53204 Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 

1Behaviors that increase risk for HIV 

transmission including engaging in casual sexual 

encounters, engaging in sex in exchange for money 

or favors, having sex with an HIV-positive partner 

or one whose status is unknown, using drugs or 

abusing alcohol in the context of sexual 

interactions, and using intravenous drugs. Women, 

even if faithful themselves, can still be at risk of 

becoming infected by their spouse, regular male 

partner, or someone using force against them. Other 

high-risk persons or groups include men who have 

sex with men and workers who are employed away 

from home. 

c. New Budget Period Program 

Proposed Activity Objectives. 

d. Budget. 

e. Measures of Effectiveness, 

including progress against the 

numerical goals of the President’s 

Emergency Plan for AIDS Relief for 

South Africa. 

f. Additional Requested Information. 

2. Annual progress report, due no 

more than 60 days after the end of the 

budget period. Reports should include 

progress against the numerical goals of 

the President’s Emergency Plan for 

AIDS Relief for South Africa. 

3. Financial status report, due no 

more than 90 days after the end of the 

budget period. 

4. Final financial and performance 

reports, no more than 90 days after the 

end of the project period. 

Recipients must mail these reports to 

the Grants Management or Contract 

Specialist and Program Technical 

Assistance Project Officer listed in the 

‘‘Agency Contacts’’ section of this 

announcement. 

VII. Agency Contacts 

We encourage inquiries concerning 

this announcement. 

For general questions, contact: 

Technical Information Management 

Section, CDC Procurement and Grants 

Office, U.S. Department of Health and 

Human Services, 2920 Brandywine 

Road, Atlanta, GA 30341, Telephone: 

770–488–2700. 

For program technical assistance, 

contact: Melanie Duckworth, Project 

Officer, HHS/CDC Global AIDS 

Program, 9300 Pretoria Place, 

Washington, DC 20521–9300, 

Telephone: 27 12 346 0170, E-mail: 

duckworthm@sa.cdc.gov. 

For financial, grants management, or 

budget assistance, contact: Shirley 

Wynn, Contract Specialist, CDC 

Procurement and Grants Office, U.S. 

Department of Health and Human 

Services, 2920 Brandywine Road, 

Atlanta, GA 30341, Telephone: 770–

488–1515, E-mail: zbx6@cdc.gov. 

VIII. Other Information 

Applicants can find this and other 

HHS funding opportunity 

announcements on the HHS/CDC Web 

site, Internet address: http:// 

www.cdc.gov (Click on ‘‘Funding’’ then 

‘‘Grants and Cooperative Agreements’’), 

and on the Web site of the HHS Office 

of Global Health Affairs, Internet 

address: http://www.globalhealth.gov. 

Dated: August 31, 2005. 

William P. Nichols, 

Director, Procurement and Grants Office, 

Centers for Disease Control and Prevention, 

U.S. Department of Health and Human 

Services. 

[FR Doc. 05–17666 Filed 9–6–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Strengthening and Expanding HIV/ 

AIDS Treatment, Care and Support for 

Prostitutes and Their Associated 

Sexual Partners in the Republic of Haiti 

as Part of the President’s Emergency 

Plan for AIDS Relief 

Announcement Type: New. 

Funding Opportunity Number: CDC–

RFA–AA158. 

Catalog of Federal Domestic 

Assistance Number: 93.067. 

Key Dates: Application Deadline: 

September 29, 2005. 

I. Funding Opportunity Description 

Authority: This program is authorized 

under sections 301(a) and 307 of the 

Public Health Service Act [42 U.S.C. 

sections 241 and 2421] as amended, and 

under Public Law 108–25 (United States 

Leadership Against HIV/AIDS, 

Tuberculosis and Malaria Act of 2003) 

[22 U.S.C. 7601]. 

Background: President Bush’s 

Emergency Plan for AIDS Relief has 

called for immediate, comprehensive 

and evidence-based action to turn the 

tide of global HIV/AIDS. The initiative 

aims to treat more than two million 

HIV-infected people with effective 

combination anti-retroviral therapy by 

2008; care for ten million HIV-infected 

and affected persons, including those 

orphaned by HIV/AIDS, by 2008; and 

prevent seven million infections by 

2010, with a focus on 15 priority 

countries, including 2 in the Caribbean. 

The five-year strategy for the Emergency 

Plan is available at the following 

Internet address: http://www.state.gov/s/ 

gac/rl/or/c11652.htm. 

Over the same time period, as part of 

a collective national response, the 

Emergency Plan goals specific to Haiti 

are to treat at least 25,000 HIV-infected 

individuals; care for 125,000 HIVaffected individuals, including orphans. 

Purpose: An essential element of 

preventing new cases of HIV in Haiti is 

to ensure that groups engaged in highrisk behavior 1 have adequate access to 

screening, treatment, and care facilities. 

Haiti’s HIV prevalence rate in adults is 

reported to be 5.6 percent, according to 

the 2004 Annual Report of the Joint 

United Nations Programme on HIV/ 

AIDS (UNAIDS). Access to prevention 

and treatment is limited among the 

Haitian population because of an 

underdeveloped public health 

infrastructure and a lack of clinical 

capacity. 

This cooperative agreement seeks to 

fund HIV/AIDS education, prevention, 

and treatment activities targeted at 

prostitutes and their associated sexual 

partners in Haiti, including by 

discouraging men from visiting 

prostitutes. Extremely high-risk groups 

are a priority for the national prevention 

effort in Haiti. 

Prostitutes and their associated sexual 

partners have received little to no 

attention in the Haitian national 

prevention effort to stop the spread of 

HIV/AIDS. Prostitutes in Haiti engage in 

an illegal profession, and are thus very 

secretive and loosely organized through 

informal and often clandestine 

networks, and establishing a 

relationship with them to provide 

education, prevention, care and 

treatment is very difficult. This highrisk population needs to be much more 

engaged in the national prevention 

effort against the spread of HIV/AIDS in 

Haiti. 

