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www.ncmhd.nih.gov
NATIONAL CENTER ON MINORITY HEALTH
AND HEALTH DISPARITIES
Francisco S. Sy, MD, DrPHChief, Community-Based Participatory Researchand Outreach Program, NCMHD, NIH
Presented By
19th National Conference on Chronic Disease Prevention and Control“Health Disparities: Progress, Challenges, and Opportunities”
March 1-3, 2005, Atlanta, GA.
Public Law 106-525
The Minority Health and Health Disparities Research and Education of 2000
Public Law 106-525
The Minority Health and Health Disparities Research and Education of 2000
NCMHD MISSION
To promote minority health and to lead, coordinate, support,and assess the NIH effort to reduce and ultimately eliminatehealth disparities. In this effort, the NCMHD will:
conduct and support basic, clinical, social science, and behavioral research
promote research infrastructure and training
foster emerging programs
disseminate information
reach out to minority and other health disparity communities.
To promote minority health and to lead, coordinate, support,and assess the NIH effort to reduce and ultimately eliminatehealth disparities. In this effort, the NCMHD will:
conduct and support basic, clinical, social science, and behavioral research
promote research infrastructure and training
foster emerging programs
disseminate information
reach out to minority and other health disparity communities.
Public Law 106-525
Minority Health Disparities Research
Basic, clinical, and behavioral research on minority health conditions
PRIORITY FOR NCMHD
NCMHD Programs
Statutorily Mandated Programs: 2004 Highlights
Centers of Excellence (Project EXPORT) Community-Based Participatory Research and
Outreach Endowment Loan Repayment
Centers of Excellence (Project EXPORT) Community-Based Participatory Research and
Outreach Endowment Loan Repayment
Purpose: Support biomedical and behavioral researchtraining for members of “health disparity populations”
Award Period: Not more than 5 years, pending annual approval of the NCMHD Director and availability of appropriations for the program
Purpose: Support biomedical and behavioral researchtraining for members of “health disparity populations”
Award Period: Not more than 5 years, pending annual approval of the NCMHD Director and availability of appropriations for the program
Centers of Excellence Program
Centers of Excellence in Partnerships for Community Outreach, Research on Health Disparities and Training (Project EXPORT)
CENTERS OF EXCELLENCE FUNDING MECHANISMS
The R24 or Developmental Grant Awards: are targeted to institutions that are beginning to build their health disparity research programs. Funds will support activities designed to develop or enhance the infrastructure for scientifically meritorious research on the determinants of health disparities.
Table 1. Project EXPORT Resource/Capacity Building Centers
(R24) Institutions1. Alabama State University 2. Black Hills State University 3. Bluefield State College4. Carlos Albizu University 5. East Tennessee State University6. Florida International University7. Governors State University8. Hampton University 9. Morehouse College 10. Shaw University 11. SUNY Downstate Medical Ctr.12. Temple University School of 13. Texas A&M Research Foundation
Medicine14. Texas College15. Texas Southern University
16. Texas Tech University Health Sciences Center
17. University of Alabama at Birmingham
18. University of Alaska, Anchorage19. University of Albany, SUNY20. University of Medicine and
Dentistry of New Jersey21. University of Michigan at Ann
Arbor22. University of Nevada, Las Vegas23. University of North Carolina,
Greensboro24. University of Northern Iowa25. University of South Alabama at
Mobile26. University of Texas, El Paso27. University of the Virgin Islands
CENTERS OF EXCELLENCE FUNDING MECHANISMS
The P20 or Exploratory Grant Awards: are targeted to institutions that have research programs but need additional funding to develop a health disparity research program. Funds will provide a mechanism to strengthen the infrastructure for minority health and other health disparities research and training. In addition, program funds will provide resources to assist successful applicants in the development of innovative partnership models.
Table 2. Project EXPORT Exploratory Centers
(P20) Institutions
1. Charles R. Drew University of Medicine and Science
2. Children's National Medical Center3. Clemson University4. Florida A&M University5. Henry M. Jackson Foundation for
the Advancement of Military Medicine
6. Howard University7. Howard University8. Jackson State University9. Medstar Research Institute 10. Meharry Medical College11. Morehouse School of Medicine
12. North Carolina Central University 13. Tuskegee University 14. University of Alabama at
Tuscaloosa15. University of California - Los
Angeles 16. University of Hawaii at Manoa 17. University of Illinois at Chicago
18. University of Oklahoma Health
Sciences Center19. University of Puerto Rico Medical
Sciences Campus 20. University of Texas at Brownsville21. University of Texas Health Science
Center, Houston
CENTERS OF EXCELLENCE FUNDING MECHANISMS
The P60 Center Awards: are targeted for research-intensive institutions pursuing research in health disparities. Funds will be used to establish a health disparities research center.
