1. Health Education Specialist UAB Mid-South Regional Meeting
Good morning! Thank you for inviting me to participate in your meeting. The purpose of my talk today is to discuss REACH Programs over the years. Before I start, I thought it might be helpful for you to know more about the Community Health and Equity Branch where REACH is currently located.
REACH U.S.: Past, Present, & Future
# 2
The focus of the branch is to:
build healthier communities
promote health equity
eliminate health disparities
provide national leadership in these areas of public health
While our programs focus is on community health and health disparities, the ultimate goal is to achieve health equity. The elimination of disparities is a key part of health equity, but health equity has a broader goal.
Shannon White, MPH
Health Education Specialist
REACH U.S.
UAB Mid-South Regional Meeting
August 23, 2011 #3
Since health equity has a broader focus, our programs employ multi-level strategies to achieve health equity on a national level.
National Center for Chronic Disease Prevention and Health Promotion
Division of Community Health (proposed)

2. Program Focus on Health Equity
The focus of the branch is to:
build healthier communities
promote health equity
eliminate health disparities
provide national leadership in these areas of public health
While our programs focus is on community health and health disparities, the ultimate goal is to achieve health equity. The elimination of disparities is a key part of health equity, but health equity has a broader goal.
Program Focus on Health Equity
Health equity is at the core of all our programs and activities.
Health equity is achieving the highest level of health for all people.
It entails focused societal efforts to address avoidable inequalities.
The goal is to equalize conditions for health for all groups, especially for those experiencing socioeconomic disadvantage or historical injustices.
Moving on - this map illustrates the national presence of our programs.
Today, you’ll hear about these programs:
REACH U.S. (shown by purple circles)
REACH CORE (shown by blue squares)
REACH U.S. Minority-Serving Organizations (shown by red cross marks)
REHDAI program (illustrated by red stripes)
Healthy People 2020 2

3. A National, Multilevel Approach
Moving on - this map illustrates the national presence of our programs.
Today, you’ll hear about these programs:
REACH U.S. (shown by purple circles)
REACH CORE (shown by blue squares)
REACH U.S. Minority-Serving Organizations (shown by red cross marks)
REHDAI program (illustrated by red stripes)
INDIVIDUAL
Education
Income
Wealth
Occupation
Race
Age
Gender
Genetics
Health behaviors
Health Resources
Health beliefs
2. INTERPERSONAL
Family
Peers
Neighbors
3. ORGANIZATIONAL
Stores and community shops/marketplaces
Community groups/organizations
Police
Schools
Health care providers/institutions
Employers
Churches and other Faith-based institutions
Transit system/public transportation
4. COMMUNITY/ENVIRONMENT
Physical Environment
Healthy foods
Exercise/play areas
Built environments
Public Safety
Pollution/toxins
2. Social/Cultural Environment
Health-related norms
Community capacity
Community relationships
Community assets
5. SOCIETY/SOCIETAL CONDITIONS
Other policy (e.g., education, economic, urban planning, housing, criminal justice)
Segregation
Racism and discrimination
Economic conditions
Health policy
Marketing of lifestyle choices
Media
Programs and Activities
A National, Multilevel Approach

