Violence Against Women; Multifaceted Community-Based Demonstration Projects; Notice of Availability of Funds For Fiscal Year 1994

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

RIN 0905-ZA70

[Program Announcement Number 476]

Violence Against Women; Multifaceted Community-Based

Demonstration Projects; Notice of Availability of Funds For Fiscal Year

1994

Introduction

The Centers for Disease Control and Prevention (CDC) announce the

availability of fiscal year (FY) 1994 funds for cooperative agreements

to create multifaceted community-based Violence Against Women (VAW)

prevention demonstration projects.

The Public Health Service (PHS) is committed to achieving the

health promotion and disease prevention objectives described in

``Healthy People 2000,'' a PHS-led national activity to reduce

morbidity and mortality and improve the quality of life. This

announcement is related to the priority area of Violent and Abusive

Behavior. (For ordering a copy of ``Healthy People 2000,'' see the

section, ``Where to Obtain Additional Information.'')

Authority

This program announcement is authorized under sections 301, 317,

391, 392 and 393, of the Public Health Service Act (42 U.S.C. 241,

247b, 280b, 280b-1 and 280b-2), as amended.

Smoke-Free Workplace

The Public Health Service strongly encourages all grant recipients

to provide a smoke-free workplace and promote the non-use of all

tobacco products. This is consistent with the PHS mission to protect

and advance the physical and mental health of the American people.

Eligible Applicants

Applications may be submitted by public and private, nonprofit and

for-profit organizations, and governments and their agencies. Thus,

universities, colleges, research institutions, hospitals, other public

and private organizations, State and local governments or their bona

fide agents, federally recognized Indian tribal governments, Indian

tribes or Indian tribal organizations, and small, minority- and/or

women-owned businesses are eligible to apply.

Availability of Funds

Approximately $1,375,000 is available in FY 1994 to fund up to five

demonstration projects. Awards are expected to range from $250,000 to

$300,000 with an average award of $275,000, and are expected to begin

on or about September 30, 1994. Awards will be made for a 12-month

budget period within a project period up to 5 years. Funding estimates

may vary and are subject to change. Non-competing continuation awards

for new budget periods within the approved project period will be made

on the basis of satisfactory progress as evidenced by required reports

and site visits.

Note: At the request of the applicant, Federal personnel may be

assigned to a project area in lieu of a portion of the financial

assistance.

Definitions

Violence Against Women (VAW) is defined as threatened or actual use

of physical force against a woman that either results or has the

potential to result in injury or death. This type of violence includes

the physical, sexual, or psychological assault of women by partners,

intimates, family members, and acquaintances. Commonly referenced types

of behavior that fit within this definition include family and intimate

violence, spouse abuse, partner abuse (including same sex

relationships), women battering, courtship violence, sexual assault,

and date rape. Public health approaches violence as a health issue and

consequently, uses injuries, both fatal and nonfatal, psychological and

physical, to quantify the impact of violence.

For the purposes of this announcement, the area of attention is in

primary prevention of violence against adolescent (12+ years of age)

and adult women by persons known to the victim (family members,

partners, and intimates) rather than by strangers.

Interventions for VAW may encompass training/education, legal

(e.g., mandatory arrest policies), behavioral, or environmental change

strategies. Multifaceted programs are programs which incorporate

multiple interventions aimed at reducing the incidence of VAW and that

results in injury or death. Since beliefs and behaviors are difficult

to change, effective prevention models require a combination of

interventions that provide specific strategies for establishing a

coordinated program. For multifaceted programs to be effective,

interventions must be complementary. For example, the benefits of

referral protocols are potentiated by expanding emergency shelter and

support services for victims.

No single solution has been effective in the prevention of VAW. To

maximize effectiveness, primary prevention programs should be based on

multiple complementary interventions in multiple settings. These

programs should be community-based and tailored to meet the specific

needs of the community, including the most effective strategies and

personnel. Supporting and empowering communities to develop effective

prevention programs will represent an essential model for delivering

interventions for those in need. The community-based model has been

successful in dealing with other public health prevention efforts such

as HIV prevention.

