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Agency: Department of Health and Human ServicesStatus: Currently active
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1,077 awards

Showing 901950
Action dateRecipientAgencyAmountDescriptionSector
2026-04-22NOVITAS SOLUTIONS, INC.Department of Health and Human Services$47,418,416THE CONTRACTOR SHALL PROPERLY ISSUE AND/OR REVOKE MEDICARE SUPPLIER BILLING PRIVILEGES FOR DMEPOS SUPPLIERS AND MAINTAIN SUPPLIER FILES IN PECOS THAT CONTAIN INFORMATION COLLECTED VIA THE MEDICARE ENROLLMENT APPLICATION, INTERNET-BASED PECOS, AND THEhealth
SUNBEAM FAMILY SERVICES, INC.Department of Health and Human Services$47,083,713HEAD START AND EARLY HEAD STARTsocial-services
MOUNTAIN COMPREHENSIVE HEALTH CORPORATIONDepartment of Health and Human Services$46,994,541HEALTH CENTER CLUSTERhealth
AMREF HEALTH AFRICA-TANZANIADepartment of Health and Human Services$46,812,573SUSTAIN AND ACCELERATE A COMPREHENSIVE HIV RESPONSE IN THE UNITED REPUBLIC OF TANZANIA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) - TANZANIA IS AMONG COUNTRIES WITH VERY HIGH HIV BURDEN, WITH AN ESTIMATED 1.7 MILLION PEOPLE LIVING WITH HIV (PLHIV) OR 5.1% OUT OF THE TOTAL POPULATION OF 61,741,120 PEOPLE. THE COUNTRY’S HIV EPIDEMIC IS COMPLICATED BY THE GENERAL HEALTH SYSTEM CHALLENGES AS A RESULT OF LOW RESOURCES. YET, SIGNIFICANT PROGRESS TOWARD HIV/AIDS CONTROL HAVE BEEN MADE OVER THE YEARS. REPORTS INDICATE THAT 83% OF PLHIV IN TANZANIA NOW KNOW THEIR HIV STATUS, THAT 90% OF THESE ARE CURRENTLY RECEIVING ANTI-RETROVIRAL TREATMENT (ART) AND AMONG THOSE ON TREATMENT, 92% ARE ATTAINING VIRAL SUPPRESSION. PROGRESS WAS ALSO MADE ON THE ELIMINATION OF MOTHER TO CHILD TRANSMISSION (MTCT) OF HIV DISEASE, REDUCING THE RATE FROM 26% IN 2011 TO 7.8% IN 2015 FOLLOWING GOVERNMENT, DONORS, AND OTHER STAKEHOLDERS’ EFFORTS. DESPITE THESE SUCCESSES, GAPS STILL REMAIN, AS THE SHIFTING DEMOGRAPHY OF THE DISEASE PRESENTS NEW AND ADDITIONAL CHALLENGE. A SIGNIFICANT NUMBER OF INDIVIDUALS WHO ARE HIV-POSITIVE HAVE NOT BEEN IDENTIFIED AND LINKED TO TREATMENT YET. THIS IS ATTRIBUTED TO SUB-OPTIMAL TESTING AMONG KEY AND VULNERABLE POPULATIONS (KVP) ESPECIALLY THOSE WHO DO NOT HAVE REGULAR CONTACT WITH THE FORMAL HEALTH SYSTEM. INEFFICIENCIES IN LINKING THOSE WHO ARE TESTED FOR HIV TO ART SERVICES IS ALSO ANOTHER CHALLENGE. AMREF TANZANIA IN CONSORTIUM WITH PARTNERS THE UNIVERSITY OF MARYLAND IN BALTIMORE (UMB), AFYA PLUS, AND THE TANZANIA CENTER FOR DEVELOPMENT AND COMMUNICATIONS (TCDC) COLLECTIVELY KNOWN AS “AFYA THABITI” PROPOSES A