4. Racial and Ethnic Approaches to Community Health (REACH)
Goals of the REACH program:
Support grantee partners to establish and/or support community based programs
Use interventions that are culturally-tailored
Ultimately, eliminate health disparities among racial and ethnic minority groups.
Racial and Ethnic Approaches to Community Health (REACH)
The REACH program began in 1999 and was closely aligned with the Healthy People 2010 goals.
The current REACH U.S. program began in It was built on knowledge learned from earlier projects.
There are 40 REACH grantee partners throughout the U.S.
The program uses community-based participatory approaches – community coalitions are a critical part of the program
REACH U.S. also has a focus on dissemination which is a task of the 18 Centers of Excellence for the Elimination of Disparities, or CEEDS, which implement, coordinate, refine, and disseminate programmatic activities and also provide pilot funding to Legacy Projects.
There are 22 Action Communities who implement and evaluate successful practice-based or evidence-based approaches to impact population groups rather than individuals.
REACH also Supports 6 minority-serving national organizations to enable sharing of evidence and practice-based programs with local affiliates and chapters which I will discuss shortly.
Cornerstone of CDC efforts to eliminate racial and ethnic health disparities
Program began in 1999
Was aligned with Healthy People 2010 goals
Became REACH Across the U.S. (REACH U.S.)
in 2007
REACH U.S. program is funded through 2012
REACH U.S. communities identify a particular health disparity to target. Several communities choose to focus on more than one health priority area and/or more than one racial/ethnic group.
The program has 8 health priority areas and 5 priority populations that are listed here.
Next you’ll hear more about some of the early successes that have been identified from some of the grantees.

5. Today, you’ll hear about these programs:
Moving on - this map illustrates the national presence of our programs.
Today, you’ll hear about these programs:
REACH U.S. (shown by purple circles)
REACH CORE (shown by blue squares)
REACH U.S. Minority-Serving Organizations (shown by red cross marks)
REHDAI program (illustrated by red stripes)
(Individual/interpersonal/institutional level change)
Bronx Health REACH has achieved important neighborhood changes by working on food supply chain issues – as a result, neighborhood grocers now carry low-fat milk and healthier snacks. Local restaurants now highlight their healthy menu options. And, the community has supported a city-wide policy decision to switch from whole milk to low-fat milk in New York City schools.
Obesity data (1/4 obese) from , which is the time of the campaign – public school children.
“1% or less campaign” began in the Bronx, with the Bronx Health REACH Coalition – already working on community education and environmental strategies to reduce health disparities – played a leading role in the effort along with other partners. South Bronx is poorest urban Congressional district in US – very diverse (African Americans, Caribbean American and Latinos from Central America, West African immigrants)
In a system that serves 120 million containers of milk per year, this effort was met with pressure from the American Dairy Council and skepticism from school food administrators and elected officials.
Parents, educational leaders, advocates, and health professionals collaborated to educate school children and their families to choose low-fat milk.
Research published in MMWR Weekly in January 2010 found that while total DOE per student school milk purchases declined 8% from , purchases then gradually began increasing, and by 2009, DOE per student milk purchases (adjusted for school system enrollment) had increased 1.3%, from 112 per student in 2004 to nearly 114 in 2009.

6. Socio-Ecological Model
Here, is a depiction of the Socio-ecological model in which our programs are based. We know that working on the outer rings of the model will ultimately improve the health of individuals and communities.

7. REACH Through the REACH program:
Goals of the REACH program:
Support grantee partners to establish and/or support community based programs
Use interventions that are culturally-tailored
Ultimately, eliminate health disparities among racial and ethnic minority groups.
Through the REACH program:
CDC supports grantee partners to establish and/or support community-based programs and culturally-tailored interventions to eliminate health disparities among racial and ethnic minority groups.

8. Breast and cervical cancer Cardiovascular disease
Priority Health Areas
Adult immunizations
Asthma
Breast and cervical cancer
Cardiovascular disease
Diabetes mellitus
Infant mortality
Hepatitis B
Tuberculosis
Racial/Ethnic Groups
African Americans
American Indians and
Alaska Natives
Asian Americans
Hispanics/Latinos
Pacific Islanders
REACH U.S. communities identify a particular health disparity to target. Several communities choose to focus on more than one health priority area and/or more than one racial/ethnic group.
The program has 8 health priority areas and 5 priority populations that are listed here.
Next you’ll hear more about some of the early successes that have been identified from some of the grantees.