Local Planning Group (LPG) is defined as a team of individuals

drawn from community-based organizations, State and local health

departments, and a local college or university. The LPG would

collaborate in the design, implementation, and evaluation of the

proposed VAW prevention program. A female victim of intimate violence

should be included as an additional team member. The LPG team

participants will serve as advisors and consultants on the practical

and scientific aspects of the proposed intervention and evaluation

activities. Each member or group represented on the LPG must have its

proposed activities, responsibilities, and contributions to the success

of the project clearly defined in the ``Application Content'' section

of the application. Applicants should also see the ``Program

Requirements'' section.

Full working partners are defined as any of the organizations or

institutions that are collaborating in the VAW prevention project

either through participation on the local planning group or in some

other substantive way. It is essential that full working partners'

duties, responsibilities, and contributions to the success of the

project are clearly defined in the ``Application Content'' section of

the application. Applicants should also see the ``Program

Requirements'' section. For example, a full working partner may have

access to the community (target population) that the applicant does not

possess. Because the full working partner is substantially involved in

the project, the applicant can state that the project as a whole has

community access.

Primary prevention is defined as the reduction or control of

causative factors for a health problem and includes reducing risk

factors and environmental exposures, and includes health-service

interventions.

Purpose

The purposes of this program are to:

1. Identify or develop potentially effective intervention

strategies for delivering VAW primary prevention at the community

level.

2. Design and implement multifaceted community-based VAW primary

prevention programs based on these interventions.

3. Evaluate the extent to which the multifaceted community programs

reduce rates of violent behavior, injury, and death among intimates.

4. Develop formal replication guidelines from successful programs

for disseminating model VAW prevention programs.

Although a number of existing interventions and/or programs to

prevent VAW are perceived as useful, little is actually known about

their effectiveness, their impact on women, and their ability to be

replicated in a variety of settings. Evaluation will help identify

those programs that demonstrate the greatest promise for primary

prevention. Model programs should be able to address a particularly

important type of VAW or address violence in special settings.

Comprehensive, multifaceted, and innovative efforts to address VAW may

include, but are not limited to, the following strategies:

1. Public awareness campaigns to dispel misconceptions about VAW as

well as change knowledge, attitudes, and beliefs pertaining to VAW.

This could include school-based curricula, college- and university-

based efforts, and work-site education programs (non-Federal);

2. Coordination among the criminal justice system, family and

intimate violence programs, substance abuse programs, mental health

centers, and the medical community for referral, intervention, shelter,

and case management. This could include: (a) Victim identification and

referral protocols in hospital emergency rooms, community clinics, and

other health care settings, (b) expansion of emergency shelter and

support services for victims, and (c) worksite programs (non-Federal)

including identification and referral for victims through employee

assistance programs and worksite (non-Federal) promotional campaigns;

3. Expansion of court-ordered treatment programs for abusers which

would include intensive counseling and behavior modification treatment;

or

4. Training and education programs for professionals in health

care, legal, and social service fields who deal with potential victims

and abusers or who are involved in the planning and implementation of

prevention programs.

Program Requirements

Applications that do not meet the following requirements will be

considered non-responsive and will not be reviewed.

Applicants must:

1. Demonstrate that women in the target community (adolescents 12+

years of age and adult women) are victims of violence and are at risk

for injury and death from persons known to them rather than by

strangers.

2. Demonstrate their or a full working partner's access to the

target population.

3. Demonstrate their or a full working partner's experience in the

area of VAW prevention and in planning, delivering, and managing

complex interventions.

4. Demonstrate their or a full working partner's capacity to:

a. Design comprehensive program evaluations.

b. Collect and analyze both quantitative and qualitative data.

c. Synthesize, summarize, and report evaluation results which are

usable and decision-oriented.

