Health Development Corporation

AWARD TO BROADREACH HEALTHCARE TO IMPLEMENT THE USAID/SOUTHERN AFRICA BILATERAL HEALTH CARE & TREATMENT ACTIVITIES.

SYSTEMS STRENGTHENING

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CAPACITY BUILDING FOR NATIONAL IMMUNIZATION PROGRAMS IN THE EASTERN MEDITERRANEAN REGION - IMMUNIZATIONS ARE AMONG THE MOST SUCCESSFUL AND COST-EFFECTIVE HEALTH INTERVENTIONS EVER DEVISED. THEY HAVE REDUCED CHILD DEATHS AND DISEASE PREVALENCE RADICALLY. THEY HAVE ENABLED THE ERADICATION OF SMALLPOX, LOWERED THE GLOBAL INCIDENCE OF POLIO BY MORE THAN 99% AND NEONATAL TETANUS BY 94%, AND ACHIEVED DRAMATIC REDUCTIONS IN ILLNESS, DISABILITY, AND DEATH FROM COMMON CHILDHOOD DISEASES .EASTERN MEDITERRANEAN REGION (EMR) IS A VERY DIVERSE AND FRAGILE REGION WITH CONSIDERABLE VARIATIONS IN SIZE, POPULATION, CAPACITIES, AND INCOME. IT INCLUDES COUNTRIES WITH ROBUST AND RESILIENT HEALTH SYSTEMS, CAPABLE OF KEEPING HIGH VACCINATION COVERAGE RATES, AND COUNTRIES WITH MAJOR SOCIO-ECONOMIC, HUMANITARIAN, AND SECURITY ISSUES THAT NEGATIVELY AFFECT THE NATIONAL COVERAGE RATES. THE PROPOSAL IS ALIGNED WITH THE POLIO ENDGAME STRATEGY (2019-2023) AND IMMUNIZATION AGENDA 2030. IT AIMS AT STRENGTHENING IMMUNIZATION PROGRAM CAPACITIES AND INCREASE ITS IMPACT TO REDUCE MORTALITY AND MORBIDITY OF VPDS AND TO SUPPORT COUNTRIES TO ACHIEVE THE POLIO ERADICATION AND MEASLES ELIMINATION GOALS. ALL PROPOSED ACTIVITIES ARE TAILORED ACCORDING TO GHD?S VAST EXPERIENCE IN THE REGION, THE COUNTRIES? LOCAL CONTEXTS GUIDED AND BY RECENTLY PUBLISHED GLOBAL AND REGIONAL GUIDELINES AND RECOMMENDATIONS. THROUGHOUT THE FIVE YEARS, GHD WILL APPLY COMPREHENSIVE STRATEGIES TO CONTRIBUTE TO REDUCING HEALTH DISPARITIES RELATED TO VPDS, WHICH INCLUDE IMPROVE THE CAPACITY OF THE IMMUNIZATION WORKFORCE, SURVEILLANCE AND OUTBREAK RESPONSE, ENHANCED MICROPLANNING TO REACH THE UNDER-VACCINATED POPULATIONS, DEMAND CREATION AND SUPPORT SERVICE DELIVERY IN HIGH-RISK AREAS, AND SUPPORT DATA-DRIVEN IMMUNIZATION ACTIVITIES. THIS PROJECT?S PROPOSAL PRIORITIZES A SET OF ACTIVITIES THAT WILL CONTRIBUTE TO ACHIEVING THE SHORT-TERM OUTCOMES; IMPROVED VACCINATION COVERAGE IN PRIORITY AREAS, POLIO AND OTHER VPD OUTBREAKS STOPPED WITHIN GLOBALLY ESTABLISHED TIME FRAMES, POLIO AND OTHER VPD SURVEILLANC E QUALITY IMPROVED, INCREASED CAPACITY AND FUNCTIONALITY OF NITAGS. ALSO, INCREASE GOVERNMENT OWNERSHIP OF EPI PROGRAMS IN PRIORITY / HIGH- RISK AREAS AS INTERMEDIATE OUTCOME.IN SUBSEQUENT YEARS, GHD WILL FOCUS ON IMPROVING VACCINATION COVERAGE NATIONALLY IN TARGETED COUNTRIES, REDUCING POLIO AND OTHER VPD OUTBREAKS/EMERGENCIES, AND POLIO AND THE VPD SURVEILLANCE QUALITY MAINTAINING AS MEDIUM-TERM OUTCOMES. WHILE IN LONG-TERM OUTCOMES, GHD PLANS TO STRENGTHEN IMMUNIZATION SYSTEMS, INCLUDING STRENGTHENED VPD DATA AND SURVEILLANCE SYSTEMS AND REDUCING VPD ASSOCIATED MORBIDITY AND MORTALITY. GHD WILL WORK TO IMPLEMENT ACTIVITIES BASED ON ITS EXPERIENCE GAINED THROUGH 10 YEARS OF WORKING CLOSELY WITH THE COUNTRIES IN EMR AND THE EXTENSIVE KNOWLEDGE AND UNDERSTANDING OF THE REGION?S CONTEXT AND COMPLEXITIES. INCLUDING THE LAST SIX YEARS OF STRENGTHENING THE PUBLIC HEALTH SYSTEM AND SUPPORTING THE NATIONAL EXPANDED PROGRAM FOR IMMUNIZATIONS IN KEY PRIORITY EMR COUNTRIES. GHD WILL BE PARTNERING WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND COLLABORATE WITH RELEVANT PARTNERS TO ENSURE PROJECT?S EFFICIENCY AND SUSTAINABILITY."1" GLOBAL ROUTINE IMMUNIZATION STRATEGIES AND PRACTICES (GRISP) HTTPS://APPS.WHO.INT/IRIS/REST/BITSTREAMS/908228/RETRIEVE