9. Institute for Urban Family Health
Example: REACH U.S. CEED Program
Institute for Urban Family Health
(New York, New York)
Mooove to 1% or Less – Yes!
Changing the Milk Policy in New York City Schools
Bronx Health REACH has achieved important neighborhood changes by working on food supply chain issues – as a result, neighborhood grocers now carry low-fat milk and healthier snacks. Local restaurants now highlight their healthy menu options. And, the community has supported a city-wide policy decision to switch from whole milk to low-fat milk in New York City schools.
“1% or less campaign” began in the Bronx, with the Bronx Health REACH Coalition – already working on community education and environmental strategies to reduce health disparities – played a leading role in the effort along with other partners. South Bronx is poorest urban Congressional district in US – very diverse (African Americans, Caribbean American and Latinos from Central America, West African immigrants)
In a system that serves 120 million containers of milk per year, this effort was met with pressure from the American Dairy Council and skepticism from school food administrators and elected officials.
Parents, educational leaders, advocates, and health professionals collaborated to educate school children and their families to choose low-fat milk.
Research published in MMWR Weekly in January 2010 found that while total DOE per student school milk purchases declined 8% from , purchases then gradually began increasing, and by 2009, DOE per student milk purchases (adjusted for school system enrollment) had increased 1.3%, from 112 per student in 2004 to nearly 114 in 2009.
Public health issue:
An estimated 120 million containers of whole milk, sweetened vanilla, chocolate, and strawberry milk are served each year in the public health system.
Outcome:
A citywide low-fat/skim milk only policy was put in place in NYC public schools.

10. Mt. Sinai School of Medicine
Example: REACH U.S. CEED Program
Mt. Sinai School of Medicine
Save Half For Later Campaign
Public health issue:
Increase consumer and business awareness about portion control and its relation to obesity and diabetes.
Outcome:
Trained restaurant managers and staff to promote and implement portion control strategy.
Mt. Sinai School of Medicine trained restaurant managers and their staff to implement portion control strategies by offering take out containers prior to serving the meal. To date, this CEED has been successful in training multiple restaurant staff.

11. Mt. Sinai School of Medicine
Example: REACH U.S. Legacy Program
Mt. Sinai School of Medicine
Concrete Safaris
Public health issue:
To increase youth engagement in physical activities and nutrition principles as a means of early age diabetes prevention.
Outcome:
Enrolled more than 35 children into the program where they learned gardening as a form of exercise and about healthy eating.
Concrete Safaris is an outdoor, health-based, service-learning program targeting 7-12-year old children in East Harlem. Youth grow perennials and vegetables in a third-of-an-acre space called Mad Fun Farm, the first kid-centered farm on NYC Housing Authority property. They study nutrition and physical fitness in hands-on, diabetes prevention and education sessions. The children started the first kid-run farm stand on NYC Housing Authority property during an intensive, after school and summertime, tri-weekly workshops, and receive a weekly box of fresh vegetables.

12. Chicago Department of Public Health
Example: Action Community
Chicago Department of Public Health
Lawndale Christian Health Center
Public health issue:
Increase the proportion of the population who report meeting the daily physical activity requirement.
Outcome:
Lawndale Christian Health Center expanded to address access to healthcare and physical activity/nutrition resources and offers medical care on a sliding scale fee. 
The Chicago Department of Public Health has been successful in increasing the proportion of community members who exercise daily by collaborating with the Lawndale Christian Health Center. The health center has been able to expand access to its healthcare and physical activity to local residents.

13. REACH U.S. Program Accomplishments
Implementing strategies that fit unique social, political, economic, and cultural circumstances
Moving beyond individuals to community and systems change
As you have seen, we are seeing some success through our efforts to
Implement strategies that fit unique social, political, economic, and cultural circumstances and
Move beyond individuals to community and systems change

14. REACH U.S. Program Accomplishments
Empowering community members to seek better health
Bridging gaps between health care system and community
Changing social and physical environments to overcome barriers to good health
These programs
Empower community members to seek better health
Bridge gaps between health care system and community
Change social and physical environments to overcome barriers to good health