5. Develop culturally relevant and linguistically appropriate

designs.

In conducting activities to achieve the purpose of this program,

the recipient will be responsible for the activities under A.

(Recipient Activities), and CDC will be responsible for the activities

listed under B. (CDC Activities).

A. Recipient Activities

Within the chronology of the following recipient activities,

applicants may be at varying stages in program development and

implementation and may have already accomplished certain activities.

Recipient activities should include but not necessarily be limited to

the following:

1. Develop written protocols to be used in carrying out and

evaluating the selected interventions which comprise the program. (See

letter G, Evaluation Plan, numbers 1 through 7, in ``Application

Content'' section of the Program Announcement included in the

application kit.)

2. Develop and pilot test data collection instruments.

3. Select study sample(s) based on the target population initially

identified.

4. Provide necessary training materials, protocols, and assurance

of competence for personnel who will be conducting various

interventions, if appropriate. Describe details of integration between

program interventions.

5. Collect and compile process, program monitoring and management,

cost, and outcome data in an ongoing fashion.

6. Produce replication guidelines which can serve as a template for

other organizations to reproduce program successes.

7. Collaborate with CDC in analyzing data and conducting the final

scientific evaluation of the program's contribution to reducing rates

of VAW and associated injuries and death.

B. CDC Activities

1. Provide consultation in conducting surveillance, establishing

baseline data, defining the target population, designing scientific

protocols, and evaluating the cost, process(es), and outcomes of the

multifaceted program.

2. Collaborate in the design of all phases of the demonstration

projects. Provide consultation on data collection instruments and

procedures, and provide coordination of research, evaluation, and

intervention activities among the cooperative agreement recipients.

3. Collaborate in data collection strategies and in the analyses

from these projects and other related activities.

4. Provide consultation in establishing standardized data

collection and reporting systems to monitor program activities.

5. Provide up-to-date scientific information about VAW prevention.

Evaluation Criteria

Applications will be reviewed and evaluated according to the

following criteria (maximum 100 total points):

A. Background and Need (10 Points)

The extent to which the community and target population are victims

of, or are at risk for, violence and have been affected by injuries and

deaths associated with such violence. The extent to which the applicant

provides statistical summaries of the target population and community

including demographics, morbidity and mortality data, and the

availability of existing VAW prevention services.

B. Community Access (10 Points)

The extent to which the applicant has demonstrated an understanding

of the population at risk, e.g., levels and patterns of risk behavior,

and cultural and linguistic patterns in the community. The extent to

which the applicant or full working partner has access to the target

population and experience in the management and delivery of

interventions at the community level. The extent to which the applicant

has detailed its or a full working partner's history of working in the

field of VAW or with the affected population.

C. Collaboration (20 Points)

The extent to which the applicant has demonstrated that a full

working partnership for the design, implementation, and evaluation of

the project has been established between--at a minimum--a community-

based organization, a university or other institution of higher

learning, and a State or local health department; also, the extent

which the applicant or full working partner provides evidence of other,

beneficial collaborative relationships between service providers and

researchers, and between government, health, and community-based

organizations who are or will be involved in the design,

implementation, and evaluation of the project. Did the applicant submit

organizational charts of collaborating agencies and institutions? Did

the applicant establish culturally relevant and linguistically

appropriate linkages in the community and with paraprofessionals?

D. Goals and Objectives (10 Points)

The extent to which the applicant's goals are clearly articulated

and objectives are time-phased, specific, measurable, and achievable;

the extent to which the outcome objectives intend to achieve a results-

oriented program, measure the degree to which a multifaceted

intervention program reduces the risk behaviors associated with VAW,

and reduces the incidence of VAW in the community setting.

