**U.S. Department of Health and Human Services**

**Health Resources and Services Administration**

*HIV/AIDS Bureau*

*Global HIV/AIDS Program*

***Global HIV/AIDS Nursing Capacity Building Program***

*New Competitive Announcement*

*Announcement Number: HRSA-06-069*

**Catalog of Federal Domestic Assistance (CFDA) No. 93.145**

> []{.mark}

**PROGRAM GUIDANCE**

Fiscal Year 2006

Letter of Intent Due Date: *November 1, 2005*

**Application Due Date: *December 23, 2005***

**Release Date: *September 30, 2005 ***

**Date of Issuance*: September 30, 2005***

> *Carolyn Hall*
>
> *Nursing Coordinator, HRSA/HAB Global AIDS Office*
>
> *Telephone: 301-443-2733*
>
> *Fax: 301-443-9645*

Authority: Section 301(a) and 307 of the Public Health Service Act, 42
U.S.C. Sections 241(a) and 242*l*

**Overview**

This notice announces the availability of funds for a Cooperative
Agreement for a Nursing Capacity Building Program to support and enhance
the role of nurses in HIV/AIDS care as part of the implementation of the
President's Emergency Plan for AIDS Relief. The purpose of this funding
is for a HIV/AIDS nurse training and leadership development program in
three countries severely affected by HIV/AIDS.

One award of \$500,000 per year for three years is anticipated pending
availability of funds. Eligible applicants include public and private
nonprofit entities, nursing training institutions, and nursing or other
professional organizations. Faith-based and community-based
organizations are eligible to apply.

No cost sharing is required. Each applicant is limited to one
application.

> This program is authorized under Section 301(a) and 307 of the Public
> Health Service Act, 42 U.S.C. Sections 241(a) and 242*l*.

**Table of Contents**

[I. Funding Opportunity Description 4](#__RefHeading___Toc47265096)

1\. [Purpose 4](#__RefHeading___Toc47265097)

2\. [Background 4](#__RefHeading___Toc47265098)

3\. Program Description 7

[II. Award Information 12](#__RefHeading___Toc47265100)

1\. Type of Award 12

2\. [Summary of Funding 13](#__RefHeading___Toc47265102)

[III. Eligibility Information 13](#__RefHeading___Toc47265103)

[1. Eligible Applicants 13](#__RefHeading___Toc47265104)

[2. Cost Sharing/Matching 13](#__RefHeading___Toc47265106)

3\. Other 13

Maintenance of Effort 13

[IV. Application and Submission Information
13](#__RefHeading___Toc47265110)

[1. Address to Request Application Package 13](#Application_materials)

[*Application Materials* 13](#__RefHeading___Toc47265114)

[2. Content and Form of Application Submission
14](#__RefHeading___Toc47265115)

> [*Application Format Requirements*
> 14](#Application_formatrequirements)
>
> [*Application Format* 15](#__RefHeading___Toc47265117)

[**i.** ***Application Face Page*** 15](#__RefHeading___Toc47265118)

[**ii.** ***Table of Contents*** 15](#__RefHeading___Toc47265119)

[**iii.** ***Application Checklist*** 15](#__RefHeading___Toc47265120)

[**iv.** ***Budget*** 15](#__RefHeading___Toc47265121)

[**v.** ***Budget Justification*** 15](#__RefHeading___Toc47265122)

[**vi.** ***Staffing Plan and Personnel Requirements***
17](#__RefHeading___Toc47265123)

[**vii.** ***Assurances*** 17](#__RefHeading___Toc47265124)

[**viii.** ***Certifications*** 17](#__RefHeading___Toc47265125)

[**ix.** ***Project Abstract*** 17](#__RefHeading___Toc47265126)

[**x.** ***Program Narrative*** 18](#__RefHeading___Toc47265128)

[**xi.** ***Appendices*** 20](#__RefHeading___Toc47265130)

[3. Submission Dates and Times 20](#refheading___toc47265131)

[4. Intergovernmental Review 22](#Application_materials)

[5. Funding Restrictions 22](#__RefHeading___Toc47265139)

[6. Other Submission Requirements 22](#__RefHeading___Toc47265140)

[V. Application Review Information 24](#__RefHeading___Toc47265142)

[1. Review Criteria 24](#__RefHeading___Toc47265143)

[2. Review and Selection Process 26](#__RefHeading___Toc47265144)

[3. Anticipated Announcement and Award Dates
27](#__RefHeading___Toc47265150)

[VI. Award Administration Information 27](#__RefHeading___Toc47265153)

[1. Award Notices 27](#__RefHeading___Toc47265154)

[2. Administrative and National Policy Requirements
27](#__RefHeading___Toc47265156)

[3. Reporting 29](#__RefHeading___Toc47265158)

[VII. Agency Contacts 30](#__RefHeading___Toc47265160)

Viii[. Tips for Writing a Strong Application
30](#__RefHeading___Toc47265165)

[]{#__RefHeading___Toc47265096 .anchor}**I. Funding Opportunity
Description**[]{#__RefHeading___Toc47265097 .anchor}

**1. Purpose**

The purpose of this award is to fund the Global HIV/AIDS Nursing
Capacity Building Program (Program). The Program serves to support and
enhance the role of nurses in countries severely impacted by HIV/AIDS
through training and leadership development. The awardee will implement
a capacity building model in three countries under the President's
Emergency Plan for AIDS Relief (Emergency Plan). The objective of this
program is to establish a nurse training and leadership development
program in countries funded under the Emergency Plan, in partnership
with the Ministers of Health and US government in-country teams.

Training activities include pre-service and in-service didactic
training, mentorship, and ongoing projects that are applicable to the
learners' environment. Leadership development activities will examine
social issues such as power, oppression, gender and stigma. Leadership
development will address items such as community building, empowerment,
assertion and negotiation skills, utilization of data, and implications
of policy changes. Evaluation of this training will examine knowledge
and capabilities of learners.

Outcomes will include enhanced HIV nursing care, increased nurse
visibility and participation in community, health care and decision
making arenas. These outcomes will then contribute to the Emergency
Plan's overarching goals.

Funding of \$500,000 per year, for three years is anticipated pending
availability of funds. The first year's funding may include support for
the initial needs assessment and project plan. After the first year of
funding, the \$500,000 award will be utilized for planning and
administrative support. The awardee is expected to consult with
Emergency Plan in-country agencies and petition for funding of direct
services through country operational plans via the Health Resources and
Services Administration (HRSA).

[]{#__RefHeading___Toc47265098 .anchor}**2. Background**

The global HIV/AIDS pandemic is one of the greatest challenges of our
time. In 2004, an estimated 38.4 million adults and children were living
with HIV/AIDS and an estimated 4.9 million people were newly infected
with HIV. During that same year, more than 3 million people died of
AIDS. The hardest hit region by far is sub-Saharan Africa, which
accounts for 70% of all HIV/AIDS cases, followed by South-East Asia,
Latin America and the Caribbean. The high AIDS mortality rates in
Sub-Saharan Africa contrast sharply with the decreasing HIV-related
death rates in countries like the U.S., where antiretroviral drugs (ARV)
are available.

President George W. Bush announced in his 2003 State of the Union
address the President's Emergency Plan for AIDS Relief, a five-year,
\$15 billion initiative to turn the tide in combating the global
HIV/AIDS pandemic. This unprecedented commitment of resources will help
the most affected countries in Africa, the Caribbean, and Vietnam wage
and win the war against HIV/AIDS, extending and saving lives.

The 5-year goals of the Emergency Plan are to treat 2 million HIV
infected people, prevent 7 million new HIV infections, and care for 10
million HIV-infected individuals and AIDS orphans.

Implementing departments and agencies for the Emergency Plan are the
Department of State, Department of Health and Human Services (DHHS),
United States Agency for International Development (USAID), Department
of Defense (DOD), Peace Corps (PC), Department of Labor (DOL), and
Department of Commerce (DOC). Through inter-agency collaboration, the
Emergency Plan is implemented as a single, unified U.S. Government team.
In-country DHHS partnerships are fostered and supported through staff
from the Centers for Disease Control and Prevention (CDC). All Emergency
Plan activities are coordinated by the Office of the Global AIDS
Coordinator (OGAC), under leadership of Ambassador Randall Tobias, the
Global AIDS Coordinator.

The Emergency Plan's focus is on 15 countries: Botswana, Cote D'Ivoire,
Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda,
South Africa, Tanzania, Uganda, Vietnam and Zambia. These 15 countries
represent 50% of all HIV-infected people in the world, including 70% of
all HIV-infected individuals in sub-Saharan Africa and the Caribbean.
There are over 30 other countries that receive additional support.

The goal of the Emergency Plan is to apply best practices in prevention,
treatment and care, and improve coordination and management across all
United States Government (USG) bilateral HIV/AIDS programs. Emergency
Plan funding is used to expand existing programs and create new programs
to serve more people with HIV/AIDS in these countries.