15. Expanding REACH Programs and Activities
As I move forward quickly, I will discuss some of the other programs that are also under the REACH umbrella.
Programs and Activities
Expanding REACH

16. REACH National Organizations that Serve Minority Communities
Launched in 2009, this REACH program funds six national minority-serving organizations.
Through their local affiliates and chapters, they provide training and technical assistance in two areas:
dissemination of evidence-based strategies and tools
capacity building
Launched in 2009, this REACH program funds six minority-serving organizations.
Through their local affiliates and chapters, they provide training and technical assistance in two areas:
dissemination of evidence-based strategies and tools
capacity building

17. REACH National Organizations that Serve Minority Communities
Asian Pacific Partners for Empowerment, Advocacy and Leadership (APPEAL)
National Black Women’s Health Imperative
National Council of La Raza
Inter-Tribal Council of Michigan
Society for Public Health Education (SOPHE)
Joint Center for Political and Economic Studies
Here, you can see the funded organizations that serve minority communities:
Asian Pacific Partners for Empowerment, Advocacy, and Leadership
National Black Women’s Health Imperative
National Council of La Raza
Inter-Tribal Council of Michigan
Society for Public Health Education (SOPHE)
Joint Center for Political and Economic Studies

18. Example: REACH U.S. National Organizations that Serve Minority Communities
Asian Pacific Partners for Empowerment, Advocacy, and Leadership (APPEAL), Oakland, CA National Asian American and Pacific Islander Network To Eliminate Health Disparities (NAPNEHD)
Affiliates: Coalition for Asian American Children and Families (New York, NY), Coalition for a Tobacco Free Palau (Palau), and Washington Asian Pacific Islander (WAPI) Community Service (Seattle, WA)
Cardiovascular Disease Among Asian Americans, Native Hawaiians & Pacific Islanders The Asian Americans, Native Hawaiians and Pacific Islanders (AA&NHPIs) are one of the fast-growing minority groups in the U.S., with populations expected to more than double by The health of this highly diverse, relatively young, and fast-growing population will have major implications in the future public health costs.
Cardiovascular Disease: One of the Leading Causes of Death
Cardiovascular disease (CVD) is one of the leading causes of death among AA&NHPIs. In 2007, it accounted for about one in four deaths among AA&NHPIs (24.4%).
Asian Americans appear to be at greater risk for CVD at lower body mass index (BMI) than other ethnic groups. For e.g., Asian Indians have the highest CVD rates among Asian subgroups but traditional risk factors such as obesity, hypertension, and high cholesterol do not account completely for the high CVD prevalence and mortality in this subgroup.
APPEAL National Asian American and Pacific Islander Network to Eliminate Health Disparities (NAPNEHD)
Recognizing the importance of creating environmental changes that promote health for the AA&NHPI communities, APPEAL began the National Asian American and Pacific Islander Network to Eliminate Health Disparities (NAPNEHD) in October The goal of this Network is to support the development of local capacity and strengthen community networks so as to improve the conditions of health for the AA&NHPI communities through policy changes.
Public health issue:
Reduce cardiovascular disease through
environmental and policy changes promoting
healthy eating and active living.
Outcome:
Increased capacity in AA and NHPI communities
for policy change by implementing APPEAL’s
Community Readiness, Leadership, Technical Assistance and Training (TAT) and Four-Prong
Policy Change Models.

19. REACH Community Organized to Respond and Evaluate (CORE)
The two-year REACH CORE program supports communities transitioning from the analysis of intervention results to the use of these results in facilitating health equity and policy change.
One of the other funded programs began in The two-year REACH CORE program supports communities transitioning from the analysis of intervention results to the use of these results in facilitating health equity and policy change.

