Available Funding and Funding Priorities for Utah
Deadline: Friday, March 24, 2017
Notification of award: April 17, 2017
Grant period: May 01, 2017 - December 31, 2017
All grant proposals must address the March of Dimes mission of improving the health of babies by preventing birth defects, premature birth, and infant mortality. Proposals will be accepted from organizations with the demonstrated capacity, competence and experience to accomplish project goals and objectives. The March of Dimes does not fund billable health care provider services. All proposals must detail how they measure program outcomes.
Proposed projects must aim to improve access to or delivery of care or education to pregnant women/women of childbearing age or to deliver education to health care providers in one or more of the following priority areas:
- Encouraging women to space pregnancies at least 18 months apart: Fully one-third of all pregnancies in the U.S. occur less than 18 months after the birth of a child. Interpregnancy spacing (the time between the end of one pregnancy and the beginning of the next one) of less than 18 months is associated with higher rates of premature birth and maternal complications, with very short pregnancy spacing (<6 months) carrying the highest risk. In fact, there is nearly a 4-fold increase in spontaneous early preterm births among women with very short pregnancy spacing of < 6 months.1 Prolonging interpregnancy intervals to greater than 18 months would measurably reduce national preterm birth rates. 1 Rodrigues T, Barros H. Short interpregnancy interval and risk of spontaneous preterm delivery. Eur J Obstet Gynecol Reprod Biol. 2008;136(2):184-188.
- Increasing education of and use of progesterone for women with a history of prior preterm birth. Weekly injections for at-risk women are proven to reduce preterm births in subsequent pregnancies but this therapy is dramatically underutilized.
- Increasing use of low-dose aspirin to prevent preeclampsia: Preeclampsia involves high blood pressure and other factors during pregnancy, which can ultimately threaten the life or health of both mother and baby and can only be cured by delivering the infant, regardless of its gestational age. The U.S. Preventive Services Task Force recommends all at-risk women take a daily low- dose aspirin, but few use this therapy.
Priority counties/areas in Utah include those with one or more of the following:
- High burden/high volume of preterm births (specifically Carbon, Emery, Garfield, Kane, Salt Lake, San Juan, Sevier, Tooele, and Weber counties)
- High rates of short interpregnancy interval (less than 6 months)
- High unintended pregnancy rates
- Low 17P utilization rates
- High rates of hypertension before or during pregnancy, preeclampsia, or eclampsia.
Of particular interest, funding may be used to address funding priority area #1 (birth spacing) through models that focus on pre and interconception health/pregnancy intention screening.
1. One Key Question® is a model that provides primary care health teams, community health workers, and other providers with a simple program to incorporate pregnancy intention screening, “Would you like to become pregnant in the next year?” into routine care and services. Women are then offered essential preconception care and reproductive health services (or referrals) depending on their needs.
One Key Question® grant sites can be individual clinics, health centers, community-based programs or agencies, or ideally, several partners within a community will come together to simultaneously implement – examples of partnerships:
- Clinics and Clinical providers: Ob/Gyn, family practice, primary care, midwifery, oral health care providers, etc
- Community-based organizations/non-clinical providers: promotoras, WIC, home visitors, community health workers, care coordinators, etc
- One agency/clinic/site may function as the coordinator/convener for their community partners (and as the lead grant applicant)
One Key Question® Proposals:
- If your proposal includes One Key Question® implementation, you will be asked to sign an Implementers Letter. The ONE KEY QUESTION® mark and program are the intellectual property of the Oregon Foundation for Reproductive Health. The Implementers Letters outlines minimum requirements to ensure fidelity of the program.
- In your budget/staffing plan, we suggest considering if time to coordinate planning, implementation and evaluation can be built into existing staff time or if consultant/coordinator time needs to be included in the grant budget (for staff not already employed full time). Also, in your budget under Operating Expenses, include support consultation, technical assistance and training from OFRH. This amount can vary and be up to $5,000. It is suggested you contact OFRH at firstname.lastname@example.org to assess feasibility at your site and required costs.
