Tribal Self-Governance Study
Description of Program,
Service, Function or Activity (PSFA)
INVENTORY
1. Agency Name: Office of Minority Health, Office of Public Health and Science
2. Program Name: Bilingual/Bicultural Service Demonstration Program
3. CFDA #: 93.105
4. Program Objectives:To improve and expand the capacity for linguistic and cultural competence of health care professionals and paraprofessionals working with limited-English-proficient (LEP) minority communities, and improve the accessibility and utilization of health care services among the LEP minority populations.
5. Titles and Descriptions of at least Three Funded Grantees:
The Monument Valley Bilingual/Bicultural Health Care Program, carried out by the San Juan Health Services District in Monticello, UT, seeks to provide Native Americans with the advantages of a greater quality and quantity of health care. A health education component involves development and distribution of materials to keep the community informed about health issues and services, and personal visits to Oljato Chapter residents’ homes. Health care professionals and other staff receive training focused on linguistic and cultural competence. The Oljato Chapter leadership, Southeastern Utah Health District, the Indian Health Service, the Utah State Health Department and the Utah Telehealth Network participate in carrying out project activities.
Project LIFE, conducted by El Centro Hispano, seeks to improve access to and utilization of HIV/AIDS prevention and care services among Hispanic/Latino populations in Durham, NC. The project involves small group education sessions, street outreach activities, individual risk reduction education and counseling sessions, and training of health care personnel on culturally competent HIV/AIDS prevention and care service delivery. Specialized training is provided to interpreters. The project is conducted in collaboration with the Lincoln Community Health Center and the Durham County Health Department.
The Refugee Women’s Health Access Program is carried out by the Vietnamese Association of Illinois. A collaborative effort with the Louis A. Weiss Memorial Hospital, the Chicago Department of Public Health, and the Chicago Health Consortium/AHEC, the project is designed to improve the long term health of Southeast Asian and African refugees by increasing their use of preventive and primary care. Bilingual/Bicultural female health advocates assist with interpretation and translation, and in obtaining services. Other activities include the development and translation of written materials, monthly health education workshops, one-on-one counseling, ethnic community events, fitness workshops, and preventive screenings.
AUTHORITY
6. Authorizing Statute(s): Public Health Service Act, as amended, Title XVII, Section 1707(e)(1), 42 U.S.C..
7. Regulatory/Administrative Requirements: 45 CFR 74 and 92
8. Mandatory Statutory Changes Needed to Operate PSFA as a Demonstration: Authority would need to modify the grant making process, enable the Department to make self-governance funding awards, and alter federal monitoringing mandates.
APPLICANTS, BENEFICIARIES and FORMULAS
9. Type of Funding: Discretionary
10. Eligible Applicants:Private, non-profit organizations and public community based organizations.
11. Allotment Formulas, Etc.: None
12. Applicant Provisions/Allotments in Law for Indians: None
13. Eligible Beneficiaries: Minority Populations (American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, and Native Hawaiian or Other Pacific Islander).
14. Beneficiary Provisions/Allotments in Law for Indians: None
15. Amount and Percent of Total that is Mandatory for Indians: None
FINANCIAL
16. Total FY 2000 Funding: $3,894,615
17. Amount and Percent of Total Funding Awarded to Indians: $286,868; 7.3%
18. For Awards to Tribes: Number, Range and Average Amounts: 2; $136,868-$150,000; $143,434
19. Total FY 2001 Funding and Amount for Indians, If Known: Unknown
OTHER
20. -- how long assistance is funded: Grant projects can have a 3-year project period
with 12 month budget periods. Following the initial budget period, continued funding is subject to the availability of funds and satisfactory program performance.
-- fund use restrictions - Grant funds may not be used for medical treatment, construction, building alterations, or renovations.
-- reporting requirements - Grantees must submit progress reports with a final performance report due 90 days after the end of the project period. Financial Status Reports are due 90 days after the end of the budget period with a final Financial Status Report due 90 days after the end of the project period.
-- audit requirements - In accordance with the provisions of OMB Circular A-133 (Revised, June 24, 1997), “Audits of States, Local Governments, and Non-Profit Organizations,” nonfederal entities that receive financial assistance
CONTACTS
21. DHHS Workgroup Contact: Tuey Dong, 301-443-5084
22. HHS Agency/Program Contact: Mimi Chafin 301-594-0769