Reducing Inequities in Cancer Outcomes through Community-Based Interventions on Social Determinants of Health

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Opportunity ID: 328316
Opportunity Number: RFA-DP-21-003
Opportunity Title: Reducing Inequities in Cancer Outcomes through Community-Based Interventions on Social Determinants of Health
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Cooperative Agreement
Category of Funding Activity: Health
Category Explanation:
CFDA Number(s): 93.068
Eligible Applicants: State governments
County governments
City or township governments
Special district governments
Independent school districts
Public and State controlled institutions of higher education
Native American tribal governments (Federally recognized)
Public housing authorities/Indian housing authorities
Native American tribal organizations (other than Federally recognized tribal governments)
Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education
Private institutions of higher education
For profit organizations other than small businesses
Small businesses
Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled “Additional Information on Eligibility”
Additional Information on Eligibility:
Agency Code: HHS-CDC-HHSCDCERA
Agency Name: Department of Health and Human Services
Centers for Disease Control and Prevention – ERA
Posted Date: Jul 23, 2020
Last Updated Date: Jul 23, 2020
Estimated Synopsis Post Date: Dec 02, 2020
Fiscal Year: 2021
Award Ceiling: $1,000,000
Award Floor: $0
Estimated Total Program Funding: $15,000,000
Expected Number of Awards: 3
Description: A large body of scientific evidence links nonmedical factors, such as economic opportunities and living conditions, with health. The COVID-19 pandemic has brought increased national attention to the many societal-level inequities impacting racial and ethnic groups at increased risk of poor health. Societal-level factors such as discrimination, poverty, housing type, access to nutritious food, schools, transportation, and occupational structure shape opportunities over a lifetime. These factors, commonly referred to as social determinants of health, also explain long-standing and well-documented racial and ethnic disparities in cancer outcomes. Interventions that address determinants of health at the population-level have been shown to have greater public health impact than interventions aimed only at individuals. Various system and policy interventions have been suggested or are being implemented to address social determinants of health, but the available evidence is very limited on the impact of such interventions on outcomes related to cancer prevention, cancer screening, and the health and wellness of cancer survivors. This research NOFO seeks to answer the question, how can we address disparities in cancer outcomes through community-based interventions on social determinants of health? The purpose of this NOFO is to conduct evaluation research to build an evidence base of innovative, community-based interventions across multiple domains of social determinants of health to reduce cancer-related health disparities. For this NOFO, evaluation research is defined as the systematic application of public health research procedures for assessing the conceptualization, design, implementation, effectiveness and utility of public health interventions. This research would advance our understanding of what works, for whom and why. CDC funded programs, other partners, the broader public health community, decision makers, and the public could use the results of the research to inform community-based efforts related to three priorities: primary cancer prevention (reduce cancer risk); cancer screening (improve screening uptake and diagnostic follow-up care as recommended); and cancer survivors (enhance health and wellness after a cancer diagnosis). The activities in the NOFO will be conducted under three separate Components of funding: Component A: Primary Cancer Prevention – to conduct evaluation research on an innovative, multi-sector intervention to reduce cancer risk in one or more socially or economically disadvantaged populations. This research will examine the implementation, impact, and causal mechanisms of the intervention’s effect to reduce cancer risk at the population level. Component B: Cancer Screening – to conduct evaluation research on an innovative, multi-sector intervention to reduce inequities in the receipt of appropriate screening services (on-time initial screening, routine re-screening at recommended intervals, appropriate follow-up after inconclusive/incomplete screening) among one or more socially or economically disadvantaged populations. This research will generate knowledge about the implementation, impact, and causal mechanisms of the intervention’s effect on cancer screening outcomes. Component C: Health and Wellbeing of Cancer Survivors – to conduct evaluation research on an innovative, multi-sector intervention to address barriers to health and well-being among cancer survivors from one or more socially or economically disadvantaged populations. This research will generate knowledge about the implementation, impact, and causal mechanisms of the intervention’s effect on the health and wellbeing of cancer survivors. Applicants may apply for one Component (Component A or Component B or Component C).
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