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.Apply for HHS 2022 IHS PHN 0001
- 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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Frequently Asked Questions (FAQs)
What is the name of this grant opportunity?
The opportunity is titled Public Health Nursing Case Management: Reducing Sexually Transmitted Infections.
Which federal agency offered this opportunity?
It was offered by the Indian Health Service (IHS), which is part of the U.S. Department of Health and Human Services (HHS).
What type of funding mechanism is this?
This opportunity was structured as a discretionary cooperative agreement, meaning the federal agency typically has more involvement or collaboration during implementation than in a standard grant.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HHS 2022 IHS PHN 0001.
What is the CFDA number for this program?
The CFDA number listed is 93.383.
What is the main purpose of the program?
The program aims to reduce sexually transmitted infections (STIs) in Indian Country by using a Public Health Nurse (PHN) as a dedicated case manager to coordinate prevention, testing, treatment, and follow-up across the clinic, the home, and the broader community.
How is this approach different from a typical one-time clinic visit?
Instead of treating STI care as a single appointment, the model emphasizes ongoing support and coordination so people are diagnosed earlier, start treatment quickly, and stay connected to care long enough to prevent complications and reduce ongoing transmission.
What role does the Public Health Nurse (PHN) play in this model?
The PHN serves as a dedicated case manager who helps close common gaps in STI care, such as delays in treatment, missed follow-up, incomplete treatment, limited partner services, and weak linkage to care.
What settings does the program expect to reach beyond the clinic?
The model is described as working in real-world settings, including the home and the community, not only within clinic walls.
Does the program involve family members or other care team participants?
Yes. The case management approach is described as team-oriented and relationship-based, involving the client and, when appropriate, family members and other health care team participants.
What core case management expectations are highlighted?
The opportunity highlights expectations commonly associated with strong case management programs, including continuity of care, quality assurance, and ensuring interventions happen in an appropriate and timely way.
What STI-related problems is the program trying to reduce?
The opportunity emphasizes that many harms from STIs are driven by delays, missed follow-up, incomplete treatment, lack of partner services, and weak linkage to care. A PHN case manager is positioned to reduce these issues.
How does the program describe prevention (primary, secondary, tertiary)?
The PHN case management model is framed as spanning:
- Primary prevention: upstream prevention and education
- Secondary prevention: routine screening and early identification
- Tertiary prevention: management of complications and long-term follow-up
Does the program address conditions that can complicate STI outcomes?
Yes. A central focus is elevating STI prevention and control while also supporting activities that address comorbid conditions that can worsen outcomes or complicate care.
Why is surveillance mentioned as a major theme?
The opportunity describes a goal of strengthening surveillance systems to track STI trends, promote awareness of local conditions, and help identify interventions that reduce morbidity. This supports faster recognition of rising rates, more targeted outreach, and more timely follow-up for testing and treatment.
What does the opportunity say about outbreak response?
It links improved surveillance to better outbreak response by enabling earlier detection of increasing STI rates and supporting more targeted and timely interventions.
What does "linkage to care" mean in the context of this program?
Linkage to care is described as ensuring people who test positive are contacted, treated, and re-engaged as needed, which is essential for reducing spread and preventing serious consequences of untreated infections.
What disparities does the opportunity cite to justify the program?
The opportunity notes disproportionate STI impacts in American Indian and Alaska Native (AI/AN) populations, including:
- Chlamydia and gonorrhea rates reported as four to five times higher than rates among non-Hispanic white populations
- Disproportionate impact from syphilis and HIV
- A cited statistic that in 2019 AI/AN women had the highest syphilis rate, at seven times the rate among non-Hispanic white females
Why does the opportunity emphasize both clinical care and public health functions?
Because STI control depends on a combined strategy: strong clinical care (testing, diagnosis, treatment) plus strong public health functions (education, follow-up, surveillance, and coordinated response).
Who was eligible to apply for this opportunity?
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.
What was the maximum award amount (award ceiling)?
The listing indicated an award ceiling of $150,000.
How many awards were expected?
The opportunity indicated an expectation of about 10 awards.
When was the opportunity created?
The opportunity was created on May 17, 2022.
What was the original closing date?
The original closing date was August 11, 2022.
What kinds of outcomes is the program trying to improve?
Based on the description, the program aims to improve early detection, timely treatment, continuity of care, and produce measurable reductions in STI-related harm in AI/AN communities, while building stronger local systems for surveillance and response over time.
Does the opportunity mention system-level benefits?
Yes. It highlights potential benefits such as reducing overall health care costs by preventing expensive complications, improving quality of life and rehabilitation, and increasing client satisfaction and adherence by promoting client self-determination rather than relying only on clinic-driven instructions.
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