Rural Health Integration Models for Parents and Children to Thrive (IMPACT)

Funding Agency:
Health Resources and Services Administration

This notice solicits applications for Rural Health Integration Models for Parents and Children to Thrive (IMPACT).

A two-generational approach focuses on creating opportunities for and addressing needs of both vulnerable children and their parents together. It prioritizes and facilitates coordination of programs and services needed to address the additive effects of poverty and geographic isolation on early childhood health and development. A holistic-familybased approach acknowledges the importance of the family in shaping health and developmental outcomes for children.2 Research has shown that the well-being of parents greatly impacts the health and developmental trajectories of their children and is a crucial factor in children’s social-emotional, physical, and economic well-being. At the same time, the emotional and behavioral needs of at-risk infants, toddlers, and preschoolers are best met through coordinated services that focus on relationships, especially with parents and other caregivers. Parents’ ability to succeed in school and/or at work is affected by how well their children are doing.

The overarching goal of the Rural Health IMPACT program is to implement evidencebased two-generational strategies that promote health and well-being of children (prenatally to age 3) and create economic opportunities for their families. This includes:

1) ensuring rural children and their families have access to critical health, development, education, and family support services that are aligned and coordinated;

2) improving early identification of and intervention for high-risk families who have experienced or are at-risk for adverse childhood experiences, maternal depression and other mental health issues, substance use disorders including opioid use and related neonatal abstinence syndrome, as well as other factors that lead to poor health and social outcomes for rural families; and

3) developing, implementing, and expanding two-generational strategies that effectively link children and their families to services to encourage: a) children’s healthy development; and b) help families overcome barriers to achieving economic security and self-sufficiency.  

Multiple applications from an organization are not allowable.


  • Duke Internal: May 29, 2018
  • Sponsor Deadline: July 2, 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

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 to apply. See Per 42 CFR § 51a.3(a). Domestic faith-based and community-based organizations are also eligible to apply. 



Amount Description

HRSA expects approximately $600,000 to be available annually to fund one recipient. You may apply for a ceiling amount of up to $600,000 total cost (includes both direct and indirect, facilities and administrative costs) per year. The actual amount available will not be determined until enactment of the final FY 2018 federal appropriation. 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 in a timely manner. The period of performance is September 1, 2018 through August 31, 2023.

Funding Type





Medical - Basic Science
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: Instructions_FINAL.pdf

Internal Deadline

May 29, 2018

External Deadline

July 2, 2018