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B0447443

Project Grant

Overview

Grant Description
Maternal and Child Health Services - The Maternal and Child Health Title V Block Grant supports states and jurisdictions in improving the health and wellbeing of women of reproductive age (pregnant women, mothers, and preconceptive women), infants, children, and adolescents including children and youth with special health care needs.

Each state/jurisdiction devises a 5-year action plan to meet population needs. In the Puerto Rico jurisdiction, the Title V Block Grant is administered by the Department of Health (DOH), the state agency responsible for all matters related to public health. The Puerto Rico Title V program (PR Title V) consists of two programs: 1) the Maternal, Child and Adolescent Health Program (MCAHP) housed in the Maternal, Child and Adolescent Division; 2) the Children with Special Health Care Needs Program (CSHCNP) located in the Children with Special Medical Needs Division.

The PR Title V uses quantitative and qualitative data gathering methods and relies on a wide array of collaborators, including families and youths, to assess population needs, strengths, and resources to determine priorities and develop strategies for the 5-year action plan. Based on the 5-year health needs assessment (2020-2025), the PR Title V selected nine priorities for the next five years. The priorities are listed below by domain.

Women/Maternal Health Domain:
1) Promote health and wellbeing in women of reproductive age.
2) Improve birth outcomes.

Perinatal/Infant Health Domain:
Decrease infant mortality.

Child Health Domain:
Improve preventive health in children.

Adolescent Health Domain:
Improve health and wellbeing of adolescents.

Children with Special Health Care Needs (CSHCN):
1) Increase the number of CSHCN who receive regular ongoing comprehensive health care within a medical home.
2) Increase the number of YSHCN who receive adequate support and services for their transition into adult health care.
3) Decrease the age when children with Autism Spectrum Disorders (ASD) receive their first diagnostic evaluation.
4) Decrease the prevalence of Neural Tube Defects (NTD) at birth.

The PR Title V addresses priorities by providing services and implementing initiatives, projects, and programs in the seven health regions of the DOH. These include the regional pediatric centers for CSCHN, autism centers, perinatal services, nurse-staffed home visiting program, adolescent program, and virtual and in-person health education (parenting courses, prenatal course, videos, mass media campaigns, professional trainings, design and distribution of posters, brochures, and health guides and planners).

The PR Title V plays a lead role in proposing and implementing important health public policies to improve health. It provides leadership through committees and coalitions including the regional boards that are composed of representatives from government and non-government agencies. Also, it has established a broad and strong network of collaborators within and outside the health field (non-government organizations, medical associations, health organizations, parents' organizations, among others).

The PR Title V supports the efforts of partners through staff participation in task forces, committees, and alliances. The Title V Monitoring and Evaluation Unit conducts health needs assessments, surveys, interviews, evaluations, data management, and monitoring of health factors and the progress made to improve health.

All services and activities are carried out by a highly committed multidisciplinary workforce with proven capacity to respond speedily to emergencies Puerto Rico has experienced in the last 6 years (Zika epidemic, catastrophic hurricanes, earthquakes, COVID-19 pandemic). These critical events have taken place within the context of a long-term socioeconomic crisis characterized by an outstanding public debt, public cutbacks, shrinking labor market, low wages, high increases in living expenses (food, utilities, gas), deficient public transportation.
Funding Goals
NOT APPLICABLE
Place of Performance
Puerto Rico United States
Geographic Scope
State-Wide
Related Opportunity
HRSA-23-001
Analysis Notes
Amendment Since initial award the total obligations have increased 364% from $3,382,104 to $15,684,396.
Department Of Health was awarded PR Title V Grant: Maternal & Child Health Services Project Grant B0447443 worth $15,684,396 from Maternal and Child Health Bureau in October 2022 with work to be completed primarily in Puerto Rico United States. The grant has a duration of 2 years and was awarded through assistance program 93.994 Maternal and Child Health Services Block Grant to the States.

Status
(Complete)

Last Modified 4/25/25

Period of Performance
10/1/22
Start Date
9/30/24
End Date
100% Complete

Funding Split
$15.7M
Federal Obligation
$0.0
Non-Federal Obligation
$15.7M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to B0447443

Transaction History

Modifications to B0447443

Additional Detail

Award ID FAIN
B0447443
SAI Number
B0447443-3898486334
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Other
Awarding Office
75RJ00 HRSA Office of Federal Assistance Management
Funding Office
75RM00 HRSA MATERNAL AND CHILD HEALTH BUREAU
Awardee UEI
NMLEHM4JTN15
Awardee CAGE
4A9E0
Performance District
PR-98

Budget Funding

Federal Account Budget Subfunction Object Class Total Percentage
Maternal and Child Health, Health Resources and Services Administration, Health and Human Services (075-0354) Health care services Grants, subsidies, and contributions (41.0) $16,714,888 100%
Modified: 4/25/25