-at-risk HIV-negative individuals.
Provide documentation of any agreements with providers and other agencies
where your clients may be referred. Funded organizations must develop a formal
agreement such as an MOA with core collaborating agencies within six months of
funding.
Explain how you will track linkages and their outcomes, as well as how you will
collect and report data on referrals.
Specific areas of comment should include:
How will you coordinate HIV prevention services with organizations that also
serve your target population?
How will you link to treatment providers for individuals living with HIV?
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VI. Program Activity Plan*
50 points
Overall, the program activity plan will be scored on the feasibility of
being fully and successfully implemented and having prevention
impact on the target population(s). TARGETED POPULATION(S)
MUST BE CLEARLY IDENTIFIED FOR EACH ACTIVITY. Approach
includes overcoming barriers to reaching participants effectively over
time, and including a reasonable plan to assess performance and
effect. Proven capacity to deliver same or related services
strengthens the feasibility of successful performance. Plan should
explicitly include organizational and/or client-level targets.
Each Program Activities Details section highlights specific
required elements that should be included in your plan and
specific evaluation criteria that will be applied in scoring. For
applications for Area 1 Programs, please also review “Summary of
Standard Elements—Area 1 Program Design and Implementation
” This summary provides a thorough description to routine best
practices and required elements for strong Area 1 programs, on which
the technical evaluation of your application will be based. It also
highlights details to evaluating descriptions of these programs.
i. Program Activity Narrative, including Evaluation Plan (10
points for performance and evaluation plan component)
ii. Work Plan (Required Template Attachment D)
iii. Budget (Required Template Attachment E) –not scored
*Limited Application: Add-on for Primary Care and Case Management
Providers
The Limited Application applies ONLY to Program Activity 1.13: For eligible applicants
who are established HIV Primary Care and Case Management Providers, and who are
applying ONLY for activity 1.13 in this RFA, a Limited Application will be accepted.
Limited Application consists of:
I. Assurance Packet (required, not scored)
45
II. Brief Description of Organization and Services (35 points)
Provide overview of your current organization and its mission, including number
of clients routinely served with HIV Primary Care or Case Management Services,
demographics and ward of clients, and additional experience demonstrating
fiscal and programmatic organizational capacity.
III. Program Activity and Monitoring Description (65 points)
See Program Details Section 1.13 for complete description of evaluation criteria
and funding priorities. Program Activity evaluation will be based on feasibility of
prevention impact, either through high number or high risk of persons reached
and opportunities for continued interactions over time.
IV. Budget (required, not scored)
REVIEW PROCESS AND FUNDING DECISIONS
Applications will be reviewed by HAA staff and a panel of external reviewers. The applications
will be reviewed and scored based on the criteria below. It would be helpful for applicants to
review the criteria as that will give guidance on what will be considered a successful application.
Technical Review Panel
The technical review panel will be composed of HAA staff members who will examine each
application for technical accuracy and program eligibility prior to the applications evaluation by
external reviewers.
External Review Panel
The external review panel will be composed of neutral, qualified, professional individuals who
have been selected for their unique experiences in human services, public health, data analysis,
health program planning and evaluation, social services planning and implementation. The
review panel will review, score and rank each applicant’s application, and when the review
panel has completed its review, the panel shall make recommendations for awards based on the
scoring process. DOH/HAA shall make the final funding determinations. Applicants' submissions
will be objectively reviewed against the following specific scoring criteria listed below.
46
In addition to your application’s comprehensive objective review, the following factors
may affect the funding decision:
Preference for funding will be given to ensure that:
Considerations will be given to both high and lower prevalence areas: the number of
funded organizations may be adjusted based on the burden of infections in the
jurisdiction as measured by AIDS reporting.
Funded applicants are balanced in terms of targeted racial/ethnic minority groups.
(The number of funded applicants serving each racial/ethnic minority group may be
adjusted based on the burden of infection in that group as measured by HIV or AIDS
reporting.)
Funded applicants are balanced in terms of targeted risk behaviors and HIV
serostatus. (The number of funded applicants serving each risk group may be
adjusted based on the burden of infection in that group as measured by HIV or AIDS
reporting.)
Funded applicants are balanced in terms of geographic distribution. (The number of
funded applicants may be adjusted based on the burden of infection in the jurisdiction
as measured by HIV or AIDS reporting.)
Funded organizations have substantial experience serving the proposed target
population.
Award amounts are dependent upon receipt of funds obtained through the District’s
cooperative agreement with the Centers for Disease Control and Prevention (CDC) for
calendar year 2009 and through District appropriations for the 2009 fiscal year.
POST-AWARD ACTIVITIES
Successful applicants will receive a Notice of Grant Award (NOGA) from the DOH HAA
Grants Management Office. The NOGA shall be the first binding, authorizing document
between you and DOH HAA. The NOGA will be signed by an authorized grants
management officer and mailed to the fiscal officer or executive director identified in
the application. Next you will be required to meet DOH HAA staff and submit final Table
A’s (describe) and budget and justification revisions, AND sign a grant agreement
between you organization and the DOH HAA
Grantees must submit monthly data reports and quarterly progress and outcome
reports using the tools provided by HAA and following the procedures determined by
47
HAA. If you are funded, reporting forms will be provided during your grant-signing
meeting with HAA. For FY09, we performing an in-depth review of reporting forms and
variables, and will be both soliciting input on streamlining reports and selecting key
variables, and also implementing data quality measures to ensure the reported data are
valid and consistent across providers.
Continuation funding for Year 2 is dependent upon the availability of funds for the
stated purposes, fiscal and program performance under the Year 1 grant agreement,
and willingness to incorporate new District-level directives, policies, or technical
advancements that arise from the community planning process, evolution of best
practices, or other locally relevant evidence.
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BUDGET DEVELOPMENT AND DESCRIPTION
You will need to provide a detailed line-item budget and budget
justification that includes the type and number of staff you will need to
successfully put into place your proposed activities. You must follow
the model of the sample budget included Attachment E.
HAA may not approve or fund all proposed activities. Give as much
detail as possible to support each budget item. List each cost
separately when possible.
Provide a description for each job, including job title, function, general
duties, and activities related to this grant: the rate of pay and whether it is hourly or salary; and
the level of effort and how much time will be spent on the activities (give this in a percentage,
e.g., 50% of time spent on evaluation).
The applicant should list each cost separately when possible, give as much detail as possible to
support each budget item, and demonstrate how the operating costs will support the activities
and objectives it proposes.
The applicant shall use a portion of their proposed budget for evaluation activities.
Indirect Costs
If your organization has a Federally Negotiated Indirect Cost Agreement, you will be required to
submit a copy of that agreement in lieu of providing detail of costs associated with this line. You
may charge indirect at a rate not to exceed 10% of the total projected direct costs of your
program.
If your organization does not have a Federally Negotiated Indirect Cost Agreement, you will be
required to provide detail of what costs are captured in your indirect cost line not to exceed
10% of the total projected direct cost of your program.
