Grants / Department of Health and Human Services / Centers for Disease Control - NCHHSTP

CDC-RFA-PS-24-0026: Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV)

Closed Closed January 5, 2024 Opportunity CDC-RFA-PS-24-0026 ☆ Save

This grant is closed. A newer notice from the same program is forecast: Demonstration Projects for Whole-Person Health Models for Women Living with HIV in the South (CDC-RFA-PS-27-0061). Status: Expected deadline March 15, 2027. It is in our archive of Centers for Disease Control - NCHHSTP notices from 2023.

• Total funding$10.5 million
• Expected awards7
• Cost sharingNot required
• Funding typeCooperative Agreement

Key dates

Who can apply

This opportunity was open to state and local governments.

• State governments
• County governments
• City or township governments

Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.

More grants for state and local governments.

Is this a realistic fit?

• Most of the program's money (97% over five years) went to state and local governments.
• No cost sharing or match is required.

What the grant funds

Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression. In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South.

Category: Health.

Applying now

This notice no longer takes applications. Apply under the newer notice, CDC-RFA-PS-27-0061, which is forecast.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.