Opportunity Information: Apply for HHS 2022 IHS PHN 0001

The Indian Health Service (IHS), part of the Department of Health and Human Services, offered a discretionary cooperative agreement opportunity titled "Public Health Nursing Case Management: Reducing Sexually Transmitted Infections" (Funding Opportunity Number HHS 2022 IHS PHN 0001; CFDA 93.383). The program is built around a practical idea: reduce sexually transmitted infections (STIs) in Indian Country by using a Public Health Nurse (PHN) as a dedicated case manager who can coordinate prevention, testing, treatment, and follow-up across the clinic, the home, and the wider community. Rather than treating STI care as a one-time visit, the model emphasizes ongoing support and coordination so that people get diagnosed earlier, start treatment quickly, and stay connected to care long enough to prevent complications and reduce onward transmission.

A central focus of the grant is elevating STI prevention and control as a high-priority health issue in American Indian and Alaska Native (AI/AN) communities, while also supporting activities that address comorbid conditions that can worsen outcomes or complicate care. The case management approach described is team-oriented and relationship-based, involving not only the client but also, when appropriate, family members and other health care team participants. The opportunity highlights key expectations that are common in strong case management programs: continuity of care, quality assurance, and making sure interventions happen in an appropriate and timely way. The underlying message is that many of the harms from STIs come from delays, missed follow-up, incomplete treatment, lack of partner services, and weak linkage to care; a PHN case manager is positioned to close those gaps.

The PHN case management model is framed as spanning primary, secondary, and tertiary prevention. In practical terms, that means combining upstream prevention and education (primary prevention), routine screening and early identification (secondary prevention), and management of complications plus long-term follow-up (tertiary prevention). The program description also emphasizes delivering these prevention components in real-world settings, including the home and community, and incorporating patient and family support when it improves adherence and outcomes. Alongside the public health impact, the opportunity points to case management benefits that systems often care about: reducing overall health care costs by preventing expensive complications, improving quality of life, improving rehabilitation, and increasing client satisfaction and adherence by promoting client self-determination rather than relying only on clinic-driven instructions.

Another major theme is surveillance and outbreak response. IHS describes a goal of strengthening surveillance systems that track STI trends, promote awareness of local conditions, and help identify interventions that actually reduce morbidity. That surveillance emphasis connects directly to day-to-day program operations: better tracking supports faster recognition of rising rates, more targeted outreach, and more timely follow-up for testing and treatment. The opportunity also highlights linkage to care as a priority, particularly ensuring that people who test positive are contacted, treated, and re-engaged as needed, which is critical for reducing ongoing spread and preventing serious consequences of untreated infections.

The grant is motivated by clear disparities documented in AI/AN populations. The text notes that AI/AN men and women are disproportionately affected by STIs compared to other U.S. populations, with chlamydia and gonorrhea rates reported as four to five times higher than those among non-Hispanic white populations. It also points to disproportionate impact from syphilis and HIV, including a striking statistic that in 2019 AI/AN women had the highest syphilis rate, at seven times the rate among non-Hispanic white females. These data points are used to justify a combined clinical and public health strategy, since STI control depends on both strong clinical care (testing, diagnosis, treatment) and strong public health functions (education, follow-up, surveillance, and coordinated response).

In terms of logistics, the opportunity was structured as a cooperative agreement, which typically means substantial federal involvement or collaboration during implementation rather than a hands-off grant. Eligible applicants included federally recognized Native American tribal governments and other Native American tribal organizations, with additional eligibility possible as noted in the full announcement. The funding listing indicated an award ceiling of $150,000, with an expectation of about 10 awards. The opportunity was created May 17, 2022, with an original closing date of August 11, 2022. Overall, the program aims to use PHN-led case management to improve early detection, timely treatment, continuity of care, and measurable reductions in STI-related harm in AI/AN communities, while building stronger local systems for surveillance and response over time.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Public Health Nursing Case Management: Reducing Sexually Transmitted Infections" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.383.
  • This funding opportunity was created on May 17, 2022.
  • Applicants must submit their applications by Aug 11, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $150,000.00 in funding.
  • The number of recipients for this funding is limited to 10 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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