Early Childhood Comprehensive Systems: Health Integration Prenatal-to-Three Program

Funding Agency:
Health Resources and Services Administration

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year 2021 Early Childhood Comprehensive Systems: Health Integration Prenatal-to-Three (ECCS) Program. The purpose of this program is to build integrated maternal and early childhood systems of care that are equitable, sustainable, comprehensive, and inclusive of the health system, and that promote early developmental health and family well-being and increase family-centered access to care and engagement of the prenatal-to-3 year old (P–3) population. A maternal and early childhood system of care brings together health, early care and education, child welfare, and other human services and family support program partners—as well as community leaders, families, and other stakeholders—to achieve agreed-upon goals for thriving children and families.

The P–3 period is a particularly critical period of early child development and parentdriven change. The ECCS program will advance intergenerational health equity and expand state capacity to reach and engage families during this critical period.

NOTE: Multiple applications from an organization are not allowable. Only one entity per state will be chosen for this program.


  • Duke Internal: Interested applicants from within Duke should contact dukeiln@duke.edu as early as possible.
  • Application Due Date: March 15, 2021

Agency Website

Eligibility Requirements

Any domestic public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. § 450b) is eligible. See 42 CFR § 51a.3(a). Domestic faith-based and community-based organizations are also eligible.

Amount Description

HRSA estimates approximately $5,112,000 to be available annually to fund approximately 20 recipients. The actual amount available will not be determined until enactment of the final FY 2021 federal appropriation. You may apply for a ceiling amount of up to $255,600 total cost (includes both direct and indirect, facilities and administrative costs) per year. This program notice is subject to the appropriation of funds, and is a contingency action taken to ensure that, should funds become available for this purpose, HRSA can process applications and award funds appropriately. The period of performance is August 1, 2021 through July 31, 2026 (5 years). Funding beyond the first year is subject to the availability of appropriated funds for ECCS in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.

Funding Type





Community Outreach and Engagement
Medical - Clinical Science
Medical - Translational
Social Sciences

External Deadline

March 15, 2021