Under the leadership of the U.S. 

Global AIDS Coordinator, as part of the 

President’s Emergency Plan, the U.S. 

Department of Health and Human 

Services (HHS) works with host 

countries and other key partners to 

assess the needs of each country and 

design a customized program of 

assistance that fits within the host 

nation’s strategic plan. 

HHS focuses on two or three major 

program areas in each country. Goals 

and priorities include the following: 

• Achieving primary prevention of 

HIV infection through activities such as 

expanding confidential counseling and 

testing programs, building programs to 

reduce mother-to-child transmission, 

and strengthening programs to reduce 

Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 53205 

2Behaviors that increase risk for HIV 

transmission including engaging in casual sexual 

encounters, engaging in sex in exchange for money 

or favors, having sex with an HIV-positive partner 

or one whose status is unknown, using drugs or 

abusing alcohol in the context of sexual 

interactions, and using intravenous drugs. Women, 

even if faithful themselves, can still be at risk of 

becoming infected by their spouse, regular male 

partner, or someone using force against them. Other 

high-risk persons or groups include men who have 

sex with men and workers who are employed away 

from home. 

transmission via blood transfusion and 

medical injections. 

• Improving the care and treatment of 

HIV/AIDS, sexually transmitted diseases 

(STDs) and related opportunistic 

infections by improving STD 

management; enhancing care and 

treatment of opportunistic infections, 

including tuberculosis (TB); and 

initiating programs to provide antiretroviral therapy (ART). 

• Strengthening the capacity of 

countries to collect and use surveillance 

data and manage national HIV/AIDS 

programs by expanding HIV/STD/TB 

surveillance programs and 

strengthening laboratory support for 

surveillance, diagnosis, treatment, 

disease-monitoring and HIV screening 

for blood safety. 

Measurable outcomes of the program 

will be in alignment with the numerical 

goals of the President’s Emergency Plan 

for AIDS Relief and with one (or more) 

of the following performance goal(s) for 

the National Center for HIV, STD and 

TB Prevention (NCHSTP) of the Centers 

for Disease Control and Prevention 

(CDC) within HHS: Increase the 

proportion of HIV-infected people who 

are linked to appropriate prevention, 

care and treatment services; strengthen 

the capacity nationwide to monitor the 

epidemic; develop and implement 

effective HIV prevention interventions; 

and evaluate prevention programs. 

This announcement is only for nonresearch activities supported by HHS, 

including the Centers for Disease 

Control and Prevention (CDC). If an 

applicant proposes research activities, 

HHS will not review the application. 

For the definition of ‘‘research,’’ please 

see the HHS/CDC Web site at the 

following Internet address: http:// 

www.cdc.gov/od/ads/opspoll1.htm. 

Activities: The recipient of these 

funds is responsible for activities in 

multiple program areas designed to 

target underserved populations in Haiti. 

Either the awardee will implement 

activities directly or will implement 

them through its subgrantees and/or 

subcontractors; the awardee will retain 

overall financial and programmatic 

management under the oversight of 

HHS/CDC and the strategic direction of 

the Office of the U.S. Global AIDS 

Coordinator. The awardee must show a 

measurable progressive reinforcement of 

the capacity of indigenous organizations 

and local communities to respond to the 

national HIV epidemic, as well as 

progress towards the sustainability of 

activities. 

Applicants should describe activities 

in detail as part of a four-year action 

plan (U.S. Government Fiscal Years 

2005–2008 inclusive) that reflects the 

policies and goals outlined in the fiveyear strategy for the President’s 

Emergency Plan. 

The grantee will produce an annual 

operational plan in the context of this 

four-year plan, which the U.S. 

Government Emergency Plan team on 

the ground in Haiti will review as part 

of the annual Emergency Plan for AIDS 

Relief Country Operational Plan review 

and approval process managed by the 

Office of the U.S. Global AIDS 

Coordinator. The grantee may work on 

some of the activities listed below in the 

first year and in subsequent years, and 

then progressively add others from the 

list to achieve all of the Emergency Plan 

performance goals, as cited in the 

previous section. HHS/CDC, under the 

guidance of the U.S. Global AIDS 

Coordinator, will approve funds for 

activities on an annual basis, based on 

documented performance toward 

achieving Emergency Plan goals, as part 

of the annual Emergency Plan for AIDS 

Relief Country Operational Plan review 

and approval process. 

Awardee Activities for this program 

are as follows: 

1. Establish anonymous clinics in 

Haiti for populations engaged in highrisk behavior 2 to address prevention, 

treatment and care to decrease the 

transmission of HIV/AIDS. 

2. Develop targeted local-language 

campaigns in Haiti to promote 

prevention, care and treatment for 

prostitutes and their sexual partners, 

including to discourage men from 

visiting prostitutes. Awardees may not 

implement condom social marketing 

aimed at prostitutes without promoting 

abstinence and faithfulness messages to 

current and potential clients of 

prostitutes. 

3. Develop referral networks with 

local Haitian organizations (including 

faith-based groups) that provide 

advanced care and treatment and 

support for HIV-positive persons. 

4. Develop and implement an 

effective monitoring and evaluation 

strategy according to the strategicinformation guidelines established by 

the Office of the Global AIDS 

Coordinator, and report the required 

indicators to the Office of the U.S. 

Global AIDS Coordinator in a timely 

manner. 

5. Ensure that program objectives and 

work plan take into account and are 

consistent with regional U.S. 

Government efforts to monitor and 

combat trafficking in persons. Awardee 

must be prepared to work with other 

organizations funded by the U.S. 

Government to conduct anti-trafficking 

programs in the Carribean region, 

especially in the border area between 

Haiti and the Dominican Republic. 