Table 3. NCMHD Project EXPORT Comprehensive Centers
(P60) Institutions
1. Albert Einstein College of Medicine2. Columbia University Health Sciences3. Emory University4. Johns Hopkins University5. Medical University of South Carolina6. Morgan State University 7. Mount Sinai School of Medicine8. New York University School of
Medicine of New York University9. San Diego State University 10. Shaw University11. South Carolina State University
12. University of Alabama at Birmingham13. University of Arizona14. University of California - San Diego15. University of California, Davis 16. University of California, Los Angeles17. University of Colorado Health Sciences
Center18. University of Maryland Baltimore
Professional School19. University of North Carolina20. University of Pennsylvania 21. University of Pittsburgh22. University of Texas MD Anderson
Cancer Center23. University of Wisconsin, Madison
Administrative Core
Research Core
Community Outreach and Information Dissemination Core
Training/Mentoring Core
Minority Health and Health Disparity Education
Shared Resource Core
CENTERS OF EXCELLENCE PROGRAM STRUCTURE
ALAZ
FL
GA
PR
TN
AK
CACO
IA
IL
MI
MS
NC
NY
OK
PA
SC
SD
TX
VA
WI
DCMD
NJNV
WV
U.S. VI
HI
Project EXPORT PROGRAM AWARDS Current Geographic Distribution of Awardees
71 Awards
Purpose: To build Health Disparities Research Capacityand other health disparities research
Participants: Targets “Section 736 Public Health Service Act (PHS) Institutions with currently funded Programs of
Excellence in Health Professions Education for Underrepresented Minority Individuals (HRSA)
Eligibility: Non-research Intensive InstitutionsResearch Institutions with endowment investmentsbelow the ceiling established in Public Law 106-525
Purpose: To build Health Disparities Research Capacityand other health disparities research
Participants: Targets “Section 736 Public Health Service Act (PHS) Institutions with currently funded Programs of
Excellence in Health Professions Education for Underrepresented Minority Individuals (HRSA)
Eligibility: Non-research Intensive InstitutionsResearch Institutions with endowment investmentsbelow the ceiling established in Public Law 106-525
RESEARCH ENDOWMENT PROGRAM
NCMHD Endowment Institutions
CRIEGHTON UNIVERSITY
UNIVERSITY OF MONTANA
HOWARD UNIVERSITY
UNIVERSITY OF KANSAS MEDICAL CENTER
MOREHOUSE SCHOOL OF MEDICINE
UNIVERSITY OF HAWAII AT MANOA
TUSKEGEE UNIVERSITY
XAVIER UNIVERSITY OF LOUISIANA
CHARLES R. DREW UNIVERSITY OF MED & SCIENCE
UNIVERSITY OF PUERTO RICO MED SCIENCES
FORIDA AGRICULTURAL AND MECHANICAL UNIV.
MEHARRY MEDICAL COLLEGE
UNIVERSITY OF CALIFORNIA SAN DIEGO
UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT
FL
LA
TN
TX
HI NM
CA
MT
KS
GAAL
MT
NM
KS
TX
PR
DC
NE
ENDOWMENT PROGRAM AWARDS Current Geographic Distribution of Awardees
14 Institutions
Health Disparities Research (HDR-LRP)Encourages health professionals to engage in basic, clinical or behavioral research directly relevant to health disparities issues.
The program seeks to recruit and retain highly qualified health professionals in research careers that focus on minority health disparities research related to the medically underserved.
The HDR program serves as an avenue for NIH to engage and promote the development of research programs that reflect the variety of issues and problems associated with disparities in health status.
Extramural Clinical Research (ECR-LRP)Encourages health professionals from disadvantaged backgrounds to conduct clinical research. The emphasis on “clinical research”and on individuals from “disadvantaged backgrounds” highlight the need for the involvement of a cadre of physician scientist in clinical research to strengthen the twenty first century biomedical and behavioral workforce.
LOAN REPAYMENT PROGRAM
LRP: Applications and Awards for 2004
422 Applications New: ECR-36 & HDR-264
Renewals: ECR-32 & HDR-90
243 Awardees New: ECR-19 & HDR-133
Renewal: ECR-24 & HDR-67
LRP:Health Disparity Populations
Race/Ethnicity
HDR ECR Total
African-American
68 13 80
Asian American 16 7 23
Caucasian 75 14 89
Hispanic/Latino 22 8 30
Native American
6 1 7
Native Hawaiian/Pacific Islander
1 - 1
Unknown 13 - 13
AR
AL
CA
CO CT
DC
FL
GA
IL
KS
MA
MD
MI
MN
MO
M
NCNJ
NM
NYOR
PA
SCTN
TX
VA
WI
AK
AZ
IN
KY
LA
NH
OH RIWV
IA
WA
NE
UT
MT
HI
Current Geographic Distribution of Awardees 466 Recipients
LOAN REPAYMENT PROGRAM
NCMHD Community-Based Participatory Research Activities
This subcommittee will provide advice to the OCBPRO. It has nine members from academe and community-based organizations with expertise in community-based participatory research (CBPR) and outreach. The subcommittee met for the first time on October 29, 2004 at NCMHD. It will meet twice a year with regular conference calls and e-mail communications in between the meetings.