> []{.mark}

The Emergency Plan's country operational plan (COP) integrates
prevention, treatment, and care through a layered network of central
medical centers that support satellite centers and mobile units. The
plans also include improving the health care infrastructure, training
health care workers, providing voluntary counseling and testing,
encouraging awareness and behavior change, fighting stigma, and
administering medicines.

Partners with the Emergency Plan include: country governments;
faith-based and community- based organizations; private corporations;
donor and developing nations; and international organizations such as
the United Nation's Children Fund (UNICEF), the Joint United Nations
Program on HIV/AIDS (UNAIDS), the World Health Organization (WHO), and
the Global Fund for AIDS, Tuberculosis and Malaria (GFATM). Many of the
focus countries require substantial assistance in capacity development
in order to strengthen the health care system for scaling up
antiretroviral treatment.

As the lead domestic agency for developing safety-net healthcare
programs for people living with HIV and AIDS, HRSA has the unique
experience of building capacity for care and support programs in
under-resourced and isolated areas. HRSA supports the development of
clinical and supportive programs in communities by investing heavily in
the training of health care providers, the development of service
planning bodies and the provision of technical assistance to
organizations working along the spectrum of HIV/AIDS care. Leadership at
the DHHS recognizes the unique contribution that HRSA makes in reducing
the impact of HIV on individuals and communities.

[]{.mark}

In 2000, Congress provided funding for HRSA and the CDC to assist in
Global HIV/AIDS efforts. In that year, the agency introduced its Global
HIV/AIDS Program to help support HHS' and CDC's efforts to counter the
epidemic in severely affected regions of the world. HRSA and its
grantees now develop, implement and support HIV/AIDS education and
training, technical assistance, health information management systems,
partnerships, and care and treatment programs worldwide.

Some key components and strategies of the HRSA's Global HIV/AIDS Program
include:

-   Supporting training activities and partnerships to develop human and
    organizational capacity;

-   Strengthening clinical and administrative systems to build networks
    of comprehensive HIV/AIDS care;

-   Designing innovative care and support models to remove barriers to
    care;

-   Assessing the effectiveness of specific models of care to promote
    adaptation of best practices; and

-   Enhancing the capacity of HRSA's partners to collect, monitor, and
    evaluate data for quality services.

HRSA's Global HIV/AIDS Program accomplishes its mission by creating
effective institutional and community relationships to enhance
sustainable local expertise in HIV/AIDS care, treatment, and support.
HRSA established global AIDS partnerships with other US government
agencies, foreign ministries of health, academic institutions,
faith-based and non-governmental organizations, and other members of the
international community in the following program areas:

-   Providing service organizations with training and technical
    assistance to improve prevention, treatment, care, and quality of
    life for persons infected with and affected by HIV/AIDS;

-   Strengthening education and training for persons infected with and
    affected by HIV/AIDS;

-   Promoting sustainability for HIV/AIDS systems, networks, and
    providers;

-   Promoting change in attitude and beliefs to combat the stigma of
    HIV/AIDS; and

-   Providing assistance in shaping HIV/AIDS policy, guidelines, and
    protocols.

HRSA's Global HIV/AIDS Program recognizes that nurses are vital to
effectively address the HIV/AIDS pandemic. Nurses provide the majority
of care in the developing world, and are often the primary caregivers of
people with HIV/AIDS. This is especially true in the majority of
developing countries where nurses greatly outnumber physicians. Indeed,
in many health centers and health posts, nurses are the only health
providers, and must often diagnose and treat conditions despite having
never been trained to perform that function.

Despite great advances in prevention and treatment of HIV/AIDS, rates of
infection continue unabated in many parts of the developing world.
Several factors are fueling the epidemic: poverty, migration, economic
and gender disparities as well as the widespread stigmatization of
HIV/AIDS which hampers educational and prevention efforts. As more
people are becoming sick with AIDS and medications are increasingly
available, demands on the vulnerable nursing workforce of the developing
world are increasing.

The nursing workforce is heavily impacted by the devastation of
HIV/AIDS. Many nurses personally suffer from the effects of AIDS in
their communities, yet are called upon to provide care to great numbers
of people living with HIV/AIDS. Migration of nurses continues to
escalate in many countries. Political concerns, a weakened health care
and education system, and lack of basic resources are barriers many
nurses must negotiate.

Previous attention at HRSA has been paid to the growing problem of
nursing shortages. In 2003, HRSA partners conducted a day-long program
at a national nursing conference to encourage and inform nurses on
international HIV/AIDS opportunities. Other initiatives by HRSA partners
include an assessment and analysis of the nursing workforce and nurse
education for pre-service and in-service at university nursing schools.

**3. Program Description**

The Nursing Capacity Building Program should consist of strategic
implementation steps that will evolve at a rapid pace to meet the needs
of the Emergency Plan.

**Assessment**

In the initial year of funding, the grantee should perform an
environmental scan, assessing the social and nursing cultural context in
terms of the capacity building needs of nurses caring for a range of
persons with HIV infection. With direct participation and collaboration
of in-country nurses, the Program should develop and carry out an
assessment of nursing practice and work environments in three countries,
or review the existing plan for opportunities to build sustainable
capacity among nurses. The assessment should use existing information
whenever feasible.

The assessment should cover the project service area and utilize various
data sources to demonstrate:

(1) an understanding of the HIV/AIDS epidemic in the target
    country/region;

(2) capacity building needs and issues for nurses caring for people with
    HIV infection (e.g. barriers to accessing current and planned
    education and training activities such as cultural beliefs and
    traditional medicine; knowledge, skills and attitudes of nurses,
    particularly fear and stigma; needs of hard-to-reach practitioners
    and local nurse champions; the target nurses' preferences for method
    and training content);

(3) current resources available in the region/country for nursing
    education and training (e.g., in terms of training plans to improve
    care services, the local make-up of health systems, existing
    training programs such as nursing schools and in-service training
    programs, nursing associations and other educational programs as
    they affect the needs of training and leadership development; and

(4) gaps in nursing education and training content and methods to be
    addressed, as identified in the assessment.

An assessment of nurse leadership should examine one or all of these
levels, including contextual issues:

National Assessment:

-   nursing workforce (trends in size of workforce and age of workforce,
    recruitment/retention/brain drain to other countries, distribution
    of workforce across the country, different categories and
    educational levels of nurses and their expected job
    responsibilities);

-   policies, professional practice acts and licensure requirements that
    regulate or govern the practice of nursing;

-   support of political leaders, and influence of nursing within the
    Ministry of Health; processes by which budget for nursing services
    is allocated and at what level of government;

-   presence/absence of nursing association(s) in country and, if
    present, the scope of their membership and activities.

Provincial, State or District/County assessment:

-   structure and organization of nursing practice within the designated
    area;

-   allocation of budget resources for nurses and what current nurse
    salaries are by educational level, distribution of nurses within the
    area (urban, rural, hospital, clinic, etc);

-   role and function of most senior nursing professional within the
    unit/level of government and any participation they have in
    decision-making processes around health sector policies/human
    resources management.

Local level, Institutional level:

-   work environment of nurses, level of respect and autonomy for
    nurses, scope of nursing practice, job factors affecting morale and
    job retention including professional advancement;

-   work-related stressors, non-work related factors that impact nurses
    and their prioritization of their needs and assessment by local
    nurses of their hierarchy of needs that would improve both the work
    environment and patient outcomes.

The Program should assess the various needs of nurses; those of novice
and experienced nurses, and those in rural, urban, small and large
settings. The needs assessment should include components to determine
cultural appropriateness, linguistic differences and health literacy
skills essential to build the training capacity. This needs assessment
will provide the baseline data against which proposed capacity building
activities will be determined and measured.

**Work Plan**

The Program should develop a Work Plan that supports in-country nurses
to positively impact the environment of nursing practice and build
leadership skills. As such, the plan should be theoretically proven to
build capacity and reflect the needs of the in-country institutions and
stakeholders; findings of the needs assessment should be integrated into
the proposed program; the Work Plan should reflect and complement any
existing local or national plans to improve HIV/AIDS nurse care and
training, and clearly identify how the training and leadership program
will assist the country to achieve its goals.

The grantee should be flexible and creative in its response, working to
develop a critical mass of nurse leaders with an expertise in HIV/AIDS
care, prevention and treatment. Capacity building and technical
assistance should facilitate the adaptation of existing resources,
materials, and/or models into proposed activities. Methods of supporting
nurse-learners may include mentorships, the use of in- and
out-of-country nurses to provide peer support, sharing stories, the
support of local nurse-champions. Activities may include pre-service and
in-service didactic training, and ongoing projects that are applicable
to the learners' environment. Content of the Work Plan should encompass
a variety of topics including HIV prevention, care and treatment, as
well as fear and stigma of the community and nurses. Leadership
development activities may address items such as administrative
training, project management, and business and negotiation skills.
HIV/AIDS nurse training activities should include assessment, and
interventions of patient psycho-social needs and the use of case
studies.

HIV/AIDS nursing care may be integrated into the nursing curricula at
local schools of nursing. Applicable theories that can be applied to
HIV/AIDS nursing care and clinical education should be addressed. The
Work Plan should consider broadening the scope of nursing education to
include fostering advocacy skills and an awareness of policy issues as
they impact the work and lives of nurses.

Possible goals for the Work Plan may be to:

-   improve nurses clinical care of persons living with, or affected by
    HIV/AIDS

-   increase knowledge and ability to provide and direct palliative care

-   improve ability to pre- and post-test counsel a person or couple
    seeking an HIV test

-   strengthen the work of national nurses associations to respond to
    the needs and concerns of membership;

-   increase representation and participation in the policy-making
    dialogue within the Ministries of Health and/or Education regarding
    nursing and nursing education;

-   increase the representation and influence of nurse leaders on
    policies affecting nurse workforce and work conditions;

-   increase involvement in planning and carrying out in-service
    training support for nurses;

-   advocate for changes in the work environment and utilize nurses to
    increase both morale and efficiency of the available staff (e.g.
    scheduling, or negotiating with the director in to approve an
    in-service program);

-   create an opportunities for nurses to meet regularly as a group

-   support partnerships with educational institutions providing
    pre-service nursing education and training.

The Work Plan should include plans for scale-up from one to three
countries with an appropriate timeline. The Work Plan should be feasible
to replicate in countries severely impacted by HIV/AIDS and with a
weakened health care system. A component that addresses funding support
after the three year grant period should be included in the Work Plan.

Regional Platform

The Work Plan should describe the regional approach that would encompass
regionally placed resources for training, education and mentorship
similar to the regional training center concept. Location, logistical
information and rationale should be described. The Program will engage
in outreach efforts and take measures to ensure that hard-to reach
nurses are included. The grantee may consider providing education,
training, and mentorship activities outside of the regional office if
appropriate and indicated. Applicants may have one center of operations
to cover the described region, or an administrative office in each of
the three countries.

Nurse Workforce

The Program should address the potential negative effects of training
and leadership development on the nurse workforce. Plans to combat
possible migration and retribution of nurse learners should be
described. Service contracts and other methods of engaging nurse
learners to utilize their recently developed knowledge and skills in
support of in-country residence should be considered.

Stakeholders and Coordination

An important component to the capacity building program will be the
integration of stakeholders into the work plan. The grantee is
encouraged to develop a formal mechanism for stakeholder buy-in. The
Program will be required to work closely with in-country partners to
ensure a successful capacity development project. In-country partners
may include:

-   the Ministry of Health;

-   in-country nursing association and nurse council practice boards;

-   nursing schools and health care training centers;

-   National AIDS Council;

-   key stakeholders, such prominent HIV/AIDS care providers, PLWHA
    organizations, national policy makers, and local and international
    FBOs and NGOs.

There should be collaboration with CDC and USAID field offices. It is
expected that these key stakeholders will play a formative role in the
development of the capacity building plan and may be part of the initial
stakeholder activities. Further, it will better assure that duplication
of services is avoided.

Sub-grantees

If there are sub-grantees, the funding will come through the awardee to
the sub-grantee. The awardee is responsible for developing and
negotiating the sub-grantee's scope of work.

Ongoing Needs Assessment

Plans should be outlined for assessing training and leadership
development needs on an ongoing basis and adapting plans and services
accordingly.

Staffing

The Program should have a Project Director, who is a senior level nurse
professional with strong HIV/AIDS nursing experience and leadership
skills, significant international experience, and familiarity with
United States foreign assistance agencies. This person will be
responsible for overseeing program development, administration, and
fiscal obligations. His/her level of effort should be 1.0 FTE.

Additionally, the Program should have minimum levels of effort in the
following disciplines:

-   1.0 Regional coordinator

-   1.0 Regional administrative assistant

-   0.2 Administrative and Fiscal specialist

-   0.2 Monitoring and Evaluation specialist

[]{.mark}

The Project Director, Administrative and Fiscal and Monitoring and
Evaluation Specialists may be located at a "central office" or at one of
the field components, but they must be available to work in a variety of
locations. Applicants must show a commitment to placing staff in the
field to the extent possible in order to achieve project goals.
Biographical sketches or resumes (not to exceed two pages each) of key
staff should be included in the Appendix.

Program Oversight

The awardee is expected to work with HRSA to utilize a steering
committee or Executive Committee to provide oversight and guidance of
the Program.

Future Funding

The Plan should include a description of future program funding and
collaboration with other USG agencies (e.g. CDC, USAID, DOD). The
Program should solicit funding from the country operational plan to
support direct program services.

**Implementation**

Nurse training and leadership development should be diverse in
application methodology, and tailored to meet the needs of nurses with
various experience and expertise. Education to HIV/AIDS nursing care
should include pre-service and in-service didactic training, mentorship,
and ongoing projects that are applicable to the learners' environment.
Leadership development activities should examine social issues of power,
gender, and stigma. They should address community building, empowerment,
assertion and negotiation skills, utilization of research, and
implications of policy changes. Leadership activities may address
competencies such as planning and organizing, decision making, formal
presentation, delegation, conflict management, and communication.

Organizational Capacity

The Program should have experience in education and leadership capacity
development with nurses in countries heavily impacted by HIV/AIDS. The
Program should have current international and in-country experience,
skills, and knowledge in the field of health professional training and
adult learning, HIV disease management, leadership development, and
program administration. The overall capability and experience of the
applicant organization to carry out continual assessment and
collaboration with other professional associations, international
organization, and government health officials should be described.

Collaboration with HRSA

The funding mechanism for the project is a Cooperative Agreement. Thus,
the Program and HRSA'S HIV/AIDS Bureau (HAB) will work in partnership,
with the Bureau having substantial involvement as outlined below. Under
the Cooperative Agreement, HRSA requires that certain activities be
planned jointly and include HRSA's input or approval. In general, HRSA
must be made aware of all project activities in sufficient time to
provide input or assistance. The applicant should clearly indicate its
understanding of the Cooperative Agreement and the need to work closely
with HAB.

HRSA Activities in Support of the Cooperative Agreement

-   Provide consultation and technical assistance in planning, operating
    and evaluation program activities, including the identification and
    selection of in country partners.

-   Support the coordination and collaboration among program partners,
    such as O/GAC, foreign governments, and other key stakeholders.

-   Facilitate efforts in the provision of technical assistance and
    training to specified individuals

If this award is to be used to supplement a current capacity building
grant, the applicant needs to describe how the two would collaborate.
This cooperative agreement should not cause an organization to decrease
other funding to nurse-related work. The award is meant to expand on
nursing programs, not shift funding of current work.

**Evaluation**

The Program must continually assess program activities to evaluate and
improve performance. The application should clearly describe its quality
improvement program. The applicant should outline the mechanisms that
will be used to assess education and leadership development activities
to ensure that they are appropriate, effective and reflect the current
knowledge and skill base. The application should demonstrate how staff,
contractors, and other stakeholders receive feedback about the project
performance and how the information is used to modify the program.

The Program is expected to develop and implement methods to document
program impact on the knowledge and skills of trainees, training
capacity of partner institutions, and ultimately, the quality of care
and impact on persons with HIV. The applicant should outline the
strategy that will be used to evaluate the impact of the Program,
identifying what evaluation questions and potential outcome measures
will be investigated. The measurement of outcomes should reflect the
needs assessment and Work Plan.

Outcomes should include enhanced HIV nursing care, increased nurse
visibility and participation in community, health care and decision
making arenas. Leadership outcomes may include nurses developing
proposals for research and capacity building, nurses consulted in
program and policy development (e.g. post-exposure prophylaxis), nurses
generating research, and numbers of nurses in nursing association
increases. HIV/AIDS nurse training may be evaluated by number of nurses
funded for education and training, satisfaction, and retention. The
grantee may consider working to incorporate questions on HIV/AIDS
content into the nurse license examination, and track success by correct
responses. O/GAC may use The Program's outcomes as part of the country's
progress report. These outcomes will then contribute toward the
Emergency Plan's objectives of building capacity for sustainability and
engendering leadership and community responses to HIV/AIDS.

Applicants should outline proven strategies that will be used to monitor
and evaluate the achievement of program goals and objectives by the
Program. The Program should have the capacity to collect and report both
duplicated and unduplicated program performance data. The applicant
should also describe the information system it will use and the ability
to collect, manage, and analyze project data. **At a minimum, grantees
will be required to submit the following reports within 45 days of the
time period's end, unless otherwise stated:**

-   Quarterly progress reports documenting fiscal and programmatic
    activities related to program goals and objectives. The reports
    should indicate information on staff changes and progress on the
    programmatic and fiscal activities during the reporting period,
    including plans for funding after the grant period ends.