Based on its competitive advantage 

and proven field experience, the 

winning applicant will undertake a 

broad range of activities to meet the 

numerical Emergency Plan targets 

outlined in this announcement. 

Administration: The winning 

applicant must comply with all HHS 

management requirements for meeting 

participation and progress and financial 

reporting for this cooperative agreement 

(See HHS Activities and Reporting 

sections below for details), and comply 

with all policy directives established by 

the Office of the U.S. Global AIDS 

Coordinator. 

In a cooperative agreement, HHS staff 

is substantially involved in the program 

activities, above and beyond routine 

grant monitoring. 

HHS Activities for this program are as 

follows: 

1. Organize an orientation meeting 

with the grantee to brief it 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. 

2. 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, managed by the Office of the 

U.S. Global AIDS Coordinator. 

3. 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, managed by the 

Office of the U.S. Global AIDS 

Coordinator. 

4. 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. 

5. Meet on a monthly basis with 

grantee to assess monthly expenditures 

53206 Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 

3Behaviors that increase risk for HIV 

transmission including engaging in casual sexual 

encounters, engaging in sex in exchange for money 

or favors, having sex with an HIV-positive partner 

or one whose status is unknown, using drugs or 

abusing alcohol in the context of sexual 

interactions, and using intravenous drugs. Women, 

even if faithful themselves, can still be at risk of 

becoming infected by their spouse, regular male 

partner, or someone using force against them. Other 

high-risk persons or groups include men who have 

sex with men and workers who are employed away 

from home. 

in relation to approved work plan and 

modify plans as necessary. 

6. Meet on a quarterly basis with 

grantee to assess quarterly technical and 

financial progress reports and modify 

plans as necessary. 

7. 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, managed by 

the Office of the U.S. Global AIDS 

Coordinator. 

8. 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. 

9. Provide in-country administrative 

support to help grantee meet U.S. 

Government financial and reporting 

requirements. 

10. Provide equipment and 

commodities for new partner clinics 

acquired through a transparent and 

competitive process. 

11. Provide funds to renovate three 

existing clinics that provide care to 

prostitutes and their associated sexual 

partners. 

12. Provide drugs to treat sexually 

transmitted infections (STI) and 

opportunistic infections (OI), acquired 

through a transparent and competitive 

process. 

13. Support an electronic medical 

record (EMR) database system; provide 

and support a surveillance database 

system for case notification. 

14. Provide and install hardware 

necessary for the use of database 

systems, and provision of technical 

assistance on database use and 

maintenance needs. 

15. Support operational research, and 

technical assistance for operational 

research. 

16.Support the annual technical 

review of service delivery programs of 

new clinics. 

17. Assist in organizing partner 

network meetings. (Such support will 

not include financing.) 

Please note: Either HHS staff or staff from 

organizations that have successfully 

competed for funding under a separate HHS 

contract, cooperative agreement or grant will 

provide technical assistance and training. 

Measurable outcomes of the program 

will be in alignment with the following 

performance goals for the Emergency 

Plan: 

A. Prevention 

Number of individuals trained to 

provide HIV prevention interventions, 

including abstinence, faithfulness, and, 

for populations engaged in high-risk 

behaviors,3 correct and consistent 

condom use. 

1. Abstinence (A) and Be Faithful (B) 

• Number of community outreach 

and/or mass media (radio) programs that 

are A/B focused 

• Number of individuals reached 

through community outreach and/or 

mass media (radio) programs that are A/ 

B focused. 

B. Care and Support 

1. Confidential counseling and testing 

• Number of patients who accept 

confidential counseling and testing in a 

health-care setting. 

• Number of clients served, direct. 

• Number of people trained in 

confidential counseling and testing, 

direct, including health-care workers. 

2. Orphans and Vulnerable Children 

(OVC) 

Number of service outlets/programs, 

direct and/or indirect. 

• Number of clients (OVC) served, 

direct and/or indirect. 

• Number of persons trained to serve 

OVC, direct. 

3. Palliative Care: Basic Health Care 

and Support 

• Number of service outlets/programs 

that provide palliative care, direct and/ 

or indirect. 

• Number of service outlets/programs 

that link HIV care with malaria and 

tuberculosis care and/or referral, direct 

and/or indirect. 

• Number of clients served with 

palliative care, direct and/or indirect. 

• Number of persons trained in 

providing palliative care, direct. 

C. HIV Treatment with ART 

• Number of clients enrolled in ART, 

direct and indirect. 

• Number of persons trained in 

providing ART, direct. 

D. Strategic Information 

• Number of persons trained in 

strategic information, direct. 

E. Expanded Indigenous Sustainable 

Response 

• Project-specific quantifiable 

milestones to measure the following: 

a. Indigenous capacity-building. 

b.Progress toward sustainability. 

II. Award Information 

Type of Award: Cooperative 

Agreement. 

HHS involvement in this program is 

listed in the Activities Section above. 

Fiscal Year Funds: 2005. 

Approximate Total Funding: 

$2,250,000 (This amount is an estimate, 

and is subject to availability of funds). 

Approximate Number of Awards: 

One. 

Approximate Average Award: 

$450,000 (This amount is for the first 

12-month budget period, and includes 

direct costs.) 

Floor of Award Range: $400,000. 

Ceiling of Award Range: $450,000 

(This ceiling is for the first 12 month 

budget period.) 

Anticipated Award Date: October 15, 

2005. 

Budget Period Length: 12 months. 

Project Period Length: Five years. 

Throughout the project period, HHS’

commitment to continuation of awards 

will be conditioned on the availability 

of funds, evidence of satisfactory 

progress by the recipient (as 

documented in required reports), and 

the determination that continued 

funding is in the best interest of the 

Federal Government, through the 

Emergency Plan for AIDS Relief review 

and approval process for Country 

Operational Plans, managed by the 

Office of the U.S. Global AIDS 

Coordinator. 

