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

**Health Resources and Services Administration**

*HIV/AIDS Bureau*

*Global AIDS Program*

> ***President's Emergency Plan for AIDS Relief***

***International AIDS Education and Training Center***

*New Competitive Grant Application*

**Announcement Number HRSA-06-070**

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

[]{.mark}

**PROGRAM GUIDANCE**

Fiscal Year 2006

**Application Due Date: November 14, 2005**

**Release Date: September 12, 2005**

**Date of Issuance*: September 12, 2005***

> *Contact Name: Thurma Mc Cann Goldman, MD, MPH*
>
> *Director Global AIDS Program*
>
> *Health Resources and Services Administration*
>
> *U.S. Department of Health and Human Services*
>
> *5600 Fishers Lane, Room 7-05*
>
> *Rockville, MD 20857*
>
> *Telephone: (301) 443-5647*

*Fax: (301) 443-9645*

Authority: *Public Health Service Act Sections 2692 and 307, 42 U.S.C.
300ff-111 and 2421*

## Guidance Table of Contents

+-----+-----+------------------------------------------------+---+---+---+
| **I |     | > **FUNDING OPPORTUNITY DESCRIPTION...**       |   | * |   |
| .** |     |                                                |   | * |   |
|     |     |                                                |   | 4 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | Purpose                                        |   | 4 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | Background                                     |   | 4 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| *   |     | **AWARD                                        |   | * |   |
| *II |     | INFORMATION...........................**       |   | * |   |
| .** |     |                                                |   | 1 |   |
|     |     |                                                |   | 4 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | Type of Award                                  |   | 1 |   |
|     |     |                                                |   | 4 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | Summary of Funding                             |   | 1 |   |
|     |     |                                                |   | 5 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| **  |     | **ELIGIBILITY INFORMATION...................** |   | * |   |
| III |     |                                                |   | * |   |
| .** |     |                                                |   | 1 |   |
|     |     |                                                |   | 6 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 1\. Eligible Applicants                        |   | 1 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 2\. Cost Sharing/Matching                      |   | 1 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 3\. Other                                      |   | 1 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| *   |     | **APPLICATION SUBMISSION ...................** |   | * |   |
| *IV |     |                                                |   | * |   |
| .** |     | **INFORMATION**                                |   | 1 |   |
|     |     |                                                |   | 6 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 1\. Address to Request Application Package     |   | 1 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 2\. Content and Form of Application            |   | 1 |   |
|     |     |                                                |   | 7 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | Submission                                     |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *Application Format*                           |   | 1 |   |
|     |     |                                                |   | 7 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *i. Application Face Page*                     |   | 1 |   |
|     |     |                                                |   | 8 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *ii. Table of Contents*                        |   | 2 |   |
|     |     |                                                |   | 2 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *iii. Application Checklist*                   |   | 2 |   |
|     |     |                                                |   | 2 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *iv. Budget*                                   |   | 2 |   |
|     |     |                                                |   | 3 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *v. Line Item Budget Justification*            |   | 2 |   |
|     |     |                                                |   | 3 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *vi. Staffing Plan and Personnel Requirements* |   | 2 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *vii. Assurances*                              |   | 2 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *viii. Certifications*                         |   | 2 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *xi. Project Abstract*                         |   | 2 |   |
|     |     |                                                |   | 6 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *x. Program Narrative*                         |   | 2 |   |
|     |     |                                                |   | 7 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | *xi. Appendices*                               |   | 3 |   |
|     |     |                                                |   | 0 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 3\. Submission Dates and Times                 |   | 3 |   |
|     |     |                                                |   | 1 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 4\. Intergovernmental Review                   |   | 3 |   |
|     |     |                                                |   | 3 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 5\. Funding Restrictions                       |   | 3 |   |
|     |     |                                                |   | 3 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 6\. Other Submission Requirements              |   | 3 |   |
|     |     |                                                |   | 3 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| **V |     | **APPLICATION REVIEW INFORMATION.....**        |   | * |   |
| .** |     |                                                |   | * |   |
|     |     |                                                |   | 3 |   |
|     |     |                                                |   | 5 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 1\. Review Criteria                            |   | 3 |   |
|     |     |                                                |   | 5 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 2\. Review and Selection Process               |   | 3 |   |
|     |     |                                                |   | 9 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| *   |     | **AWARD ADMINISTRATION......................** |   | * |   |
| *VI |     |                                                |   | * |   |
| .** |     | **INFORMATION**                                |   | 4 |   |
|     |     |                                                |   | 0 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 1\. Award Notices                              |   | 4 |   |
|     |     |                                                |   | 0 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 2\. Administrative and National Policy         |   | 4 |   |
|     |     |                                                |   | 0 |   |
|     |     | Requirements                                   |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     | 3\. Reporting                                  |   | 4 |   |
|     |     |                                                |   | 2 |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| **  |     | **AGENCY                                       |   | * |   |
| VII |     | CONTACTS...............................**      |   | * |   |
| .** |     |                                                |   | 4 |   |
|     |     |                                                |   | 3 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+
|     |     |                                                |   |   |   |
+-----+-----+------------------------------------------------+---+---+---+
| **V |     | **TIPS FOR WRITING A STRONG.................** |   | * |   |
| III |     |                                                |   | * |   |
| .** |     | **APPLICATION**                                |   | 4 |   |
|     |     |                                                |   | 4 |   |
|     |     |                                                |   | * |   |
|     |     |                                                |   | * |   |
+-----+-----+------------------------------------------------+---+---+---+

**Executive Summary**

President George W. Bush announced in his 2003 State of the Union
address the Emergency Plan for AIDS Relief, a five-year, \$15-billion
initiative to turn the tide in combating the global HIV/AIDS pandemic.
The five-year goals of the Emergency Plan are to treat two million
HIV-infected people, prevent seven million new HIV infections and care
for 10 million HIV-infected individuals and AIDS orphans. The focus is
on 15 countries in sub-Saharan Africa, the Caribbean and Southeast Asia.

One major strategy to reach the Emergency Plan's goals is to strengthen
and expand human and institutional capacity in the focus countries. The
purpose of the International AIDS Education and Training Center is to
successfully address the Emergency Plan strategies for sustainable human
and institutional capacity development for rapid scale-up of prevention,
care and treatment for patients at risk for or infected with HIV/AIDS.
Furthermore, the IAETC will build upon the lessons learned from other
training, technical assistance and capacity building efforts sponsored
by the U.S. Department of Health and Human Services /Health Resources
and Services Administration HIV/AIDS Bureau (HHS/HRSA/HAB) and work to
address needs not fulfilled by existing efforts.

The purpose of this announcement is to solicit applications for a
Cooperative Agreement for the International AIDS Education and Training
Center (IAETC). The International AIDS Education and Training Center is
to assist countries in Africa, Asia, Latin America and the Caribbean
(LAC) that are heavily affected by HIV/AIDS and have developing systems
of care to understand and put into action best practices for
sustainable, high-quality, comprehensive HIV primary care, and support
delivery of that care to people living with HIV/AIDS.

An award of up to \$ 2.5 million will be available for administrative
costs and up to \$ 22.5 million for country activities. The level of
funding is determined by, among other criteria, the in country need for
scale-up of human capacity and infrastructure development to meet the
five-year PEPFAR targets for treatment, prevention and care. The project
period is for five years, and the budget period is for 12 months.
Throughout the project period, supplemental funding for other projects
might become available through limited competition.

This program is authorized under the Public Health Service Act, Sections
2692 and 307, 42 U.S.C. 300 ff-111 and 2421, and under Public Law 108-25
(United States Leadership against HIV/AIDS, Tuberculosis and Malaria Act
of 2004) \[22 U.S.C. 7601\].

Eligible organizations are national, regional and local non-profit
organizations involved in addressing global HIV/AIDS-related issues.
Community-based and faith-based organizations are eligible to apply.

####  {#section .unnumbered}

####  {#section-1 .unnumbered}

#### I. FUNDING OPPORTUNITY DESCRIPTION {#i.-funding-opportunity-description .unnumbered}

> **Purpose**
>
> The purpose of this announcement is to solicit applications for a
> Cooperative Agreement for the International AIDS Education and
> Training Center (IAETC) under the President's Emergency Plan for AIDS
> Relief. The IAETC is to assist countries in Africa, Asia, Latin
> America and the Caribbean (LAC) that are heavily affected by HIV/AIDS
> and have developing systems of care to increase capacity for
> sustainable, high-quality, comprehensive HIV primary care, and support
> delivery of that care to people living with HIV/AIDS. The IAETC will
> assist upon request from countries that have bilateral HIV/AIDS
> programs with the U.S. Government. The IAETC will enhance skills and
> training capacity in the areas of prevention, care and treatment of
> HIV disease, including the prevention of perinatal transmission of the
> disease, the treatment of opportunistic infections, the appropriate
> use of antiretroviral therapy and the implementation of community
> home-based care. The IAETC will build capacity and provide technical
> assistance to a diverse group of organizations and individuals,
> including administrative and direct service staff of in-country,
> central-level Departments of Health, district and provincial health
> departments; faith-based, community --based and non-governmental
> organizations; providers and their subcontractors; and consumers. The
> IAETC will build upon lessons learned from other training, technical
> assistance and capacity-building efforts sponsored by HHS/HRSA and
> work to address needs not fulfilled by existing efforts.

