Arkansas Minority Health Commission Outreach Initiative Grants

1. Arkansas Minority Health Commission Outreach Initiative Grants Dr. Wynona Bryant-Williams Dr. Creshelle R. Nash

2. Outline • The Arkansas Minority Health Commission • The Outreach Initiative Grants 2009 • Focus of HIV and AIDS • The Proposals • Eligibility • The Programs Proposed • Evaluation Component • The Review Process • Questions and Answers

3. MISSION OF AMHC • To assure all minority Arkansans access to health care that is equal to the care provided to other citizen of the state

4. MISSION (cont’d) • Provide Education • Address health disparities • Treat and prevent diseases and conditions prevalent among minority populations

5. Why Should We be Concerned About This? AIDS IN ARKANSAS 2008 MALES------------------------49 CASES FEMALES---------------------22 CASES From 1983-2008---------4,454 CASES

6. Racial Composition 1983-2008 Whites---------------------2,599 Blacks---------------------1,735 Hispanics--------------------100 Other/unknown--------------31

7. HIGHEST HIV/AIDS BY COUNTY TOP 5 PULASKI------------------------1,462 Washington------------------------325 Sebastian---------------------------242 Jefferson----------------------------182 Crittenden---------------------------180

8. HIV/AIDS in Arkansas • The death rate from HIV is 248%higher in the black population than Whites • 3rd leading cause of death for black women age 25-34 • 4th leading cause of death for Latinas 35-44 • Nationally, 70% of the HIV/AIDS cases in youth age 13-19 are African American and 14% are Hispanic

9. WHEN WE LOOK AT ALL OF THESE RISK FACTORS WE KNOW WE WERE CORRECT IN CHOOSING THIS DISEASE TO ADDRESS IN THIS COMMUNITY GRANT

10. The Outreach Initiative Grants • Racial and Ethnic Health Disparities • Nationally and in Arkansas • HIV and AIDS • Lack of coordinated effort in Arkansas • The Framework for Action

11. The Outreach Initiative Grants Proposals from community-based, non-profit, and/or faith-based organizations, secondary and post-secondary schools with programs, research, or outreach that address HIV/AIDS within minority communities.

12. The Outreach Initiative Grants • Total of $150,000 • Funding levels of 15, 25, 35,and 50k • Grant period is 1 year • May request extension • HIV/ AIDS awareness, prevention, screening, or education, navigation, policy or research in high risk or general minority population

13. Non-fundable Initiatives • “Brick & Mortar” • Banquets • Golf Tournaments • Small percentage of funding will be allowed for administrative cost or “direct cost”

14. The Proposals • Proposal guidelines and appendices can be found on website: • http://www.arminorityhealth.com/programs.html • Created to be user friendly • The appendices contains the application to be returned to AMHC in Hardcopy (10)

15. The Proposals • We will consider a wide range of activities • Focus on HIV/AIDS in high risk and/or minority community • Must be new initiative or new component • Evidence-based • Must have well-formed evaluation plan

16. The Exceptional Proposals • Use of innovative and effective community-based strategies with more than 1 level of intervention • Expertise and proven success in reaching minority communities; • Sustainable projects and strategic planning to improve minority health • HIV/AIDS prevention programs that maximize educational opportunities and addresses more than one level of intervention • Matching funds or resources from own organization or other sponsor;

17. The Proposals • Investment in evidence-based solutions that have been proven to work effectively and efficiently in other areas and/or in Arkansas. • If evidence base has not been established then the program must have well conceived, rigorous evaluation to help to establish the evidence base in the minority community in Arkansas.

18. The Evidence-Base • There is a limited but growing body of evidence about effective HIV/AIDS prevention in minority communities • We do know that prevention, multiple level interventions and addressing the social context of behaviors are more effective

19. The Evidence-Base • The evidence for effective interventions • Examples and resources: • Diffusion of Effective Behavioral Interventions (DEBI) http://www.effectiveinterventions.org/ • University of California, San Francisco Center for AIDS Prevention Studies http://www.caps.ucsf.edu/ • You must provide evidence of why your program will be successful

20. Diffusion of Effective Behavioral Interventions (DEBI)

21. University of California, San Francisco Center for AIDS Prevention Studies

22. The Evaluation • Evaluation is essential to prove the effectiveness of your program and to maintain funding • Use both process and outcome measures • May use both quantitative and qualitative methods • Consider using for real time program improvement

23. The Evaluation

24. The Evaluation • Evaluation considered with program development • Process and outcome measures • Qualitative and quantitative measures • Involves minority community/Staff • For on going program improvements • Required evaluation workshop prior to funding

25. The Review Process • Administrative review • Independent review by a panel that includes: • community representatives • medical and public health professionals with relevant minority health and HIV/AIDS prevention expertise

26. The Review Process • Applicant Background (20%) (mission, experience, expertise, diversity, etc.) • Program Design and Feasibility (30%) (clear, appropriate, innovative, culturally specific, etc.) • Evaluation (20%) (methods for monitoring, feedback, measurable results, accountability) • Coordination/ Collaboration (15%) (effective teamwork, local community partnerships, etc.) • Budget Appropriateness (15%) (realistic, reasonable, efficient, etc.)

27. Other Requirements • Evaluation workshop • Disbursement of funds • Upfront funding • Program monitors/advisors • Actual cost reimbursement • Two group meetings • To foster collaboration and a statewide effort to address HIV/AIDS • Support for grantees to discuss progress • Provide for organizational development opportunities and technical assistance to organizations

28. Questions and Answers

29. Other Issues to Consider • HIPPA • Institutional Review Boards • HIV/AIDS screening • Voluntary Counseling and Training • Counseling • Testing • Referral

30. Thank you For further information or workshop handouts: Dr. Creshelle R. Nash Creshelle.Nash@arkansas.gov 501-686-2720 (main office)