Assistance Programs for Chronic Disease Prevention and Control

To work with State health agencies and other public and private nonprofit organizations in planning, developing, integrating, coordinating, or evaluating programs to prevent and control chronic diseases; assist in monitoring the major behavioral risks associated with the 10 leading causes of premature

death and disability in the United States including cardiovascular diseases; and, establish new chronic disease prevention programs like Racial and Ethnic Approaches to Community Health (REACH).
Related Programs

Examples of Funded Projects

The Cardiovascular Health Program (CVH): The New York Healthy Heart Program has partnered with its Dairy Council to educate the public about the benefits of drinking low-fat milk.

The campaign increased the sale of milk by five percent and the sale of low fat milk by 15 percent.

It has also assessed more than 600 businesses concerning a heart healthy worksite.

Based on this assessment over 300 worksites have implement changes to make it easier for their employees to be heart healthy during the workday: workday: offering low-fat food choices in vending machines, being smoke-free, smoke-free, providing physical activity breaks during the workday, making stairwells safe, and safe, and encouraging employees to be physically active.

The North Carolina CVH Carolina CVH Program provided the Strike Out Stroke program that targets hypertension targets hypertension in African Americans in partnership with the North the North Carolina Association of Pharmacies and through local health departments.

The Missouri CVH Program partners with the State Diabetes State Diabetes Control Program (DCPC) and Federal qualified health centers to improve to improve outcome measures related to Diabetes and CVD.


Alabama Arthritis Program has effectively partnered with the Alabama Division of Senior Services to expand the use of an effective arthritis physical activity program.

Senior Services has incorporated this program as a core activity at nutrition sites.

Nutrition coordinators have been trained as program leaders.

Using this systems approach, the Alabama Arthritis Program has tripled the number of people participating in the program.

The Tennessee Arthritis Program has successfully partnered with the Tennessee Agricultural Extension Service to expand the reach of an evidence-based self management program, the Arthritis Foundation Self Help Course.

More than 500 people have been reached through this partnership.

REACH U.S.: The Breast and Cervical Cancer Coalition at the University of Alabama at Birmingham works to increase breast and cervical cancer screening rates for African American women throughout the state.

In Choctaw County, African American women were much less likely to get a mammography screening compared with white women.

In 8 years, the proportion of African American women who received mammography screenings increased from 29% to 61%, surpassing the rate for white women by 13%.

In Dallas County, a lower mammography screening rate for African American women (30%) compared with white women (50%) was virtually eliminated during the same time.

According to data from the eight counties that the Alabama REACH program focuses on, the gap in mammography screening rates between African American and white women decreased by 76% over the same 8-year period.

The REACH Charleston and Georgetown Diabetes Coalition focuses on diabetes care and control for more than 12,000 African Americans with diabetes.

As a result of the coalition's work, a 21% gap in annual blood sugar testing between African Americans and whites has been virtually eliminated.

In addition, more African Americans in the target area are getting the recommended annual tests to monitor their cholesterol levels and kidney function and being referred for eye exams and blood pressure checkups.

Lower-extremity amputations among African Americans with diabetes also have decreased sharply.

For example, in Charleston County, the percentage of amputations among African American men with diabetes who were hospitalized decreased by nearly 54% in 7 years.

In Georgetown County, the rate decreased 54% in 3 years.

The REACH Latino Health Project developed culturally tailored interventions to reduce the diabetes burden in the Latino community.

As a result, participants showed dramatic improvements in control of high blood sugar and high blood pressure, which are risk factors for diabetes-related complications.

In the span of 3years,bloodsugarmeasures below 7.0 improved by 8.7%, systolic blood pressure below 130 mm Hg improved by 17.5%, and diastolic blood pressure below 80 mm Hg improved by 14.4%.

In addition, the proportionof participants who were referred for eye exams improved 26.5%.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Appendix IV.