REQUEST FOR APPLICATION

THE PROJECT AIMS AT DEVELOPING AND STRENGTHENING EPIDEMIOLOGICAL WORKFORCE TO EFFECTIVELY ADDRESS EPIDEMICS AND OTHER MAJOR PUBLIC HEALTH PROBLEMS IN THE EASTERN MEDITERRANEAN REGION.

STRENGTHENING SUSTAINABLE PUBLIC HEALTH CAPACITY IN THE EASTERN MEDITERRANEAN REGION FOR POLIO ERADI

DISABILITIES INTEGRATION OF SERVICES AND THERAPIES NETWORK FOR CAPACITY AND TREATMENT (DISTINCT)

GH16-1719: GLOBAL EMERGENCY RESPONSE AND RECOVERY PARTNER ENGAGEMENT: EXPANDING EFFORTS AND STRATEGIES TO IMPROVE RAPID RESPONSE TO PUBLIC HEALTH EMERGENCIES GLOBALLY

STRENGTHENING FIELD EPIDEMIOLOGY TRAINING PROGRAMS IN THE EASTERN MEDITERRANEAN REGION

BROADREACH SISEKELA: SUSTAINING HIV/TB CARE AND TREATMENT SERVICES FOR EPIDEMIC CONTROL IN SOUTH AFRICA

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

STRENGTHENING THE EVIDENCE BASE AND CAPACITY FOR IMPLEMENTING HIV PREVENTION

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

CDFI RAPID RESPONSE PROGRAM AWARD

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

RURAL HEALTH CARE COORDINATION NETWORK PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