    -   A semi-annual progress report on the achievement of program
        goals and objectives.

    -   A one-year budget and a continuing renewal application.

    -   Submit a final report that includes the following: an executive
        summary of the Program's accomplishments and conclusions about
        the need for future assistance; an overall description of the
        Program's activities and accomplishments; an assessment of the
        quantifiable progress made toward accomplishing the Emergency
        Plan's goals and the Program's objectives; significance of these
        activities; lessons-learned and challenges; final plans for
        program sustainability; findings, comments and recommendations;
        a description and analysis of factors that promoted or inhibited
        the success of the Program; and a fiscal report that describes
        how the Program used Cooperative Agreement funds. Comparable
        final reports are expected for each country's activity. The
        final report is due within 90 days following the completion of
        the project period for the Cooperative Agreement.

        []{#__RefHeading___Toc47265100 .anchor}

        **II. Award Information**

        **1. Type of Award**

Funding will be provided in the form of a cooperative agreement.

[]{#__RefHeading___Toc47265102 .anchor}**2. Summary of Funding**

> HRSA/HAB's Global HIV/AIDS Program will provide funding for a 12-month
> budget period, and a project period of up to three years. A budget for
> costs up to \$500,000 is expected to be available yearly depending on
> availability of funds.
>
> Funding beyond the first year is dependent on the availability of
> appropriated funds for HRSA/HAB's Global HIV/AIDS Program in future
> fiscal years, grantee satisfactory performance, and a decision that
> funding is in the best interest of the Federal government. During the
> life of the Cooperative Agreement, additional funding may be made
> available from collaborating agencies.

[]{#__RefHeading___Toc47265103 .anchor}**III. Eligibility Information**

[]{#__RefHeading___Toc47265104 .anchor}

**1. Eligible Applicants**

Eligible applicants include public and private nonprofit entities,
including nursing training institutions and nursing or other
professional organizations. Faith-based and community-based
organizations are eligible to apply.

[]{#__RefHeading___Toc47265106 .anchor}**2. Cost Sharing/Matching**

Cost Sharing is not required.

**3. Other**

> Only one application per organization will be accepted. Applications
> that exceed a \$500,000 annual budget will not be considered.
>
> **Maintenance of Effort**
>
> Grand funds shall not be used to take the place of current funding for
> activities described in the application. The grantee must agree to
> maintain non-Federal funding for grant activities at a level which is
> not less than expenditures for such activities during the fiscal year
> prior to receiving the grant.

[]{#__RefHeading___Toc47265110 .anchor}**IV. Application and Submission
Information**

[]{#Application_materials .anchor}

1.  **Address to Request Application Package**

    []{#__RefHeading___Toc47265114 .anchor}

    **Application Materials**

> Applicants must submit proposals using appropriate form Public Health
> Service (PHS) Application Form 5161-1. These forms may be obtained
> from the following sites by:

(1) Downloading from <http://www.hrsa.gov/grants/forms.htm>

> Or

\(2\) Contacting the HRSA Grants Application Center at:

> The Legin Group, Inc.
>
> 901 Russell Avenue, Suite 450
>
> Gaithersburg, MD 20879
>
> Telephone: 877-477-2123
>
> <HRSAGAC@hrsa.gov>.
>
> Instructions for preparing Application Form 5161-1 appear in the
> "Application Format" section below.

[]{#__RefHeading___Toc47265115 .anchor}

**2. Content and Form of Application Submission**

[]{.mark}

[]{#Application_formatrequirements .anchor}**Application Format
Requirements**

> If applying on-line, the total size of all uploaded files **may not
> exceed the equivalent of 80 pages when printed by HRSA, approximately
> 10 MB.** **This 80-page limit includes the abstract, project and
> budget narratives, attachments, appendices, and letters of commitment
> and support.**
>
> If applying on paper, **the entire application may not exceed 80 pages
> in length.** Pages must be numbered consecutively.
>
> **Applications, whether submitted on paper or electronically, that
> exceed the specified limits (80 pages or approximately 10 MB, or that
> exceed 80 pages when printed by HRSA) will be deemed non-compliant.
> All non-compliant applications will be returned to the applicant
> without further consideration.**

a.  Number of Copies (Paper Applications only)

> Please submit one (1) original and two (2) unbound copies of the
> application.
>
> Please do not bind or staple the application. Application must be
> single sided.

b.  Font

> []{.mark}
>
> Please use an easily readable serif typeface, such as Times Roman,
> Courier, or CG Times. The text and table portions of the application
> must be submitted in not less than 12 point and 1.0 line spacing.
> Applications not adhering to 12 point font requirements may be
> returned.

c.  Paper Size and Margins

> For scanning purposes, please submit the application on 8 ½" x 11"
> white paper. Margins must be at least one (1) inch at the top, bottom,
> left and right of the paper. Please left-align text.

d.  Numbering

> Please number the pages of the application sequentially from page 1
> (face page) to the end of the application, including charts, figures,
> tables, and appendices.

[]{.mark}

e.  Names

> Please include the name of the applicant on each page.

f.  Section Headings

> Please put all section headings flush left in bold type.

[]{#__RefHeading___Toc47265117 .anchor}**Application Format**

Applications for funding **must** consist of the following documents in
the following order:

i.  []{#__RefHeading___Toc47265118 .anchor}***Application Face Page***

> Use Public Health Service (PHS) Application Form 5161-1, provided with
> the application package. Prepare this page according to instructions
> provided in the form itself. For information pertaining to the Catalog
> of Federal Domestic Assistance, the Catalog of Federal Domestic
> Assistance Number is 93.145.
>
> **DUNS Number**
>
> All applicant organizations are required to have a Data Universal
> Numbering System (DUNS) number in order to apply for a grant from the
> Federal Government. The DUNS number is a unique nine-character
> identification number provided by the commercial company, Dun and
> Bradstreet. There is no charge to obtain a DUNS number. Information
> about obtaining a DUNS number can be found at
> [http://www.hrsa.gov/grants/preview/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm )
> or call 1-866-705-5711. Please include the DUNS number next to the OMB
> Approval Number on the application face page. Applications ***will
> not*** be reviewed without a DUNS number.
>
> Additionally, the applicant organization will be required to register
> with the Federal Government's Central Contractor Registry (CCR) in
> order to do electronic business with the Federal Government.
> Information about registering with the CCR can be found at
> [http://www.hrsa.gov/grants/preview/dunsccr.htm](http://www.hrsa.gov/grants/preview/dunsccr.htm ).

ii. []{#__RefHeading___Toc47265119 .anchor}***Table of Contents***

> Provide a Table of Contents for the remainder of the application
> (including appendices), with page numbers.

iii. []{#__RefHeading___Toc47265120 .anchor}***Application Checklist***

> Use Application Form 5161-1 provided with the application package.

iv. []{#__RefHeading___Toc47265121 .anchor}***Budget***

> Use Application Form 5161-1, provided with the application package.
> Please complete sections A, B, E, and F, and then provide a line item
> budget for each grant year using the budget categories in the SF 424A.
>
> Indirect costs are limited to no more than 8% for contractors. This
> cap applies to all of cooperating agencies contract

v.  []{#__RefHeading___Toc47265122 .anchor}***Budget Justification***

> Provide a narrative that explains the amounts requested for each line
> in the budget. The budget justification should specifically describe
> how each item will support the achievement of proposed objectives. The
> budget period is for ONE year. However, the applicant must submit
> one-year budgets for each of the subsequent project period years at
> the time of application. Line item information must be provided to
> explain the costs entered in appropriate form, Application Form
> 5161-1. The budget justification must clearly describe each cost
> element and explain how each cost contributes to meeting the project's
> objectives/goals. Show how each item in the "other" category is
> justified. The budget justification MUST be concise. Do NOT use the
> justification to expand the project narrative.
>
> This announcement is inviting applications for project periods up to 3
> years. Awards, on a competitive basis, will be for a one‑year budget
> period, although project periods may be for 3 years. Applications for
> continuation grants funded under these awards beyond the one-year
> budget period but within the 3 year project period will be entertained
> in subsequent years on a noncompetitive basis, subject to availability
> of funds, satisfactory progress of the grantee, and a determination
> that continued funding would be in the best interest of the
> Government.
>
> Caps on expenses: There is an 8% limit on indirect costs.
>
> []{.mark}
>
> Include the following in the Budget Justification narrative:
>
> **Personnel Costs**: Personnel costs should be explained by listing
> each staff member who will be supported from funds, name (if
> possible), position title, percent full time equivalency, annual
> salary, and the exact amount requested for each budget year which
> mainly covers indirect cost*.* The applicant should use the line item
> budget and budget justification described in Section IV, 2 to provide
> salary, FTE, and other information for Program staff and contractors.
>
> **Indirect Costs**: Indirect costs are those costs incurred for common
> or joint objectives which cannot be readily identified but are
> necessary to the operations of the organization, e.g., the cost of
> operating and maintaining facilities, depreciation, and administrative
> salaries. For institutions subject to OMB Circular A-21, the term
> "facilities and administration" is used to denote indirect costs. If
> the applicant does not have an indirect cost rate, you may obtain one
> by visiting the Division of Cost Allocation website:
> http://rates.psc.gov/.
>
> **Fringe Benefits**: List the components that comprise the fringe
> benefit rate, for example health insurance, taxes, unemployment
> insurance, life insurance, retirement plan, tuition reimbursement. The
> fringe benefits should be directly proportional to that portion of
> personnel costs that are allocated for the project.
>
> **Travel**: List travel costs according to local and long distance
> travel. For local travel, the mileage rate, number of miles, reason
> for travel and staff member/consumers completing the travel should be
> outlined. The budget should also reflect the travel expenses
> associated with participating in meetings and other proposed trainings
> or workshops.
>
> **Equipment**: List equipment costs and provide justification for the
> need of the equipment to carry out the program's goals. Extensive
> justification and a detailed status of current equipment must be
> provided when requesting funds for the purchase of computers and
> furniture items.