E. Plan of Operation and Interventions (15 Points)

The quality and specificity of the applicant's proposed plan to

operationalize a program of interventions to prevent injuries and

deaths associated with VAW. Based on information provided in this

section, how realistic are the applicant's chances of achieving the

stated program objectives and for successfully delivering interventions

at the community level? To what extent the proposed interventions are

realistic and meet the intended purposes of the funding? To what extent

does the applicant describe the interventions and their linkages,

provide evidence of applicability to the target population, and explain

the interventions' capacities for producing the desired outcomes? How

well does the applicant ensure the availability of staff and facilities

to carry out the described program plan?

F. Evaluation Plan (25 Points)

How well the applicant describes the proposed evaluation design and

the methods for measuring the processes and outcomes of individual

interventions; how does the evaluation design purport to measure the

degree to which these interventions collectively reduce rates of VAW at

the community level. Does the applicant provide sufficient evidence of

its or a full working partner's expertise and capacity to collaborate

with program staff, identify/create and test appropriate instruments,

and collect and analyze quantitative and qualitative data for measuring

program effectiveness? How well does the applicant ensure the

availability of staff and facilities to carry out the described

evaluation plan?

G. Project Management and Staffing (10 Points)

The extent to which the management staff and their working partners

are clearly described, appropriately assigned, and have appropriate

skills and experiences. The extent to which the applicant or a full

working partner has the capacity and facilities to design, implement,

and evaluate a multifaceted intervention project. The extent to which

the applicant provides details regarding the level of effort and

allocation of time for each staff position. Did the applicant submit an

organizational chart and curriculum vitae for each proposed staff

member? Does the applicant provide details of involving personnel who

reflect the racial and ethnic composition of the target group?

H. Proposed Budget (Not Scored)

The extent to which the budget request is clearly explained,

adequately justified, reasonable, sufficient for the proposed project

activities, and consistent with the intended use of the cooperative

agreement funds.

Funding Priorities

Funding priority under this announcement will be given to: (a)

Those applicants whose primary interest is in preventing violence

against adolescent (12+ years of age) and adult women by persons known

to the victim rather than by strangers, and (b) those applicants that

plan to undertake primary prevention activities.

Public comments are not being solicited regarding the funding

priority because time does not permit solicitation and review prior to

the funding date.

Executive Order 12372 Review

Applications are subject to the Intergovernmental Review of Federal

Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets

up a system for State and local government review of proposed Federal

assistance applications. Applicants (other than federally recognized

Indian tribal governments) should contact their State Single Point of

Contact (SPOC) as early as possible to alert them to the prospective

applications and receive any necessary instructions on the State

process. For proposed projects serving more than one State, the

applicant is advised to contact the SPOC of each affected State. A

current list of SPOCs is included in the application kit. If SPOCs have

any State process recommendations on applications submitted to CDC,

they should forward them to Henry S. Cassell III, Grants Management

Officer, Grants Management Branch, Procurement and Grants Office,

Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry

Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later

than 30 days after the application deadline date. (A waiver for the 60-

day requirement has been requested.) The granting agency does not

guarantee to ``accommodate or explain'' State process recommendations

it receives after that date.

Indian tribes are strongly encouraged to request tribal government

review of the proposed application. If tribal governments have any

tribal process recommendations on applications submitted to CDC, they

should forward them to Henry S. Cassell III, Grants Management Officer,

Grants Management Branch, Procurement and Grants Office, Centers for

Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,

Room 300, Mailstop E-13, Atlanta, Georgia 30305. This should be done no

later than 30 days after the application deadline date. The granting

agency does not guarantee to ``accommodate or explain'' for tribal

process recommendations it receives after that date.

Public Health System Reporting Requirements

This program is subject to the Public Health System Reporting

Requirements. Under these requirements, all community-based

nongovernmental applicants must prepare and submit the items identified

below to the head of the appropriate State and/or local health

agency(ies) in the program area(s) that may be impacted by the proposed

project no later than the receipt date of the Federal application. The

appropriate State and/or local health agency is determined by the

applicant. The following information must be provided:

A. A copy of the face page of the application (SF 424).

B. A summary of the project that should be titled ``Public Health

System Impact Statement'' (PHSIS), not to exceed one page, and include

the following:

1. A description of the population to be served;

2. A summary of the services to be provided; and

3. A description of the coordination plans with the appropriate

State and/or local health agencies.