20. REACH Community Organized to Respond and Evaluate (CORE)
Health Departments and Universities:
Regents of the University of California, Los Angeles
University of Kansas Center for Research, Inc.
Arizona Department of Health Services
North Carolina Department of Health & Human Services
Department of Environment, City, and County of San Francisco
Schenectady County Public Health Service
Louisiana Public Health Institute
Michigan Public Health Institute
Asian Media Access
Maternal, Child and family Health Coalition of Metropolitan St. Louis
The program funds two universities, four local and state health department, two public health institutes, and two community based organizations.
An example of one of grantee’s efforts is UCLA who is initiating a program entitled “Turning Data into Action, Fighting Air Pollution in Two Immigrant Communities” in an effort to change policies and practices that reduce exposure to goods movement-related air pollution in two Latino communities in Boyles Heights and Long Beach California.

21. University of California Los Angeles Center for Health Policy Research
Example: REACH CORE Program
University of California Los Angeles Center for Health Policy Research
(Los Angeles, CA)
Turning Data Into Action: Fighting Air Pollution in Two Immigrant Communities
Two Latino communities in Los Angeles county, Boyles Heights and Long Beach are impacted by the ship, train, truck, and car traffic generated by the transportation of commercial products through their neighborhoods. The air pollution generated by that traffic is known to have the highest impact on persons living closest to the transportation routes, especially for asthma, cardiovascular disease, and low-birth weight.
Through the utilization of the Mobilizing for Planning and Partnership process, or MAPP, The Turning Data Into Action program is currently working to change public policies, regulations, and transportation practices that currently place a disproportionate burden of air pollution these two communities.
Public health issue:
Air pollution in two Latino communities: Boyles Heights and Long Beach, CA.
Goal:
Change public policies, regulations, and transportation practices to address disproportional burden of air pollution.

22. Racial and Ethnic Health Disparities Action Institute (REHDAI)
Begun in 2008, this three-year program:
Equips nine community teams with the knowledge and tools necessary to launch and sustain an effective local community action plan.
REACH U.S. CEEDs facilitate networking opportunities to help build capacity.
I think you may be familiar with the Racial and Ethnic Health Disparities Action Institute or REHDAI Teams. CDC identified 9 community teams to launch and sustain an effective local community action plan.
With the help of the CEEDS, the REHDAI teams compete in the Legacy Project selection process, receive technical assistance and resources.

23. Racial and Ethnic Health Disparities Action Institute (REHDAI)
Nine REHDAI Teams and CEEDs:
Florida (Genesee County Health Department)
Kentucky (University of Illinois-Chicago)
Maryland (Mt. Sinai School of Medicine)
Minnesota (Regents of University of California, Los Angeles)
Mississippi (Medical University of South Carolina)
Missouri (Hidalgo Medical Services)
Oregon (Regional Asthma Management and Prevention Initiative)
Tennessee (University of Alabama – Birmingham)
Texas (Boston Public Health Commission)
Nine REHDAI Teams and CEEDs:
Florida (Genesee County Health Department)
Kentucky (University of Illinois-Chicago)
Maryland (Mt. Sinai School of Medicine)
Minnesota (Regents of University of California, Los Angeles)
Mississippi (Medical University of South Carolina)
Missouri (Hidalgo Medical Services)
Oregon (Regional Asthma Management and Prevention Initiative)
Tennessee (University of Alabama – Birmingham)
Texas (Boston Public Health Commission)

24. Oregon Coalition to Improve Birth Outcomes (OCIBO)
Example: Oregon REHDAI
Oregon Coalition to Improve Birth Outcomes (OCIBO)
Public health issue:
Improve birth outcomes for women of color.
Outcome:   
State legislation directs Oregon Health Authority to present plan to improve birth outcomes for underserved women through use of doulas (birth companion) and community health workers by February 2012.
Key Accomplishments
In the spring of 2010, ICTC through its REDHAI affiliation was invited to submit a grant to RAMP in May to create policy to reduce infant mortality in the state of Oregon. The REDHAI Team agreed on a two tier approach. One to increase the number of doulas of color in Oregon to help improve birth outcomes and two, to begin a legislative process for doulas to be able to receive third party reimbursement to sustain doulas of color in the profession.