ARRA - CAPITAL IMPROVEMENT PROGRAM

REVOLVING LOAN FUND / EQUITY FUNDS

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH DEVELOPMENT, INC. GRANT #H80CS00130 ADDRESS: 908 EVANS ST., BUILDING A – UVALDE, TEXAS 78801-6051 PROJECT DIRECTOR NAME: MAYELA CASTAÑON E-MAIL: MCASTANON@CHDI4HEALTH.ORG CONTACT PHONE NUMBER: (830) 278-5604; (830) 278-1836 (FAX) WEB SITE ADDRESS: HTTPS://CHDI4HEALTH.ORG CONGRESSIONAL DISTRICTS: TEXAS 023 AND TEXAS 021 FUNDING REQUESTED: EXPANDED HOURS CURRENT FEDERAL FUNDING: SECTION330CHC/MHC COMMUNITY HEALTH DEVELOPMENT, INC. (CHDI) IS A PRIVATE NON-PROFIT COMMUNITY BASED FQHC ESTABLISHED IN UVALDE, TEXAS IN 1983. CHDI’S SERVICE AREA INCLUDES UVALDE, REAL, EDWARDS AND PARTS OF ZAVALA COUNTIES. CHDI’S ENTIRE SERVICE AREA IS DESIGNATED AS HPSA FOR PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH. THE SERVICE AREA HAS A 2022 US CENSUS ESTIMATED TOTAL POPULATION OF 31,999. OF THESE, 34% LIVE BELOW 150% OF THE FEDERAL POVERTY LEVEL AND 25% ARE UNINSURED. COUNTY LEVEL DATA ON THE NUMBER OF AGRICULTURAL WORKERS, WHOM CHDI TARGETS AS A SPECIAL POPULATION, IS EXTREMELY LIMITED HOWEVER THE ENTIRE SERVICE AREA RELIES HEAVILY ON FARMING AND RANCHING. A 2017 REPORT INDICATES THAT FARMWORKERS, NOT INCLUDING RANCH WORKERS, COMPRISE 11% OF THE POPULATION IN THE SOUTH TEXAS BORDER REGION, WHICH INCLUDES CHDI’S SERVICE AREA. CHDI’S 2023 COMMUNITY NEEDS ASSESSMENT REVEALS THAT THE MAJOR HEALTHCARE NEEDS ARE: DIABETES, LACK OF INSURANCE, BEHAVIORAL HEALTH, HYPERTENSION, HEART DISEASE, AND CANCER. MAJOR BARRIERS INCLUDE TOO FEW PROVIDERS, GEOGRAPHY/TRANSPORTATION, AND FINANCIAL LIMITATIONS TO ACCESSING CARE. CHDI IS GOVERNED BY AN 11-MEMBER BOARD OF DIRECTORS COMPRISED OF PATIENT REPRESENTATIVES (64%) AND LEADERS FROM THE SERVICE AREA. CHDI’S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CHDI’S TARGET POPULATION INCLUDES UNINSURED/UNDERSERVED INDIVIDUALS LIVING BELOW 200% OF POVERTY. TO ADDRESS THE NEEDS OF THE TARGET POPULATION, CHDI OPERATES FOUR FULL-TIME HEALTH CARE DELIVERY SERVICE SITES: OUR HEALTH/NUESTRO CENTRO DE SALUD AND THE CENTER FOR COMMUNITY WELLNESS IN UVALDE; ROLLING HILLS HEALTH AND CANYON HEALTH BOTH IN REAL COUNTY. CHDI IS THE ONLY PRIMARY CARE PROVIDER IN REAL COUNTY. CHDI ALSO OPERATES A WEEKLY MEDICAL CLINIC AT THE UVALDE COUNTY JAIL. CHDI PROVIDES ALL REQUIRED MEDICAL AND DENTAL SERVICES DIRECTLY, EXCEPT FOR OB CARE. THE SCOPE OF PROJECT REPRESENTS INTEGRATED HEALTH CARE SERVICES THAT INCLUDE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE, DIAGNOSTIC LAB, X-RAY, CLASS A AND D PHARMACIES, DISEASE SCREENING AND MANAGEMENT, COMMUNITY HEALTH EDUCATION, ENROLLMENT, AND SPECIALTY CARE REFERRALS. CHDI SERVES ALL PEOPLE, REGARDLESS OF ABILITY TO PAY. IN 2023, SERVED 12,174 PATIENTS. THROUGH THIS FUNDING OPPORTUNITY, CHDI IS PROPOSING TO EXPAND HOURS OF OPERATION AND SERVICES AT THE FOLLOWING TWO SITES: OUR HEALTH IN UVALDE AND ROLLING HILLS HEALTH IN LEAKEY. THE HOURS AT EACH SITE WILL BE EXPANDED BY ONE HOUR PER WEEK. ADDITIONALLY, CHDI IS SEEKING FUNDING TO EXPAND ACCESS TO PHARMACY SERVICES IN UVALDE FROM THE CURRENT 53.5 HOURS TO 60.5 HOURS PER WEEK AND EXPAND ACCESS TO DENTAL SERVICES IN LEAKEY FROM THE CURRENT 11 HOURS TO 46 HOURS PER WEEK. CHDI IS INCREASING ITS PROVIDER STAFFING TO ADDRESS THE INCREASED NEED FOR CARE IN THE AREA. THUS, THERE WILL BE A CORRESPONDING INCREASE IN THE NUMBER OF PRESCRIPTION REQUESTS. IN 2023, CHDI FILLED 80,800 PRESCRIPTION REQUESTS. CHDI EXPECTS THE NUMBER OF PRESCRIPTIONS REQUESTS TO BE FILLED TO INCREASE TO 98,700 ANNUALLY. THE DENTAL EXPANSION WILL PROVIDE 2,000 NEW VISITS TO 800 NEW/EXISTING PATIENTS. CHDI IS PROPOSING TO ADD 6.5 FTES TO SUPPORT EXPANDED HOURS AS FOLLOWS: 0.5 PHARMACIST, 1.0 PHARMACY TECHNICIAN, 1.0 DENTIST, 2.0 REGISTERED DENTAL ASSISTANTS, 1.0 PATIENT SUPPORT, AND A 1.0 PRACTICE MANAGER. CHDI’S PROJECT HAS A TOTAL COST OF $708,882 WHICH INCLUDES $500,000 IN FEDERAL FUNDS AND $208,882 IN PROGRAM INCOME.