COMPREHENSIVE PATIENT-CENTERED DATA DRIVEN PROGRAM THAT WILL IMPROVE ACCESS AND UPTAKE OF QUALITY HIV & TB SERVICES, EXPANDING THE COHORT OF PLHIV ON ART AND ACCELERATING PROGRESS TOWARDS THE ATTAINMENT OF THE UNAIDS 95-95-95 TARGETS FOR EPIDEMIC CONTROL IN TANZANIA. AFYA THABITI WILL IMPLEMENT VARIOUS INITIATIVES, USING MULTI-DISCIPLINARY HF TEAMS TO PROVIDE SITE LEVEL TECHNICAL SUPPORT THAT INCLUDE TRAINING, MENTORSHIP, AND COACHING. COMMUNITY-CENTERED AND POPULATION-SPECIFIC APPROACH INCLUDING THE USE OF EXPERT CLIENTS AND PEER VOLUNTEERS BE USED BY AFYA THABITI TO REACH KEY AND VULNERABLE POPULATIONS (KVPS). KEY STAKEHOLDER ENGAGEMENT AT ALL STAGES OF THE PROJECT WILL INCLUDE THE MOH, REGIONAL AND COUNCIL HEALTH MANAGEMENT TEAMS (R/CHMTS), KVP-LED CSOS, OTHER IMPLEMENTING PARTNERS. THESE INITIATIVE AND APPROACHES WILL FACILITATE THE DELIVERY OF THE SET OF ACTIVITIES THE CONSORTIUM HAVE DESIGNED TO RESPOND TO THE MOH PRIORITIES AS SET IN THE NSP 2020-2025 AS WELL AS THE OUTCOMES PRESENTED BY CDC IN THE PRESENT NOFO. THE PROPOSED PROJECT CONSISTS OF SIX STRATEGIC OBJECTIVES (SO) AND A ROBUST EVALUATION AND PERFORMANCE MANAGEMENT PLAN. SO ONE WILL FOCUS ON IMPLEMENTING EFFICIENT HIV CASE-FINDING ACTIVITIES TO ACHIEVE THE 1ST 95 TARGET, SO TWO WILL FOCUS ON THE IMMEDIATE LINKAGE TO TREATMENT FOR THOSE NEWLY DIAGNOSED WITH HIV AND PREVENTION SERVICES FOR THE HIV-NEGATIVES. SO THREE AND FIVE FOCUSES ON ENSURING THAT INDIVIDUALS ARE RECEIVING HIGH-QUALITY ART AND TB SERVICES INCLUDING THE PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV (PMTCT). IN SO FOUR, AFYA THABITI WILL DELIVER STRATEGIC VOLUNTARY MEDICAL MALE CIRCUMCISION (VMMC) SUPPORT TO R/CHMTS AND HEALTH FACILITIES (HFS) HELPING TO REDUCE HIV TRANSMISSION. LASTLY, SO SIX PRESENTS THE PROJECTS ACTIVITIES THAT WILL ENSURE COLLECTION, TRANSMISSION, AND UTILIZATION OF HIGH-QUALITY DATA FROM THE HFS. ACTIVITIES WILL BE DRIVEN BY CONTINUOUS QUALITY IMPROVEMENT PRINCIPLES SUPPORTED BY INTEGRATED SUPPORTIVE SUPERVISION TO ENSURE OWNERSHIP AND SUSTAINABILITY OF PROGRAM BY THE R/CHMTS AND SITE STAFF. TO IMPLEMENT PROJECT ACTIVITIES, THERE NEEDS TO BE REFLECTIONS, ACCOUNTABILITY AND REVIEWS BUILT-IN TO TRACK PROGRESS. AFYA THABITI WILL IMPLEMENT ROBUST PERFORMANCE MONITORING AND MANAGEMENT USING ROUTINE AND ADVANCED ANALYTIC TECHNIQUES TO GLEAN INFORMATION FROM PROGRAM, PROVIDING TIMELY FEEDBACK TO SITE LEVEL STAFF, R/CHMTS AS WELL AS PROGRAM MANAGERS, WITH A VIEW TO IMPROVING PROGRAM PERFORMANCE.health
OPEN DOOR FAMILY MEDICAL CENTER, INC.Department of Health and Human Services$46,764,257HEALTH CENTER CLUSTERhealth