This subcommittee will provide advice to the OCBPRO. It has nine members from academe and community-based organizations with expertise in community-based participatory research (CBPR) and outreach. The subcommittee met for the first time on October 29, 2004 at NCMHD. It will meet twice a year with regular conference calls and e-mail communications in between the meetings.
STRATEGIC PLANNING SUBCOMMITTEE
Develop RFA to examine the interface between physical and psychosocial environments and their impact on health with special emphasis on racial and ethnic minority populations; start with 2 year planning grant, followed by a 5 year CBPR intervention grant, and another 5 year continuation/dissemination grant.
Fund training grant – two year postdoctoral fellowship on CBPR
Develop a community-based participatory research (CBPR) guide.
Develop RFA to examine the interface between physical and psychosocial environments and their impact on health with special emphasis on racial and ethnic minority populations; start with 2 year planning grant, followed by a 5 year CBPR intervention grant, and another 5 year continuation/dissemination grant.
Fund training grant – two year postdoctoral fellowship on CBPR
Develop a community-based participatory research (CBPR) guide.
Short Term Recommendations
Fund training grant for junior faculty and community partners (e.g. continuing education, multiple sessions over time, with seed money for pilot CBPR projects)
Develop RFAs for CBPR studies on cultural determinants of health disparities; CBPR research methodology; studies on undoing racism in the health systems to increase access to care and quality of care; CBPR studies focus on prevention and addressing system-level factors & determinants across diseases
Fund CBPR partnerships for outreach & dissemination research; CBPR partnerships for sustainability & infrastructure support
Fund training grant for junior faculty and community partners (e.g. continuing education, multiple sessions over time, with seed money for pilot CBPR projects)
Develop RFAs for CBPR studies on cultural determinants of health disparities; CBPR research methodology; studies on undoing racism in the health systems to increase access to care and quality of care; CBPR studies focus on prevention and addressing system-level factors & determinants across diseases
Fund CBPR partnerships for outreach & dissemination research; CBPR partnerships for sustainability & infrastructure support
Long Term Recommendations
NCMHD Community Participation in Health Disparities Intervention Research
The goal is to support community intervention research studies using CBPR principles to reduce and eventually eliminate health disparities in any disease or condition of major concern to the community (e.g. cancer, cardiovascular diseases, diabetes, HIV/AIDS, infant mortality) with emphasis on racial & ethnic minorities
CBPR is defined as scientific inquiry conducted in communities and in partnership with researchers. Community partners have the opportunity to be full participants in each phase of the study (from study conception to dissemination).
This initiative will start with a three- year planning grant, followed by a competitive five-year intervention grant, and conclude with a competitive three- year dissemination grant.
The goal is to support community intervention research studies using CBPR principles to reduce and eventually eliminate health disparities in any disease or condition of major concern to the community (e.g. cancer, cardiovascular diseases, diabetes, HIV/AIDS, infant mortality) with emphasis on racial & ethnic minorities
CBPR is defined as scientific inquiry conducted in communities and in partnership with researchers. Community partners have the opportunity to be full participants in each phase of the study (from study conception to dissemination).
This initiative will start with a three- year planning grant, followed by a competitive five-year intervention grant, and conclude with a competitive three- year dissemination grant.
RFA-MD-05-002 NCMHD Community Participation in Health
Disparities Intervention Research The ultimate goal is to support community intervention research on health disparities that is jointly conducted by communities and researchers.
The total amount to be awarded is $ 4.5 million to 5 to 10 grantees.
This RFA will provide support for a three- year planning grant. The first year of the grant is devoted to partnership development, community needs assessment, identifying the disease/condition for intervention research, & planning the intervention methodology. A pilot intervention research study using the CBPR principles will be conducted during the second and third year.
The ultimate goal is to support community intervention research on health disparities that is jointly conducted by communities and researchers.
The total amount to be awarded is $ 4.5 million to 5 to 10 grantees.
This RFA will provide support for a three- year planning grant. The first year of the grant is devoted to partnership development, community needs assessment, identifying the disease/condition for intervention research, & planning the intervention methodology. A pilot intervention research study using the CBPR principles will be conducted during the second and third year.
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