OpportunityTitle: Public Health Nursing Case Management: Reducing Sexually Transmitted Infections
AdditionalInformationOnEligibility: To be eligible for this funding opportunity an applicant must be one of the following as defined by 25 U.S.C. 1603:  &#8226; A federally recognized Indian Tribe as defined by 25 U.S.C. 1603(14).  The term &#8220;Indian Tribe&#8221; means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group, or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians.  &#8226; A Tribal organization as defined by 25 U.S.C. 1603(26).  The term &#8220;Tribal organization&#8221; has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304(1)):  &#8220;Tribal organization&#8221; means the recognized governing body of any Indian Tribe; any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of Indians in all phases of its activities:  provided that, in any case where a contract is let or grant made to an organization to perform services benefiting more than one Indian Tribe, the approval of each such Indian Tribe shall be a prerequisite to the letting or making of such contract or grant.  Applicant shall submit letters of support and/or Tribal Resolutions from the Tribes to be served.  &#8226; An Urban Indian organization, as defined by 25 U.S.C. 1603(29).  The term &#8220;Urban Indian organization&#8221; means a nonprofit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, and providing for the maximum participation of all interested Indian groups and individuals, which body is capable of legally cooperating with other public and private entities for the purpose of performing the activities described in 25 U.S.C. 1653(a).  Applicants must provide proof of nonprofit status with the application, e.g., 501(c)(3).
Description: The purpose of this Indian Health Service (IHS) program is to mitigate the prevalence of sexually transmitted infections (STI) within Indian Country through a case management model that utilizes the Public Health Nurse (PHN) as a case manager. The emphasis is on raising awareness of STIs as a high-priority health issue among American Indian / Alaska Native (AI/AN) communities and to support prevention and control activities of comorbid conditions. Case management involves the client, family, and other members of the health care team. Quality of care, continuity, and assurance of appropriate and timely interventions are also crucial. In addition to reducing the cost of health care, case management has proven its worth in terms of improving rehabilitation, improving quality of life, and increasing client satisfaction and compliance by promoting client self-determination. The goals and outcomes of the PHN case management model are early detection, diagnosis, treatment, and evaluation that will improve health outcomes in a cost effective manner. This model uses all prevention components of primary, secondary, and tertiary prevention in the home and community with patient and family.The PHN Case Management program supports raising awareness of rising STI rates, increasing access to care, strengthening surveillance, and decreasing serious health consequences of undiagnosed STIs. This also supports timely linkage to care in follow-up and treatment to reduce the spread of STIs. The IHS goal is to support and strengthen surveillance systems to monitor STI trends, promote awareness, and identify effective interventions for reducing morbidity and improving outbreak response efforts. Currently, AI/AN men and women are disproportionately affected by STIs compared to other populations within the United States. Chlamydia and gonorrhea rates are four to five times higher in AI/AN populations than non-Hispanic whites. Syphilis and human immunodeficiency virus (HIV) also have disproportionately higher impact on AI/AN people. In 2019, AI/AN women had the highest syphilis rate at seven times the rate among non-Hispanic white females. Effective diagnosis, management, and prevention of STIs requires a combination of clinical and public health activities.
GrantorContactEmailDescription: Division of Grants Management
GrantorContactText: Paul E. Gettys, III &lt;br/&gt;Deputy Director &lt;br/&gt;Phone 301-443-2114