2026-03-24ECS FEDERAL, LLCDepartment of Health and Human Services$46,622,430PROFESSIONAL SUPPORT SERVICEShealth
HEALTH AND HUMAN RESOURCES, WEST VIRGINIA DEPARTMENT OFDepartment of Health and Human Services$46,563,906CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARYsocial-services
HPM FOUNDATION, INCDepartment of Health and Human Services$46,508,586HEALTH CENTER CLUSTERhealth
2026-02-19AMERIND BG JV, LLCDepartment of Health and Human Services$46,470,615BLDG. 2 - CHILLER PLANT CONSTRUCTION AND ASSOCIATED PROJECTSother
CAROLINA FAMILY HEALTH CENTERS, INC.Department of Health and Human Services$46,048,601HEALTH CENTER CLUSTERhealth
EMORY UNIVERSITYDepartment of Health and Human Services$45,937,827EMORY HIV/AIDS CLINICAL TRIALS UNIThealth
MISSION CITY COMMUNITY NETWORK, INCDepartment of Health and Human Services$45,937,666HEALTH CENTER CLUSTERhealth
GATEWAY COMMUNITY HEALTH CENTER, INC.Department of Health and Human Services$45,502,157HEALTH CENTER CLUSTERhealth
DEPARTMENT OF FAMILYDepartment of Health and Human Services$45,501,803CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARYsocial-services
E CENTERDepartment of Health and Human Services$44,930,363MIGRANT AND SEASONAL HEAD START AND EARLY HEAD STARTsocial-services
NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICESDepartment of Health and Human Services$44,852,044CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARYsocial-services
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITYDepartment of Health and Human Services$44,570,464CORNELL CLINICAL TRIALS UNIThealth
UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUSDepartment of Health and Human Services$44,119,301ADVANCING COMPETITIVE BIOMEDICAL RESEARCH IN PUERTO RICObiotech
2026-04-27THERADEX SYSTEMS, INC.Department of Health and Human Services$44,093,195CLINICAL TRIALS MONITORING SERVICEhealth
LA MAESTRA FAMILY CLINIC, INC.Department of Health and Human Services$44,005,302HEALTH CENTER CLUSTERhealth
GRACEMED HEALTH CLINIC INCDepartment of Health and Human Services$43,905,117HEALTH CENTER CLUSTERhealth
2026-04-14THE JOHNS HOPKINS UNIVERSITY APPLIED PHYSICS LABORATORY LLCDepartment of Health and Human Services$43,502,342TO DEVELOP RITCA AS AN ONLINE AND MOBILE PHONE-BASED APPLICATION. RITCA WILL SERVE AS A DISASTER RESPONSE TOOL FOR A REGIONAL AREA WITHIN THE BROAD RANGE OF THE MEDICAL RESPONDER COMMUNITY. THIS APPLICATION WILL ALLOW FOR SYNCHRONOUS AND ASYNCHRhealth