Relevant Nonprofit Program Categories

Program Accomplishments

Cardiovascular Health Program (CVH): CDC funded 32 States and DC in 2005. Fourteen of the 33 States are funded for basic implementation programs and 19 States are building core capacity for cardiovascular health. State CVH programs are defining the CVD burden within their State; developing a comprehensive CVH State Plan with emphasis on developing heart-healthy policies, changing physical and social environments, and reducing disparities; and designing population- based strategies for the primary and secondary prevention of CVD and promotion of CVH. REACH U.S.: Supported by CDC, funds 40 REACH U.S. communities: 18 Centers of Excellence in the Elimination of Health Disparities (CEEDs) and 22 Action Communities. CEEDs have expertise working with specific racial and ethnic groups, and they will be able to widely disseminate effective strategies and train new community partners. The Action Communities will implement and evaluate successful practice-based or evidence-based approaches and programs to impact population groups rather than individuals. Effective strategies will be applied through innovative and nontraditional partnerships at the community level. CEEDs and Action Communities target one or more racial and ethnic groups, including African American, American Indian/Alaska Native, Asian American, Native Hawaiian/Pacific Islander, and Hispanic/Latino. Health focus areas include breast and cervical cancer, cardiovascular disease, diabetes, asthma, adult/ older adult immunizations, infant mortality, hepatitis B, and tuberculosis.can, Native Hawaiian/Pacific Islander, and Hispanic/Latino. Health focus areas include breast and cervical cancer, cardiovascular disease, diabetes, asthma, adult/older adult immunizations, infant mortality, hepatitis B, and tuberculosis.

Uses and Use Restrictions

Grant funds may be used for costs associated with planning, implementing, and evaluating chronic disease prevention and control programs.

Cooperative agreement funds may not be used for direct curative or rehabilitative services.

Eligibility Requirements

Applicant Eligibility

Eligible applicants are the official State and territorial health agencies of the United States, the District of Columbia, tribal organizations, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, the Republic of Palau, and American Samoa.

Other public and private nonprofit community based organizations are also eligible (see REACH).

Beneficiary Eligibility

State health agencies and community based organizations will benefit.


Applicants should document the need for assistance, State the objectives of the project, outline the method of operation, describe evaluation procedures, and provide a budget with justification for funds requested. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments, OMB Circular No. A-21 for Educational Institutions, and OMB Circular No. A-122 for nonprofit organizations.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not required.

Applications are subject to the review requirements of the National Health Planning and Resources Development Act of 1974, as amended, by the Health Planning and Resources Development Act of 1979.

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92 and 74. The standard application forms, as furnished by PHS and required by 45 CFR 92 for State and local governments, must be used for these programs.

Award Procedures

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.


Contact CDC Headquarters Office for application deadlines.


Public Health Service Act, Sections 301(a) and 317(a), and (k)(2), as amended.

Range of Approval/Disapproval Time

From three to four months.


Not applicable.


After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Assistance Considerations

Formula and Matching Requirements

There are no specific matching requirements except for the Basic Implementation states for the Cardiovascular Health Program which requires a 20 percent match from State health agencies.

Length and Time Phasing of Assistance

Project Period: From 3 three to 5 five years. Budget period: Usually 12 months.

Post Assistance Requirements


Progress reports are required on a semi-annual basis.

An annual Financial Status Report (FSR) is required.

Financial status reports are required no later than 90 days after the end of each specified funding period.

Final financial status and progress reports are required 90 days after the end of a project.


In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a a program-specific audit conducted for that year. Nonfederal entities that that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.


Financial records, supporting documents, statistical records, and all other records pertinent to the cooperative agreement program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification



(Grants) Financial Assistance: Cardiovascular (CVH): FY 07 est $30,500,000; FY 08 $26,664,828; and FY 09 est $30,500,000. REACH U.S.: FY 07 est $23,837,394; FY 08 est $23,837,394 and FY 09 est $23,837,394.

Range and Average of Financial Assistance

CVH: Core Programs: Capacity Building: $250,000 to $350,000; $300,000. Basic Implementation: $900,000 to $1,350,000; $1,250,000. REACH U.S.: Centers of Excellence in the Elimination of Health Disparities (CEEDs): Average $850,000 Action Communities: Average ~$400,000.

Regulations, Guidelines, and Literature

There are program regulations under 42 CFR 51b, Project Grants for Preventive Health Services. Guidelines are also available from PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, applies to grants and cooperative agreements.

Information Contacts

Regional or Local Office

See Appendix IV.

Headquarters Office

Cardiovascular Health Program Contact: Nancy Watkins, Teamleader, Program Services Team, Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and Human Services, 4770 Buford Hwy., MS K47, Atlanta, GA 30333. Telephone: (770) 488-8004. Program Contact: Mike Waller, Deputy Director, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and 4770 Buford Hwy., MS K45, Atlanta, GA 30333. Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: Telephone: (770) 488-5269. Grants Management Contact: Nealean Austin, Team Lead, Carlos M. Smiley, Grants Management Officer/Contracting Officer, Branch B, Procurement and Grants Office, Centers for Disease Control and Prevention, Department of Health and Human Services, 2920 Brandywine Road, Suite 3000, Atlanta, GA 30341. Telephone: (770) 488- 2754.

Criteria for Selecting Proposals

Based on the evaluation criteria as published in the program and/or Federal Register Announcement.

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