One Key Question: onekeyquestion.org
ACOG Committee Opinion 654, Reproductive Life Planning to Reduce Unintended Pregnancy: acog.org/Resources-And-Publications/Committee-Opinions/Committee-on- Health-Care-for-Underserved-Women/Reproductive-Life-Planning-to-Reduce-Unintended- Pregnancy
2. IMPLICIT and the Interconception Care Project. IMPLICIT (Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Technique) is a network founded in 2003 as a collaborative of family medicine residency programs throughout the Northeast United States. Its purpose is to educate faculty and residents about primary prevention of preterm birth. IMPLICIT recognizes that pregnancy outcomes often depend on the health and lifestyle of a woman prior to her first prenatal visit. Thus, health interventions aimed at improving health in the prenatal period alone, often fail to significantly reduce low birth weight and premature births. For this reason, IMPLICIT has developed an innovative new model for providing maternal care called the Interconception Care (ICC) Project.
The Interconception Care (ICC) Project focuses on maternal health screenings for four health risks during her child’s well child visits between the ages of 0 and 2 years. These risks are: smoking, depression, contraception use, and multivitamin intake. While new mothers may not establish primary care for themselves, they often accompany their infants to preventative health visits. Utilizing well child visits as an opportunity for screening new mothers for health risks may improve maternal care and future pregnancy outcomes.
Interconception Care Project grant sites can be clinics which are part of a family medicine or pediatric residency program, individual clinics, or community based health care centers.
IMPLICIT Interconception Care Proposals:
• In your budget/staffing plan, we suggest considering if time to coordinate planning, implementation and evaluation can be built into existing staff time. Also, in your budget under Operating Expenses, include the IMPLICIT membership fee which is $800. Multivitamins for distribution, patient education materials, EMR restructuring, and funding for contraception for uninsured should also be considered with budget planning.
• For interested partners, March of Dimes will be hosting a webinar on IMPLICIT. The webinar will take place on March 20, 2017 from 8:30am- 10:00am MT. Please contact Aimee Nussbaum at email@example.com if you are interested in joining the webinar. Additionally, more information on the IMPLICIT Toolkit can be found at www.prematurityprevention.org . Partners will need to log in to create an account and then click on ‘Toolkits & Reports’ in the drop down menu.
In order to be eligible to receive a March of Dimes community grant, the applicant must provide services in given State. The applicant organization must be an incorporated not-for-profit 501(c)(3) or for profit organization or government agency. The March of Dimes does not award grants to individuals. Applicants must disclose any conflict of interest due to representation by their organization on the chapter’s Program Services Committee or the Chapter or Division Board of Directors.
The March of Dimes does not fund billable health care provider services. The March of Dimes chapter community grants also do not fund scientific research projects. For information about research grants funded by the March of Dimes national office, please go to marchofdimes.com/research.
All grantees must (i) certify that they are not presently listed on the Federal Excluded Party List, debarred or suspended from the award of any federal or state contracts, or excluded from participation in any governmental medical reimbursement programs; and must (ii) attest that they /will comply with all laws and regulations (to include federal, state and local laws and regulations). Additionally, March of Dimes grantees may be screened to ensure that they are not debarred or suspended by the Federal Government and/or local State agencies.
Audited financials may be required prior to grant approval.
All chapter community grants are approved for one year only. Applicants may choose to submit a proposal that covers a two or three year project period. However, March of Dimes only awards funds for one year at a time (maximum three consecutive years). Funding for years two and three is not guaranteed and will be based upon March of Dimes review of progress and expenditures and the availability of funds.
Multi-year project proposals must include a budget request and objectives for the two or three year time period under consideration, as well as a copy of the applicant's most recently audited financial statement.
Interested applicants must submit a proposal by the date listed above in the “Application Timeline and Funding Period.” Late submissions will not be reviewed. Proposals must:
- Adhere to the “Proposal Template” listed below
- Be no longer than 15 double-spaced pages (excluding Appendices); proposals that exceed 15 pages will not be reviewed
- Have a font size of 12 points or greater
- Have margins of at least 1 inch on all four sides
- Application text should be on one side only
- If this is a second or third year request to continue your project’s March of Dimes funding, attach your most recent grant progress and expenditure reports (no page limitation).
Applicants must submit one hard copy original proposal application (with original signatures in appropriate places) to the local division office by Application deadline. Applicants should also send an electronic (email) PDF version of the original hard copy proposal application with all components scanned as one compressed PDF file to the local division staff person. The hard copy application and the PDF application MUST be identical. No changes can be made to either version once they are submitted. Do NOT fax applications. Late applications will not be accepted.