2026-03-10NOVUS TECHNOLOGY PARTNERS INCDepartment of Health and Human Services$43,478,680THE CENTER FOR CLINICAL STANDARDS AND QUALITY (CCSQ) SERVICE CENTER IS THE CENTRAL POINT FOR QUALITYNET CUSTOMERS TO REPORT PROBLEMS AND SEEK ASSISTANCE WITH PROBLEM REPORTS AND SERVICE REQUESTS. SERVICE CENTER USES TELEPHONE, WEB ACCESS, EMAIL, SELFhealth
2026-04-30ACUMEN LLCDepartment of Health and Human Services$43,418,195IGF::OT::IGF PAYMENT RECONCILIATION FOR BUNDLED PAYMENTS FOR CARE IMPROVEMENT ADVANCEDhealth
CAMARENA HEALTHDepartment of Health and Human Services$43,272,409HEALTH CENTER CLUSTERhealth
THE JOHNS HOPKINS UNIVERSITYDepartment of Health and Human Services$43,243,459THE MALAWI CLINICAL TRIALS UNIThealth
CARESTL HEALTHDepartment of Health and Human Services$43,091,252HEALTH CENTER CLUSTERhealth
2026-03-11THE LEWIN GROUP, INC.Department of Health and Human Services$43,006,054PAYMENT ERROR RATE MEASUREMENT STATISTICAL CONTRACTORhealth
VANDERBILT UNIVERSITY MEDICAL CENTERDepartment of Health and Human Services$42,990,046VANDERBILT VACCINE AND TREATMENT EVALUATION UNITbiotech
2026-05-06REI SYSTEMS, INC.Department of Health and Human Services$42,806,353ORDER FOR OII IMPORTS, SIRCE, ALM, OCI, ADMIN O&M, DMEhealth
CENTERVILLE CLINICS, INCORPORATEDDepartment of Health and Human Services$42,790,261HEALTH CENTER CLUSTERhealth
CINCINNATI UNIV OFDepartment of Health and Human Services$42,519,056OHIO VALLEY NODE-NETWORK (OVNN) OF THE NIDA CLINICAL TRIALS NETWORKhealth
OPTIMUS HEALTH CARE, INC.Department of Health and Human Services$42,471,748HEALTH CENTER CLUSTERhealth
PENOBSCOT COMMUNITY HEALTH CENTERDepartment of Health and Human Services$42,378,205HEALTH CENTER CLUSTERhealth
OZARK TRI-COUNTY HEALTH CARE CONSORTIUMDepartment of Health and Human Services$42,355,303HEALTH CENTER CLUSTERhealth
OROMIA REGIONAL HEALTH BUREAUDepartment of Health and Human Services$42,129,513STRENGTHENING PUBLIC HEALTH RESPONSES AND ACCELERATING HIV/AIDS PROGRAM FOR THE SUSTAINABLE PROVISION OF COMPREHENSIVE HIV/AIDS SERVICES IN OROMIA REGIONAL STATE OF THE FEDERAL DEMOCRATIC REPUBLIC OF - THE COP21 PLAN INTENDS TO FURTHER STRENGTHEN OROMIA REGIONAL HEALTH BUREAU?S (ORHB?S) IMPLEMENTATION CAPACITY OF COMPREHENSIVE HIV SERVICES IN THE OROMIA REGION TO ATTAIN THE UNAIDS 95-95-95 GOALS. ONLY 66% OF PEOPLE LIVING WITH HIV (PLHIV) IN THE OROMIA REGION KNOW THEIR STATUS, WHILE THE REGION ACCOUNTS FOR 178,986 OF PLHIV POPULATION AND 116,042 (64.83%) PEOPLE ON ANTIRETROVIRAL THERAPY (ART) COVERAGE IN ETHIOPIA ACCORDING TO FY21 QUARTER-2 (Q2) DATIM REPORT. WITH THE FUND OPPORTUNITY GAINED, THE ORHB WILL FURTHER STRENGTHEN ITS PROGRAM