III. Eligibility Information 

III.1. Eligible Applicants 

Public and private non-profit and forprofit organizations may submit 

applications, such as: 

• Public, non-profit organizations 

• Private, non-profit organizations 

• For-profit organizations 

• Small, minority-owned, and 

women-owned businesses 

• Colleges 

• Universities 

• Hospitals 

• Community-based organizations 

• Faith-based organizations 

• Federally recognized Indian tribal 

governments 

• Indian tribes 

• Indian tribal organizations 

• State and local governments or their 

Bona Fide Agents (this includes the 

District of Columbia, the 

Commonwealth of Puerto Rico, the 

Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 53207 

Virgin Islands, the Commonwealth of 

the Northern Marianna Islands, 

American Samoa, Guam, the Federated 

States of Micronesia, the Republic of the 

Marshall Islands, and the Republic of 

Palau) 

In addition, applicants must meet the 

criteria listed below: 

1. Be indigenous to Haiti 

2. Have documented experience in 

strengthening and expanding HIV/AIDS 

treatment, care and support for 

prostitutes and their associated sexual 

partners 

3. Have established working 

relationships with prostitutes and have 

documented experience in providing 

care to them 

4. Demonstrate current or past 

capacity to coordinate activities with 

HHS and other agencies of the United 

States Government 

III.2. Cost Sharing or Matching Funds 

Matching funds are not required for 

this program. Although matching funds 

are not required, preference will go to 

organizations that can leverage 

additional funds to contribute to 

program goals. 

III.3. Other 

If you request a funding amount 

greater than the ceiling of the award 

range, your application will be 

considered non-responsive, and will not 

enter into the review process. You will 

be notified that your application did not 

meet the submission requirements. 

Special Requirements: If your 

application is incomplete or nonresponsive to the special requirements 

listed in this section, it will not enter 

into the review process. We will notify 

that your application did not meet 

submission requirements. 

• HHS will consider late applications 

non-responsive. See section ‘‘IV.3. 

Submission Dates and Times’’ for more 

information on deadlines. 

• Note: Title 2 of the United States 

Code Section 1611 states that an 

organization described in Section 

501(c)(4) of the Internal Revenue Code 

that engages in lobbying activities is not 

eligible to receive Federal funds 

constituting an award, grant, or loan. 

IV. Application and Submission 

Information 

IV.1. Address to Request Application 

Package 

To apply for this funding opportunity 

use application form PHS 5161–1. 

Electronic Submission: HHS strongly 

encourages the applicant to submit the 

application electronically by using the 

forms and instructions posted for this 

announcement on www.Grants.gov, the 

official Federal agency wide E-grant 

Web site. Only applicants who apply 

on-line are permitted to forego paper 

copy submission of all application 

forms. 

Paper Submission: Application forms 

and instructions are available on the 

HHS/CDC web site, at the following 

Internet address: http://www.cdc.gov/ 

od/pgo/forminfo.htm. 

If you do not have access to the 

Internet, or if you have difficulty 

accessing the forms on-line, you may 

contact the HHS/CDC Procurement and 

Grants Office Technical Information 

Management Section (PGO–TIM) staff 

at: 770–488–2700. We can mail 

application forms to you. 

IV.2. Content and Form of Submission 

Application: You must submit a 

project narrative with your application 

forms. The narrative must be submitted 

in the following format: 

• Maximum number of pages: 30. If 

your narrative exceeds the page limit, 

only the first pages which are within the 

page limit will be reviewed. 

• Font size: 12 point unreduced 

• Paper size: 8.5 by 11 inches 

• Page margin size: One inch 

• Double spaced 

• Numbered pages 

• Printed only on one side of page. 

• Held together only by rubber bands 

or metal clips; not bound in any other 

way. 

• Application MUST be submitted in 

English. 

Your narrative should address 

activities to be conducted over the 

entire project period, and must include 

the following items in the order listed: 

• Executive Summary—Provide a 

clear and concise summary of the 

proposed goals, major objectives and 

activities required for achievement of 

program goals, and amount of funding 

requested for budget year one of this 

cooperative agreement. Additionally, 

provide an outline of goals and objective 

to be addressed in years two through 

five. 

• Need—Describe the need for such 

services in Haiti. Include any data on 

STI and HIV prevalence rates. 

• Capacity—Demonstrate the current 

capability/capacity of organization. 

• Expansion—Identify and secure 

appropriate (accessible and discreet) 

and suitable rental property for new 

voluntary confidential counseling and 

testing (VCT) clinics in the following 

locations: Cap Haı ̈tien; Jacmel; 

Gonaı ̈ves; or Saint Marc. The 

confidential VCT clinics should be wellequipped to deliver prevention, care, 

treatment, and referral in local 

languages for prostitutes and their 

associated sexual partners, including by 

discouraging men from visiting 

prostitutes. 

• Personnel—Recruit and hire clinic 

personnel to provide a comprehensive 

HIV/AIDS service-delivery facility to 

address the needs of the target 

population. This should include STI 

screening and treatment, confidential 

HIV testing and counseling, and 

referrals for care and treatment for HIVpositive persons. 

• Training—Coordinate local 

language training of local health care 

professionals, including physicians, 

nurses, lab technicians, pharmacy 

technicians, community health workers 

and peer educators, in the following: 

1. STI screening and treatment 

training. 

2. Confidential counseling and testing 

(CT). 

3. Design and implementation of care. 

4. Monitoring and evaluation of 

programs. 

5. Maintenance of laboratory 

equipment. 

6. Laboratory safety and proper 

disposal of biohazardous materials 

protocol. 

7. Use of universal precautions and 

the management of needle-stick or 

splash injuries. 

8. In-service trainings for lab 

personnel to review new and best 

practice techniques and solicit ‘‘insider 

insight’’—an account of implementation 

success, and challenges in an effort to 

identify gaps in resources or 

effectiveness of particular protocols. 