####### Background

> As the lead domestic agency for developing safety-net healthcare
> programs for people living with HIV and AIDS, the Health Resources and
> Services Administration (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 that work along the
> spectrum of HIV/AIDS care. For over a decade, the AIDS Education and
> Training Center (AETC) has been the cornerstone of HRSA's domestic
> HIV/AIDS program. In that time, the AETC has successfully built
> capacity among health care providers to serve people living with HIV
> and AIDS in a wide variety of settings. The experience of the AETC
> program in training capacity continues to greatly benefit our
> international partners.
>
> The U.S. Department of Health and Human Services (HHS) leadership and
> the U.S. Global AIDS Coordinator, Ambassador Randall L. Tobias,
> recognize the unique contribution that HRSA makes in reducing the
> impact of HIV on individuals and communities. In 2000, the U.S.
> Congress provided funding for HRSA and the Centers for Disease Control
> and Prevention (CDC) to assist in Global HIV/AIDS efforts. On February
> 19, 2004, the Secretary of HHS delegated authority for international
> cooperation to HRSA. This authority allows HRSA to work outside the
> United States.
>
> 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 three million
> people died of AIDS. The hardest hit region by far is sub-Saharan
> Africa, which accounts for 70 percent 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 rate in countries like the United States,
> where anti-retroviral drugs (ARV) are available and affordable.
>
> President George W. Bush announced in his 2003 State of the Union
> address the 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 Southeast Asia wage and win
> the war against HIV/AIDS, by extending and saving lives.
>
> The five-year goals of the Emergency Plan are to treat two million
> HIV-infected people, prevent seven 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
> U.S. Departments of State, Health and Human Services (HHS), Defense
> (DOD), Labor (DOL), Commerce (DOC); the U.S. Agency for International
> Development (USAID) and Peace Corps. Through inter-agency
> collaboration, they implement the Emergency Plan as a single, unified
> U.S. Government team. The Office of the Global AIDS Coordinator
> (OGAC), under leadership of Ambassador Randall Tobias, the Global AIDS
> Coordinator, coordinates all Emergency Plan activities.
>
> The focus is on 15 countries: Botswana, Côte D'Ivoire, Ethiopia,
> Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South
> Africa, Tanzania, Uganda, Viet Nam and Zambia. These 15 countries
> represent 50 percent of all HIV-infected people in the world,
> including 70 percent of all HIV-infected individuals in sub-Saharan
> Africa and the Caribbean.
>
> The goal of the Emergency Plan is to apply best practices in
> prevention, treatment and care, and improve coordination and
> management across all U.S. Government bilateral HIV/AIDS programs.
> Emergency Plan funding expands existing programs and creates new
> programs to serve more people with HIV/AIDS in these countries.
>
> The target program areas of the Emergency Plan are the following:

1.  Prevention of Mother-To-Child Transmission of HIV (PMTCT)

2.  Abstinence/be faithful prevention activities

3.  Medical transmission/blood safety

4.  Medical transmission/injection safety

5.  Other prevention activities

6.  Palliative care: basic health care and support

7.  Palliative care: Tuberculosis/HIV

8.  Support for orphans and vulnerable children

9.  Confidential counseling and testing

10. HIV/AIDS treatment/anti-retroviral (ARV) drugs

11. HIV/AIDS treatment/anti-retroviral diagnostic support

12. Laboratory infrastructure

13. Strategic information-development of improved tools and models for
    collecting, analyzing and disseminating HIV/AIDS behavioral and
    biological surveillance and monitoring information

14. Other/policy analysis and system strengthening.

> The Emergency Plan country operational plan (COP) for each focus
> country 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 confidential
> voluntary counseling and testing, encouraging awareness and behavior
> change, fighting stigma, and administering medicines.
>
> Partners with the Emergency Plan include the following: country
> governments; faith-based and community- based organizations; private
> corporations; donor and developing nations; and international
> organizations such as the United Nations Children's Fund (UNICEF), the
> United Nations AIDS Program (UNAIDS) and the World Health Organization
> (WHO). Many of the focus countries will require substantial assistance
> in capacity development to strengthen the health care system for
> scaling up anti-retroviral treatment.

The Cooperative Agreement solicited under this program announcement,
will facilitate achievement of the goals set out through U.S. Government
activities to develop HIV/AIDS care, treatment and prevention services.
This program is authorized under section 307 and section 2692 of the
Public Health Service Act, 42 U.S.C. section 242l and 300ff-111, and
under Public Law 108-25 (United States Leadership against HIV/AIDS,
Tuberculosis and Malaria Act of 2004) \[22 U.S.C. 7601\].

**Program Expectations for the International AIDS Education Training
Center.**

> This training grant will cover training programs in local languages
> for in-country stakeholders such as providers of HIV/AIDS care,
> counselors, staff from Ministries of Health, managers and trainers.
> Also included are the development and introduction of new or expanded
> courses such as curriculum development, policy guidance and
> development of standards of care, instructional-oriented undertakings
> such as the development of regional training centers and special
> research training programs. Currently, training and capacity building
> activities under this grant are implemented in: Botswana, the
> Caribbean, Ethiopia, Guyana, Haiti, India, Malawi, Namibia, South
> Africa, Thailand, Vietnam and Zimbabwe.
>
> Lessons Learned:

-   Short-and long-term strategies are needed for real capacity
    development to occur.

-   Change takes time: A continuum of care model is helpful, but its
    success rests upon the ability to achieve change at political,
    social, and organizational levels. The impact of training ("transfer
    of learning") improves when institutional barriers are eliminated to
    allow changes in practice.

-   Impact should be measured by more than treatment numbers: Embed AIDS
    programs, including a Volunteer Health Corps, into primary health
    care and measure their impact on primary care. Add basic healthcare
    to new free-standing treatment initiatives and measure impact on
    basic health care. Measure the outcomes of clinical care: "learn as
    you go" \[plan-do-study-act cycle\].

-   Clinical mentoring and patient consultation are critical to
    supporting the expansion of expert HIV clinical systems.

-   We should carefully train those who represent us in the field.

Applicants should develop their application based on the program
expectations, explained in detail below.

> **I.1 Needs assessment and Plan for building Training Capacity**.

Applicants must have working experience with in-country stakeholders to
assess the infrastructure for training capacity and available resources
by using existing information wherever feasible. These assessments
should include the size and stage of the epidemic as it affects training
needs, training plans to improve care, the local make-up of local and
national health systems, existing training programs (e.g. medical
schools and in-service training programs), and other education programs
(e.g. donor-funded training). This needs assessment will provide the
baseline data against which to measure proposed capacity-building
activities. The training and education needs of the principle HIV/AIDS
care providers should be assessed, including provider preference for
training and location. Both rural and urban provider training needs
should be assessed. Key health care provider groups will likely include
physicians, nurses, medical officers, pharmacists, midwives, clinical
administrators, allied health personnel, and volunteers. The needs
assessment should include components to determine cultural
appropriateness, linguistic differences and health literacy skills
essential to build the training capacity. Applicants, working with local
partners, should be able to show recent experience in identifying
existing training programs that could expand to meet local, regional, or
national training needs.

By using the needs assessment, applicants should have experience in
developing a tailored plan to build training capacity that reflects the
needs of the in-country institutions and stakeholders. This
capacity-building plan should reflect and complement any existing local
or national plans to improve HIV/AIDS care and training, and clearly
identify how the training program will assist the country to achieve its
goals. If a needs assessment was already done, findings should be
evaluated and integrated in the training and capacity building plan.

**Applicants should clearly detail the methods and tools they have used
to conduct the needs assessment and develop the training
capacity-building plan. Applicants should clearly lay out these steps in
the work plan, described in section IV.**

> **I.2 Stakeholder training.**

An important component of the capacity-building plan described above
will be the training of in-country stakeholders and partners in local
languages. This training is intended to develop the core competencies of
those stakeholders who will be an integral part of the capacity-building
efforts as advisors, managers, and trainers. Applicants should
demonstrate experience from building upon the professional experience of
key stakeholders and to address their educational needs.