MANAGEMENT, TECHNICAL, AND MONITORING CAPACITY AT ALL LEVELS OF THE HEALTH SYSTEM. THE PROGRAM WILL FOCUS ON GEOGRAPHIES AND POPULATIONS HIGHLY AFFECTED BY THE HIV/AIDS PANDEMIC TO HAVE GREATER IMPACT AND OPERATIONAL EFFICIENCY. BUILDING ON CURRENT ACHIEVEMENTS, THE ORHB WILL IMPLEMENT PRIORITY ACTIVITIES THAT HAVE A SIGNIFICANT IMPACT ON EPIDEMIC CONTROL OF HIV/AIDS SUCH AS TARGETED HIV TESTING SERVICES (HTS), ART, ETC.health
2026-04-09LEIDOS BIOMEDICAL RESEARCH INCDepartment of Health and Human Services$42,106,159CHILDHOOD CANCER DATA INITIATIVE: CLINICAL TRIAL SPECIMEN MOLECULAR CHARACTERIZATION (CTSMC) PROGRAMbiotech
2026-04-02WGL ENERGY SERVICES, INC.Department of Health and Human Services$42,076,652WASHINGTON GAS ENERGY SERVICES INChealth
ASOCIACION CIVIL IMPACTA SALUD Y EDUCACIONDepartment of Health and Human Services$41,806,723THE IMPACTA PERU CLINICAL TRIALS UNITbiotech
OKLAHOMA STATE DEPARTMENT OF HEALTHDepartment of Health and Human Services$41,735,156STRENGTHENING US PUBLIC HEALTH INFRASTRUCTURE, WORKFORCE AND DATA SYSTEMS - ACROSS THE STATE, COVID-19 CONTINUES TO TAX AN ALREADY OVERWORKED AND UNDERFUNDED SYSTEM AS PUBLIC HEALTH REMAINS AT THE FOREFRONT OF THE PANDEMIC EFFORTS. MANY PUBLIC HEALTH WORKERS ARE LEAVING THE FIELD FROM BURNOUT, STRESS, AND FATIGUE. NOW, MORE THAN EVER, IT IS IMPERATIVE TO IMPROVE THE PUBLIC HEALTH INFRASTRUCTURE AND SUPPORT EFFORTS TO DEVELOP, TRAIN, AND SUSTAIN A STRONG PUBLIC HEALTH WORKFORCE. WITH UNPRECEDENTED FUNDING OPPORTUNITIES AND EXTERNAL MOMENTUM, THE OKLAHOMA STATE DEPARTMENT OF HEALTH (OSDH) HAS AN EXPANDED ROLE IN BRINGING PUBLIC HEALTH PARTNERS TOGETHER. THE OSDH PRIORITIZED AND BASED MOST OF THE PROPOSED STRATEGIES IN THIS NOFO RESPONSE TO ALIGN WITH THE PUBLIC HEALTH FOUNDATION FOUNDATIONAL CAPABILITIES. THE PURPOSE OF THIS FUNDING REQUEST, IN THE AMOUNT OF $25,806,647, IS TO INCREASE THE OSDH'S WORKFORCE, FOUNDATIONAL CAPABILITIES, AND DATA MODERNIZATION THROUGH STRENGTHENING AND DEVELOPING THE PUBLIC HEALTH WORKFORCE OF OKLAHOMA. THIS WILL BE ACCOMPLISHED THROUGH INCREASING FUNDING FOR HIRING CRITICAL POSITIONS, STRENGTHENING ONGOING TRANSFORMATION PROGRAMS, IMPROVING AGENCY SYSTEMS, PUTTING IN PLACE POLICIES AND PROGRAMMING TO IMPROVE SUSTAINABILITY GOING FORWARD, UPDATING KEY PERMANENT SYSTEMS, IMPROVING THE AGENCY’S PHAB ACCREDITATION PROCESS, BUILDING UPON CURRENT DATA MODERNIZATION EFFORTS, AND ENHANCING THE DATA INFRASTRUCTURE TO INCREASE SYSTEMS. EXPECTED OUTCOMES FOR THIS PROPOSED PROJECT ARE INCREASED HIRING OF DIVERSE STAFF; INCREASED SIZE AND CAPABILITIES OF THE