GLOBAL HEALTH SECURITY PARTNER ENGAGEMENT: EXPANDING EFFORTS AND STRATEGIES TO PROTECT AND IMPROVE P

REVOLVING LOAN FUND / EQUITY FUNDS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TO ENHANCE HIV SERVICE DELIVERY AND OUTCOMES FOR KEY POPULATIONS, IT IS CRUCIAL TO IDENTIFY AND COMPREHEND DATA-DRIVEN SOLUTIONS THAT CAN SURMOUNT BARRIERS, ENSURING THAT KEY POPULATION BENEFICIARIES RECEIVE PEOPLE-CENTERED SERVICES THROUGH CLM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

TO IMPROVE KP SPECIFIC HIV SERVICE DELIVERY AND OUTCOMES BY IDENTIFYING AND UNDERSTANDING DATA-DRIVEN SOLUTIONS TO OVERCOME BARRIERS AND ENSURE KPS RECEIVE OPTIMAL PEOPLE-CENTERED HIV SERVICES PRODUCTIVELY, COLLABORATIVELY, RESPECTFULLY, IN EIGHT REGIONS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RBEG - NATURAL DISASTER TORNADO SUPPLEMENTAL GRANTS

DENTAL CARE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

GRANTS FOR ADAPTIVE SPORTS PROGRAMS FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES.

GH14-1403, S. AFRICA: STRENGTHENING THE EVIDENCE BASE AND CAPACITY FOR IMPLEMENTING HIV PREVENTION

FY 2023 BRIDGE ACCESS PROGRAM

BROOKS REHABILITATION ADAPTIVE SPORTS AND RECREATION VETERAN EXCLUSIVE COHORT

TO PURCHASE SUPPLIES AND CONDUCT TRAINING TO EMPOWER TRADITIONAL CLOTH WEAVERS IN BENUE STATE.

BROOKS REHABILITATION ADAPTIVE SPORTS AND RECREATION VETERAN EXCLUSIVE PROGRAMMING

REDUCE THE SPREAD OF HIV IN A CORRECTIONAL CENTER AND A REMAND HOME IN BIDA LGA, NIGER STATE AND SUPPORT SOCIO-ECONOMIC EMPOWERMENT FOR INMATES.

SPC TENANT BASED RA

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS