Advancing Integrated Models (AIM) of Care to Improve Pregnancy Outcomes among Women Who Experience Persistent Disparities (R01 Clinical Trial Optional)

Background
Disparities in maternal health outcomes is a public health crisis that requires new insights and solutions. The purpose of this initiative advancing integrated models (AIM) of care is to stimulate research to develop or evaluate supportive care models that address healthcare access or healthcare quality together with structural or social inequities in order to prevent adverse maternal health outcomes among racial and ethnic minority women.

Grant Details
The AIM initiative is intended to stimulate research to advance the implementation and expansion of interventions, policies, and programs, focused on the provision of supportive care throughout the pregnancy continuum, among populations who bear a disproportionate burden of adverse pregnancy outcomes. Outcomes of interest are broad to encompass not only morbidity and mortality due to comorbid conditions (e.g., hypertension, diabetes, obesity, mental illness) and severe maternal morbidity (e.g., cardiomyopathy, embolism, eclampsia) but also factors for which risk is markedly elevated during and following the period of pregnancy (e.g., homicide including when involving a firearm, suicide) and health behaviors that increase risk of poor pregnancy outcomes (e.g., diet and dietary behaviors, physical activity, substance use). Efforts must focus on populations who experience higher rates of maternal morbidity and mortality when compared to non-Hispanic White women. These populations include Black/African American, American Indian/Alaska Native, Native Hawaiian/Other Pacific Islander, Hispanic/Latina, and Asian women.

Eligibility Requirements
Eligible applicants include higher education institutions, nonprofits other than institutions of higher education, for-profit organizations, small businesses, local governments, state governments, county governments, city or township governments, special district governments, Indian/Native American tribal governments (federally recognized), Indian/Native American tribal governments (other than federally recognized), federal government agencies or eligible agencies of the federal government. Foreign institutions are not eligible to apply.

Period of Performance
The maximum project period is 5 years.

Grant Value
The issuing IC and partner components intend to commit an estimated total of $4 million to fund 4-6 awards. Application budgets are not limited but need to reflect the actual needs of the proposed project.