PUBLIC HEALTH WORKFORCE; STRONGER PUBLIC HEALTH FOUNDATIONAL CAPABILITIES; INCREASED REACH OF PUBLIC HEALTH SERVICES; IMPROVED ORGANIZATIONAL SYSTEMS AND PROCESSES; ACCELERATED PREVENTION, PREPAREDNESS, AND RESPONSE TO EMERGING THREATS; INCREASED AVAILABILITY AND USE OF PUBLIC HEALTH DATA; AND REDUCED DEATHS AS A RESULT OF PANDEMIC OR EMERGENCY AND IMPROVE OTHER PUBLIC HEALTH OUTCOMES.health
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.Department of Health and Human Services$41,728,478HEALTH CENTER CLUSTERhealth
EXCELTH, INCORPORATEDDepartment of Health and Human Services$41,674,999HEALTH CENTER CLUSTERhealth
2026-05-12PATRIOT LLCDepartment of Health and Human Services$41,466,505EPA/ORD IT INFRASTRUCTURE AND DESKTOP SUPPORTenvironment
MAINE STATE HOUSING AUTHORITYDepartment of Health and Human Services$41,417,019LIHEAP-2026 - LOW INCOME HOME ENERGY ASSISTANCEhousing
PROVINCIAL HEALTH OFFICE SPDepartment of Health and Human Services$41,348,343SUSTAINING THE CAPACITY OF PROVINCIAL HEALTH OFFICES TO COORDINATE AND PROVIDE QUALITY, COMPREHENSIVE AND SUSTAINABLE HIV/AIDS PREVENTION, CARE AND TREATMENT SERVICES IN ZAMBIA UNDER PEPFAR - THE MINISTRY OF HEALTH HAS INCLUDED HIV/AIDS AS ONE OF ITS GOALS. IT AIMS TO ACHIEVE HIV EPIDEMIC CONTROL, BY REDUCING NEW HIV INFECTIONS AND AIDS RELATED MORTALITY BY 75% (ZAMBIA NATIONAL HEALTH STRATEGIC PLAN). HIV MODELS SUGGEST THAT THE NUMBER OF NEW HIV INFECTIONS IN ZAMBIA STILL EXCEEDS THE NUMBER OF DEATHS AMONGST PLHIV. THE HIV PREVALENCE RATE AMONG WOMEN AND MEN AGED 15-49 IN ZAMBIA IS 11.1%; THE PREVALENCE IS HIGHER AMONG WOMEN THAN MEN AT 14.2% AND 7.5% RESPECTIVELY (ZDHS, 2018). ACCORDING TO ZDHS 2018, THE HIV PREVALENCE RATE FOR SOUTHERN PROVINCE IS 12.4% WHICH IS ABOVE THE NATIONAL HIV PREVALENCE RATE. SPHO IMPLEMENTS A COMBINATION OF HIV PREVENTION INTERVENTIONS, TARGETING HIV NEGATIVE MEN AND WOMEN, ADOLESCENT GIRLS AND YOUNG WOMEN (AGYW), PREGNANT AND BREASTFEEDING WOMEN (PBFW), KEY AND VULNERABLE POPULATIONS (KVPS) AS WELL AS OTHER POPULATIONS AT HIGH RISK OF HIV ACQUISITION. SPHO HAS ADOPTED A DECENTRALIZED APPROACH TO POST GBV CARE. CURRENTLY SPHO IS PROVIDING ROUTINE HIV PREVENTION, CARE AND TREATMENT SERVICES, INCLUDING TB/HIV SERVICE IN CORRECTIONAL FACILITIES IN 5 DISTRICTS. IN COP21, SPHO CONTINUED TO PROVIDE COORDINATION SUPPORT TO DREAMS AND DREAMS-LIKE IMPLEMENTING PARTNERS (IPS). SOUTHERN PROVINCE SUPPORTS HTS SERVICES IN THE SUPPORTED FACILITIES. SPHO ADOPTED MIXED METHODS FOR CASE FINDING FOR ADULTS AND CHILDREN. OPD TESTING IS ROUTINE IN ALL THE HEALTH