• Laboratory Capacity—Provide basic 

laboratory services in support of HIV/ 

AIDS diagnosis and treatment: 

1. Perform CD4 counts. 

2. Perform complete blood counts. 

3. Perform HIV rapid testing. 

4. Perform confirmatory HIV/AIDS 

testing. 

5. Test for sexually transmitted 

infections (STI). 

6. Provide counseling of test results. 

7. Provide referrals to appropriate 

prevention, treatment care and support 

services. 

• Drugs and Commodities—Procure 

drugs and commodities through a 

transparent and competitive process: 

1. STI drugs for HIV-positive persons. 

2. Condoms. Awardees may not 

implement condom social marketing 

aimed at prostitutes without also 

promoting abstinence and faithfulness 

messages to current and potential 

clients of prostitutes. 

(The awardees must obtain all 

appropriate approvals required by HHS 

to purchase any medications.) 

• Outreach—Provide educational 

services in awareness, prevention and 

53208 Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 

4Behaviors that increase risk for HIV 

transmission including engaging in casual sexual 

encounters, engaging in sex in exchange for money 

or favors, having sex with an HIV-positive partner 

or one whose status is unknown, using drugs or 

abusing alcohol in the context of sexual 

interactions, and using intravenous drugs. Women, 

even if faithful themselves, can still be at risk of 

becoming infected by their spouse, regular male 

partner, or someone using force against them. Other 

high-risk persons or groups include men who have 

sex with men and workers who are employed away 

from home. 

treatment of HIV/AIDS among current 

and potential clients of prostitutes: 

1. Develop target population-specific 

advertisement/health promotion 

strategies to make this population aware 

of clinics through peer education and to 

discourage them from visiting 

prostitutes. 

2. Establish baseline information 

regarding knowledge of HIV/AIDS 

transmission and sexual practices of the 

target population. 

3. Assess attitudes and behaviors 

within the target population. 

4. Develop and implement long-term 

behavioral-change communication 

(BCC) campaigns, including to make 

visiting prostitutes outside of 

community social norms. 

5. Promote condom distribution and 

correct and consistent use for 

populations engaged in high-risk 

behavior.4 Awardees may not 

implement condom social marketing 

aimed at prostitutes without also 

promoting abstinence and faithfulness 

messages to current and potential 

clients of prostitutes. 

• Develop and implement behavior 

change strategies and long-term 

campaigns, including information; 

education and communication (IEC); 

targeted accessibility planning; and 

training programs for prostitutes who 

are seeking alternative means to address 

economic needs. 

• Management and Supervision—

Manage and supervise clinic operations 

and staff who perform CD4 counts: 

1. Implement report-writing 

requirements. 

2. Develop and implement a financial 

management system. 

3. Engage in strategic planning. 

4. Network with local partners within 

the private and public sector to ensure 

an effective patient referral system 

between confidential VCT and ART 

networks for patients who test HIVpositive. 

Cross-Border Collaboration: Recipient 

will establish partnerships with 

agencies in the bordering country of the 

Dominican Republic (DR) to provide 

outreach to migrant prostitutes along the 

Haiti/DR border. Monitoring and 

Evaluation—Implement monitoring and 

evaluation strategies to assess 

programmatic effectiveness, including: 

1. Number of the target population 

accessing clinical care. 

2. Number of referrals made to 

appropriate prevention, treatment, and 

care and support care networks. 

3. Number of prevention promotion 

activities held, including events to 

discourage men from visiting 

prostitutes. 

4. Number and findings of participant 

evaluations. 

You may include additional 

information in the application 

appendices. The appendices will not 

count toward the narrative page limit. 

This additional information includes: 

• Budget Justification (for first year 

only) 

• Curriculum Vitas or Resumes 

• Organizational Charts 

• Letters of Support 

The budget justification will not 

count in the narrative page limit. 

You must have a Dun and Bradstreet 

Data Universal Numbering System 

(DUNS) number to apply for a grant or 

cooperative agreement from the Federal 

government. The DUNS number is a 

nine-digit identification number, which 

uniquely identifies business entities. 

Obtaining a DUNS number is easy, and 

there is no charge. To obtain a DUNS 

number, access http:// 

www.dunandbradstreet.com or call 1–

866–705–5711. 

For more information, see the HHS/ 

CDC Web site at: http://www.cdc.gov/ 

od/pgo/funding/grantmain.htm. 

If your application form does not have 

a DUNS number field, please write your 

DUNS number at the top of the first 

page of your application, and/or include 

your DUNS number in your application 

cover letter. 

Additional requirements that could 

require you to submit additional 

documentation with your application 

are listed in section ‘‘VI.2. 

Administrative and National Policy 

Requirements.’’

IV.3. Submission Dates and Times 

Application Deadline Date: 

September 29, 2005. 

Explanation of Deadlines: 

Applications must be received in the 

CDC Procurement and Grants Office by 

4 p.m. Eastern Time on the deadline 

date. 

You may submit your application 

electronically at www.grants.gov. We 

consider applications completed on-line 

through Grants.gov formally submitted 

when the applicant organization’s 

Authorizing Official electronically 

submits the application to 

www.grants.gov. We will consider 

electronic applications as having met 

the deadline if the applicant 

organization’s Authorizing Official has 

submitted the application electronically 

to Grants.gov on or before the deadline 

date and time. 

If you submit your application 

electronically through Grants.gov, the 

application will be electronically time/ 

date stamped, which will serve as 

receipt of submission. You will receive 

an e-mail notice of receipt when HHS/ 

CDC receives the application. 