[]{.mark}

> **Supplies**: List the items that the project will use. In this
> category, separate office supplies from medical and educational
> purchases. Office supplies could include paper, pencils, and the like;
> medical supplies are syringes, blood tubes, plastic gloves, etc., and
> educational supplies may be pamphlets and educational videotapes.
> Remember, they must be listed separately.
>
> **Subcontracts**: To the extent possible, all subcontract budgets and
> justifications should be standardized, and contract budgets should be
> presented by using the same object class categories contained in the
> Standard Form 424A. Provide a clear explanation as to the purpose of
> each contract, how the costs were estimated, and the specific contract
> deliverables.
>
> **Other**: Put all costs that do not fit into any other category into
> this category and provide an explanation of each cost in this
> category. In some cases, rent, utilities, and insurance fall under
> this category if they are not included in an approved indirect cost
> rate).

vi. []{#__RefHeading___Toc47265123 .anchor}***Staffing Plan and
    Personnel Requirements***

> Applicants must present a staffing plan and provide a justification
> for the plan that includes education, experience qualifications and
> rationale for the amount of time being requested for each staff
> position. Position descriptions that include the roles,
> responsibilities, and qualifications of proposed project staff must be
> included in Appendix B. Copies of biographical sketches for any key
> employed personnel that will be assigned to work on the proposed
> project must be included in Appendix C.

vii. []{#__RefHeading___Toc47265124 .anchor}***Assurances***

> Use Application Form 5161-1, provided with the application package.

viii. []{#__RefHeading___Toc47265125 .anchor}***Certifications***

> Use application Form 5161-1 provided with the application package.

ix. []{#__RefHeading___Toc47265126 .anchor}***Project Abstract***

> Provide a summary of the application. Because the abstract is often
> distributed to provide information to the public and Congress, please
> prepare this so that it is clear, accurate, concise, and without
> reference to other parts of the application. It must include a brief
> description of the proposed grant project including the needs to be
> addressed, the proposed services, and the population group(s) to be
> served.

Please place the following at the top of the abstract:

-   Project Title

-   Contact Person

-   Organization

-   Address

-   Telephone Number

-   Fax Number

-   E-Mail Address

-   Web Site Address, if applicable

The project abstract must be single-spaced and limited to **one page**
in length.

**Text of Abstract**

GOALS AND OBJECTIVES: Summarize the major goals and objectives for the
project period. Typically, applicants define each goal in one sentence
and present the related objectives in a numbered list. Objectives must
be specific, time-framed, and measurable.

OVERVIEW OF PROGRAM PLAN: Briefly describe the proposed project and
outline the approach and activities that will be implemented. Identify
the key organizations that are collaborating in the project as
facilitators, contractors, or consultants. Describe the anticipated
impact of the proposed project on the geographic area, population being
served and its systems of care.

PROJECT EVALUATION: Briefly describe the proposed project's evaluation
plan, including methodology for program documentation, quality
improvement, and impact/outcome evaluation.

x.  []{#__RefHeading___Toc47265128 .anchor}***Program Narrative***

The Program Narrative conveys background information for the proposed
project and presents the program plan and strategies for implementation.
It should be succinct, self-explanatory and well organized so that
reviewers can understand the proposed project. Some of the requested
components of the Program narrative correspond to the program
expectations each applicant must address. In some instances, responses
to the various components of the project narrative overlap. Instead of
reporting the same narrative response, clearly reference other sections
in the narrative that provide similar information. Be sure to address
fully the requested information for each section. When appropriate,
applicants are encouraged to utilize tables and charts that effectively
provide the requested information. Tables should be clearly marked,
contain legends when appropriate, and be self-explanatory.

Use the following section headers for the Narrative:

-   Introduction

> This section should briefly describe the purpose of the proposed
> project and how the applicant will meet the program expectations.

-   NEEDS ASSESSMENT

> This section of the narrative should describe the process the
> applicant will use to assess the leadership development and training
> capacity needs of in-country nurses caring for people living with
> HIV/AIDS. Applicants should clearly detail the methods and tools they
> would employ to assess the capacity in partner countries and how they
> would develop the plan for building training and leadership
> development capacity. References and demographic data should be used
> and cited whenever possible to support the information provided. If
> the applicant utilizes existing sources of information for the needs
> assessment, they should describe the methods and tools used in
> collecting that information. Please discuss any relevant barriers in
> the service area that the project hopes to overcome. This section
> should help reviewers understand the community and/or organization
> that will be served by the proposed project*.*
>
> The applicant should also describe the needs assessment process to be
> used and plans to ensure that the needs assessment is a continuous
> process.

-   Methodology

> Propose methods that will be used to meet each of the
> previously-described program requirements and expectations in this
> grant announcement.
>
> The applicant should clearly detail the approach they would take to
> develop an appropriate training plan for key program stakeholders. The
> narrative should include a description of the training resources
> available to the applicant and the way these resources could be tied
> to the plan developed in the initial needs assessment. Applicants
> should describe the resources the Program anticipates using to obtain
> state-of-the-art treatment and care information, and the process for
> updating and integrating new clinical and treatment developments into
> the established teaching tools.
>
> The methodology of meeting each of the following expectations should
> be specifically addressed through applicant's proposed activities:

-   Nurse training needs assessment

-   Assessment of nurse leadership and surrounding contextual issues

-   Methods of addressing various experiences of nurses, in a variety of
    settings

-   Work Plan (including: use of a regional training platform, impact on
    nurse workforce, stakeholder integration, and collaboration and
    linkages ongoing needs assessment, collaboration with HRSA program
    structure, administration and staffing, program oversight), and

-   Evaluation and Continuous Quality Improvement

```{=html}
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```
-   Work Plan

> Describe the steps that will be used to achieve each of the activities
> proposed in the methodology section. Use a time line that includes
> each activity and identifies responsible staff. The work plan should
> include goals for the program and countries, and should identify
> objectives that are SMART (**s**pecific, **m**easurable,
> **a**chievable, **r**ealistic and **t**ime measured).
>
> The action steps are those activities that will be undertaken to
> implement the proposed project and provide a basis for evaluating the
> program. The program and country work plans should consist of goals,
> measurable objectives, key action steps, targeted completion dates,
> and the name of responsible person(s).

-   Resolution of Challenges

> Discuss challenges that are likely to be encountered in designing and
> implementing the activities described in the Work Plan, and approaches
> that will be used to resolve such challenges. Describe any program
> policies that will support nurses continued residence in-country.

-   Evaluation and Technical Support Capacity

> Describe current international and in-country experience, skills, and
> knowledge in the field of nurse training and adult learning, HIV
> disease management, leadership development, and program
> administration. Furthermore, show evidence of a training database,
> existing curricula, training manuals, assessments and plans as
> developed for countries that bear the burden of HIV disease. Include
> individuals on staff, materials published, and previous work of a
> similar nature

-   Organizational Information

> Provide information on the applicant agency's current mission,
> structure, scope of current activities, an organizational chart, and
> describe how these all contribute to the ability of the organization
> to conduct the program requirements and meet program expectations.
>
> Describe the capabilities of the grantee to serve as the manager of
> the grant. Include descriptions of the experience with international
> training and capacity development. Describe the expertise and
> qualifications of key staff members.
>
> Discuss the proposed processes to be used by the grantee for oversight
> of contractors for delivery of identified services, monitoring
> contractor performance, and the provision of technical assistance to
> ensure effective service delivery.
>
> Describe the governing structure of the proposed program. Identify the
> stakeholders who will be involved in activities of the Program and
> those who will serve in an advisory capacity.

xi. []{#__RefHeading___Toc47265130 .anchor}***Appendices***

> Please provide the following items to complete the content of the
> application. Note that these are supplementary in nature, and are not
> intended to be a continuation of the project narrative. Be sure each
> appendix is clearly labeled.

1)  Appendix A: Tables, Charts, etc.

> To give further details about the proposal.

2)  Appendix B: Job Descriptions for Key Personnel

> Keep each to **one page** in length as much as is possible. Item 6 in
> the Program Narrative section of the PHS 5161-1 Form provides some
> guidance on items to include in a job description.

3)  Appendix C: Biographical Sketches of Key Personnel

> Include biographical sketches for persons occupying the key positions
> described in Appendix B, **not to exceed two pages** in length. In the
> event that a biographical sketch is included for an identified
> individual who is not yet hired, please include a letter of commitment
> from that person with the biographical sketch.

4)  Appendix D: Letters of Agreement and/or Description(s) of
    Proposed/Existing Contracts (project specific). Provide any
    documents that describe working relationships between the applicant
    agency and other agencies and programs cited in the proposal.
    Documents that confirm actual or pending contractual agreements
    should clearly describe the roles of the subcontractors and any
    deliverable. Letters of agreements must be dated.

5)  Appendix E: Project Organizational Chart

> Provide a **one-page** figure that depicts the organizational
> structure of the project, including subcontractors and other
> significant collaborators.

6)  Appendix F: Other Relevant Documents

> Include here any other documents that are relevant to the application,
> including letters of supports. Letters of support must be dated.
>
> **Include only letters of support which specifically indicate a
> commitment to the project/program (in-kind services, dollars, staff,
> space, equipment, etc.) Letters of agreements and support must be
> dated. List all other support letters on one page.**

[]{#refheading___toc47265131 .anchor}**3. Submission Dates and Times**

**Notification of Intent to Apply**

> An applicant is eligible to apply even if no letter of intent is
> submitted. Receipt of Letters of Intent will not be acknowledged.
>
> The letter should identify the applicant organization and its intent
> to apply, and briefly describe the proposal to be submitted. An
> applicant is eligible to apply even if no letter of intent is
> submitted.

This letter should be sent by ***November 1, 2005*** by mail or fax to:

Division of Independent Review

Director

HRSA Grants Application Center (GAC)

The Legin Group, Inc.

901 Russell Ave., Suite 450

Gaithersburg, MD 20879

*Fax: 877/477-2345*

**Application Due Date**

The due date for applications under this grant announcement is
***December 23, 2005 at 5:00 P.M. EST.***

Applications will be considered as meeting the deadline if they are
either:

\(1\) Received on or before the due date; or

> \(2\) Post marked or E marked on or before the due date, and received
> in time for the Independent Review Committee review.
>
> The Chief Grants Management Officer (CGMO) or a higher level designee
> may authorize an extension of published deadlines when justified by
> circumstances such as acts of God (e.g. floods or hurricanes),
> widespread disruptions of mail service, or other disruptions of
> services, such as a prolonged blackout. The authorizing official will
> determine the affected geographical area(s).
>
> **Electronic Submission:**
>
> Applications must be submitted by 5:00 P.M. ET. **To ensure that you
> have adequate time to follow procedures and successfully submit the
> application, we recommend you start submission no later than noon on
> the due date.** Applications submitted electronically will be
> time/date stamped electronically, which will serve as receipt of
> submission.
>
> **Paper Submission:**
>
> Upon receipt of a paper application, the Grants Application Center
> will mail an acknowledgement of receipt to the applicant
> organization's Program Director.
>
> In the event that questions arise about meeting the application due
> date, applicants must have a legibly dated receipt from a commercial
> carrier or the U.S. Postal Service. Private metered postmarks will not
> be accepted as proof of timely mailing.
>
> **Late applications:**
>
> Applications which do not meet the criteria above are considered late
> applications. Health Resources and Services Administration (HRSA)
> shall notify each late applicant that its application will not be
> considered in the current competition.

**4. Intergovernmental Review**

> The provisions of Executive Order 12372, as implemented by 45 CFR Part
> 100, do not apply to this program.

[]{#__RefHeading___Toc47265139 .anchor}

**5. Funding Restrictions**

> Applicants responding to this announcement may request funding for a
> project period of up to three years, at no more than \$500,000 per
> year. Awards to support projects beyond the first budget year will be
> contingent upon Congressional appropriation, satisfactory progress in
> meeting the project's objectives, and a determination that continued
> funding would be in the best interest of the government. Country plans
> are formulated yearly and include budget levels for continued training
> and technical assistance. Funding determinations stem from these
> requests.

[]{#__RefHeading___Toc47265140 .anchor}

**6. Other Submission Requirements**

> **Electronic Submission**
>
> You may submit your application to us either in electronic or paper
> format. To submit an application electronically, please use the
> [http://www.Grants.gov](http://www.Grants.gov/) apply site. If you use
> Grants.Gov you will be able to download a copy of the application
> package, complete it off-line, and then upload and submit the
> application via the Grants.gov site. You **may not** e-mail an
> electronic copy of a grant application to us.
>
> Please note the following if you plan to submit your application
> electronically via Grants.Gov:
>
> • Electronic submission is voluntary
>
> • When you enter the Grants.Gov site, you will find information about
> submitting an application electronically through the site, as well as
> the hours of operation. We strongly recommend that you do not wait
> until the application deadline date to begin the application process
> through Grants.Gov. The registration process is a separate process
> from submitting an application. **Applicants are, therefore,
> encouraged to register early**. The registration process can take
> approximately two weeks to be completed. Therefore, registration
> should be done in sufficient time to ensure it does not impact your
> ability to meet required submission deadlines. You will be able to
> submit your application online anytime after you receive your
> e-authentication credentials.
>
> • To use Grants.gov, you, as the applicant, **must** have a DUNS
> Number and register in the Central Contractor Registry (CCR). You
> should allow a minimum of five days to complete the CCR registration.
>
> • You will not receive additional point value because you submit a
> grant application in paper format.
>
> • You may submit all documents electronically, including all
> information typically included on the SF424 and all necessary
> assurances and certifications.
>
> • Your application must comply with any page limitation requirements
> described in this program announcement.
>
> • After you electronically submit your application, you will receive
> an automatic acknowledgement from Grants.Gov that contains a
> Grants.Gov tracking number. HRSA will retrieve your application from
> Grants.Gov.
>
> • You may access the electronic application for this program on
> [http://www.Grants.gov](http://www.Grants.gov/).
>
> • You **must** search for the downloadable application package by the
> CFDA number.
>
> • The grants.gov website provides customer support via (800)
> 518-GRANTS (this is a toll-free number) or through e-mail at
> [**support@grants.gov**](mailto:support@grants.gov). The customer
> support center is open from 7:00 a.m. to 9:00 p.m. Eastern time,
> Monday through Friday, except federal holidays, to address grants.gov
> technology issues. For technical assistance to program related
> questions, contact the number listed in the Program Section of the
> program you are applying for.
>
> Online applications are required to submit ONLY one form in signed
> hard copy: the SF-424/5161 Face Sheet, since all other elements of the
> application have been captured and transmitted electronically. 
>
> **Formal submission of the electronic application:** Applications
> completed online are considered formally submitted when the
> Authorizing Official electronically submits the application to HRSA.
> However, to complete the submission requirements, a hard-copy of the
> SF-424/5161 Face Sheet must be printed, signed, and submitted to the
> HRSA Grants Application Center. The SF-424/5161 can be printed from
> the online application.
>
>  
>
> For an online application, the signed SF-424/5161 **must** be sent to
> the HRSA GRANTS APPLICATION CENTER at the below address and received
> by HRSA by no later than five days after the application due date.
>
> Applications will be considered as having met the deadline if: (1) the
> application has been successfully transmitted electronically by your
> organization's Authorizing Official through Grants.Gov on or before
> the deadline date and time, and (2) the signed SF-424/5161 Face Sheet
> is received by HRSA no later than five days after the deadline date.
>
>  
>
> REMINDER: Only applicants who apply online are permitted to forego
> hard-copy submission of all application forms EXCEPT the signed
> SF-424/5161.
>
>  
>
> If the application is submitted as a hard-copy, the rules of
> submission as described elsewhere in this guidance must be followed.

**Paper Submission**

> If you choose to submit paper copy, please send the original and two
> copies of the application to:

[]{.mark}

> The HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: Global HIV/AIDS Nursing Capacity Building Program
>
> Program Announcement No. HRSA-06-069
>
> CFDA No. 93.145
>
> 901 Russell Avenue, Suite 450
>
> Gaithersburg, MD 20879
>
> Telephone: 877-477-2123
>
> In the event that questions arise about meeting the application due
> date, applicants must have a legibly dated receipt from a commercial
> carrier or the U.S. Postal Service. Private metered postmarks will not
> be accepted as proof of timely mailing.
>
> Whether you submit electronically or via paper, please understand that
> we will not consider additional information and/or materials submitted
> after your initial application. You must therefore ensure that all
> materials are submitted together, whether electronically or on paper.

[]{#__RefHeading___Toc47265142 .anchor}**V. Application Review
Information**

**1.** []{#__RefHeading___Toc47265143 .anchor}**Review Criteria**

> Procedures for assessing the technical merit of grant applications
> have been instituted to provide for an objective review of
> applications and to assist the applicant in understanding the
> standards against which each application will be judged. Critical
> indicators have been developed for each review criterion to assist the
> applicant in presenting pertinent information related to that
> criterion and to provide the reviewer with a standard for evaluation.
> Review criteria are outlined below with specific detail and scoring
> points. A proposal receiving zero points in a section with a weight of
> 20 points or more will not be approved for funding.
>
> Review Criteria are used to review and rank applications. The Global
> HIV/AIDS Nursing Capacity Building Program has 6 review criteria:
>
> Criterion 1: NEED: Adequacy of understanding of the current status of
> nurse training and leadership capacity building needs in proposed
> countries as well as a plan for the initial needs assessment. **(20
> points)**

-   Proposed nursing population for this proposal. Discuss the
    data/information gathering methods your organization has conducted
    over the past two years to determine the needs of the target
    audience relative to training and leadership. Include findings from
    the information gathered in as much detail as possible to illustrate
    the need for your program.

-   Development of an appropriate needs assessment process to develop a
    plan to build nursing capacity through training and leadership
    development.

-   Extent to which the applicant demonstrates an understanding of the
    global HIV/AIDS epidemic and the HIV/AIDS service delivery systems
    in the regions of the world that are heavily impacted by HIV/AIDS.

-   Demonstrated understanding of the significance and influencing
    factors surrounding nurse leadership.

-   Adequacy of proposed plans and mechanisms for conducting and
    updating needs assessment throughout the project period.

-   Demonstrated understanding of the contextual issues that relate to
    the development of HIV/AIDS nursing training and leadership
    development programs, such as health care training infrastructure,
    challenges for implementing training programs and the training
    systems in the proposed country.

> Criterion 2: RESPONSE: Adequacy of the proposed program plan for
> building capacity through an HIV/AIDS nursing training and leadership
> development program.
>
> The goals and objectives in relation to the identified project should
> be clear, and activities must be capable of addressing the problem and
> attaining project objectives. **(25 points)**

-   Inclusion of a realistic work plan with goals and specific,
    measurable and time-framed objectives that relate to the program
    requirement in the guidance and that delineate the steps to be taken
    to implement the proposed project.

-   Inclusion of theoretical model(s) that have been proven effective in
    nurse capacity building programs.

-   Adequacy of justification that the proposed program plan will lead
    to improvement of the quality of care provided in the service area.

-   Collaboration that will take place between the grantee and other
    organizations or individuals in order to accomplish activities,
    goals and objectives.

-   Extent to which the applicant demonstrates an understanding of the
    Cooperative Agreement and the collaborative role HRSA will have in
    this agreement.

-   Feasibility of the projected timeline for the work plans, given the
    described staff and organizational capacity.

-   Inclusion of diverse nursing needs; novice and experienced nurses,
    in urban and rural, and small and large settings.

> Criterion 3: EVALUATIVE MEASURES **(10 points)**

-   Adequacy of evaluation plan to assess achievement of program goals
    and objectives.

-   Adequacy of evaluation plan to assess the extent the program
    objectives can be attributed to the project

-   Adequacies of information system and grantee capacity to collect,
    manage, and analyze data. This includes meeting Emergency Plan needs
    for reporting of data on monitoring and evaluation of training
    activities.

-   Adequacy of continuous quality improvement activities to evaluate
    and improve Program performance.

> Criterion 4: IMPACT **(15 points)**

-   Adequacy of the description measuring the value and impact of the
    activities proposed for the Program.

-   Extent to which HIV/AIDS nurse training and leadership development
    will lead to sustainable human and institutional capacity
    development in targeted countries.

-   The extent to which the best practices from the program can be
    replicated in other under-resourced settings with weakened health
    systems.

-   The extent to which outcome of program activities contribute to
    meeting Emergency Plan 5-year targets.

> Criterion 5: RESOURCES/CAPABILITY **(20 points)**

-   Extent to which the applicant's ability, past activities and mission
    are consistent with the Program's expectations.

-   Substantive experience in human-capacity development, including
    HIV/AIDS nurse training and leadership development activities in
    under-resourced, international settings.

-   Extent to which the applicant demonstrates its commitment to
    strengthening the role of nurses in HIV.

-   Overall capability and experience of the applicant organization to
    carry out assessment and collaboration with other professional
    associations, international organization, and government health
    officials.

-   Evidence of commitment to sustainability over time (including clear
    definition of goals and an exit strategy), an in-country documented
    track record and mentoring presence.

-   Qualifications and experience of key staff who will be involved in
    the project.

-   Adequacy of Advisory Committee structure to provide guidance and
    oversight to the Program, adequacy of description of roles and
    responsibilities and delineation of their functions.

-   Ability to administer the grant with fiscally sound management
    practices.

-   Ability to provide assistance to support personnel and field
    operations overseas, including managing travel and meeting logistics
    overseas.

-   Ability to meet HHS/HRSA and Office of the Global AIDS Coordinator
    reporting and accountability requirements in order to administer the
    Cooperative Agreement with fiscally sound management practices

> Criterion 6: SUPPORT REQUESTED **(10 points)**

-   Presentation of a budget that is appropriate to the proposed program
    plan, and inclusion of a clearly presented budget narrative that
    justifies each line item in relation to the goals, objectives and
    activities of the project, and explains significant changes
    anticipated in budget years following the first year. **Adherence to
    the eight percent (8%) limit on indirect costs has to be
    presented.**

-   Allocation of resources to ensure that relevant and appropriate
    staff and other resources are available to provide technical
    assistance and logistics support.

-   Clear identification of consultants and subcontractors, presentation
    of a standardized format for contract budgets, and clear
    identification of contract purposes, how costs were derived, payment
    mechanisms, and deliverables

[]{.mark}

> []{#__RefHeading___Toc47265144 .anchor}**2. Review and Selection
> Process**
>
> The Division of Independent Review is responsible for managing
> objective reviews within HRSA. Applications competing for federal
> funds receive an objective and independent review performed by a
> committee of experts qualified by training and experience in
> particular fields or disciplines related to the program being
> reviewed. In selecting review committee members, other factors in
> addition to training and experience may be considered to improve the
> balance of the committee, e.g., geographic distribution,
> race/ethnicity, and gender. Each reviewer is screened to avoid
> conflicts of interest and is responsible for providing an objective,
> unbiased evaluation based on the review criteria noted above. The
> committee provides expert advice on the merits of each application to
> program officials responsible for final selections for award.

**Funding Priorities**

There are no funding priorities for this program.

**Funding Preferences**

There are no funding preferences for this program.

**Funding Special Considerations**

-   To better ensure that the Program is quickly and efficiently
    implemented, applications are encouraged from organizations that
    have capacity building experience with nurses in a country severely
    affected by HIV/AIDS, preferably in training and leadership
    development.

-   To better ensure that the Program works in partnership with
    in-country nursing organization(s), applications are encouraged from
    organizations that have an established working relationship with a
    nursing organization or institution in the proposed country.

    []{#__RefHeading___Toc47265150 .anchor}

    **3. Anticipated Announcement and Award Dates**

    We anticipate that an award will be made by HHS/HRSA by April 28,
    2006**.**

    []{#__RefHeading___Toc47265153 .anchor}

    **VI. Award Administration Information**

    []{#__RefHeading___Toc47265154 .anchor}**1. Award Notices**

> Each applicant will receive written notification of the outcome of the
> objective review process, including a summary of the expert
> committee's assessment of the application's merits and weaknesses, and
> whether the application was selected for funding.
>