Training for these stakeholders should address the clinical management
of HIV/AIDS, including but not limited to care and prevention of
opportunistic infections, tuberculosis treatment, palliative care, and
anti-retroviral therapy. Training should also address key elements of an
HIV/AIDS care system, such as the following:

-   Conducting needs assessments;

-   Developing training programs and materials, including clinical
    update programs in local languages;

-   Development of community-and home-based care programs;

-   Start-up and management of HIV clinics, including fiscal,
    administrative and human resource management;

-   Creation and management of planning bodies;

-   Involvement of persons living with HIV/AIDS (PLWH/A);

-   Development of information management systems;

-   Creation and management of HIV/AIDS resource centers; and

-   Development and adaptation of local, regional, or national care
    standards and guidelines, including translation and adaptation into
    local languages.

Training should be based in the target country, although in certain
limited circumstances training may occur in the United States. One of
the goals of this project is to foster collaborative mentoring
relationships that participants can use to strengthen education and
training programs developed in the target country. Any U.S.-based
training should provide the trainees with the opportunity to visit
successful care programs and HIV/AIDS training programs in low-resource
settings, including the regional AETCs. **Applicants should clearly
detail the approach they have taken to develop this stakeholder**
**training in local languages.**

> **I.3 Ongoing Needs Assessment**

After the needs assessment and the establishment of an in-country
program, applicants should have experience in assessing training needs
and adapting plans and programs accordingly. The needs assessment should
cover the project service area and utilize various data sources to do
the following:

-   Assess the training needed to accomplish country goals for HIV care
    and treatment;

-   Assess the resources available in the region/country for education
    and training;

-   Assess the gaps in education and training content and methods;

-   Identify and understand the needs of hard-to-reach practitioners;
    and

-   Assess the preferences for training content and methods of the
    target population and barriers to accessing current and planned
    education and training activities.

**Applicants should clearly describe their experience with ongoing needs
assessment** and **how to ensure that the needs assessment is a
continuous process**. The assessment plan should demonstrate an
understanding and proven experience in the HIV/AIDS epidemic in the
target country/region and its impact on the education and training needs
of health care providers. Priority provider populations include those
identified in Section I.1 but may include other providers, such as
mental health workers, case managers, nutritionists/dietitians,
community health workers and traditional healers, and should be
inclusive of urban, rural, and peri-urban communities. The needs
assessment should also consider the needs of providers caring for a
range of persons with HIV-disease, as well as needs of those who are
currently not providing care for persons with or at-risk for HIV
disease.

> **I.4. Capacity-Building and Technical Assistance**

The IAETC and its partners will use findings from the needs assessments
to develop, implement, and monitor training and technical assistance
activities that build the capacity of partners to train health care
providers. In-country capacity-building and technical assistance from
the IAETC might be necessary in a variety of areas, including those
listed under Section I.2. Furthermore, collaborating countries might
require short- or long-term assistance, depending on their national
HIV/AIDS plans and available resources. Applicants should demonstrate
past experience in being flexible and creative in its response to
requests received from individual country programs. Capacity-building
and technical assistance should facilitate the adaptation of existing
resources, materials, and/or models into local languages for proposed
activities. Applicants should describe past opportunities to collaborate
with organizations involved in training and capacity-building in
resource-constrained countries.

**Applicants should describe their experience in building the capacity
of and providing technical assistance to international clinical and
administrative training programs in local languages, particularly as
requested through Country Operational Plans (COPs) in the President's
Emergency Plan for AIDS Relief.**

> **I.5 Collaboration with U.S. Training and Care Provider
> Organizations**

One goal of the IAETC program will be to harness experience of training
care and support service providers in the United States. This rich
experience, while not immediately transferable to all developing-country
settings, should assist partner nations in the development of training
and service capacity. Applicants should describe past opportunities to
collaborate with the domestic AETCs, Ryan White Comprehensive AIDS
Resources Emergency (CARE) Act programs, and other established care
programs. Applicants should describe efforts to involve AETC affiliated
experts in the design and implementation of capacity-building
activities. One opportunity for such collaboration will be the training
of stakeholders (in local languages) described in Section I.2.

The HIV/AIDS Bureau (HAB) will play a key role in identifying and
linking the IAETC to successful U.S. partners. Applicants are not
expected or required to have or develop in-house expertise on all the
facets of HIV/AIDS training and care. However, applicants should
demonstrate linkages with CARE Act programs and describe how these
linkages have contributed to the IAETC activities. Applicants should
also describe their collaboration with the AETC National Resource Center
(NRC) and regional AETCs to identify and disseminate state-of-the-art
information and materials to in-country resource centers and their
collaborators. Applicants should describe the assessment and the utility
and appropriateness of NRC materials for use in partner country
programs. These could include curricula, clinical guidelines, or
educational and instructional materials in local languages. Country
programs could also need assistance with methods, instruments, and
models for needs assessments, program evaluation, quality improvement,
clinical consultation, and technical assistance activities. Applicants
should describe opportunities to facilitate twinning relationships
between host-country institutions and U.S.-based AIDS programs. The
intent is to demonstrate success in providing a direct link between
developing programs and established, successful programs that provide
high-quality care in low-resource settings. Twinning linkages will
likely benefit each participant through the sharing of new approaches,
lessons-learned, and program experience. These linkages could be
established during U.S.-based training and site visits or facilitated
through consulting relationships over the lifetime of the project.

> **I.6 Program Collaboration and Linkages**

Applicants will be required to work closely with in-country partners to
ensure a successful capacity development program. As a funding partner
of the proposed activities, the U.S. Government teams and field offices
will be involved in the development of the program at the local level.
HRSA will work closely with the in-country U.S. Government teams to
oversee development of the program at the local level. The Country
Operational Plan (COP) is the mechanism through which U.S. Government
teams led by the U.S. Ambassador in each focus country demonstrate
collaboration and coordination of activities with the Office of the
Global AIDS Coordinator; thus, applicants will have to ensure that
project information is communicated clearly and consistently to all
project personnel. Applicants are expected to demonstrate a close
working relationship with the international and U.S.-based programs, and
should indicate recent experience in the area.

In-country partners may include the Ministries of Health (MOH) and
Higher Education, key stakeholders (including but not limited to
prominent HIV/AIDS care providers, PLWHA groups, faith-based
organizations, national policy-makers, local and international
non-governmental organizations (NGOs)), medical schools, nursing schools
and health care training centers, where relevant to the project plan.
These key stakeholders will play a formative role in the development of
the capacity-building plan and could be part of initial stakeholder
training activities. (See Section I.2).

The President's Emergency Plan funds several training activities and the
COP reflects them. The U.S. Government team in-country coordinates all
these activities to prevent duplication of efforts and to monitor
quality.

Applicants should have mechanisms to use the expertise within the U.S.
regional AETC programs and work with international programs and other
providers and programs including the Global Find to Fight AIDS,
Tuberculosis and Malaria, where appropriate. One of the outcomes of
these relationships is expected to be minimal duplication of training
materials and efforts. Applicants should provide evidence of prior
efforts of shared resources.

> **I.7 Program Evaluations and Continuous Quality Improvement**

**Applicants should outline proven strategies to monitor and evaluate
the achievement of program goals and objectives by the IAETC**.
Applicants should also describe the information system they will use and
the ability to collect, manage, and analyze project data. At a minimum,
grantees will be required to submit:

-   A semi-annual progress report on achievement of program goals and
    objectives, a one-year budget and a continuing renewal application,
    and

-   program data that captures educational and training program
    information and individual participant information, in conformity
    with strategic-information guidance established by the office of the
    U.S. Global AIDS Coordinator.

Applicants should have the capacity to collect and report both
duplicated and unduplicated program performance data. **Applicants
should have the capability to** **array the data by Emergency Plan
program target area and by country**.

Applicants must also continually assess program activities to evaluate
and improve performance**, and the applications should clearly describe
its quality improvement program**. Applicants should outline the
mechanisms to assess education and training activities to ensure they
are appropriate, effective, and reflect the current knowledge base.
Applications should demonstrate how staff, contractors, and other
stakeholders receive feedback about the project performance and how the
applicant will use the information to modify the program.

Applicants are 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
provided to persons with HIV. **Applicants should outline strategies
that will be used to evaluate the impact of the IAETC program**, by
identifying what evaluation questions and potential outcome measures the
IAETC will investigate.

> **I.8 IAETC Structure and Program Administration**

**The IAETC program must be able to respond rapidly to varied requests
for assistance**. Applicants should be able to draw upon experts in
various fields, not all of who need be employed or housed by the
applicant. Thus, applicants should have developed partnerships or
mechanisms to contract with existing organizations with international
expertise in specific areas, such as pediatric HIV/AIDS care. Applicants
should clearly describe these agreements or partnerships and indicate
how these relationships will allow them to gain access to the required
expertise (see Section IV.6.)

The IAETC may be managed centrally or as a decentralized consortium. In
the centralized model, the IAETC is directly responsible for all of the
activities required in this project. In the decentralized model the
IAETC serves as the "central office" or the administrator/coordinator of
the IAETC. The IAETC forms a consortium by establishing contractual
relationships with education and training sites (often affiliated with
academic health sciences programs), information technology, organization
or human resource companies to provide services within their countries
or defined regions.