FACILITIES WITH THE USE OF THE HIV RISK SCREENING TOOL FOR ADULTS ABOVE 15 YEARS. SPHO IMPLEMENTS HTS INDEX TESTING, SOCIAL NETWORK TESTING AND HIV SELF-TEST (HIVST). SPHO ACHIEVED 56% PMTCT STAT WITH KNOWN HIV STATUS TOWARDS THE ANNUAL TARGET OF 64, 674 IN FY22 (SAPR 2022). IN ADDITION, SPHO TESTED 1896 HEI AND IDENTIFIED 57 POSITIVES WHO ARE ON ART. SPHO WILL CONTINUE PROVIDING EMTCT SERVICES THROUGH A FAMILY CENTERED APPROACH APPROVED BY MOH. PAEDIATRIC HIV/ART PROGRAMMING IS ONE OF THE KEY PRIORITY AREAS FOR THE MINISTRY OF HEALTH HIV PROGRAM PRIMARILY BECAUSE OF LAGGING IN ATTAINING THE UNAIDS 95, 95, 95 FOR CHILDREN AND ADOLESCENTS LIVING WITH HIV. TO CLOSE THE GAP SPHO IMPLEMENTED PAEDIATRIC AND ADOLESCENT SURGE IN SELECTED FACILITIES. AT SAPR FY22 SPHO MANAGED TO ATTAIN 22% (262/1197) CASE FINDING AGAINST THE TARGET, 69 % VLC WITH 94% VLS. SPHO WILL SUPPORT 15 DISTRICTS IN THE PROVISION OF ART SERVICES AND HAVE MADE SIGNIFICANT STRIDES IN ENROLLING HIV POSITIVE CLIENTS ON TREATMENT. FURTHER, THE SPHO COLLABORATES WITH OTHER IPS WITHIN THE PROVINCE FOR EFFECTIVE TREATMENT PROGRAMING. SPHO WILL CONTINUE TO FOCUS ITS SUPPORT ON INCREASING THE NUMBER OF HIV+ PEOPLE ACCESSING ART TREATMENT, REDUCE ITT (INTERRUPTION TO TREATMENT) AND ENSURE DURABLE VIRAL LOAD SUPPRESSION IN THE 15 DISTRICTS. AT SAPR FY22, A TOTAL NUMBER OF 6171 WERE IDENTIFIED HIV POSITIVE ACROSS ALL THE SUPPORTED DISTRICTS, REPRESENTING A 49% ACHIEVEMENT OF FY22 ANNUAL TARGET OF 12,492. SPHO ACHIEVED A TX_CURR 134 000 REPRESENTING 91% TOWARDS FY 22 ANNUAL TARGET OF 148,006. TO IMPROVE VIRAL LOAD COVERAGE SPHO WILL IMPLEMENT VIRAL LOAD AND EID POINT OF CARE TESTING USING GENEXPERT. SPHO WILL SCALE UP RECENCY TESTING TO ALL THE FACILITIES. SPHO HAS BEEN IMPLEMENTING AN ACCELERATED STRATEGY FOR THE ELIMINATION OF CERVICAL CANCER BY 2030. ACCORDING TO SAPR FY 22 A TOTAL NUMBER OF 15,527 WOMEN LIVING WITH HIV (WLHIV) WERE SCREENED FOR CERVICAL CANCER REPRESENTING 50% ACHIEVEMENT TOWARDS THE ANNUAL TARGET. COVERAGE OF SCREENING SERVICES IS STILL LOW AT 13% (50/370 FACILITIES).health
FAMILY HEALTH CENTER OF MARSHFIELD, INC.Department of Health and Human Services$41,241,015HEALTH CENTER CLUSTERhealth
UNIVERSITY OF SOUTHERN CALIFORNIADepartment of Health and Human Services$41,231,861INTEGRTING INFORMATION ABOUT AGING SURVEYShealth