> Applicants who are selected for funding may be required to respond in
> a satisfactory manner to Conditions placed on their application before
> funding can proceed. Letters of notification do not provide
> authorization to begin performance. The Notice of Grant Award, which
> is signed by the Grants Management Officer and is sent to the
> applicant agency's Authorized Representative, is the authorizing
> document. It will be sent prior to the start date of June 1, 2006.

[]{#__RefHeading___Toc47265156 .anchor}**2. Administrative and National
Policy Requirements**

Successful applicants must comply with the administrative requirements
outlined in 45 CFR Part 74 or 45 CFR Part 92, as appropriate.

> [Prostitution and Related Activities]{.underline}
>
> The U.S. Government is opposed to prostitution and related activities,
> which are inherently harmful and dehumanizing, and contribute to the
> phenomenon of trafficking in persons.
>
> Any entity that receives, directly or indirectly, U.S. Government
> funds in connection with this document ("recipient") cannot use such
> U.S. Government funds to promote or advocate the legalization or
> practice of prostitution or sex trafficking. Nothing in the preceding
> sentence shall be construed to preclude the provision to individuals
> of palliative care, treatment, or post-exposure pharmaceutical
> prophylaxis, and necessary pharmaceuticals and commodities, including
> test kits, condoms, and, when proven effective, microbicides.
>
> A recipient that is otherwise eligible to receive funds in connection
> with this document to prevent, treat, or monitor HIV/AIDS shall not be
> required to endorse or utilize a multisectoral approach to combating
> HIV/AIDS, or to endorse, utilize, or participate in a prevention
> method or treatment program to which the recipient has a religious or
> moral objection. Any information provided by recipients about the use
> of condoms as part of projects or activities that are funded in
> connection with this document shall be medically accurate and shall
> include the public health benefits and failure rates of such use. The
> recipient must understand and abide by federal guidelines in regards
> to abstinent/be faithful HIV/AIDS prevention programs.
>
> In addition, any recipient must have a policy explicitly opposing
> prostitution and sex trafficking. The preceding sentence shall not
> apply to any "exempt organizations" (defined as the Global Fund to
> Fight AIDS, Tuberculosis and Malaria, the World Health Organization
> and its six Regional Offices, the International AIDS Vaccine
> Initiative or to any United Nations agency).
>
> The following definition applies for purposes of this clause:

-   Sex trafficking means the recruitment, harboring, transportation,
    provision, or obtaining of a person for the purpose of a commercial
    sex act. 22 U.S.C. § 7102(9).

> All recipients must insert provisions implementing the applicable
> parts of this section, "Prostitution and Related Activities," in all
> sub agreements under this award. These provisions must be express
> terms and conditions of the sub agreement, must acknowledge that
> compliance with this section, "Prostitution and Related Activities,"
> is a prerequisite to receipt and expenditure of U.S. government funds,
> and must acknowledge that any violation of the provisions shall be
> grounds for unilateral termination of the agreement prior to the end
> of its term. Recipients must agree that HHS may, at any reasonable
> time, inspect the documents and materials maintained or prepared by
> the recipient in the usual course of its operations that relate to the
> organization's compliance with this section, "Prostitution and Related
> Activities."
>
> All prime recipients that receive U.S. Government funds ("prime
> recipients") in connection with this document must certify compliance
> prior to actual receipt of such funds in a written statement that
> makes reference to this document (e.g., "\[Prime recipient\'s name\]
> certifies compliance with the section, 'Prostitution and Related
> Activities.'") addressed to the agency's grants officer. Such
> certifications by prime recipients are prerequisites to the payment of
> any U.S. Government funds.

Recipients\' compliance with this section, "Prostitution and Related
Activities," is an express term and condition of receiving U.S.
Government funds in connection with this document, and any violation of
it shall be grounds for unilateral termination by HHS of the agreement
with HHS in connection with this document prior to the end of its term.
The recipient shall refund to HHS the entire amount furnished in
connection with this document in the event HHS determines the recipient
has not complied with this section, "Prostitution and Related
Activities."

[Smoke-Free Workplace]{.underline}

> The Public Health Service strongly encourages all award recipients to
> provide a smoke-free workplace and to promote the non-use of all
> tobacco products. Further, Public Law 103-227, the Pro-Children Act of
> 1994, prohibits smoking in certain facilities (or in some cases, any
> portion of a facility) in which regular or routine education, library,
> day care, health care or early childhood development services are
> provided to children.

[]{#__RefHeading___Toc47265158 .anchor}

**3. Reporting**

The successful applicant under this guidance must:

a.  Comply with audit requirements of Office of Management and Budget
    (OMB) Circular A-133. Information on the scope, frequency, and other
    aspects of the audits can be found on the Internet at
    [www.whitehouse.gov/omb/circulars](http://www.whitehouse.gov/omb/circulars);

b.  Submit a Payment Management System Quarterly Report. The reports
    identify cash expenditures against the authorized funds for the
    grant. Failure to submit the report may result in the inability to
    access grant funds. Submit report to the:

> Division of Payment Management
>
> DPM/FMS/PSC/ASAM/HHS
>
> PO Box 6021
>
> Rockville, MD 20852
>
> Telephone: (301) 443-1660

c.  Submit a Financial Status Report. A financial status report is
    required within 90 days of the end of each grant year. The report is
    an accounting of expenditures under the project that year. Provide
    detailed information on expenditures according to the countries that
    the grantee is working in as reflected in the work plan. Array these
    expenditures according the PEPFAR target program areas.

d.  The grantee will provide reports on programmatic, fiscal and
    management practices that maximize the use of financial resources
    and benefit target populations with in 45 days of the time period's
    end, unless otherwise stated:

    -   Quarterly progress reports documenting fiscal and programmatic
        activities related to program goals and objectives. The reports
        should indicate information on staff changes and progress on the
        programmatic and fiscal activities during the reporting period,
        including plans for funding after the grant period ends.

    -   A one-year budget and a continuing renewal application.

    -   A final report that includes the following: an executive summary
        of the Program's accomplishments and conclusions about the need
        for future assistance; an overall description of the Program's
        activities and accomplishments; an assessment of the
        quantifiable progress made toward accomplishing the Emergency
        Plan's goals and the Program's objectives; significance of these
        activities; lessons-learned and challenges; final plans for
        program sustainability; findings, comments and recommendations;
        a description and analysis of factors that promoted or inhibited
        the success of the Program; and a fiscal report that describes
        how the Program used Cooperative Agreement funds. Comparable
        final reports are expected for each country's activity. The
        final report is due within **90 days** following the completion
        of the grant period for the Cooperative Agreement.

        []{#__RefHeading___Toc47265160 .anchor}

        **VII. Agency Contacts**

> Applicants may obtain additional information regarding business,
> administrative, or fiscal issues related to this grant announcement by
> contacting:
>
> Darren Buckner
>
> Grants Management Specialist

Attn.: Global HIV/AIDS Nursing Capacity Building Program

Division of Grants Management Operation, OFAM

> Parklawn Building, Room 11A-13
>
> 5600 Fishers Lane
>
> Rockville, MD 20857

Telephone: 301/443-1913

Fax: 301/443-6686

E-mail: <dbuckner@hrsa.gov>

> Additional information related to the overall program issues may be
> obtained by contacting:

Carolyn M Hall, MSN/MPH, ACRN

Nursing Coordinator

5600 Fishers Lane, Suite 7-05

Rockville, MD 20857

Telephone: 301.443.2733

E-mail: <chall@hrsa.gov>

Technical assistance regarding this funding announcement may be obtained
by contacting:

Carolyn M Hall, MSN/MPH, ACRN

Nursing Coordinator

5600 Fishers Lane, Suite 7-05

Rockville, MA 20857

Telephone: 301.443.2733

E-mail: <chall@hrsa.gov>

**VIII.** []{#__RefHeading___Toc47265165 .anchor}**Tips for Writing a
Strong Application**

> **Include DUNS Number.** You must include a DUNS Number to have your
> application reviewed. Applications ***will not*** be reviewed without
> a DUNS number. To obtain a DUNS number, access
> [www.dunandbradstreet.com](http://www.dunandbradstreet.com/) or call
> 1-866-705-5711. Please include the DUNS number next to the OMB
> Approval Number on the application face page.
>
> **Keep your audience in mind.** Reviewers will use only the
> information contained in the application to assess the application. Be
> sure the application and responses to the program requirements and
> expectations are complete and clearly written. Do not assume that
> reviewers are familiar with the applicant organization. Keep the
> review criteria in mind when writing the application.
>
> **Start preparing the application early.** Allow plenty of time to
> gather required information from various sources.
>
> **Follow the instructions in this guidance carefully.** Place all
> information in the order requested in the guidance. If the information
> is not placed in the requested order, you may receive a lower score.
>
> **Be brief, concise, and clear.** Make your points understandable.
> Provide accurate and honest information, including candid accounts of
> problems and realistic plans to address them. If any required
> information or data is omitted, explain why. Make sure the information
> provided in each table, chart, attachment, etc., is consistent with
> the proposal narrative and information in other tables.
>
> **Be organized and logical.** Many applications fail to receive a high
> score because the reviewers cannot follow the thought process of the
> applicant or because parts of the application do not fit together.
>
> **Be careful in the use of appendices.** Do not use the appendices for
> information that is required in the body of the application. Be sure
> to cross-reference all tables and attachments located in the
> appendices to the appropriate text in the application.
>
> **Carefully proofread the application.** Misspellings and grammatical
> errors will impede reviewers in understanding the application. Be sure
> pages are numbered (including appendices) and that page limits are
> followed. Limit the use of abbreviations and acronyms, and define each
> one at its first use and periodically throughout application.
>
> **Print out and carefully review an electronic application**. If
> submitting electronically, print out the application before submitting
> it to ensure appropriate formatting and adherence to page limit
> requirements.