49
ASSURANCES
The HIV/AIDS Administration requires all applicants to submit various Certifications,
Licenses, and Assurances. This is to ensure all potential sub-grantees are operating with proper
DC licenses. The complete compilation of the requested documents is referred to as the
Assurance Package.
The HIV/Administration classifies assurances packages as two types: those “required to
submit applications” and those “required to sign grant agreements.” Failure to submit the
required assurance package will likely make the application ineligible for funding consideration
[required to submit assurances] or in-eligible to sign/execute grant agreements [required to sign
grant agreements assurances].
A list of current HAA sub-grantees with valid assurance packages on file with HAA will
be available for review at the pre-bidders conference. Current sub-grantees who do not attend
the pre-bidders conference may contact their grant monitor after the conference to review the
list of their valid assurance packages on file. Organizations with confirmed valid assurance
package on file will not be required to submit additional information.
The envelope with the assurances must have attached a copy of the Assurance Checklist
Attachment F.
AREA 1: CRITICAL TOOLS AND INFORMATION
I. List of Priority Target Populations
The below list is based on CDC target population definitions as prioritized by the HPCPG.
Additional populations may also be supported by program activities. Please identify the target
populations in your program narrative.
Prevention for PLWHA
P1 HIV-positive Heterosexuals (men, women and /or couples)
P2 HIV-positive Injecting Drug Users (men, women)
P3 HIV-positive Black Men who Have Sex with Men
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P4 HIV-positive Men who have Sex with Men (White, Latino, Other)
P5 HIV-positive youth
Prevention for Individuals Who are HIV-negative or Whose Status is Unknown:
N1 Black Heterosexuals (men, women and or couples)
N2 Latino Heterosexuals (men, women and or couples)
N3 Heterosexual Youth (men, women and or couples)
N4 Injecting Drug Users (men, women, and their sex partners)
N5 Black MSM
N6 White MSM
N7 Latino MSM
N8 Young Black MSM
Prevention for Other Important Groups (not formally ranked by HPCPG)
X1 *Transgendered Persons (male-to-female, female-to-male, and their sex partners)
X2 *Sex Workers: Note—sex workers may belong to one or more of the categories
above. However, the common issues relating to sex work and the complexity of
related risks may require targeted interventions addressing this risk.
X3 *Previously incarcerated persons/re-entry residents (men, women, and their sex
partners)
X4 *Other or mixed population—please identify or explain
II. Understanding Risk Behaviors
Different groups engage in different risk behavior, and there are different factors that
contribute to that risk behavior. To be effective, comprehensive HIV prevention
programs should use several components and strategies to address different risk
behaviors and the factors that contribute to those behaviors.
The District faces a “modern” epidemic, characterized by a large and complex
prevalence of the disease. Recent data show that heterosexual sexual contact is
becoming one of the leading modes of HIV transmission in the District, and substantial
new infections are still occurring among MSM and IDU. Among newly reported HIV (not
AIDS) cases, the proportion of cases attributed to heterosexual transmission accounted
for 37.4% of cases diagnosed from 2001 to 2006, while MSM transmission accounted for
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25.8% of cases. HIV cases attributed to injecting drug use accounted for 13% of cases
diagnosed in 2001-2006.
Links to additional information, including the 2007 Epidemiology Annual Report and fact
sheets on Injection Drug Users, Heterosexuals, Men Who Have Sex with Men, Women
and Youth, as well as fact sheets on HIV/AIDS in the eight wards, can be found on this
page: http://dchealth.dc.gov/doh/cwp/view,A,1371,Q,603431.asp
Prevention needs of Heterosexuals
A study conducted for HAA in 2006-2007 found that transmission of HIV among
heterosexuals in the District is impacted by three major factors:
Stable committed relationships are not without risk: Most persons in stable
committed relationships did not use condoms; yet approximately half of those in
a stable relationship also did not know their partner’s HIV status. In addition,
nearly half of the respondents who said they were in a relationship said they
suspected their partner had other sex partners at the same time. In many cases,
the responding individual also reported that they themselves had sex outside of
the relationship.
Lack of accurate risk perception and low rates of risk reduction behaviors: Old
stereotypes of HIV remain, and many persons have not translated the context of
our ‘modern epidemic’ into the perception that unsafe sex and lack of
knowledge of HIV status give sufficient opportunities for HIV exposure. More
than 70 percent of the 750 participants in the study did not use condoms when
having vaginal sex. The study indicates that even though many men and women
are having sexual relationships outside their primary relationship, and suspect
that their partner is having sex outside the relationship, they engage in risky
sexual behavior.
Many missed opportunities for HIV screening: Although ongoing outreach to
encourage HIV testing is important, studies show that many persons who are
ALREADY being reached by health care providers are not being offered
testing. Overall, half of the respondents who had seen a physician in the
past 12 months had not been offered an HIV test. Moreover, ¾ of persons
newly testing HIV-positive had seen a health care provider in the past year
without having been diagnosed with HIV.
Non-injection drugs and alcohol use are frequent and remain strong
drivers of risky sexual behaviors.
52
The majority of the participants in this study was African American (92%), over 30 years
old (61%) and lower income (60% had an annual household income under $10,000).
However, the above themes are likely important with a broad range of heterosexuals in
DC.
Prevention Needs of Men who have Sex with
Men (MSM)
Unprotected anal intercourse between an HIV+ and
an HIV- man remains a major risk for HIV
transmission among MSM. Correct and consistent
condom use has remained a major challenge for HIV
prevention, as does HIV disclosure and assumptions
regarding HIV status when not discussed. The
intimacy of skin-to-skin contact during intercourse is
a powerful and important draw. Some MSM feel their
sexual identity, as well as the hard-won goals of gay
sexual liberation, are based on having sex in a free
and un-constricted manner.
But men who have sex with men (MSM) are not a
single homogenous group, but represent a wide
variety of people, lifestyles and health needs. From
middle class gay men, to homeless runaways, to
injection drug users (IDUs) to incarcerated men, MSM have many different
identities and associated risks for HIV and other infectious diseases. MSM refers
to any man who has sex with a man, whether he identifies as gay, bisexual or
heterosexual.
Risk for HIV may also be embedded in other core issues such as dating and
intimacy, sexual desire and love, as well as alcohol and recreational drug use,
homophobia, abuse and coercion, racism and self-esteem. Some MSM face
challenges learning about dating, intimacy and forming relationships. Discomfort
with one's sexuality and identity can lead to sexual risk taking. Substance use
can serve as a trigger or an excuse for unprotected sex.
Prevention needs of Injecting Drug Users (IDUs)
The Department of Health estimates that there are between 10,000 and 12,000
injecting drug users (IDU). in the District. The District of Columbia HIV/AIDS
Epidemiology Annual Report 2007 reports that one-fifth of new HIV/AIDS infections in
2001-2006 were attributed to injection drug use. The Report also documents that the
District has the highest rate of HIV/AIDS infection in the country.
53
The primary risk factors that arise from injection drug use are sharing of injection
equipment (needles, syringes, cookers, etc.) and having unprotected sex with an
injection drug user. In addition to HIV, viral hepatitis may be even more easily
transmitted through the same behaviors. Comprehensive programs should target both
of these behaviors, including interventions that address the needs of the sexual partners
of injection drug users
To adequately address the intersection between drug use and HIV programs must consider the
challenge of working with different groups of IDUs.
Most difficult to reach, yet with the highest potential for preventing chronic infections, are new
injectors. Many drug users go for substantial periods of time before they become full-fledged
addicts. These users are still integrated into the general population and thereby bring the
danger of HIV infection into their social networks. This easily can go on anywhere from several
months to several years during which time the drug user may have numerous sexual partners
and share syringes with any number of other addicts. By contrast, many long-term users have
eventually been ostracized from “normal” communal relations, and more easily self-identify for
services and have less ongoing contact with non-injectors.
The challenge for reducing HIV transmission in this population includes creating public health
systems that foster meaningful contact between providers and “self-Identified” drug users as
well as new users who do not routinely self-identify. One important approach is needle
exchange programs that include linkage to other more fundamental services such as primary
medical care, mental health services, and addiction services. However, new users only rarely
participate in these needle exchange programs.
Programs for this population should help drug users cross the barriers presented by stigmas
associated with both HIV and drug use so that they might be better able to access the services
they need. They must also address the challenge of reaching drug users who have not yet
admitted to themselves the dangers associated with their drug use.
Prevention needs of Youth
HIV and other STDs are having a tremendous impact on young people ages 13 to 24 in
the District of Columbia. The combination of high risk behavior, incomplete or
misinformed health education, a lack of self-risk perception and prevention fatigue are
fueling increases in disease. Roughly one out of every 100 young people ages 13 to 24
in the District is living with HIV and HIV infection rates
tripled for the period 2000 to 2005 compared to the previous
54
five years, while Chlamydia rates are nearly three times the national average at up to
9%.
While youth under age 25 have represented up to 6% of all the reported DC AIDS cases,
HIV incidence among young people for 2001 through 2005 was nearly double at 10% of
all HIV cases. HIV infection among District youth is mostly the result of unprotected
sexual behavior. Among senior high school students, more than 40% report that they
are engaged in sexual intercourse with more than one partner and nearly one-third are
not using condoms. One out of eight middle school students have reported multiple sex
partners. Only about half of all District young adults under 25 are aware of their HIV
status or have actively sought an HIV test.
Addressing the needs of District youth will require a comprehensive HIV prevention
approach that addresses maintaining the negative status of young people, preventing
positive youth from further transmission and building capacity among non-HIV/AIDS
youth service providers to mainstream behavior change in non-stigmatized settings.
Moreover, given that most new infections in the District are occurring among persons in
their 30s and 40s, youth programs need to build skills and decision-making perspectives
that will prepare young persons for adulthood and last them a lifetime.
Research demonstrates the most successful HIV prevention programs are those that can
developmentally “meet the client where they are,” consider the cultural and
environmental context of that client’s decision-making experience and comprehensively
address the factors that contribute to the client’s decision-making and perception of
risk.
With young MSM, particularly black YMSM, at acute risk of infection, there is a
compelling need for effective community-level interventions that reach a larger portion
of the population than is possible with individual counseling or group-level
interventions.
There is also a need to build the capacity in non-HIV/AIDS youth serving programs to
incorporate HIV/AIDS prevention into the services they are already providing. Young
people may be more receptive to receive HIV information and counseling through
programs where HIV prevention is a complementary service.
55
III. List of Recommended Core Approved Effective
Behavioral Interventions (EBI)
If you receive funding for Area 1 you must implement one of the Effective Behavioral
Interventions (EBI) listed below or recommended in the DC HIV Prevention Plan for
2006-2009.
http://doh.dc.gov/doh/frames.asp?doc=/doh/lib/doh/services/administration_offices/
hiv_aids/pdf/hiv_prevention_plan.pdf. Additional information on adapting EBIs or
choosing a non-EBI as a core intervention is provided in subsequent sections.
The below interventions were selected as priority interventions because they are relevant
to our populations, and because training is currently available or will be made available
shortly. Additional approved EBIs with less training support available are listed in the
above prevention plan.
Interventions Type of Intervention Target Population
1.11, 1.12 People Living with HIV
Organizations serving this population must provide one of the evidence-based interventions listed below. They must also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
Healthy Relationships Group Level (GLI) All
Safety Counts GLI IDUs and crack users
Together Making Choices (previously Teens GLI HIV-positive Youth (13-24)
Linked to Care)
1.2 Persons who are HIV-negative or of unknown status: Heterosexuals
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
PROMISE Community Level (CLI) Men or women and their sex
partners (adults)
PROMISE Community Level (CLI) Men or women and their sex
partners (youth 13-24)
Real AIDS Prevention Project (RAPP) CLI Women and their sex partners
SISTA GLI African American women
56
Interventions Type of Intervention Target Population
Project Connect ILI/GLI Black Heterosexual
Couples/Black men and women
1.2 Persons who are HIV-negative or of unknown status: Injecting Drug Users
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
PROMISE Community Level (CLI) Men or women and their sex
partners
Safety Counts GLI IDUs and crack users
Modelo de Intervención Psicomédica (MIP) ILI Hispanics/Latinos and Blacks
1.2 Persons who are HIV-negative or of unknown status: MSM
Organizations serving this population must provide one of the evidence-based interventions listed below. They may also
provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services (CRCS).
d-up! CLI Black MSM
Mpowerment CLI White, Hispanic/Latino MSM
Popular Opinion Leader CLI White MSM
PROMISE CLI Black, Latino or white MSM
Many Men, Many Voices GLI Black MSM
1.1, 1.2 Sex Workers
PROMISE CLI Black, Latino or white MSM
Safety Counts GLI Black heterosexual females,
transgender women and MSM
1.3 Youth Prevention
Organizations serving this population must provide one of the evidence-based interventions listed below. They
may also provide either Individual Prevention Counseling or Comprehensive Risk Counseling and Services
(CRCS).
Community Promise CLI All Youth
Real AIDS Prevention Project (RAPP) CLI Black Heterosexual and
YMSM
57
Interventions Type of Intervention Target Population
d-up! CLI Black YMSM
Together Learning Choices GLI Latino, Black, White Youth
living with HIV (13-24)
Popular Opinion Leader CLI Black YMSM
Street Smart GLI Female, Male Youth (11-18)
FOK + ImPACT (Focus on Youth with GLI Black Youth (9-15) and their
ImPACT) parents
1.4 Safe Re-entry: Men about to be release from jail
Individual-level risk reduction intervention for ILI Men about to be released from
men soon to be released from jail, such as jail
START
IV. Adapting Approved Core Interventions
You may adapt an approved core ‘EBI’ intervention originally designed for a different
target population to serve your particular target population, using the criteria described
in the HIV Prevention Plan for 2006-2009. If you are funded, you may request technical
assistance through HAA to make the adaptation. Your application must describe how
you have adapted or plan to adapt the intervention.
Organizations that wish to adapt an EBI intervention must complete the steps listed
below:
1. Formative Evaluation: Before adapting an intervention, you must conduct an
assessment or formative evaluation to determine the risk behaviors and other
factors that put them at risk for HIV infection, including what message/s you
need to be giving, and how best to deliver the messages and time your
intervention to have the best chance of reaching the target population. You must
find out whether risk determinants that were used in an intervention that has
been shown to work apply to your new target population.
58
2. Conduct focus groups to learn what issues are most important to members of
your new target population and their community. If what you find is similar to
what was found in the original evidence-based intervention, then the
intervention may be the one to choose for adapting. Focus groups should find
out whether each of the core elements of the evidence-based program is doable
and appropriate for the new target population and settings.
3. Develop a logic model, a plan (often shown in a flow chart or table) that
shows a sequence of activities that will be used to address a problem statement.
These activities are then linked to measurable outcomes that show reduced HIV
risk. Your logic model should fully describe the core elements of an intervention
or strategy and how these activities work together to help prevent HIV. Links to
information on logic models can be found on this CDC web page:
http://www.cdc.gov/eval/resources.htm#logic%20model
4. Review the logic model with HAA for comments and approval
5. Pilot test to check how the intervention works in a small subgroup of the
population you will serve. Pilot testing allows for real-life application of the
adapted intervention to identify mismatches or problems that need to be fixed
prior to full roll-out.
V. Criteria for New Core Interventions (not EBI)
You may choose to implement a theory-based intervention that is not included in the
list of recommended interventions, but you must meet the following CDC criteria.
Implementing a new core intervention requires considerable technical expertise and
implementation experience. The program must:
1. Be based on behavior change theory or theoretical models.
2. Have an intervention logic model. A description of the logic model must
explain how the program is supported by formative research (e.g., needs
assessment, evaluation). The logic model must illustrate the relationship
between the intervention activities, behavioral determinants, and the
intended short-term and long-term behavior outcome(s) of the intervention
activities.
3. Make appropriate use of additional effective behavior change strategies such
as:
59
(a) Building interpersonal skills, or
(b) Using multiple delivery methods (e.g., counseling, group discussions,
lectures, live demonstrations, and role plays/practice), or
(c) Including two or more intervention sessions and an increased length of
sessions, which have been shown in meta-analyses to be related to
effectiveness of prevention interventions, or
(d) Including more than four hours of total contact time, or
(e) Including exposure to the intervention activities for three weeks or
more.
4. Have a recruitment strategy to reach persons at high risk of HIV acquisition
or transmission (e.g., social networking).
5. Have a stable history of implementing the proposed intervention for 12
months or more (include a summary of initial target measures/goals with the
outcome measures and actual number of contacts).
6. Have documented history of successful recruitment and retention of the
target population for the past 12 months.
7. Have conducted process evaluation activities and outcome monitoring.
VI. Summary of Standard Elements:
Area 1 Program Design and Implementation:
Programs funded under Areas 1 should adhere to the following basic planning and
implementation tenets. These items should be discussed in the project narrative or other
sections of the application. Specific elements for evaluation of proposed programs are also
highlighted below. Programs must:
Implement a recruitment strategy to reach persons at greatest risk for HIV
acquisition or transmission (for example, a social networking component).
Identify baseline, annual target levels, and design a method to collect critical
process evaluation and outcome monitoring data and report required data
monthly or quarterly to your HAA program and grant monitors .
Identify a mechanism for ongoing feedback from your target clients for continuous
improvement of your program. This may include convening an advisory board of your
target population to assist you with programmatic decision-making and ensure
60
your services are responsive to the needs of the target population. The target
population should be involved in the design of the program, including the
selection of the recruitment strategy and determining the use of incentives for
the program.
Link HIV-positive clients to medical care, Ryan White services providers and
other relevant services (including screening for STDs, tuberculosis, and hepatitis)
and to prevention services (including Partner Counseling and Referral Services),
when appropriate, if your organization is unable to provide these services
directly.
Link high-risk individuals to other HIV prevention programs, and to HIV testing,
STD screening, mental health and substance abuse services, when appropriate, if
your organization cannot provide these services directly.
Follow up on linkages and referrals to determine if your clients have accessed
the services they were referred to, and follow up with those clients that did not
access the services within two (2) weeks after the linkage was made.
Within the first two months of funding develop a protocol to make and track
linkages to care and prevention services and submit it to your program monitor
for approval. Guidance on the content of the protocol and on a referral tracking
form will be provided after grant awards have been made
Within the first two months of funding, develop a formal agreement, such as a
Memorandum of Agreement (MOA), with each agency that you intend to make
referrals to or collaborate with on providing services to individuals identified
through the program.
Collaborate and coordinate HIV prevention services with other AIDS Service
organizations and other relevant health care providers who provide care or
prevention services to persons living with HIV/AIDS and to high-risk HIV-negative
individuals.
Collaborate and participate in the HIV prevention community planning process
with the Department of Health. Participation can include attending HPCPG and
HPCPG committee meetings or serving as a member of the HPCPG.
Identify and address the capacity building needs of your program and participate
in HAA-sponsored training on program development, implementation or
evaluation.
Send a copy of any proposed materials that are funded through this RFA to your
program monitor, who will submit it to the Materials Review Committee for
approval. Information on the criteria used to review materials and on how to
submit materials will be provided after grant awards have been made. Materials
paid with funds from this grant must include the name or logo of the DC
Department of Health.
61
The following questions translate the above Area 1 program elements and approaches to
how they may be evaluated in this proposal, and should be used to assist your preparation of
the program plan.
For each target population you will be providing services to:
What program model did you select, why was this model chosen for the target
population and what specific behavior and contributing factors will you target?
How will you adapt and implement this program model?
If you plan to implement an intervention that is not listed among the
recommended interventions, provide the following information:
o The behavior change theory or theoretical models that the intervention is
based on.
o An intervention logic model that explains how the program is supported
by formative research and illustrates the relationship between the
intervention activities, behavioral determinants, and the intended short-
term and long-term behavior outcome/s of the intervention activities.
o A description of the behavior change strategies used in the interventions,
such as building interpersonal skills, using multiple delivery methods
(e.g., counseling, group discussions, role plays/practice), the number of
intervention sessions and contact hours and the program’s recruitment
and retention strategies.
o The organization’s history implementing the proposed intervention for 12
months or more, including experience in recruitment and retention of the
target population and process and outcome monitoring data.
How will you ensure that program services reach high risk members of your
selected target population and their partners?
If you will target HIV-positive individuals, how will you ensure that program
services reach members of your population who are living with HIV and provide
services to their high risk partners who are HIV negative or who do not know
their HIV status?
What personal factors may act as barriers to adoption of HIV risk reduction
strategies and behavior change of the target population and how will your
program address them?
What is/are your recruitment strategy/strategies? How did you involve the
target population in selecting the recruitment strategy/strategies and
62
determining the use of incentives for your program? List and describe how
incentives will be used throughout your program.
How will you maintain and retain individuals in your HIV prevention program
model?
How will your program activities address barriers to HIV prevention and issues of
stigma and discrimination based on infection status, race, sexual orientation, or
gender identity?
Where will you provide HIV prevention services? Please describe the setting
(describe all, if more than one).
How will you ensure that your service delivery location is located in an area that
is safe and easily accessible for the target population?
How did you determine this setting was appropriate for and appealing to the
target population (e.g., youth drop-in center, mental health and support
services, bars/clubs, and other non-conventional settings)?
What are your quality assurance strategies?
How will you ensure services are culturally sensitive and relevant?
How will you ensure client confidentiality?
How will you collect and report process and monitoring data for this program
model?
What qualifications will you require of staff providing HIV prevention services?
How will you train, support, and retain staff to provide these program models?
63
TEMPLATES AND TOOLS
I. Letter of Intent
II. Application Check-list
III. Executive Summary Template
IV. Organizational Service Summary Check-list
V. Work Plan Template
VI. Categorical Budget Sample
ADDITIONAL RESOURCES
HIV/AIDS in the District of Columbia
2007 Epidemiology Annual Report for the District of Columbia and Fact
Sheets on Injection Drug Users, Heterosexuals, Men Who Have Sex with Men, Women,
Youth and other populations, as well as Fact Sheets on HIV/AIDS in the District’s eight
wards:
http://dchealth.dc.gov/doh/cwp/view,A,1371,Q,603431.asp
District of Columbia HIV Prevention Plan for 2006-2009:
http://doh.dc.gov/doh/frames.asp?doc=/doh/lib/doh/services/administration_offices/
hiv_aids/pdf/hiv_prevention_plan.pdf
Information on Effective Interventions, from the CDC
CDC’s Updated Compendium of Evidence-Based Interventions:
http://www.cdc.gov/hiv/topics/research/prs/evidence-based-interventions.htm
64
Information on the Best-Evidence Interventions can be found here:
http://www.cdc.gov/hiv/topics/research/prs/best-evidence-intervention.htm#completelist
Information on the Promising Evidence Interventions can be found here:
http://www.cdc.gov/hiv/topics/research/prs/promising-evidence-interventions.htm
Additional information on several of the interventions describe above can be found
on the following web sites:
Provisional Procedural Guidance for Community Based Organizations (January
2008):
http://www.cdc.gov/hiv/topics/prev_prog/AHP/resources/guidelines/pro_guidance.htm
The Diffusion of Effective Behavioral Interventions Project (DEBI)
http://www.effectiveinterventions.org/index.cfm/fuseaction/ViewPage/page_id/1?
CFID=471470&CFTOKEN=18308681&
Replicating Effective Programs Plus., a CDC that site provides information on
“boxed” interventions that can be ordered from the organizations that developed
them. Training is also available on how to implement the interventions.
http://www.cdc.gov/hiv/projects/rep/default.htm
A. Other Interventions
The Intervention Selection Tool at this site run by the HIV/AIDS Research
Program, University of California, will help you find appropriate interventions by
behavioral risk group, race/ethnicity, gender and type of intervention. It includes
information on interventions that are not part of the CDC’s compendium.
http://choicehiv.org/interventions/interventions.php
Model programs for different populations from the Center for AIDS Prevention Studies
http://www.caps.ucsf.edu/projects/
Principles of HIV Prevention in Drug-Using Populations, from the National Institute of
Drug Abuse: http://drugabuse.gov/POHP/
HIV Prevention Among Injecting Drug Users, from the CDC: http://www.cdc.gov/idu/
A compendium of links related to constructing logic models (not HIV specific)
from CDC's Evaluation Working Group:
http://www.cdc.gov/eval/resources.htm#logic%20model
The Center for HIV Identification, Prevention, and Treatment Services (CHIPTS)
is a collaboration of researchers from UCLA, Charles Drew University of
Medicine and Science, Friends Research Institute, and RAND, has
information on several interventions that are not part of the CDC compendium.
65
http://chipts.ucla.edu/interventions/manuals/index.asp
B. Resources for Prevention with Positives
Shortcut to CDC's Advancing HIV Prevention: New Strategies for a Changing
Epidemic
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5215a1.htm
Shortcut to Incorporating HIV Prevention into the Medical Care of Persons
Living with HIV
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5212a1.htm
Designing Primary Prevention for People Living with HIV:
http://ari.ucsf.edu/pdf/primaryprevention.pdf
Prevention with Positives: A Guide to Effective Programs and several other publications
related to HIV risk reduction interventions for HIV-positive individuals:
http://ari.ucsf.edu/programs/policy/pwp_resources/Effective_PWP_Programs.doc
Prevention with Positives Resources, including curricula:
http://ari.ucsf.edu/programs/policy_pwpresources_general.aspx
Manual containing a variety of resources, U.S. Conference on AIDS Prevention with
Positives Institute
Prevention with HIV Positive People: What Is It? How to Do It!
C. Other Resources
The University of Kansas' Community Tool Kit provides practical skill-building
information on over 250 different topics. Topic sections include step-by-step
instruction, examples, check-lists, and related resources:
http://ctb.ku.edu/
HAA CONTACTS
66
II. Who May you Contact for more Information?
Applicants are encouraged to e-mail or fax their questions to the contact person listed
below on or before July 31, 2008. Questions submitted after the deadline date will not
receive responses. Please allow ample time for questions to be received prior to the
deadline date.
Contact Person:
Ricardo Branic E-Mail: ricardo.branic@dc.gov
Chief, Prevention and Interventions Services Bureau
District of Columbia, Department of Health Fax (202) 671-4860
HIV/AIDS Administration
64 New York Avenue NE, Suite 5001
Washington DC 20002
General Questions: Ricardo Branic, ricado.branic@dc.gov
Budget Questions: Jonathan Alston, jonathan.alston@dc.gov
67
List of Attachments
Attachment A: Letter of Intent
Attachment B: Applicant Profile
Attachment C: Applicant Receipt
Attachment D: Work Plan
Attachment E: Budget Format and Guidance
Attachment F: Assurance Checklist
Attachment F1: Federal Assurance
Attachment F2: Tax Certificate of Good Standing Application
Attachment F3: Certification Regarding Lobbying
Attachment G: Application Checklist
Attachment H: Organizational Services Summary
Attachment I: Executive Summary
68
Attachment A: Letter of Intent
Letter of Intent to Apply for Prevention Funding from HAA
Although a letter of intent is not required, this information will assist
the HIV/AIDS Administration in planning for the review process.
Please fax your letter of intent to Ricardo Branic at
(202) 671-4860 by July 31, 2008
The purpose of this letter is to inform you that our organization is
interested in applying for funding under RFA #________.
Name of Organization
Mailing Address
City_________________________________State_______Zip
_______ Ward ____ .
Contact Name:
E-mail:
Phone Ext Fax
69
Attachment A: Letter of Intent
Category Applying Under
(If you wish to apply to provide services to more than one target
population you must note them on this letter of intent.)
___ Program Area 1: Comprehensive HIV Prevention Strategies
1. Prevention for People Living with HIV/AIDS
2. Prevention for People who are HIV-negative or of
unknown HIV status
3. Youth Prevention
4. SAFE RE-ENTRY – Risk Reduction for young men about
to be released from Jail
___ Program Area 2: Locally Funded Prevention, Linkage, and
Support
1. Navigator Services
2. Youth Services: HIV-mainstreaming among Youth-Serving
Providers
3. Faith-based Leadership and HIV Mainstreaming
4. Couples HIV Counseling and Testing Services
5. Foster Parents Matter!
6. Innovator Activity
___ Program Area 3: Partner Services Expansion
1. Partner Services Expansion Partner Services—Capacity Building
for Counseling, Testing, and Referral Providers
70
Attachment B: Applicant Profile
APPLICANT NAME:
TYPE OF ORGANIZATION:
____ Non-Profit Organization ______ Small Business _____ Other:
Contact Person:
Title:
Street Address:
City, State ZIP:
Telephone:
Fax:
Email Address:
Agency Web -site:
Names of Agency Officials: Board President:
Board Treasurer:
Executive Director:
PROGRAM AREA:
Project Title:
Total Funds Requested $ _____________
Signature of Authorized Official: __________________________________________
71
Attachment C: Applicant Receipt
Date/Time Stamp:
District of Columbia
Request for Applications
STATEMENT OF APPLICATION RECEIPT
ORGANIZATION NAME: ____________________________________________________
SERVICE CATEGORY NAME: _______________________________________________
(One Receipt per Service Category Application)
TOTAL FUNDING REQUEST: $___________________________
REPRESENTATIVE DELIVERING APPLICATION: ______________________________
(please print name)
Statement of Application Receipt
This certifies that one (1) original plus four (4) copies were delivered to the District of
Columbia Department of Health
Date: _____________________ Time: ______________________________
Received by: ______________________________________________________
(Signature of DOH Staff)
AFFIX TO ―ORIGINAL‖ APPLICATION
Date/Time Stamp:
Request for Applications
STATEMENT OF APPLICATION RECEIPT
ORGANIZATION NAME: ____________________________________________________
SERVICE CATEGORY NAME: _______________________________________________
TOTAL FUNDING REQUEST: $___________________________
REPRESENTATIVE DELIVERING APPLICATION: ______________________________
(please print name)
Statement of Application Receipt
This certifies that one (1) original plus four (4) copies were delivered to the District of
Columbia Department of Health
Date: _____________________ Time: ______________________________
Received by: ______________________________________________________
(Signature of DOH Staff)
RETURN TO APPLICANT
72
Attachment D: Work Plan
Agency: Program Period:
Grant #: TBD Submission Date:
Target Population /Service: Submitted by:
Total Budget $ Telephone #
GOAL 1:
Measurable Objectives/Activities:
Process Objective #1: [Example: By December 31, 2008, provide 2,500 face-to-face outreach contacts for 500 unduplicated injection drug users in Wards 5 & 6]
Key activities needed to meet this objective: Start Date/s: Completion Date/s: Key Personnel (Title)
Process Objective #2:
Key activities needed to meet this objective: Start Dates: Completion Dates: Key Personnel (Title)
Process Objective #3:
Key activities needed to meet this objective: Start Dates: Completion Dates: Key Personnel (Title)
Please duplicate this page as needed for each Program Goal. Ensure that there are goals and objectives linked to each of the interventions covered under this grant.
HAA Use Only:
Approved by: _______________________________Date: ___/ ___/ ___ P.I.S. DB Entered: ______ (Initials) DATE: ___/___/___
73
Attachment E: Budget Format
Name of Organization
Funding Source
Service Area
Personnel Schedule
Option No.
1 Option No. 2
Position Site Annual FTE Hourly Hours Monthly No. Budget Benefits Benefits TOTAL
Title Salary Wage per Salary or of Amount Ratio Amount Budgeted
Month Wage Mo. %
TOTAL
Consultant/Contractual
Item Site Unit Unit Cost Number Budget
-
TOTAL -
74
Attachment E: Budget Format
Occupancy
Schedule
Facility Site Unit Unit Cost Number Budget
Rent -
-
Utilities (Gas/Electric/Water)
TOTAL -
Travel / Transportation Schedule
Item Site Unit Unit Cost Number Budget
-
TOTAL -
Supplies
Item Site Unit Unit Cost Number Budget
-
TOTAL -
75
Attachment E: Budget Format
Capital Equipment Schedule
Item Site Unit Unit Cost Number Budget
TOTAL
Client Cost Schedule
Item Site Unit Unit Cost Number Budget
-
TOTAL -
Communications Schedule
Item Site Unit Unit Cost Number Budget
-
-
TOTAL -
76
Attachment E: Budget Format
Other Direct Costs Schedule
Item Unit Unit Cost Number Budget
TOTAL
Indirect Costs Schedule
Item Unit Unit Cost Number Budget
TOTAL
77
Attachment F: Assurances
CERTIFICATIONS, LICENSES AND ASSURANCES REQUIRED FOR SUBMITTING
APPLICATION TO RFA # _____________
Name of Organization: ____________________________________________
Applicants are required to submit one copy of certifications, affidavits, and assurances in a
sealed envelope. The assurance checklist found below should be completed and placed in
the envelope of each packet. The outside of each envelope must be conspicuously marked
as follows:
1. Assurances in response to RFA #______________________.
2. Indicate whether content is ―original‖ or ―copy.‖
ASSURANCE CHECKLIST
□ 1. Signed Federal Assurances (Attachment # _______)
□ 2. A Current Business license, registration, or certificate to transact business in the
relevant jurisdiction:
Department of Consumer and Regulatory Affairs
941 North Capitol St., NE 1st Floor
Contact Person -Ms. Wilson
or www.dcra.dc.gov Licenses Basic Business License Get Basic Business
License requirements Charitable Solicitation
□ 3. 501 (C) (3) Certification. For non-profit organizations
78
Attachment F: Assurances
□
4. Current Certificate of Good Standing from local tax authority:
Department of Tax and Revenue
941 North Capitol St., NE 5th Floor.
Contact person-Alicia Brown 202-442-6593
□ 5. List of Board of Directors
□ 6. Medicaid Certification if applicable.
79
Attachment F: Assurances
CERTIFICATIONS, LICENSES AND ASSURANCES REQUIRED TO SIGN SUB-GRANT
AGREEMENT _____________
Name of Organization: ____________________________________________
Applicants are required to submit one unbound original and one copy of certifications,
affidavits, and assurances in two separate, sealed envelopes. The assurance checklist found
below should be completed and placed in the envelope of each packet. The outside of each
envelope must be conspicuously marked as follows:
1. Assurances in response to RFA #_____________.
2. Whether content is ―original‖ or ―copy.‖
ASSURANCE CHECKLIST
□ 1. Certification Regarding Lobbying; Debarment, Suspension and Other Responsibility
Matters; and Drug-Free Workplace Requirements (Attachment _____)
□ 2. Commercial General Liability
□ 3. Professional Liability
□ 4. Worker‘s Compensation Insurance
80
Attachment F: Assurances
□ 5. Comprehensive Automobile Insurance, if applicable for organizations that use
company vehicles to administer programs for services funded by HAA
□ 6. Home Health/Home Hospice License, if applicable
□ 7. Certification of current/active Articles of Incorporation from DCRA:
Department of Consumer and Regulatory Affairs
941 North Capitol St., NE 1st Floor
or www.dcra.dc.gov Corporate Registration Search Registered Organizations
81
Attachment F1: Federal Assurances
FEDERAL ASSURANCES
The applicant hereby assures and certifies compliance with all Federal statutes, regulations, policies,
guidelines and requirements, including OMB Circulars No. A-21, A-110, A-122, A-128, A-87; E.O. 12372
and Uniform Administrative Requirements for Grants and Cooperative Agreements - 28 CFR, Part 66,
Common Rule, that govern the application, acceptance and use of Federal funds for this federally-
assisted project.
