Dear SDOH colleagues,
The Centers for Disease Control and Prevention in the U.S. has posted a
solicitation for formative activities related to developing a
microenterprise intervention around community health. Proposals are due
Aug 30.
Below is an overview of the scope of work. The full solicitation is online at
http://www.aqd.nbc.gov/Business/solic_details.aspx?solid=338.
The contact person is Cathy Boulware at [log in to unmask]
DEVELOPING A SUSTAINABLE AND ADAPTABLE MICROENTERPRISE INTERVENTION IN THE U.S.
Poverty has long been recognized as a substantial contributor to poor health
across multiple outcomes. Poverty, racism, and other social disadvantages
disproportionately affect people of color in the United States and are linked
to an unfair and disproportionate burden of chronic diseases, HIV/AIDS, and
violence. At the county level, poverty rates and the percentage of African
American residents have been associated with differences in average life
expectancy of more than 35 years. A growing body of research provides evidence
that the health impact of poverty begins in childhood and extends across the
life course and into subsequent generations.
Thus, addressing the social and economic determinants of health is necessary in
order to achieve health equity. Interventions that address the social and
economic determinants of health inequities have the potential to alleviate
multiple health problems. Microenterprise programs, the practice of making
small loans and providing financial literacy to people living in poverty, are
economic interventions that have been found to affect multiple health
outcomes....However, to date, we know of no rigorous evaluations of this
approach or of more traditional microenterprise interventions for their impact
on health outcomes.
The purpose of this contract is to support activities around developing a
microenterprise intervention program for low-income, African American
individuals. The activities include refining a theory of change for the
intervention; revising a list of recommended measures intended to capture
constructs from the theory of change; establishing a partnership consultation
group of representatives from CDC, microenterprise experts, community health
centers, and community-based organizations; developing an intervention manual;
and, organizing discussions about the intervention with community consultation
boards. The final product will include an intervention manual that will provide
details on the implementation of the developed and sustainable microenterprise
program, which addresses the dual challenges of HIV/STI transmission and
intimate partner violence to bolster the health in African-American
communities...
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