UNIVERSITY OF WISCONSIN SYSTEMDepartment of Health and Human Services$40,877,324CHILDHOOD ASTHMA IN URBAN SETTINGS CLINICAL RESEARCH NETWORK - LEADERSHIP CENTER - PROJECT SUMMARY/ABSTRACT THE OVERALL GOALS OF OUR CHILDHOOD ASTHMA IN URBAN SETTINGS (CAUSE)-LEADERSHIP CENTER PROPOSAL ARE TO PROVIDE ADMINISTRATIVE LEADERSHIP AND SUPPORT TO DEVELOP AND CONDUCT COLLABORATIVE RESEARCH TO ADDRESS HIGH PRIORITY UNMET NEEDS FOR CHILDHOOD ASTHMA IN URBAN COMMUNITIES, INCLUDING: A) DEVELOPING STRATEGIES TO PREVENT ASTHMA, B) IMPROVING TREATMENT AND INHIBITING PROGRESSION, C) REDUCING SEVERE EXACERBATIONS, AND D) DEFINING ENDOTYPES OF RESPIRATORY HEALTH AND DISEASE. FOUR HYPOTHESES ARE PROPOSED TO ACCOMPLISH THESE GOALS. FIRST, SUPPLEMENTATION WITH IMMUNE MODULATING BACTERIA IN INFANCY WILL PREVENT THE EARLY LIFE PERTURBATIONS IN THE GUT MICROBIOME THAT HAVE BEEN ASSOCIATED WITH RISK FOR THE DEVELOPMENT OF ALLERGIC SENSITIZATION AND ASTHMA, AND WILL PROMOTE AIRWAY MUCOSAL IMMUNE DEVELOPMENT. SECOND, GIVEN THE IMPORTANCE OF COCKROACH (CR) ALLERGY AND EXPOSURE TO ASTHMA MORBIDITY IN URBAN CHILDREN, CR IMMUNOTHERAPY WILL IMPROVE ASTHMA CONTROL AND REDUCE DISEASE PROGRESSION. THIRD, WE PROPOSE THAT TRANSCRIPTIONAL ANALYSIS OF AIRWAY CELLS WILL DEFINE T2-LOW MECHANISMS THAT CONTRIBUTE TO BOTH NON-ATOPIC AND ATOPIC ASTHMA AND PROVIDE NEW INSIGHTS INTO TREATMENT. FINALLY, MULTI-OMICS EVALUATION OF AIRWAY CELLS AND SECRETIONS OBTAINED DURING SEVERE EXACERBATIONS LEADING TO ED VISITS AND HOSPITALIZATIONS WILL REVEAL NOVEL MECHANISTIC PATHWAYS TO INFORM IMPROVED TREATMENT AND PREVENTION. WE PROPOSE FIVE PROTOCOLS TO TEST THESE HYPOTHESES: 1. URBAN ENVIRONMENT AND CHILDHOOD ASTHMA STUDY (URECA) 2. EFFECTS OF A MICROBIAL SUPPLEMENT (STMC-103H) ON MICROBIAL COLONIZATION AND IMMUNE DEVELOPMENT 3. COCKROACH (CR) IMMUNOTHERAPY (IT) IN URBAN CHILDREN WITH MODERATE-SEVERE ASTHMA PROTECTED BY OMALIZUMAB 4. PATHOGENESIS AND MECHANISMS OF T2-LOW (NON-ATOPIC) ASTHMA 5. SEVERE ASTHMA EXACERBATIONS IN THE EMERGENCY DEPARTMENT (ED) AND HOSPITAL: IDENTIFYING TARGETS FOR PREVENTION AND TREATMENT IT IS OUR EXPECTATION THAT OUR PROPOSED CAUSE RESEARCH PROGRAM WILL PROVIDE CRITICAL INFORMATION NEEDED TO RECOGNIZE ASTHMA PHENOTYPES AND ENDOTYPES IN URBAN CHILDREN, IMPROVE TREATMENT OF ASTHMA AND ESTABLISH DIRECTION FOR PREVENTION. COLLECTIVELY, THESE STUDIES WILL CONTINUE THE RIGOROUS PROGRAMMATIC APPROACH OF THE NIAID ASTHMA NETWORKS TOWARDS ACHIEVING THE LONG-TERM GOALS OF DISEASE MODIFICATION AND PREVENTION OF DISEASE IN HIGH-RISK CHILDREN OF LOW-INCOME FAMILIES LIVING IN URBAN COMMUNITIES.biotech
DELTA HEALTH CENTER, INC.Department of Health and Human Services$40,839,269HEALTH CENTER CLUSTERhealth
HOPEWELL HEALTH CENTERS INC.Department of Health and Human Services$40,706,742HEALTH CENTER CLUSTERhealth