If you submit your application by the 

United States Postal Service or 

commercial delivery service, you must 

ensure that the carrier will be able to 

guarantee delivery by the closing date 

and time. If HHS/CDC receives your 

submission after closing because: (1) 

Carrier error, when the carrier accepted 

the package with a guarantee for 

delivery by the closing date and time; or 

(2) significant weather delays or natural 

disasters, you will have the opportunity 

to submit documentation of the carrier’s 

guarantee. If the documentation verifies 

a carrier problem, HHS/CDC will 

consider the submission as received by 

the deadline. 

If you submit a hard copy application, 

HHS/CDC will not notify you upon 

receipt of your submission. If you have 

a question about the receipt of your 

application, first contact your courier. If 

you still have a question, contact the 

PGO–TIM staff at: 770–488–2700. Before 

calling, please wait two to three days 

after the submission deadline. This will 

allow time for us to process and log 

submissions. 

This announcement is the definitive 

guide on application content, 

submission address, and deadline. It 

supersedes information provided in the 

application instructions. If your 

submission does not meet the deadline 

above, it will not be eligible for review, 

and we will be discard it. We will notify 

you that you did not meet the 

submission requirements. 

IV.4. Intergovernmental Review of 

Applications 

Executive Order 12372 does not apply 

to this program. 

IV.5. Funding Restrictions 

Restrictions, which you must take 

into account while writing your budget, 

are as follows: 

• Funds may not be used for research. 

• Reimbursement of pre-award costs 

is not allowed. 

• Antiretroviral Drugs—Funds 

received from this announcement will 

not be used for the purchase of 

antiretroviral drugs for treatment of 

established HIV infection (with the 

Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 53209 

exception of nevirapine in Prevention of 

Mother-to-Child Transmission (PMTCT) 

cases and with prior written approval), 

occupational exposures, and nonoccupational exposures and will not be 

used for the purchase of machines and 

reagents to conduct the necessary 

laboratory monitoring for patient care. 

• Needle Exchange—No funds 

appropriated under this act shall be 

used to carry out any program of 

distributing sterile needles or syringes 

for the hypodermic injection of any 

illegal drug. 

• Funds may be spent for reasonable 

program purposes, including personnel, 

travel, supplies, and services. 

Equipment may be purchased if deemed 

necessary to accomplish program 

objectives; however, prior approval by 

CDC officials must be requested in 

writing. 

• All requests for funds contained in 

the budget shall be stated in U.S. 

dollars. Once an award is made, HHS/ 

CDC will not compensate foreign 

grantees for currency exchange 

fluctuations through the issuance of 

supplemental awards. 

• The costs that are generally 

allowable in grants to domestic 

organizations are allowable to foreign 

institutions and international 

organizations, with the following 

exception: With the exception of the 

American University, Beirut, and the 

World Health Organization, Indirect 

Costs will not be paid (either directly or 

through sub-award) to organizations 

located outside the territorial limits of 

the United States or to international 

organizations regardless of their 

location. 

• The applicant may contract with 

other organizations under this program; 

however, the applicant must perform a 

substantial portion of the activities 

(including program management and 

operations, and delivery of prevention 

services for which funds are required). 

• You must obtain an annual audit of 

these HHS/CDC funds (program-specific 

audit) by a U.S.-based audit firm with 

international branches and current 

licensure/authority in-country, and in 

accordance with International 

Accounting Standards or equivalent 

standard(s) approved in writing by 

HHS/CDC. 

• A fiscal Recipient Capability 

Assessment may be required, prior to or 

post award, to review the applicant’s 

business management and fiscal 

capabilities regarding the handling of 

U.S. Federal funds. 

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.’’

You may find guidance for 

completing your budget on the HHS/ 

CDC Web site, at the following Internet 

address: http://www.cdc.gov/od/pgo/ 

funding/budgetguide.htm. 

IV. 6. Other Submission Requirements 

Application Submission Address: 

Electronic Submission: 

HHS/CDC strongly encourages 

applicants to submit applications 

electronically at www.grants.gov. 

Applicants can download the 

application package from 

www.grants.gov. Applicants are able to 

complete it off-line, and then upload 

and submit the application via the 

Grants.gov web site. We will not accept 

e-mail submissions. If the applicant has 

technical difficulties in Grants.gov, the 

applicant can reach customer service by 

E-mail at support@grants.gov or by 

phone at 1–800–518–4726 (1–800–518- 

GRANTS). The Customer Support 

Center is open from 7 a.m. to 9 p.m. 

Eastern Time, Monday through Friday. 

HHS/CDC recommends that submittal 

of the application to Grants.gov should 

be early to resolve any unanticipated 

difficulties prior to the deadline. 

Applicants may also submit a back-up 

paper submission of the application. We 

must receive any such paper submission 

53210 Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 

in accordance with the requirements for 

timely submission detailed in Section 

IV.3. of the grant announcement. You 

must clearly mark the paper submission: 

‘‘BACK-UP FOR ELECTRONIC 

SUBMISSION.’’

The paper submission must conform 

to all requirements for non-electronic 

submissions. If we receive both 

electronic and back-up paper 

submissions by the deadline, we will 

consider the electronic version the 

official submission. 

We strongly recommend that the 

applicant submit the grant application 

by using Microsoft Office products (e.g., 

Microsoft Word, Microsoft Excel, etc.). If 

the applicant does not have access to 

Microsoft Office products, the applicant 

may submit a PDF file. The applicant 

may find directions for creating PDF on 

the Grants.gov web site. Use of file 

formats other than Microsoft Office or 

PDF could make your file unreadable for 

our staff. 

OR 

Submit the original and two hard 

copies of your application by mail or 

express delivery service to the following 

address: 

Technical Information ManagementAA158, CDC Procurement and Grants 

Office, U.S. Department of Health and 

Human Services, 2920 Brandywine 

Road, Atlanta, GA 30341. 

