Healthy Start Initiative: Eliminating Disparities in Perinatal Health

Funding Agency:
Health Resources and Services Administration

This notice announces the opportunity to apply for funding under the Healthy Start Initiative: Eliminating Disparities in Perinatal Health program. The purpose of this Healthy Start (HS) program is to improve health outcomes before, during, and after pregnancy, and reduce racial/ethnic differences in rates of infant death and adverse perinatal outcomes.

The HS program provides grants to high-risk communities with infant mortality rates at least 1.5 times the U.S. national average and high rates of other adverse perinatal outcomes (e.g., low birthweight, preterm birth, maternal morbidity and mortality). HS works to reduce the disparity in health status between the general population and individuals who are members of racial or ethnic minority groups.

Beginning in FY 2019, the HS program will serve infants and families for the first 18 months after birth. This is a change from the current program design, which includes support for infants and families up to 2 years after birth. Since the HS program emphasis is on infant mortality/women’s health/perinatal health, this change allows the program to focus resources on these key purposes and associated milestones (e.g., provision of interconception care), while ensuring support for children through critical milestones (e.g., immunization milestones established by American Academy of Pediatrics (AAP)). This change also reflects feedback from current recipients in the field to increase program capacity to serve more pregnant women within the project period and promote healthy pregnancy outcomes. HRSA will continue to ensure collaboration with other programs supporting early childhood (including the HRSA-funded Title V and Maternal, Infant, and Early Childhood Home Visiting (MIECHV) programs) to ensure continued support and healthy development for children born to HS participants.

NOTE: Multiple applications from an organization are not allowable.


  • Duke Internal Deadline: Oct. 31, 2018
  • Sponsor Deadline: Nov. 27, 2018

If the internal deadline has passed and you are interested in this opportunity, please email Anastasia Maddox at to find out if it is still open.

Agency Website

Eligibility Requirements

Eligible applicants include any domestic public or private entity. Domestic faith-based and community-based organizations, tribes, and tribal organizations are also eligible to apply.

Amount Description

HRSA expects approximately $95,000,000 to be available annually to fund approximately 100 recipients. You may apply for a ceiling amount of up to: $950,000 for Year 1 and up to $980,000 for each out year, Years 2-5 (includes both direct and indirect, facilities and administrative costs). The actual amount available will not be determined until enactment of the final FY 2019 federal appropriation.

Funding Type





Community Outreach and Engagement
Medical - Clinical Science
Social Sciences

Internal Nomination

Owing to the sponsor's restriction on the number of applications that may be submitted from Duke, anyone wishing to pursue nomination should submit the following materials as one PDF.

* A letter of support from dean or chair - 1 to 1.5 pages
* Project summary - 2 to 4 pages
* CV or Biosketch of project leader

Please submit internal materials through My Research Proposal. (Code ILN)

Instructions for setting up your account and uploading internal applications can be found here:


Internal Deadline

October 31, 2018

External Deadline

November 27, 2018