Mississippi State Department of Health (MSDH) Syphilis Elimination Effort (SEE) Campaign Funding Opportunity Announcement

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1 Mississippi State Department of Health (MSDH) Syphilis Elimination Effort (SEE) Campaign Funding Opportunity Announcement The Syphilis Elimination Effort (SEE) Campaign was developed in partnership with the Centers for Disease Control and Prevention (CDC) to reduce syphilis infection rates in high risk communities. In 2009, Mississippi ranked #5 nationally in Primary and Secondary (P&S) syphilis case rates. In 2010, Mississippi reported 229 cases of P&S syphilis cases. Among P&S syphilis cases reported in Mississippi, 70% were males, 84% were African Americans, and 54% were between the ages of Untreated syphilis can lead to damage to the internal organs, including the brain, liver, eyes heart, blood vessels, bones, nerves, and joints. This damage may be serious enough to cause death. Syphilis can infect the baby of a pregnant woman during her pregnancy. Depending on how long a pregnant woman has been infected, she may have a high risk of stillbirth, giving birth to a baby who dies shortly after birth, or giving birth to a baby with birth defects. The use of SEE campaigns in African American communities where there are high syphilis infection rates may improve reproductive health outcomes and reduce infant mortality. The MSDH will make grant funding available through a competitive review process for eligible organizations to implement a community based syphilis testing and treatment program in communities with high rates of syphilis infection. Organizations eligible to receive funding through this announcement must be public entities and nonprofit entities that are: Federally qualified health centers under section 1905(I)(2)(B) of the Social Security Act; Grantees under section 1001 of the Social Security Act regarding family planning programs; Rural health clinics; Community based organizations, clinics, hospitals, and other health facilities that provide primary care services; or Nonprofit private entities that provide comprehensive primary care services. The applicant s project narrative and supporting documentation shall include sufficient evidence to demonstrate the organization s ability to provide timely syphilis testing and treatment services to African Americans in specific areas with the highest rates of syphilis (Hinds, Forrest, Jackson, and Harrison counties). The applicant narrative and supporting documentation should describe the following characteristics: The organization s capacity and infrastructure to provide syphilis testing, counseling, and treatment for one or more of the targeted communities; The organization s ability to deliver quality services at the community level; The organization s history of previous collaboration with Mississippi State Agencies;

2 The organization s history of collaboration with other community based service organizations; The organization s organizational leadership structure, including the names of existing board of director members; The organization s prior experience with planning and conducting organized community outreach activities; and Evidence of training to properly collect blood and urine specimens and the appropriate certification. Eligible organizations may obtain a grant application at Applications may be sent by regular mail and must be received at the MSDH on or before 5:00pm on July 11, Applications received after the deadline will not be considered. For more information, please contact Ms. Ashley Ceaser, SEE Campaign Coordinator, at

3 2011 SYPHILIS ELIMINATION EFFORT (SEE) PROJECT APPLICATION FORM Please complete the application below in its entirety. Application should be received and postmarked by. The information you provide below is to ascertain background information about the organization as well as your organization s plans for the screening events. ORGANIZATION INFORMATION Name: Address: Mailing Address (if different): Telephone Number(s): Establishment Date: Mission Statement: CONTACT PERSON INFORMATION Name: Address: Telephone Number(s):

4 EVENT INFORMATION Please provide a description of the proposed events from June 1, 2011 November 31, The description should include the following: number of events your organization plans to host, proposed dates and venues, projected number of participants per event (overall minimum of participants should be equal to or greater than 300), speakers, and proposed budget for each event with reimbursable items:

5 Name and Title of Organization Representative Date Mail to: Mississippi State Department of Health STD/HIV Office Ashley Ceaser, Syphilis Elimination Coordinator 570 E Woodrow Wilson, Suite 350 P O Box 1700 Jackson, MS