V. Application Review Information 

V.1. Criteria 

Applicants must provide measures of 

effectiveness that will demonstrate the 

accomplishment of the various 

identified objectives of the cooperative 

agreement. Measures of effectiveness 

must relate to the performance goals 

stated in the ‘‘Purpose’’ section of this 

announcement. Measures must be 

objective and quantitative, and must 

measure the intended outcome. 

Applicants must submit these measures 

of effectiveness with the application, 

and they will be an element of 

evaluation. 

We will evaluate your application 

against the following criteria: 

1. Need (20 Points) 

To what extent does the applicant 

justify the need for this program within 

the target community? 

2. Monitoring Evaluation and 

Reporting (20 points) 

Does the applicant describe a system 

for reviewing and adjusting program 

activities based on monitoring 

information? Does the plan include 

indicators developed for each program 

milestone and incorporated into the 

financial and programmatic reports? Are 

all the indicators drawn from the 

Emergency Plan for AIDS Relief 

Indicator Guide, found at http:// 

www.pepfarhaiti.com? Will the system 

generate financial and program reports 

to show disbursement of funds, and 

progress towards achieving the program 

objectives of the President’s Plan for 

AIDS Relief? 

3. Work Plan (20 Points) 

Does the applicant describe strategies 

that are pertinent and match those 

identified in the five-year strategy of the 

President’s Emergency Plan and 

activities that are evidence-based, 

realistic, achievable, measurable and 

culturally appropriate in Haiti to 

achieve the goals of the Emergency 

Plan? Is the plan adequate to carry out 

the proposed objectives? How complete 

and comprehensive is the plan for the 

entire project period? Does the plan 

include quantitative process and 

outcome measures? 

4. Methods (15 Points) 

Are the proposed methods feasible? 

To what extent will they accomplish the 

numerical goals of the President’s 

Emergency Plan? 

5. Personnel (15 Points) 

Do the staff members have 

appropriate experience, including local 

language skills? Are the staff roles 

clearly defined? As described, will the 

staff be sufficient to accomplish the 

program goals? 

6. Eligibility (10 points) 

Organizations indigenous to Haiti 

must have between three to five years of 

experience in provision of STI and HIV/ 

AIDS care to prostitutes and their 

associated sexual partners, and must 

currently have high coverage in zones 

with rampant prostitution, including 

along the border between Haiti and the 

Dominican Republic. Organizations 

must be willing and able to undertake 

campaigns to discourage men from 

visiting prostitutes. 

7. Budget and Justification (Reviewed, 

but not scored) 

Is the budget itemized, well justified 

and consistent with the five-year 

strategy and goals of the President’s 

Emergency Plan and Emergency Plan 

activities in Haiti? 

V.2. Review and Selection Process 

The HHS/CDC Procurement and 

Grants Office (PGO) staff will review 

applications for completeness, and the 

HHS Global AIDS Program will review 

them for responsiveness. Incomplete 

applications and applications that are 

non-responsive to the eligibility criteria 

will not advance through the review 

process. Applicants will receive 

notification that their application did 

not meet submission requirements. 

An objective review panel will 

evaluate complete and responsive 

applications according to the criteria 

listed in the ‘‘V.1. Criteria’’ section 

above. All persons who serve on the 

panel will be external to the U.S. 

Government Country Program Office in 

Haiti. The panel can include both 

Federal and non-Federal participants. 

Applications will be funded in order 

by score and rank determined by the 

review panel. HHS/CDC will provide 

justification for any decision to fund out 

of rank order. 

V.3. Anticipated Announcement and 

Award Dates 

October 15, 2005. 

VI. Award Administration Information 

VI.1. Award Notices 

Successful applicants will receive a 

Notice of Award (NoA) from the HHS/ 

CDC Procurement and Grants Office. 

The NoA shall be the only binding, 

authorizing document between the 

recipient and HHS/CDC. An authorized 

Grants Management Officer will sign the 

NoA, and mail it to the recipient fiscal 

officer identified in the application. 

Unsuccessful applicants will receive 

notification of the results of the 

application review by mail. 

VI.2. Administrative and National 

Policy Requirements 

Successful applicants must comply 

with the administrative requirements 

outlined in 45 CFR Part 74, as 

appropriate. 

The following additional 

requirements apply to this project: 

• AR–4 HIV/AIDS Confidentiality 

Provisions 

• AR–5 HIV Program Review Panel 

Requirements 

• AR–6 Patient Care 

• AR–8 Public Health System 

Reporting Requirements 

• AR–9 Paperwork Reduction Act 

Requirements 

• AR–10 Smoke-Free Workplace 

Requirements 

• AR–25 Release and Sharing of 

Data 

Applicants may find additional 

information on these requirements on 

the HHS/CDC web site at the following 

Internet address: http://www.cdc.gov/ 

od/pgo/funding/ARs.htm. 

For more information on the Code of 

Federal Regulations, see the National 

Archives and Records Administration at 

the following Internet address: http:// 

www.access.gpo.gov/nara/cfr/cfr-tablesearch.html. 

Applicants need to include an 

additional Certifications form from the 

Federal Register / Vol. 70, No. 172 / Wednesday, September 7, 2005 / Notices 53211 

PHS5161–1 application in the 

Grants.gov electronic submission only. 

Applicants should refer to http:// 

www.cdc.gov/od/pgo/funding/ 

PHS5161–1-Certificates.pdf. Once the 

applicant has filled out the form, please 

attach it to the Grants.gov submission as 

Other Attachment Forms. 

VI.3. Reporting Requirements 

You must provide HHS/CDC with an 

original, plus two hard copies of the 

following reports: 

1. Interim progress report, due no less 

than 90 days before the end of the 

budget period. The progress report will 

serve as your non-competing 

continuation application, and must 

contain the following elements: 

a. Current Budget Period Activities 

and Objectives. 

b. Current Budget Period Financial 

Progress. 

c. New Budget Period Program 

Proposed Activities and Objectives. 

d. Budget and budget narrative with 

justification. 

e. Measures of Effectiveness, 

including progress against the 

numerical goals of the President’s 

Emergency Plan for AIDS Relief for 

Haiti. 

f. Additional Requested Information. 