The full proposal template can be found in Appendix D. Applicants should answer all questions and include all components in submitted proposals. Submitted proposal with incomplete information will not be reviewed.
- Project Overview
- Project Abstract
- Project Description
- Project Objectives/Activities/Evaluation Methods/Outcomes Template
- Optional Supplemental Information
Upon notification of grant award, grantee must sign the March of Dimes chapter grant agreement. If you are interested in reviewing the March of Dimes chapter grant agreement prior to being notified if you have received a March of Dimes grant, contact the March of Dimes chapter.
March of Dimes grantees are required to report on project progress and results six months into the grant agreement and at project end.
Grantees must also get written approval from the March of Dimes chapter for any changes in project design or implementation, variance from the submitted budget, or changes in staff overseeing the project.
+Primary and secondary purpose categories
Please refer to the March of Dimes Utah Community Grant RFP 2017 document that can be accessed by clicking “Apply,” above.
+Additional information about project objectives and outcomes
Project objectives should be specific and measurable. For example:
- One measurable objective of this project is to increase the percentage of pregnant women enrolled who have a prenatal visit in the first trimester of pregnancy from 40% (baseline) to 50% as measured by medical records review.
- One measurable objective of this project is to decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured by medical records review.
Outcomes are benefits to clients from participation in the program, yet are often mistaken with program outputs or units of services such as the number of clients who went through a program. Outcomes for March of Dimes projects are usually in terms of changes in knowledge, behavior, or birth outcomes. To measure outcomes, baseline data is needed for comparison with data collected during and after project implementation. Below are sample objectives to give you ideas for content and wording about outcomes. Please notice the references to baseline data.
- Knowledge Change - By MM/YY, 60% of program participants will demonstrate an increase in the perinatal knowledge test as measured by pre/post-tests. (Baseline will come from pre-test results.)
- Intent to Change Behavior - By MM/YY, 80% of participants will agree to make at least one positive behavior change as a result of attending the prenatal classes as measured by client interviews. (Baseline will come from intake interviews.)
- Behavior Change - By MM/YY, the number of women accessing adequate perinatal care (at least 13 prenatal visits beginning in the first trimester of pregnancy) at XYZ Health Center will increase from 125/year (baseline) to 150/year through the services of a Patient Navigator as measured by a review of client records.
- Change in Birth Outcome - By MM/YY, decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured medical records review.
+Allowable and non-allowable costs
Allowable Costs Include:
- Salary - grant funds may be used to cover salaries for project-related employees, but cannot be used to pay salary costs for employees who are already employed full-time. Exceptions may be made in circumstances where a specified position is supported primarily by grant funds and the applicant can demonstrate that the requested funds would replace existing grant funds.
- Consultant fees.
- Materials and supplies (e.g. office supplies, health-related materials, refreshments, incentives) necessary to accomplish the specific objectives of the proposal that are usually "used up" in the course of the project. Incentives are items used to enable or ensure participants are able to take advantage of services provided by grantees, for example metro or bus cards to assist women in attending prenatal care appointments or educational sessions.
- Printing and travel that are reasonable and necessary for project implementation. March of Dimes funds may NOT be used to pay for first class travel.
- Facilities - rental costs associated with using a physical location for an activity necessary to accomplish the specific objectives of the proposal are permitted.
- Indirect costs are allowable for grants of $25,000 or more only and cannot exceed 10% of total costs.
Non-Allowable Costs Include:
- Salary costs for staff who are already employed full-time by their organization (see exceptions above).
- Construction, alteration, maintenance of buildings or building space.
- Dues for organizational membership in professional societies.
- Tuition, conference fees or awards for individuals.
- Cash stipends for individuals
- Billable services provided by physicians or other providers.
- Permanent equipment (e.g. computers, video monitors, software printers, furniture) unless essential to project implementation and not available from other sources.
- Educational materials that do not meet the quality or evidence-based standards provided by March of Dimes
- Indirect costs for grants under $25,000.
- Advertising materials and purchase of media time/space: Budget costs relating to these items may not be allowable depending on project specifics. Please consult with the chapter contact listed in this application regarding whether proposed items are allowable.