25. EVALUATING PROGRAM RESULTS
As you can see, we have a myriad of programs. It is important for us to identify successes, challenges, and lessons learned. We want our programs to contribute to the research to achieving health equity.
In order to do that, an evaluation is currently being conducted of the program.
Programs and Activities
EVALUATING PROGRAM RESULTS

26. National REACH Program Evaluation
Analysis:
Use all available evaluation data to analyze REACH program contributions and outcomes in the four areas of study.
Conduct other health economic, policy and network analyses.
The evaluation will enable us to analyze contributions and outcomes in four major areas including: culturally tailored interventions, policy, system, and environmental changes, translation and dissemination, and Legacy Projects. We also plan to conduct health economic, policy and network analyses.

27. Literature/Document Reviews and Interviews
CDC: Retrospective (Completed)
Purpose and fit with overarching program model
Early decisions / challenges
Map literature review findings to evaluation questions (Assessing the gap)
Interviews
CEED POCs (June-July)
REHDAI POCs (July-August)
The evaluation will include interviews, literature map assessment, and retrospective analysis.

28. Programs and Activities
PROGRAM IMPACT

29. REACH U.S. Risk Factor Survey
The REACH U.S. Risk Factor Survey began in 2009.
It gathers data annually from 28 communities located in 17 states with REACH U.S. community health interventions.
The survey includes questions about health, chronic diseases, diet, exercise, preventive services, and adult immunizations.
These community-level survey data are being used by CDC and community coalitions to monitor and evaluate interventions in each community.
To date, we have shown some success particularly through the REACH Risk Factor Survey which is a large-scale community-based surveys and surveillance systems designed to monitor the health status of minority populations is limited.
The REACH U.S. Risk Factor Survey is conducted annually by CDC in REACH communities. The survey focuses on black, Hispanic/Latino, Asian (including native Hawaiian and other Pacific Islander), and American Indian populations.
An address-based sampling design was used in the 2009 survey in 28 communities located in 17 states. Self-reported data was collected through telephone, questionnaire mailing, and in-person interviews. An average of 900 residents aged > 18 years in each community were surveyed.

30. TALKING POINTS (prevalence of smoking men)
American Indian
Asian
Black
TALKING POINTS (prevalence of smoking men)
As an example, you can see here that the prevalence of smoking declined for all the minority groups, especially in Asian men in communities where REACH was implemented.
Hispanic
REACH U.S. communities focusing on cardiovascular disease/diabetes mellitus (2002 – 2006)
Racial and Ethnic Approaches to Community Health REACH Data, 2006, comparative data

31. EXPANDING PROGRAM OUTREACH
Programs and Activities
EXPANDING PROGRAM OUTREACH

32. International Outreach
Expanding the influence of our programs through international health promotion efforts in:
United Kingdom
Zambia
Sub-Sahara Africa
We have had the opportunity to expand our reach internationally. To the United Kingdom, Zambia, and Sub-Sahara Africa. We are developing a relationship with a group from Brazil who wanted to attend this meeting. However do to schedules they were unable to be here.

33. Translation and Training
Social Determinants of Health and Health Equity
Communication Resources
DANYA International Project
Health Equity Workbook Update
CHEB Training Cadre’
Cultural Competency
Community Coalition Tools
Just as we have asked the grantees to focus on training and translation, we implement those activities as well. Our efforts include developing tools and resources as well as training a cadre of experts.