2. Annual Progress Reports are due 

within 30 days of the end of each budget 

period. The report should detail 

progress toward achieving program 

milestones and projected next year 

activities. You must be develop 

indicators for each program milestone 

and incorporate them into the annual 

financial and programmatic reports. The 

report should include progress against 

the numerical goals of the President’s 

Emergency Plan AIDS Relief for Haiti. 

3. Financial status report, no more 

than 90 days after the end of the budget 

period. The financial report must show 

obligations, disbursements and funds 

remaining by program activity. The 

applicant must develop indicators for 

each program milestone and incorporate 

them into the periodic financial and 

programmatic reports. The applicant 

must draw indicators from The 

Emergency Plan Indicator Guide. 

4. Final performance reports, no more 

than 90 days after the end of the project 

period. 

Recipients must mail these reports to 

the Grants Management or Contract 

Specialist listed in the ‘‘Agency 

Contacts’’ section of this announcement. 

VII. Agency Contacts 

We encourage inquiries concerning 

this announcement. 

For general questions, contact: 

Technical Information Management 

Section, CDC Procurement and Grants 

Office, U.S. Department of Health and 

Human Services, 2920 Brandywine 

Road, Atlanta, GA 30341, Telephone: 

770–488–2700. 

For program technical assistance, 

contact: Kathy Grooms, Country 

Program Officer, CDC, NCHSTP, Global 

AIDS Program, U.S. Department of 

Health and Human Services, 1600 

Clifton Road, MS E–04, Atlanta, GA 

30333, Telephone: 404–639–8394, 

Email: Kgrooms@cdc.gov. 

For financial, grants management, or 

budget assistance, contact: Vivian 

Walker, Grants Management Specialist, 

CDC Procurement and Grants Office, 

U.S. Department of Health and Human 

Services, 2920 Brandywine Road, 

Atlanta, GA 30341, Telephone: 770–

488–2724, E-mail: VEW4@CDC.GOV. 

VIII. Other Information 

Applicants can find this and other 

HHS funding opportunity 

announcements on the HHS/CDC Web 

site, Internet address: http:// 

www.cdc.gov (Click on ‘‘Funding’’ then 

‘‘Grants and Cooperative Agreements’’), 

and on the Web site of the HHS Office 

of Global Health Affairs, Internet 

address: http://www.globalhealth.gov. 

Dated: August 31, 2005. 

William P. Nichols, 

Director, Procurement and Grants Office, 

Centers for Disease Control and Prevention. 

[FR Doc. 05–17673 Filed 9–6–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Improving HIV/AIDS Data Collection at 

the National, State and Municipal 

Levels in the Federative Republic of 

Brazil Through Strengthening HIV 

Surveillance Infrastructure and 

Building Capacity in the Use of Data 

for Program Evaluation and 

Assessment as Part of the President’s 

Emergency Plan for AIDS Relief 

Announcement Type: New. 

Funding Opportunity Number: 

AA104. 

Catalog of Federal Domestic 

Assistance Number: 93.067. 

Key Dates: 

Application Deadline: September 29, 

2004. 

I. Funding Opportunity Description 

Authority: This program is authorized 

under Sections 301(a) and 307 of the Public 

Health Service Act [42 U.S.C. Sections 241 

and 242l], as amended, and under Public 

Law 108–25 (United States Leadership 

against HIV/AIDS, Tuberculosis and Malaria 

Act of 2004) [22 U.S.C. 7601]. 

Background: President Bush’s 

Emergency Plan for AIDS Relief has 

called for immediate, comprehensive 

and evidence-based action to turn the 

tide of global HIV/AIDS, and supports 

programs in more than 100 countries. 

The five-year strategy for the Emergency 

Plan is available at the following 

Internet address: http://www.state.gov/s/ 

gac/rl/or/c11652.htm. 

In Brazil, the Emergency Plan seeks to 

engage both governmental and nongovernmental institutions at all levels to 

bolster the already-robust provision of 

care and treatment to HIV-positive 

people, and to strengthen prevention 

activities to avoid new cases of HIV. 

The U.S. Department of Health and 

Human Services (HHS) announces the 

availability of Fiscal Year (FY) 2005 

funds for a cooperative agreement to 

work with the National HIV/AIDS 

Program of Brazil (National Program), 

and Brazilian community-based and 

faith-based organizations, for the 

improvement and expansion of HIV/ 

AIDS prevention, care and support 

activities in Brazil. 

Purpose: The purpose of this 

cooperative agreement is to provide a 

funding mechanism and management 

support for HHS/CDC joint activities 

with the Brazilian National AIDS 

Program and community-based and 

faith-based organizations in the area of 

HIV/AIDS and associated diseases, 

including tuberculosis. Joint activities 

in Fiscal Year (FY) 2005 will focus on 

strengthening the capacity of the 

Brazilian National AIDS Program in two 

of the following areas, through 

cooperation between the award 

recipient and the National Program and 

HHS and its Brazilian and international 

partners: (1) Adapting surveillance 

infrastructure to respond to a 

concentrated epidemic; and (2) 

broadening the skill base of Brazilian 

government and non-government 

personnel, at the Federal, State, and 

municipal levels, in the use of data for 

program evaluation and assessment. 

These collaborative activities could 

have a profound impact on the 

implementation of the Brazilian 

National AIDS Plan, which calls for 

central-level policy formulation and 

decentralized implementation of 

programs. Successful implementation of 

a sound monitoring and evaluation 

system (that includes improved research 

capacity for program evaluation and 

surveillance infrastructure), and the use 

of this system, will improve collection 

of data to direct program design;