Whichever administrative model is chosen, the IAETC is ultimately
responsible for the programmatic and fiscal management of this
international grant program, including assurance of a close working
relationship with HRSA and other U.S. partners. In this role, applicants
are expected to establish and carry out effective standardized processes
for oversight of contractors' delivery of activities. Applicants will be
responsible for assuring that all contracting partners know and comply
with the conditions stipulated in this guidance concerning collaboration
with HRSA, in-country partners, and other U.S. Government partners.

Travel practices for the awardee are expected to follow current HHS
practice and appropriate federal requirements, including the cost
principles.

> **I.9 IAETC Staffing**

Applicants should have a Project Director, chosen from a health or
public health discipline, who is a senior-level professional with strong
HIV/AIDS experience and leadership skills, significant international
experience, and familiarity with U.S. foreign assistance agencies, and
the President's Emergency Plan for AIDS Relief. His/her level of effort
should be1.0 FTE.

Applicants should have minimum levels of effort in the following
disciplines:

-   1.0 full time employee (FTE) for Physician with HIV/AIDS-related
    experience;

-   1.0 FTE for Nurse/Advanced Practice Nurse with HIV/AIDS-related
    experience;

-   1.0 FTE Administrative and fiscal expertise (separate from the
    program development FTE);

-   1.0 FTE Program coordination for each country or region;

-   1.0 FTE for an individual with experience in data management,
    quality improvement, and program evaluation design.

-   1.0 FTE for an individual with experience in program development and
    administrative and fiscal expertise.

Any of these positions may be located at the "central office" or at one
of the field components, but they must be available to work in a variety
of locations; they may also be allocated among multiple positions.
Applicants must show a commitment to placing staff in the field to the
extent possible to achieve country goals. In addition, the program
should also identify a staff member or contractor who is a health
professional with experience in HIV/AIDS, pediatric/adolescent issues,
and training that will be identified as the liaison to
pediatric/adolescent issues. The applicant should use the line-item
budget and budget justification described in Section IV.1 to provide
salary, FTE, and other information for IAETC staff and contractors.
Biographical sketches or resumes (not to exceed two pages each) of key
IAETC staff should be included in the Appendix. To the extent possible,
staff should have fluency in the local languages of the countries in
which the applicants intend to work.

**I.10 Program Oversight**

Applicants are expected to use a Steering Committee or Executive
Committee to provide oversight of and leadership to the program. This
body should be composed of the applicant's staff and representatives of
any contracted education and training sites, and should also include
local consumers, medical and education training advisors, or others who
would contribute to the oversight and management of the program. This
body should have clearly defined roles, responsibilities and
authorities, and meet regularly as defined in the program plans.

### II. AWARD INFORMATION

**1. Type of Award**.

Funding will be provided in the form of a Cooperative Agreement.

> The funding mechanism for this project is a Cooperative Agreement.
> Thus, the IAETC and HRSA's 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, the
> winning applicant must make HRSA aware of all project activities in
> sufficient time for HRSA to provide input or assistance]{.underline}.
> The applicant should clearly indicate its understanding of the
> Cooperative Agreement and the need to work closely with HRSA/HAB.
>
> HHS requires that the IAETC show attribution to HRSA and to the
> President's Emergency Plan for AIDS Relief in all printed material,
> presentations and publications.

### HHS and HRSA Activities in Support of the Cooperative Agreement

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

-   Facilitate the coordination and collaborating among program
    partners, such as the Office of the U.S. Global AIDS Coordinator
    (OGAC), other HHS Agencies, USAID, foreign governments, and other
    key stakeholders.

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

-   Participate, as appropriate, in the planning and producing of any
    conferences, meetings, or workgroups to be conducted during the
    period of the Cooperative Agreement.

-   Maintain an ongoing dialogue with the IAETC concerning program
    plans, policies and other issues that have major implications for
    any activities undertaken by the applicant under the Cooperative
    Agreement.

-   Review, provide comments, recommendations, and approvals for
    documents, curricula, program plans, budgets, contracts, personnel
    (including consultants and contractors), revisions of work plans,
    etc., prior to printing, dissemination or implementation.

-   Organize an orientation meeting with the grantee to brief them on
    applicable U.S. Government, HHS, and Emergency Plan expectations,
    regulations and key management requirements, as well as report
    formats and contents. The orientation could include meetings with
    staff from HHS agencies and the Office of the U.S. Global AIDS
    Coordinator.

-   Review and approve the process used by the grantee to select key
    personnel and/or post-award subcontractors and/or subgrantees to be
    involved in the activities performed under this agreement, as part
    of the Emergency Plan for AIDS Relief Country Operational Plan
    review and approval process, coordinated by the Office of the U.S.
    Global AIDS Coordinator.

-   Review and approve grantee's annual work plan and detailed budget,
    as part of the Emergency Plan for AIDS Relief Country Operational
    Plan review and approval process, coordinated by the Office of the
    U.S. Global AIDS Coordinator.

-   Review and approve grantee's monitoring and evaluation plan,
    including for compliance with the strategic information guidance
    established by the Office of the U.S. Global AIDS Coordinator.

-   Meet on a monthly basis with grantee to assess monthly expenditures
    in relation to approved work plan and modify plans as necessary.

-   Meet on a quarterly basis with grantee to assess quarterly technical
    and financial progress reports and modify plans as necessary.

-   Meet on an annual basis with grantee to review annual progress
    report for each U.S. Government Fiscal Year, and to review annual
    work plans and budgets for subsequent year, as part of the Emergency
    Plan for AIDS Relief review and approval process for Country
    Operational Plans, coordinated by the Office of the U.S. Global AIDS
    Coordinator.

-   Provide technical assistance, as mutually agreed upon, and revise
    annually during validation of the first and subsequent annual work
    plans. This could include expert technical assistance and targeted
    training activities in specialized areas, such as strategic
    information, project management, confidential counseling and
    testing, palliative care, treatment literacy, and adult learning
    techniques.

**2. Summary of Funding**

> One award of up to \$22.5 million will be available for country
> activities and up to \$2.5 million for administrative costs. The level
> of funding is determined by, among other criteria, the in country need
> for scale-up of human capacity and infrastructure development to meet
> the five-year Emergency Plan targets for treatment, prevention and
> care, as determined by the Country Operational Plan review and
> approval process, coordinated by the Office of the U.S. Global AIDS
> Coordinator.
>
> The project period is for five years, and the budget period is for 12
> months. Throughout the project period, supplemental funding for other
> projects could become available through a limited competition.
> Information will be available at a future date should additional
> funding become available through a limited competition.

#### III. ELIGIBILITY INFORMATION {#iii.-eligibility-information .unnumbered}

> **1. Eligible Applicants**
>
> Eligible organizations are U.S. organizations: public and non-profit
> private entities, schools and academic health sciences centers,
> including faith-based organizations.

**2. Cost Sharing/Matching**

> There is no cost-sharing requirement with this cooperative agreement.
> Although matching funds are not required, organizations are encouraged
> to leverage additional funds to contribute to program goals.
>
> **3. Other**
>
> HRSA will accept only one application per organization; organizations
> may not submit applications as part of more than once consortium.

#### IV. APPLICATION AND SUBMISSION INFORMATION {#iv.-application-and-submission-information .unnumbered}

> **1. Addresses to Request Application Package**

# **Application Materials**

Applicants must submit proposals using Health Resources and Services
Administration (HRSA) Training Form 6025-1. Applicants may obtain these
forms, included in the application kit, from the following sites by:

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

> Or

(1) 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>[.]{.underline}

Instructions for filling out the Training Form 6025-1 appear in the
"Application Format" and the "Budget" section below.

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

##### 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.**
>
> **If applying on paper, the entire application may not exceed 80 pages
> in length, including the abstract, project and budget narratives,
> attachments, any appendices and letters of commitment and support.
> 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**.
>
> Page limitations are indicated for each section. Applicants should not
> submit letters of support or other materials beyond what is requested.
> All forms must be signed by the same official in **blue** ink.
> Required forms are enclosed as part of this Application Guidance.
> Pages must be numbered consecutively
>
> 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
>
> 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 points 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 8.5"x11" white
> paper. Margins must be at least one (1) inch at the top, bottom, 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 Checklist (last page of application), including
> charts, figures, tables, and appendices.
>
> 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.