34. Morbidity and Mortality Weekly Report
Dissemination
Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health:
Morbidity and Mortality Weekly Report
Surveillance Summaries / Vol. 60 / No. 6 May 20, 2011
Surveillance of Health Status in Minority Communities — Racial and Ethnic Approaches to Community Health Across the U.S. (REACH U.S.)
Risk Factor Survey, United States, 2009
Supplement to Family & Community Health, The Journal of Health Promotion & Maintenance – Racial and Ethnic Approaches to Community Health (REACH): Translating Processes of Change and Attributing Improved Health Outcomes to Social Determinants of Health Programs. Published January 2011.
We are also working to disseminate our efforts. Examples include the Social Determinants Workbook, the MMWR that focuses on findings from the 2009 REACH Risk Factor Data and the supplement to the Family & Community Health Journal that features articles from selected grantees.

35. Community Health and Equity
Program Partners
Directors of Health Promotion and Education
Institutes of Medicine of the National Academies
National Association of Chronic Disease Directors
National Association of County and City Health Officials
Society for Public Health Education
As you can see here, we have a number of partners who support our efforts.
Directors of Health Promotion and Education (DHPE)
Institutes of Medicine of the National Academies (IOM)
National Association of Chronic Disease Directors (NACCD)
National Association of County and City Health Officials (NACCHO)
Society for Public Health Education (SOPHE)

36. Next Steps

37. Community Transformation Grants
“… in order to reduce chronic disease rates, address health disparities, and develop a stronger evidence base of effective prevention programming”
I thought it might be helpful to share with you the latest updates about the Community Transformation Grants. I am sure that you may have heard a little something about those right?
The Prevention and Public Health Fund could finance competitive grants for the “implementation, evaluation, and dissemination of evidence-based community preventive health activities in order to reduce chronic disease rates, address health disparities, and develop a stronger evidence-base of effective prevention programming.”
The Prevention and Public Health Trust Fund provides:
$500 million in 2010 and
$750 million in 2011
The fund allows expenditures for evidence-based community public health interventions, a National Prevention Strategy and Community Transformation Grants
Community Transformation Grants has received $145 million for FY11 and the recently released President’s Budget has proposed $221 million for FY 2012
$145 million announced by HHS for FY 2011
President’s Budget proposal for FY 2012 includes
$221 million

38. Community Transformation Grants
Program focus
Implementation, evaluation, and dissemination of community-based community prevention activities
Eligibility
State/local governmental agencies, state/local non-profit organizations, tribes, national network CBOs
Current status
Applications were due July 15; objective review the week of August 15; funding begins September 2011
Building on success
Work from programs such as REACH and CPPW will help inform CTGs
The Community Transformation Grant is one of several items from the Prevention and Public Health Fund that were approved by the Department of Health and Human Services FY 11.
The work from programs such as REACH and CPPW will help to inform CTGs.
There was a lot of interest in the CTG as you can see, we received over 800 Letters of Intent and over 200 applications.

39. Award Categories for Community CTGs
Capacity Building
Awards range from $50,000-$500,000
Implementation
States, local governments, nonprofit organizations: $500,000-$10,000,000
Territories: $100,000-$150,000
Tribal and AI/AN Consortia: $100,000- $500,000
Up to 75 awards will be made
The CTG capacity building grants will range from $50,000 - $500,000. Implementation grantees will be awarded from $100,000 – 10,000,000 based on the organization type.
We should know who will be awarded CTG funds in the coming weeks.

40. Links to Useful Resources
Community Health and Equity Branch Web Site:
REACH Web Site:
REHDAI Web Site:

41. Links to Useful Resources
Community Health and Equity Branch Web Site:
REACH Web Site:
REHDAI Web Site:

42. Before closing, I want to thank you for all of your hard work
Before closing, I want to thank you for all of your hard work. I know that it has been challenging to do your work in times of uncertainty. You have built a strong partnership across the Mid-South and made strides in eliminating disparities. As we move forward, it will be more important for you to rely on your partnership and collaboration and seeking multi-disciplinary partners. It will also be important for you to evaluate and disseminate your work to show what you have done.
I hope that you continue to work together in some capacity to achieve the ultimate goal of eliminating disparities.
Questions???
National Center for Chronic Disease Prevention and Health Promotion
Division of Community Health (proposed)