If the State and/or local health official should desire a copy of

the entire application, it may be obtained from the State Single Point

of Contact (SPOC) or directly from the applicant.

Catalog of Federal Assistance Number

The Catalog of Federal Domestic Assistance number for this project

is 93.262.

Other Requirements

A. Paperwork Reduction Act

Projects that involve the collection of information from 10 or more

individuals and funded by the Violence Against Women Multifaceted

Community-Based Demonstration Projects Cooperative Agreement program

will be subject to review by the Office of Management and Budget (OMB)

under the Paperwork Reduction Act.

B. Human Subjects

If the proposed project involves research on human subjects, the

applicant must comply with the Department of Health and Human Services

Regulations (45 CFR Part 46) regarding the protection of human

subjects. Assurance must be provided to demonstrate that the project

will be subject to initial and continuing review by an appropriate

institutional review committee. The applicant will be responsible for

providing assurance with the appropriate guidelines and form provided

in the application kit.

In addition to other applicable committees, Indian Health Services

(IHS) institutional review committees also must review the project if

any component of IHS will be involved or will support the research. If

any Native American community is involved, its tribal government must

also approve that portion of the project applicable to it.

Application Submission and Deadline

The original and two copies of the application PHS Form 5161-1

(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Henry

S. Cassell III, Grants Management Officer, Grants Management Branch,

Procurement and Grants Office, Centers for Disease Control and

Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300, Mailstop E-

13, Atlanta, Georgia 30305, on or before August 15, 1994.

1. Deadline: Applications shall be considered as meeting the

deadline if they are either:

a. Received on or before the deadline date; or

b. Sent on or before the deadline date and received in time for

submission to the objective review committee. For proof of timely

mailing, applicants must request a legibly dated U.S. Postal Service

postmark or obtain a legibly dated receipt from a commercial carrier or

the U.S. Postal Service. Private metered postmarks will not be

acceptable as proof of timely mailing.

2. Late Applications: Applications that do not meet the criteria in

1.a. or 1.b. above are considered late. Late applications will not be

considered in the current competition and will be returned to the

applicant.

Where to Obtain Additional Information

To receive additional written information, call (404) 332-4561. You

will be asked to leave your name, address, and phone number and will

need to refer to Announcement 476. You will receive a complete program

description, information on application procedures, and application

forms.

If you have questions after reviewing the contents of all the

documents, business management technical assistance, and an application

package may be obtained from Georgia Jang, Grants Management

Specialist, Grants Management Branch, Procurement and Grants Office,

Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry

Road, NE., Mailstop E-12, Atlanta, Georgia 30305, telephone (404) 842-

6814.

Programmatic assistance may be obtained from Chester L. Pogostin,

D.V.M., M.P.A., Centers for Disease Control and Prevention (CDC),

National Center for Injury Prevention and Control, Division of Violence

Prevention, Mailstop F-41, Atlanta, Georgia 30333, telephone (404) 488-

4400.

Please refer to Announcement Number 476 when requesting information

and submitting an application.

Potential applicants may obtain a copy of ``Healthy People 2000''

(Full Report; Stock No. 017-001-00474-0) or ``Healthy People 2000''

(Summary Report; Stock No. 017-001-00473-1) referenced in the

``Introduction'' through the Superintendent of Documents, Government

Printing Office, Washington, DC 20402-9325, telephone (202) 783-3238.

Dated: June 21, 1994.

Ladene H. Newton,

Acting Associate Director for Management and Operations, Centers for

Disease Control and Prevention (CDC).

Certified to be a true copy of the original.

Dated: June 21, 1994.

Angie Frey,

Certifying Officer.

[FR Doc. 94-15477 Filed 6-24-94; 8:45 am]

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