Purpose:
To provide funding to non-governmental entities, local public health offices, school districts, local housing authorities, local transportation authorities or American Indian tribes and Alaskan Native villages and tribal organizations to work through established multi-sectoral community

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coalitions that represent one of 3 designated geographic areas:
1. Large Cities and Urban Counties (with populations of 500,000 or more), 2. Small Cities and Counties (with populations between 50,000-499,999), 3. American Indian tribes and Alaskan Native villages and tribal organizations.

Awardees will enhance their existing infrastructure by improving their staffing and fiscal management to meet the needs of the PICH FOA and maintain a functioning multi-sectoral community coalition.

Required planning activities for PICH include developing a strong CAP.

In addition, awardees must develop sound measurement plans including:
1) the estimation of the number of people with increased access to healthier environments as a result of implemented strategies from the CAP, and 2) demonstration of increased actual use of at least one healthier environment implemented by the awardee.

Funding will support implementation of evidenced- and practice-based strategies that address previously-identified community gaps and needs within a defined jurisdiction in order to reduce the prevalence of chronic disease and related risk factors.

In order to reduce heart disease, stroke, diabetes, and obesity, population-based strategies should have both broad reach and moderate to large effects on chronic disease risk factors.

These strategies and how they will be implemented should be described in awardee’s CAP.

Strategies should focus, at a minimum, on two of the following four chronic disease risk factors or community conditions to reach a minimum of 75% of the population within a jurisdiction:
• Tobacco use and exposure, • Poor nutrition, • Physical inactivity, and • Lack of access to chronic disease prevention, risk reduction, and management opportunities.

A targeted strategy must be identified and implemented to achieve a reduction in a health disparity experienced by one or more priority populations.

Specifically, applicants are required to target special efforts toward priority populations at disproportionate risk for chronic diseases or conditions.

All Americans should have equal opportunities to make healthy choices that allow them to live long, healthy lives, regardless of their income, education, race/ethnic background, sexual orientation, gender identity, or other factors.

Health disparities represent preventable differences in the burden of disease, disability, injury or violence, or in opportunities to achieve optimal health.

Recipients will describe the intervention population selected, including relevant health disparities, and how selected interventions will improve health and reduce or eliminate one or more identified health disparities.

All activities supported through this FOA must contribute to area-wide health improvements and reductions in health disparities and should be based on a robust analysis of area health burden overall and across population subgroups (population subgroups may be defined by factors such as race or ethnicity, gender, age [e.g., youth, the elderly], education or income, disability, geographic location, or sexual orientation, among others).

In addition, awardees are expected to routinely communicate to partners, the public, decision makers, and key stakeholders about the work funded under this FOA, and disseminate the results of their work to decision makers and the public, as appropriate.

Finally, in order to expand the evidence-base for effective community strategies, one innovative strategy based on evidence and/or best practices (as defined in the glossary) may be selected and implemented with assistance from CDC on an outcome evaluation plan to determine effectiveness.