Also, the Application assures and certifies that:
1. It possesses legal authority to apply for the grant; that a resolution, motion or similar
action has been duly adopted or passed as an official act of The applicant’s governing
body, authorizing the filing of the application, including all understandings and assurances
contained therein, and directing and authorizing the person identified as the official
representative of The applicant to act in connection with the application and to provide
such additional information as may be required.
2. It will comply with requirements of the provisions of the Uniform Relocation Assistance
and Real Property Acquisitions Act of 1970 PL 91-646 which provides for fair and equitable
treatment of persons displaced as a result of Federal and federally-assisted programs.
3. It will comply with provisions of Federal law which limit certain political activities of
employees of a State or local unit of government whose principal employment is in
connection with an activity financed in whole or in part by Federal grants. (5 USC 1501, et.
seq.).
4. It will comply with the minimum wage and maximum hour’s provisions of the Federal Fair
Labor Standards Act if applicable.
5. It will establish safeguards to prohibit employees from using their positions for a purpose
that is or gives the appearance of being motivated by a desire for private gain for
themselves or others, particularly those with whom they have family, business, or other
ties.
6. It will give the sponsoring agency of the Comptroller General, through any authorized
representative, access to and the right to examine all records, books, papers, or
documents related to the grant.
82
Attachment F1: Federal Assurances
7. It will comply with all requirements imposed by the Federal-sponsoring agency concerning
special requirements of Law, program requirements, and other administrative
requirements.
8. It will insure that the facilities under its ownership, lease or supervision which shall be
utilized in the accomplishment of the project are not listed on the Environmental
Protection Agency’s (EPA), list of Violating Facilities and that it will notify the Federal
grantor agency of the receipt of any communication from the Director of the EPA Office of
Federal Activities indicating that a facility to be used in the project is under consideration
for listing by the EPA
9. It will comply with the flood insurance purchase requirements of Section 102(a) of the
Flood Disaster Protection Act of 1973, Public Law 93-234-, 87 Stat. 975, approved
December 31, 1976. Section 102(a) requires, on and after March 2, 1975, the purchase of
flood insurance in communities where such insurance is available as a condition for the
receipt of any Federal financial assistance for construction or acquisition purposes for use
in any area that has been identified by the Secretary of the Department of Housing and
Urban Development as an area having special flood hazards. The phrase “Federal
Financial Assistance” includes any form of loan, grant, guaranty, insurance payment,
rebate, subsidy, disaster assistance loan or grant, or any other form of direct or indirect
Federal assistance.
10. It will assist the Federal grantor agency in its compliance with Section 106 of the National
Historic Preservation Act of 1966 as amended (16 USC 470), Executive Order 11593, and
the Archeological and Historical Preservation Act of 1966 (16 USC 569a-1 et. seq.) By (a)
consulting with the State Historic Preservation Officer on the conduct of investigations, as
necessary, to identify properties listed in or eligible for inclusion in the National Register
of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8) by the
activity, and notifying the Federal grantor agency of the existence of any such properties,
and by (b) complying with all requirements established by the Federal grantor agency to
avoid or mitigate adverse effects upon such properties.
11. It will comply with the provisions of 28 CFR applicable to grants and cooperative
agreements including Part 18. Administrative Review Procedure; Part 22, Confidentiality
of Identifiable Research and Statistical Information; Part 42, Nondiscrimination/Equal
Employment Opportunity Policies and Procedures; Part 61, Procedures for Implementing
the National Environmental Policy Act; Part 63, Floodplain Management and Wetland
Protection Procedures; and Federal laws or regulations applicable to Federal Assistance
Programs.
12. It will comply, and all its contractors will comply with; Title VI of the Civil Rights Act of
1964, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Subtitle A,
83
Attachment F1: Federal Assurances
Title III of the Americans with Disabilities Act (ADA) (1990); Title IIX of the Education
Amendments of 1972 and the Age Discrimination Act of 1975.
13. In the event a Federal or State court or Federal or State administrative agency makes a
finding of discrimination after a due process hearing on the grounds of race, color,
religion, national origin, sex, or disability against a recipient of funds, the recipient will
forward a copy of the finding to the Office for Civil Rights, U.S. Department of Justice.
14. It will provide an Equal Employment Opportunity Program if required to maintain one,
where the application is for $500,000 or more.
15. It will comply with the provisions of the Coastal Barrier Resources Act (P.L 97-348), dated
October 19, 1982, (16 USC 3501 et. seq.) which prohibits the expenditure of most new
Federal funds within the units of the Coastal Barrier Resources System.
_____________________________________
Signature Date
84
Attachment F3: Certification for Lobbying,
Debarment, and Suspension
GOVERNMENT OF THE DISTRICT OF COLUMBIA
OFFICE OF THE CHIEF FINANCIAL OFFICER
OFFICE OF TAX AND REVENUE
Certificate of Good Standing Request
Date: ___________________
Office of Tax and Revenue
Collection Division
941 North Capitol Street, NE
Washington, DC 20002
Attn: A. Brown, 5th Floor
I am hereby requesting a Certificate of Good Standing for the following entity:
Entity/Name:
Address:
Telephone:
FEIN / SSN:
Contact Person:
Signed:
Title:
Certificates of Good Standing take approximately 7-14 days to process. We will contact you upon
completion of your request. If this is a third-party request, please furnish copies of the Power of
Attorney. For additional information, please call Ms. A. Brown at (202) 442-6593 or Ms. C. Wills at
(202) 478-9250. You may also fax your request form to the attention of Ms. Brown or Ms. Wills at (202)
442-6885.
Fee: $15.00 for pick-up (Customer Service Center, 941 North Capitol Street, NE, Washington, DC 20002, 1st floor)
$16.00 for mail delivery
Rev. 6/03
85
Attachment F3: Certification for Lobbying,
Debarment, and Suspension
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Certifications Regarding
Lobbying; Debarment, Suspension and Other Responsibility
Matters; and Drug-Free Workplace Requirements
Applicants should refer to the regulations cited below to determine the certification to which
they are required to attest. Applicants should also review the instructions for certification
included in the regulations before completing this form. Signature of this form provides for
compliance with certification requirements under 28 CFR Part 69, ''New Restrictions on
Lobbying" and 28 CFR Part 67, "Government-wide Debarment and Suspension (Non-
procurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." The
certifications shall be treated as a material representation of fact.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code. and implemented at 28 CFR Part
69, for persons entering into a grant or cooperative agreement over $100,000, as defined at
28 CFR Part 69, the applicant certifies that:
(a) No Federally appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the making of any Federal
grant, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal grant or cooperative agreement;
(b) If any funds other than Federally appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of
a Member of Congress in connection with this Federal grant or cooperative agreement,
the undersigned shall complete and submit Standard Form - lll, ''Disclosure of
Lobbying Activities," in accordance with its instructions;
(c) The undersigned shall require that the language of this certification be included in the
award documents for all sub awards at all tiers including subgrants, contracts under
grants and cooperative agreements, and subcontracts) and that all sub-recipients shall
certify and disclose accordingly.