**Application Format**

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

i.  **Application Face Page: Training Form 6025-1 provided below**

OMB Approval No. 0915-0060 Expiration Date: 08/31/2006

+-----------------+-----------------+----------------+---------------+
| DEPARTMENT OF   |                 | **Date         | **Grant       |
| HEALTH AND      |                 | Received**     | Number**      |
| HUMAN SERVICES  |                 |                |               |
|                 |                 |                |               |
| **Health        |                 |                |               |
| Resources and   |                 |                |               |
| Services        |                 |                |               |
| A               |                 |                |               |
| dministration** |                 |                |               |
|                 |                 |                |               |
| **Grant         |                 |                |               |
| Application**:  |                 |                |               |
+-----------------+-----------------+----------------+---------------+
|                 |                 | **CFDA No.     |               |
|                 |                 | DUNS No.**     |               |
+-----------------+-----------------+----------------+---------------+
| 1.  **Title of  |                 |                |               |
|     Grant       |                 |                |               |
|     Program     |                 |                |               |
|     (not to     |                 |                |               |
|     exceed 56   |                 |                |               |
|     spaces)**   |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| **2a.**         |                 | **2b. Highest  | **2c. Social  |
| **Project       |                 | Degree**       | Security      |
| Director, Name  |                 |                | No.**         |
| *(last, first,  |                 |                |               |
| middle initial  |                 |                |               |
| & position      |                 |                |               |
| title)***       |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| **2d**.         |                 | **2e. E-Mail   |               |
| **Mailing       |                 | Address**      |               |
| Address         |                 |                |               |
| *(organization, |                 |                |               |
| street, city,   |                 |                |               |
| state, zip      |                 |                |               |
| code****)*      |                 |                |               |
+-----------------+-----------------+----------------+---------------+
|                 |                 | **2f.          |               |
|                 |                 | Department**   |               |
+-----------------+-----------------+----------------+---------------+
|                 |                 | **2g. School   |               |
|                 |                 | or College**   |               |
+-----------------+-----------------+----------------+---------------+
| **2h.**         |                 | **2i. Fax**    |               |
| **Telephone     |                 | (area code,    |               |
| *(area code,    |                 | number**)**    |               |
| number,         |                 |                |               |
| extension****)* |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| **3. Dates of   |                 | **4. Applicant |               |
| entire proposed |                 | Organization   |               |
| project period  |                 | *(name and     |               |
| (This           |                 | address)***    |               |
| application**)  |                 |                |               |
|                 |                 |                |               |
| **From** **To** |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| **5.**          |                 |                |               |
| **Congressional |                 |                |               |
| District of     |                 |                |               |
| Applicant Other |                 |                |               |
| Districts that  |                 |                |               |
| Benefit         |                 |                |               |
| Financially     |                 |                |               |
| from this       |                 |                |               |
| Application**   |                 |                |               |
|                 |                 |                |               |
| \               |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_      |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| > **6. Official |                 | **6a. Single   |               |
| > in business   |                 | point of       |               |
| > office to be  |                 | contact if     |               |
| > contacted     |                 | different from |               |
| > concerning**  |                 | 6**            |               |
|                 |                 |                |               |
| **application   |                 |                |               |
| *(name, title,  |                 |                |               |
| address and     |                 |                |               |
| telephone       |                 |                |               |
| number)***      |                 |                |               |
+-----------------+-----------------+----------------+---------------+
|                 |                 | **6b. E-Mail   |               |
|                 |                 | address of     |               |
|                 |                 | single point   |               |
|                 |                 | of contact**   |               |
+-----------------+-----------------+----------------+---------------+
|                 |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| 7.  **Entity    | 8.  **Official  |                |               |
|                 |     signing for |                |               |
|  identification |     applicant   |                |               |
|     no.**       |                 |                |               |
|                 |    organization |                |               |
|                 |     (name,      |                |               |
|                 |     title and   |                |               |
|                 |     telephone   |                |               |
|                 |     number)**   |                |               |
+-----------------+-----------------+----------------+---------------+
| 9.  **Type of   |                 |                |               |
|                 |                 |                |               |
|    organization |                 |                |               |
|     *(see       |                 |                |               |
|     i           |                 |                |               |
| nstructions)*** |                 |                |               |
|                 |                 |                |               |
| -   **Private   |                 |                |               |
|     Nonprofit** |                 |                |               |
|                 |                 |                |               |
| ```{=html}      |                 |                |               |
| <!-- -->        |                 |                |               |
| ```             |                 |                |               |
| -   **Public    |                 |                |               |
|     (Specify    |                 |                |               |
|     Federal,    |                 |                |               |
|     State,      |                 |                |               |
|     Local)      |                 |                |               |
|     [\_\_       |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| \_\_\_\_\_\_\_\ |                 |                |               |
| _\_\_\_\_\_\_\_ |                 |                |               |
| ]{.underline}** |                 |                |               |
+-----------------+-----------------+----------------+---------------+
| **10. Project   |                 | > **11.        |               |
| Director        |                 | > Signature of |               |
| Assurance:**    |                 | > person named |               |
|                 |                 | > in item 2a.  |               |
| **I agree to    |                 | > \"PER\"      |               |
| accept          |                 | > signature    |               |
| responsibility  |                 | > not          |               |
| for the conduct |                 | >              |               |
| of the project  |                 |  acceptable**. |               |
| and to provide  |                 |                |               |
| the required    |                 | \_\_\_\_\_\_   |               |
| progress        |                 | \_\_\_\_\_\_\_ |               |
| reports if a    |                 | \_\_\_\_\_\_\_ |               |
| grant is        |                 | \_\_\_\_\_\_\_ |               |
| awarded as a    |                 | \_\_\_\_\_\_\_ |               |
| result of this  |                 | \_\_\_\_\_\_\_ |               |
| application**.  |                 | **Date**       |               |
|                 |                 | \_\_           |               |
|                 |                 | \_\_\_\_\_\_\_ |               |
|                 |                 | \_\_\_\_\_\_\_ |               |
+-----------------+-----------------+----------------+---------------+
| **12.           |                 | **13.          |               |
| Certification   |                 | Signature of   |               |
| and             |                 | person named   |               |
| acceptance**    |                 | in item 8.**   |               |
|                 |                 |                |               |
| **I certify     |                 | > **\"PER\"    |               |
| that the        |                 | > signature    |               |
| statements      |                 | > not          |               |
| herein are true |                 | >              |               |
| and complete to |                 |  acceptable**. |               |
| the best of my  |                 |                |               |
| knowledge and   |                 | \_\_\_\_       |               |
| accept the      |                 | \_\_\_\_\_\_\_ |               |
| obligation to   |                 | \_\_\_\_\_\_\_ |               |
| comply with the |                 | \_\_\_\_\_\_\_ |               |
| DHHS terms and  |                 | \_\_\_\_\_\_\_ |               |
| conditions if a |                 | \_\_\_\_\_\_\_ |               |
| grant is        |                 | \_\_\_**Date** |               |
| awarded as a    |                 | \_\_           |               |
| result of this  |                 | \_\_\_\_\_\_\_ |               |
| application. A  |                 | \_\_\_\_\_\_\_ |               |
| willfully false |                 |                |               |
| certification   |                 |                |               |
| is a criminal   |                 |                |               |
| offense (U.S.   |                 |                |               |
| Code, Title 18, |                 |                |               |
| Section         |                 |                |               |
| 1001**).        |                 |                |               |
+-----------------+-----------------+----------------+---------------+

HRSA-6025-1 (Revised 6/00) Created in Microsoft Word

> The first page of the HRSA Training Form 6025-1 is provided with the
> application package in the guidance. Prepare this page according to
> instructions provided below.
>
> **1. Title of Grant Program:** International AIDS Education and
> Training Center.
>
> **2a. Project Director:** Principal Investigator
>
> **2b. Highest Degree:** Enter the highest degree earned by the project
> director
>
> **2c. Social Security Number**: Leave this blank.
>
> **2d. Mailing Address:** Enter the office address of the project
> director if different from the address in item 4.
>
> **2e. E-Mail Address:** Enter the address at which the project
> director can receive e-mail.
>
> **2f. Department:** Enter the organizational affiliation, such as
> Department of Medicine.
>
> **2g. School or College:** Enter the name of the school, college, or
> other major subdivision such as medicine, dental, public health, etc.
>
> **2h. Telephone:** Enter the number at which the project director can
> usually be reached during business hours.
>
> **2i. Fax:** Enter the number at which the project director can
> receive fax mail.
>
> **3. Dates of Entire Proposed Application period:** The total period
> of support is 5 years; the start date is March 1, 2006 and the end
> date is February 28, 2011.
>
> **4. Applicant Organization:** Name the one institution that will be
> legally and financially responsible and accountable for the use and
> disposition of any DHHS funds awarded on the basis of this
> application. Enter the name and address (street, city, state, 9-digit
> zip code).
>
> **5. Congressional District of Application:** Enter the Congressional
> District in which the application institution is located.
>
> **6. Official in Business Office to be Contacted Concerning
> Application**: Self -explanatory.
>
> **6a. Single Point of Contact (SPOC):** The SPOC is a designated
> institutional official responsible for all business management
> activities between the institution and the Division of Grants
> Management Operations of HRSA.
>
> **6b. E-Mail address of Single Point of Contact:** Self explanatory
>
> **7. Entity Identification Number:** Enter the number assigned by DHHS
> to each grantee institution for payment and accounting purposes. If a
> number has not been assigned, enter the institution's IRS employer
> identification number.
>
> **8. Official Signing for the Applicant Organization:** See
> instruction for item 12.
>
> **9. Type of Organization:** Some Federal organizations must submit a
> document of eligibility with the completed application in accordance
> with DHHS Policy.
>
> A private nonprofit organization must submit proof of its nonprofit
> status if it has not previously done so. If such proof has been
> previously submitted to any component of DHHS, identify the component
> and the date submitted. Acceptable proof to be submitted with the
> completed application may be: (a) a reference to the organization's
> listing in the most recent Internal Revenue Service (IRS) cumulative
> list of tax exempt organizations; or (b) a copy of a currently valid
> IRS tax exemption certificate; or (c) a statement from a State taxing
> authority or State Attorney General, certifying that the organization
> is a nonprofit organization operating within the State and that no
> part of its earnings may lawfully inure to the benefit of any private
> shareholder or individual; or (d) a certified copy of the certificate
> of incorporation or other document which clearly establishes the
> nonprofit status of the organization; or (e) any of the items
> immediately above from a State of national parent organization and a
> statement signed by the parent organization that the applicant
> organization is a local non-profit affiliate.
>
> **10. Project Director Assurance:** Principal Investigators name.
>
> **11. Signature:** Self- explanatory. "Per" signatures are not
> acceptable.
>
> **12. Certification and Acceptance:** The signature of an authorized
> official of the applicant institution is required as certification
> that the information in the application is correct, that the
> institution agrees to abide by enabling legislation, applicable
> regulations, HHS policies, and conditions placed on the award, and
> that adequate facilities will be made available for the conduct of the
> proposed project. If the official named in item 8 is not available to
> sign for the applicant organization, an official authorized may sign
> as "acting" for such official. "Per" signatures are not acceptable.
> Signatures are required in ink and on original copy only.
>
> **13. Signature:** See item 12 above
>
> **DUNS Number**
>
> The Catalog of Federal Domestic Assistance Number for the IAETC
> Program is 93.145. The Catalog of Federal Assistance Number (CFDA) and
> the Program Announcement Number (HRSA-06-070) have been entered in the
> upper right section of the face sheet. Please note that you will have
> to input the 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 obtained at
> *<http://www.hrsa.gov/grants/preview/dunsccr.htm>* or call
> 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>[.]{.underline}*
>
> ***ii. Table of Contents***
>
> Provide a Table of Content for the remainder of the application
> (including appendices), with page numbers.

iii. ***Application Checklist.***

> Use application Training Form 6025-1, provided with the application
> package.
>
> ***iv. Budget***
>
> This announcement is inviting applications for project periods up to 5
> years. Awards, on a competitive basis, will be for a one-year budget
> period, although project periods may be for 5 years. Applications for
> continuation grants funded under these awards beyond the one-year
> budget period but within the 5 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 will be in the best interest of the government.
>
> **Budget Forms**:

-   Detailed Budget for 12 month Budget Period

-   Budget Estimates for All Remaining Years of Support Requested.

-   Consolidated Program Budget (1 page)

> The budget is to be presented in the format outlined below. Only IAETC
> Federal resources that are proposed to support this program should be
> included. Other Federal and non-Federal funds must not be reflected on
> this form. Please note that all program income generated must be used
> for approved activities. Indirect costs are limited to no more than
> eight percent (8%) of the approved Federal Cooperative Agreement
> funds. This cap applies to all cooperating agencies regardless of the
> applicant's negotiated cost rate approved by a Federal Agency.
> Indirect costs paid to the cooperating agency on contracts are limited
> to the first \$25,000 of each contract. Direct costs included in the
> Administration/Coordination budget are not considered indirect costs.
>
> **Indirect costs are also limited to no more than 8% for
> contractors.** This cap applies to all of cooperating agencies
> contractors regardless of their negotiated cost rate approved by a
> recognized Federal agency. This budget should be clearly marked
> "CONSOLIDATED PROGRAM BUDGET" and presented on a **separate page** and
> contain no other information on it. A suggested format for
> presentation is shown on the next page.

# **v. Line Item Budget and Justification** 

> The budget period is for 1 year. A separate line item budget and
> budget justification are required to further delineate the costs. The
> budget should summarize the funding expected to be allocated for the
> project infrastructure and activities in each country. Headquarter
> costs should be reflected in the in-country budgets. A budget
> justification must be completed clearly describing each of the
> itemized expenses and explaining the contribution towards achievement
> of the program's goals. The budget justification is a narrative
> designed to describe the basis of the costs of the proposed project.
> It is **not** designed to expand the project narrative.

  --------------- ----------- ---------------- ----------- --------------------- -------- --------------- -------------
                                                                                                          

                              **CONSOLIDATED                                                              
                              PROGRAM BUDGET                                                              
                              (Suggested                                                                  
                              format)**                                                                   

                                                                                                          

                                                                                                          

  PERSONNEL                                                                                               

                  **Title**   **Annual**       **FTE on**  **Administration/**            **Education**   **Program**

                              **Salary**       **IAETC**   **Coordination**               **/**           **Total**

                                                                                          **Training**     

                                                                                                           

                                                                                                           

                                                                                                           

                                                                                                           

                                                                                                           

  **TOTAL**       ** **                                                                                    

  **PERSONNEL**                                                                                            

                                                                                                          

                                                                                                          

                                                                                                          

  **TOTAL FRINGE                                                                                           
  BENEFITS**                                                                                              

                                                                                                          

                                                                                                          

  **TOTAL                                                                                                  
  CONSULTANT                                                                                              
  COSTS**                                                                                                 

  Name each                                                                                                
  consultant as a                                                                                         

  separate line                                                                                            
  item                                                                                                    

                                                                                                          

  **TOTAL                                                                                                  
  EQUIPMENT**                                                                                             

                                                                                                          

  **TOTAL                                                                                                  
  CONTRACTS**                                                                                             

  Name each                                                                                                
  contract as a                                                                                           
  separate line                                                                                           

                                                                                                          

  **TOTAL                                                                                                  
  SUPPLIES**                                                                                              

                                                                                                          

  **TOTAL STAFF                                                                                            
  TRAVEL**                                                                                                

                                                                                                          

  **TOTAL OTHER                                                                                            
  EXPENSES**                                                                                              

  Itemize other                                                                                            
  expenses by                                                                                             
  category                                                                                                

                                                                                                          

                                                                                                          

                                                                                                          

  **TOTAL DIRECT                                                                                          
  COSTS**                                                                                                 

  **INDIRECT                                                                                              
  COSTS (not to                                                                                           
  exceed 8%)**                                                                                            

  **TOTAL DIRECT                                                                                          
  AND INDIRECT                                                                                            
  COSTS**                                                                                                 

                                                                                                          
  --------------- ----------- ---------------- ----------- --------------------- -------- --------------- -------------

> 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 project year which mainly covers
indirect cost.*

*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.*

## *Equipment:* *List equipment costs and provide justification for the need of the* 

> ***[equipment to carry out the program's goals.]{.underline}**
> Extensive justification and a detailed status of current equipment
> must be provided when requesting funds for the purchase of computers
> and furniture items.*
>
> *Contracts (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.*
>
> *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*
>
> *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.*

*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, grantee rent, utilities and insurance fall under this
category if they are not included in an approved indirect cost rate.*

> *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/]{.underline}.*
>
> ***vi. Staffing Plan and Personnel Requirements***

Applicants must present a staffing plan and provide a justification for
the plan that includes education and 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 A. Copies of biographical sketches for any key
employed personnel assigned to work on the proposed project must be
included in Appendix B.

vii. ***Assurances***

> Training Form 6025-1 provided with the application package
>
> in the guidance.

v***iii Certifications***

Training Form 6025-1 provided with the application package

> in the guidance.

ix\. ***Project Abstract***

> Provide an abstract for the IAETC program grant. 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 address, the proposed
> interventions, and the population group(s) served.

Please place the following at the top of the abstract:

-   Project Title: List the title of the project.

-   Contact Person: List the name of the person who should be contacted
    to provide information about your project.

-   Grantee: List the organization that is applying for the grant.

-   Address: Provide the complete mailing address of the organization.

-   Telephone Number: Provide the area code, telephone number, and
    extension, if necessary, for the contact person.

-   Fax number: Provide the fax number for the contact person.

-   E-mail address: Provide the e-mail address for the contact person.

-   www-address: Provide the web-site address for the applicant or
    program, 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 you will implement. Identify
> the key organizations that are collaborating in the project as
> contractors. Describe the anticipated impact of the proposed project
> on the geographic area and population being served and its systems of
> care, and the project's impact on fulfilling the numerical goals of
> the President's Emergency Plan for AIDS Relief.
>
> PROJECT EVALUATION: Briefly describe the proposed project's evaluation
> plan, including methodology for program documentation, quality
> improvement, and impact/outcome evaluation.

x.  **Program Narrative**

> The Program Narrative conveys background information for the proposed
> project and presents the program plan and strategies for
> implementation. **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. The total page limit for the project
> narrative is 35 pages, and includes any references, charts or figures,
> but does not include required attachments: Work plan; Organizational
> Chart; and Letters of Agreement. When appropriate, applicants are
> encouraged to use tables and charts that effectively provide the
> requested information. Tables should be clearly marked, contain
> legends when appropriate, and be self-explanatory.

1.  **INTRODUCTION**

> This section should briefly describe how the applicant will meet the
> program expectations in the context of the numerical goals of the
> President's Emergency Plan for AIDS Relief. The program categories to
> be addressed should include: Prevention of mother-to-child
> transmission (PMTCT); abstinence/be faithful prevention; medical
> transmission/blood safety; medical transmission/injection safety;
> other prevention activities, palliative care, basic health care;
> palliative care, tuberculosis/HIV; support for orphans and vulnerable
> children; counseling and testing; HIV/AIDS treatment; laboratory
> infrastructure; strategic information; and other/policy analysis and
> system strengthening.
>
> **(2) NEEDS ASSESSMENT**
>
> This section of the narrative should describe the collaborative
> process the applicant will use to assess the training capacity needs
> of in-country HIV/AIDS care providers. Applicants should clearly
> detail the methods and tools they would employ to assess the training
> capacity in partner countries and how they would develop the plan for
> building training capacity. Applicants should describe the resources
> the IAETC 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 and adapting them into local languages.
>
> Applicants 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 the applicant will tie these
> resources to the plan developed in the initial needs assessment.
> Applicants should also describe the needs assessment process to be
> used and plans to ensure the needs assessment is a continuous process
> (Ongoing needs assessment).
>
> **(3) METHODOLOGY**

Propose methods to meet each of the previously --described program area
requirements and expectations in the grant announcement. Each of the
following expectations should be specifically addressed through
applicant's proposed activities:

> 1\. Needs Assessment
>
> 2\. Stakeholder Training, in local languages
>
> 3\. Ongoing Needs Assessment
>
> 4\. Capacity-Building and Technical Assistance
>
> 5\. Collaboration with U.S. training and care provider
>
> organizations
>
> 6\. Collaboration with HRSA
>
> 7\. Program Collaboration and Linkages
>
> 8\. Program Evaluations and Continuous Quality Improvement
>
> 9\. IAETC Structure and Program Administration
>
> 10\. IAETC Staffing
>
> 11\. Program Oversight
>
> **(4) WORK PLAN**
>
> Describe the steps 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), and tied to the numerical goals of the President's
> Emergency Plan for AIDS Relief.
>
> The action steps are those activities applicants will undertake 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).
>
> The work plan should show the following:

-   Relate to the needs as identified by HRSA, HHS and U.S. Government
    in-country teams;

-   Correspond closely to the activities described in the project
    narrative;

-   Reflect Emergency Plan priorities; and

-   Include institutional capacity-building goals, objectives and
    activities. Furthermore, the work plan should also include
    capacity-building indicators measured through an on-going
    quality-assurance process for capacity-building.

> (**5) RESOLUTION OF CHALLENGES**
>
> Discuss likely challenges in designing and implementing the activities
> described in the Work Plan, and approaches to resolve such challenges.
>
> **(6) EVALUATION AND TECHNICAL SUPPORT CAPACITY**
>
> Describe current international experience, skills, and knowledge in
> the field of health professional training and adult learning, HIV
> disease and disease management, program administration and monitoring
> and health infrastructure development. Furthermore, show evidence of a
> training database, existing curricula, training manuals, training
> assessments and plans as developed for countries that bear the burden
> of HIV disease, particularly in local languages.
>
> **(7) ORGANIZATIONAL INFORMATION**

-   Describe the capabilities of the grantee to serve as the manager of
    the grant. Include descriptions of experience with international
    training and capacity development. Describe the expertise and
    qualifications of key staff members, including local language
    skills.

-   Describe the overall program structure, including the grantee,
    contractors, and other collaborators. Include an organization chart
    depicting this structure in

> Appendix E.

-   Describe the collaborative relationships and linkages and the
    capabilities and expertise of the contracting agencies and their
    roles in the project. (NOTE: include summaries of the contracts,
    clearly outlining the scopes of work, for all subcontracting
    agencies in

> Appendix: D.)

-   Describe the proposed processes for oversight of contractors for
    delivery of identified activities, monitoring contractor
    performance, and the provision of technical assistance to ensure
    effective delivery.

```{=html}
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-   Describe the governing structure of the proposed program. Identify
    the stakeholders who will be involved in decision-making activities
    of the applicant (i.e., resource allocation, training priorities,
    evaluation) and those who will serve in an advisory capacity to the
    applicant.

> **xi. Appendices**
>
> Please provide the following items to complete the content of the
> application. Please note that these are supplementary in nature, and
> are not intended to be a continuation of the project narrative. Label
> each appendix clearly.

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 possible. .

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 support. 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.**
>
> **3. Submission Dates and Times**

##### Application Due Date

The due date for applications under this grant announcement is

November 14, 2005 at 5:00 P.M. ET.

> 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 prolonged blackout. The authorizing official will
> determine the affected geographical area(s).

######## 

######## 

########  (a) 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.

(b) **Paper Submission**

> Upon receipt of a paper application, the HRSA 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.

**(c) Late applications:**

> Applications, which do not meet the criteria above, are considered
> late applications. HRSA shall notify each late applicant that its
> application will not be considered in the current competition.
>
> 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.

**4. Intergovernmental Review**

This program is not subject to the provisions of Executive Order 12372,
as implemented by 45 CFR Part 100.

**5. Funding Restrictions**

> Applicants responding to this announcement may request funding for a
> project period of up to five (5) years, at no more than \$25,000,000
> 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, as
> determined by the annual Country Operational Plan review and approval
> process, coordinated by the Office of the U.S. Global AIDS
> Coordinator. Country plans are formulated yearly and include budget
> levels for continued training and technical assistance. Funding
> determinants stem from these requests, and from the annual Country
> Operational Plan review and approval process, coordinated by the
> Office of the U.S. Global AIDS Coordinator.

6.  **Other Submission Requirements**

> **Electronic Submission**
>
> HRSA encourages applicants to submit applications on-line.
>
> To register and/or log-in to prepare your application, go to
>
> [https:grants.hrsa.gov/webexternal/login.asp.]{.underline} For
> assistance in using the on-line application system, call 877-GO4-HRSA
> (877-464-4772) between 8:30 am to 5:30 pm ET or e-mail the
> <callcenter@hrsa.gov>[.]{.underline}
>
> Online applications are required to submit ONLY one form in signed
> hard copy: the HRSA 6025-1 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
> HRSA 6025-1 Face Sheet must be printed, signed, and submitted to the
> HRSA Grants Application Center. You may print the HRSA 6025-1 from the
> online application.
>
> For an online application, applicants must send the signed HRSA 6025-1
> to the HRSA GRANTS APPLICATION CENTER at the above 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 on or before the deadline date and
> time, and (2) the signed HRSA 6025-1 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 HRSA
> 6025-1.
>
> If the application is submitted as a hard copy, the rules of
> submission as described below must be followed.
>
> Application narratives and spreadsheets will need to be created
> separately and submitted as attachments to the application. Applicants
> will be prompted to "upload" their attachments at strategic points
> within the application interface. The following document types will be
> accepted as attachments: WordPerfect (.wpd), Microsoft Word (.doc),
> Microsoft Excel (.xls), Rich Text Format (.rtf), Portable Document
> Format (.pdf). If there are tables that are not supported as data
> entry forms from within the application, they should be downloaded to
> your hard drive, filled in, and then uploaded as attachments with your
> application.
>
> Applications submitted electronically will be time/date stamped
> electronically, which will serve as receipt of submission.
>
> To look for funding opportunities, go to <http://www.hrsa.gov/grants>
> and follow the links. Information on grant opportunities both within
> HRSA and in other Federal agencies is also available through
> [http://www.grants.gov](http://www.grants.gov/), the official E-Grants
> website where applicants can find and apply for federal funding
> opportunities.

######## Paper Submission

> If you choose to submit paper copy, please send the original and two
> (2) copies of the application to:
>
> HRSA Grants Application Center
>
> The Legin Group, Inc.
>
> Attn: International AIDS Education and Training Center
>
> Program Announcement No. HRSA-06-070
>
> 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.

######## Pre-Application Conference Calls

> HRSA/HAB is sponsoring two, two-hour pre-application conference calls.
> These calls will assist potential applicants in preparing applications
> that address the requirements of this guidance. Participation in a
> pre-application conference call is not mandatory.
>
> For more information on the conference calls contact Letitia Mozee at
> 301-443- 5647 or via e-mail at <lmozee@hrsa.gov>

#### V. APPLICATION REVIEW INFORMATION {#v.-application-review-information .unnumbered}

1\. Review Criteria

> Review Criteria are used to review and rank applications. Applications
> will be scored on a basis of 100 points, with 100 being a perfect
> score. Points will be allocated based on the extent to which the
> proposal addresses each of the following criteria listed below. The
> IAETC program has six review criteria:
>
> **Criterion 1: NEED: Adequacy of the proposed plan for initial needs
> assessment and planning for building capacity through training and
> technical assistance. (weight -- 20points)**

-   Degree to which the applicant demonstrates an understanding of the
    national cultural and political context and the technical and
    programmatic areas covered by the project.

-   Development of an appropriate consultative needs assessment process
    to develop a plan to build capacity through training and technical
    assistance in local languages.

-   Extent to which the applicant demonstrates an understanding of the
    HIV/AIDS epidemic in resource-constrained settings and the impact it
    has on health service delivery systems and human resources.

-   Extent to which the applicant demonstrates the capacity to assist
    local indigenous partner organizations in resource-constrained
    settings to build sustainable institutional capacity, consistent
    with the expectations to meet Emergency Plan five-year targets for
    care and treatment.

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

-   Inclusion of a realistic work plan with goals and specific,
    measurable and time-framed objectives that delineate the steps to
    take to implement the proposed project.

-   Extent to which the applicant has direct experience in the 15 focus
    countries of the President's Emergency Plan.

> **Criterion 2: RESPONSE: Adequacy of the proposed program plan to
> provide education and training activities in local languages. (weight
> -- 20 points)**

-   Inclusion of a realistic work plan with goals and specific,
    measurable and time-framed objectives that relate to the numerical
    goals of the President's Emergency Plan for AIDS Relief and that
    delineate the steps to take to implement the proposed project.

-   Demonstrated clear and specific description of the activities,
    outcomes and results anticipated.

-   Description of program component defined by quantifiable and
    qualitative indicators of progress.

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

-   Extent to which the applicant demonstrates capacity to provide
    capacity --building and technical assistance in local languages to
    training institutions in under-resourced settings.

> **Criterion 3: Evaluative Measures (weight - 10 points)**

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

-   Adequacy of information system and grantee capacity to collect,
    manage, and analyze data. Including meeting the Emergency Plan's
    needs for reporting of data on monitoring and evaluation of training
    activities, consistent with strategic information guidance
    established by the Office of the U.S. Global AIDS Coordinator.

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

-   Adequacy of the evaluation plan presented, to measure, monitor, and
    evaluate the impact of the program on clinical practice.

##### Criterion 4: IMPACT (weight - 10 points)

-   Extent to which technical assistance and training activities will
    lead to sustainable human and institutional capacity development in
    target countries.

-   The extent to which the best practices from the program can be
    replicated in other under-resourced settings

-   The extent to which outcome of program activities contribute to
    meeting Emergency Plan five-year targets for care, treatment and
    prevention.

> **Criterion 5: RESOURCES/CAPABILITIES (weight - 30 points)**

-   Substantive experience (at least three years) in providing technical
    assistance in local languages in human-capacity development and in
    increasing and improving the capacity of health care organizations
    to deliver care, and evaluating effectiveness and efficiency of
    HIV-prevention, treatment and care programs and human-capacity
    development activities.

-   Ability to form alliances with organizations in resource --poor
    settings including by delineating clear organizational structures
    and descriptions of relationships, communications, roles,
    responsibilities, and authorities.

-   Extent to which the Principal Investigator, the Project Director,
    Project/Program Directors at contracted sites, and other key
    personnel have recognized HIV expertise and local language skills.

-   The extent to which applicant demonstrates the capacity to
    incorporate new treatment information into education and training
    activities.

-   Adequacy of Executive Committee structure to provide guidance and
    oversight to the IAETC, adequacy of description of roles and
    responsibilities and delineation of their functions, and adequacy of
    conflict-of-interest policies and procedures.

-   Feasibility of accomplishing the project in terms of time frames,
    adequacy, equity, and availability of resources (e.g., staffing,
    consultants, facilities, equipment), and management plan.

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

-   Extent to which the staffing and management plans, IAETC
    organization, and other resources are: appropriate to carrying out
    all aspects of the proposed work plan; reflective of the diversity
    of the trainee populations, and sensitive to age, gender,
    race/ethnicity and other cultural factors related to the target
    population and, as appropriate, the communities to be served.

> **Criterion 6: SUPPORT REQUESTED (weight - 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. Applicants
    must attest to adherence to the eight percent (8 percent) limit on
    indirect costs.

-   Allocation of resources to ensure that relevant and appropriate
    staff and other resources 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.

    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

> There are no funding special considerations for this program.
>
> **Anticipated Announcement and Award** **Dates**
>
> We anticipate the Health Resources and Services Administration will
> make an award prior to the March 01, 2006 start date.

#### VI. Award Administration Information {#vi.-award-administration-information .unnumbered}

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 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, signed by the HRSA Grants
> Management Officer and sent to the applicant agency's Authorized
> Representative, is the authorizing document. It will be sent prior to
> the start date of March 01, 2006.

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, with all
HHS policies, and with the policy requirements established by the Office
of the U.S. Global AIDS Coordinator.

**PUBLIC POLICY ISSUANCE**

**HEALTHY PEOPLE 2010**

> **Healthy People 2010** is a National initiative led by HHS that sets
> priorities for all HRSA programs. The initiative has two major goals:
> (1) Increase the quality and years of a healthy life; and (2)
> Eliminate our country's health disparities. The program consists of 28
> focus areas and 467 objectives. HRSA has actively participated in the
> work groups of all the focus areas, and is committed to the
> achievement of the Healthy People 2010 goals.
>
> Applicants must summarize the relationship of their projects and
> identify which of their programs objectives and/or sub-objectives
> relate to the goals of the Healthy People 2010 initiative.
>
> Copies of the Healthy People 2010 may be obtained from the
> Superintendent of Documents or downloaded at the Healthy People 2010
> website:
>
> [http://www.health.gov/healthy
> people/document/](http://www.health.gov/healthy people/document/).
>
> The U.S. 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) that provide regular or
> routine education, library, day care, health care or early childhood
> development services to children.

**Prostitution and Related Activities**

> 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.
>
> **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
> subagreements under this award.** These provisions must be express
> terms and conditions of the subagreement, must acknowledge that
> compliance with this section, "Prostitution and Related Activities,"
> is a prerequisite to receipt and expenditure of U.S. government funds
> in connection with this document, 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 in connection with this document.
>
> **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."

###### 

###### 

1.  **Reporting**

The successful applicant under this guidance must:

a.  Comply with audit requirements of Office of Management and Budget
    (OMB) Circular A-133. Applicants may find information on the scope,
    frequency, and other aspects of the audits on the Internet at
    [www.whitehouse.gov/omb/circulars](http://www.whitehouse.gov/omb/circulars)[;]{.underline}

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 following address:

> Division of Payment Management
>
> DPM/FMS/PSC/ASAM/HHS
>
> PO Box 6021
>
> Rockville, MD 20853
>
> 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;

d.  The grantee will provide reports on programmatic, fiscal and
    management practices that maximize the use of financial resources
    and benefit target populations. At a minimum, the reports should
    indicate information on staff changes and progress on the
    programmatic and fiscal activities during the reporting period.
    Particularly the following will apply:

-   A semi-annual progress report on the achievement of program goals
    and objectives and a one-year budget and a continuing renewal
    application.

    -   Cooperative Agreement quarterly progress reports documenting
        fiscal and programmatic activities will be required starting on
        March 3, 2006.

    -   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.

#### VII. AGENCY CONTACTS {#vii.-agency-contacts .unnumbered}

Applicants may obtain additional information regarding business,
administrative, or fiscal issues related to this grant announcement by
contacting:

> Darren Buckner
>
> HRSA Division of Grants Management Operations
>
> ATTN: International AIDS Education and Training Center
>
> Parklawn Building, Room 11A-13
>
> 5600 Fishers Lane
>
> Rockville, Maryland 20857
>
> Telephone: (301) 443-1913 Fax: (301) 443-6686
>
> E-mail: <dbuckner@hrsa.gov>
>
> Additional information related to overall program issues by
> contacting:
>
> Thurma Mc Cann Goldman, MD MPH
>
> 5600 Fishers Lane, Room 7-05
>
> Rockville, Maryland 20857
>
> Telephone: (301) 443-5647 Fax: (301) 443-9645

E-mail: <tgoldman@hrsa.gov>

#### VIII. TIPS FOR WRITING A STRONG APPLICATION {#viii.-tips-for-writing-a-strong-application .unnumbered}

> **Include DUNS Number.** You must include your 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 guide 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.