2. Debarment, Suspension, and Other Responsibility Matters (Direct Recipient)
86
Attachment F3: Certification for Lobbying,
Debarment, and Suspension
As required by Executive Order 12549, Debarment and Suspension, and implemented at 28
CFR Part 67, for prospective participants in primary covered transactions, as defined at 28
CFR Part 67, Section 67.510—
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible,
sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily
excluded from covered transactions by any Federal department or agency;
(b) Have not within a three-year period preceding this application been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public Federal, State, or
local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
(c.) Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and
(d) Have not within a three-year period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or
she shall attach an explanation to this application.
1. Drug-Free Workplace (Grantees Other Than Individuals)
As required by the Drug Free Workplace Act of 1988, and implemented at 28 CFR Part 67,
Subpart F. for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620—
A. The applicant certifies that it will or will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the applicant's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
(b) Establishing an on-going drug-free awareness program to inform employees about—
(1) The dangers of drug abuse in the workplace;
(2) The applicant's policy of maintaining a drug-free workplace;
87
Attachment F3: Certification for Lobbying,
Debarment, and Suspension
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in
the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant
be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will—
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under
subparagraph (d)(2) from an employee or otherwise receiving actual notice of such
conviction. Employers of convicted employees must provide notice, including position title
to: HIV/AIDS Administration, 717 14th St., NW, Suite 1000, Washington, DC 20005.
Notice shall include the identification number(s) of each effected grant;
(f) Taking one of the following actions, within 30 calendar days of receiving notice under
subparagraph (d)(2), with respect to any employee who is so convicted—
(1) Taking appropriate personnel action against such an employee, up to and incising
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health, law
enforcement, or other appropriate agency;
(3) Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (a), (1), (c), (d), (e),. and (f).
B. The applicant may insert in the space provided below the sites) for the performance of
work done in connection with the specific grant:
Place of Performance (Street address, city, county, state, zip code)
Drug-Free Workplace (Grantees who are Individuals)
88
Attachment F3: Certification for Lobbying,
Debarment, and Suspension
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67,
subpart F, for grantees as defined at 28 CFR Part 67; Sections 67 615 and 67.620—
A. As a condition of the grant, I certify that I will not engage in the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance in conducting any
activity with the grant; and
B. If convicted of a criminal drug offense resulting from a violation occurring during the
conduct of any grant activity, I will report the conviction, in writing, within 10 calendar
days of the conviction, to:
HIV/AIDS Administration, 717 14th St., NW, Suite 1000, Washington, DC 20005.
As the duly authorized representative of the applications,
I hereby certify that the applicant will comply with the above certifications.
1. Grantee Name and Address
2. Application Number and/or Project Name 3. Grantee IRS/Vendor Number
4. Typed Name and Title of Authorized Representative
5. Signature 6. Date
89
Attachment G: Application Checklist
The applicant organization/entity has responded to all sections of the Request for
Application.
The Applicant Profile, Attachment B, contains all the information requested and is affixed
to the front of each envelope.
The Proposed Budget is complete and complies with the Budget format listed in
Attachment E of the RFA. The budget narrative is complete and describes the categories
of items proposed.
The application is printed on 8½ by 11-inch paper, double-spaced, on one side, using 12-
point type with a minimum of one inch margins. Applications that do not conform to this
requirement will not be forwarded to the review panel.
The application is unbound and submitted with rubber bands or binder clips only.
Your hard copy marked “original” and an electronic copy of your application on CD with all
attachments are each in individually sealed envelopes. Applications will not be forwarded
to the review panel if the applicant fails to submit the required submission.
The application is submitted to the HIV/AIDS Administration no later than 5:00 p.m. on
the deadline date of August 18, 2008.
The project narrative section is complete and is within the page limit for this section of
the RFA submission.
The Certifications and Assurances, and all of the items listed on the Assurance Checklist,
are complete and are included in the assurance package.
The assurance packages is submitted marked “original” .
The appropriate appendices, including Memoranda of Understanding, job descriptions;
licenses (if applicable) and other supporting documentation are enclosed.
90
Attachment H: Organizational
Services Summary
Direct Linkage* If Direct linkage, Established MOU
Service Category Provide Directly (Yes/No), with whom?
to Other Agency
1. Primary HIV Care (PLWHA)
2. Medical Case Management (PLWHA)
3. Case Management (non-Medical)
(PLWHA)
4. Substance Abuse Services
5. Mental Health Services
6. Nutritional Services/Food Bank
7. Emergency Financial Assistance
8. Housing Services
9. Prevention for PLWHA
10. Support Groups
11. Individual-level Prevention, For persons
who are HIV Negative/Unknown
12. Group-level Prevention Interventions, For
persons who are HIV Negative/Unknown
13. Community-level Prevention
Interventions, for persons who are HIV
Negative/Unknown
91
Attachment H: Organizational
Services Summary
Direct Linkage* If Direct linkage, Established MOU
Service Category Provide Directly (Yes/No), with whom?
to Other Agency
14. HIV Counseling, Testing, Referral
15. STD Diagnosis and Treatment
16. IDU risk reduction including Needle
Exchange
17. Condom distribution/Recruitment of
Condom Distribution sites
18. Childcare or Respite Services
19. Transportation Services
20. Outreach Services
21. Legal Services
22. Viral Hepatitis Screening
92
Attachment I: Executive Summary Checklist
Organization
We are applying for (Check list of parts & activities):
Target New Activity/ $$ Requested
Population(s)* Continuing
Activity
Area 1
1.1 Prevention for People Living with
HIV/AIDS
1.11 Single Population Activities
1.12 Multiple Population Activities
1.13 Prevention as Part of Care
1.2 Prevention for People who are HIV-
negative or of unknown HIV status
1.21 Single Population Activities
1.22 Multiple Population Activities
1.3 Youth Prevention
1.4 SAFE RE-ENTRY
Area 2
2.1 Navigator Services
2.11 Latinos Living with HIV and
Navigator Capacity-building
2.12 Pregnant Women and
Prevention of Mother-to-Child
Transmission
2.2 Youth Services
2.3 Faith-based Leadership and HIV
Mainstreaming
2.4 Couples HIV Counseling and
Testing Services
2.5 Foster Parents Matter!
2.6 Innovator Activity
Area 3
3.1 Partner Services
*See list of Target Populations
BRIEF Description of Organizational Mission and Target population(s) (1-2 paragraphs only
93
