Opportunity Information: Apply for RFA NR 23 002
The Advancing Integrated Models (AIM) of Care to Improve Pregnancy Outcomes among Women Who Experience Persistent Disparities funding opportunity (RFA-NR-23-002) is a National Institutes of Health (NIH) discretionary grant mechanism using the R01 activity, with clinical trials listed as optional. It is designed to respond to a pressing public health problem: persistent and unacceptable disparities in maternal health outcomes, particularly affecting racial and ethnic minority women. The initiative is centered on generating practical, evidence-based insights by supporting research that either develops new supportive care models or rigorously evaluates existing models and real-world policy or program efforts that aim to reduce inequities and prevent adverse maternal outcomes.
A defining feature of this opportunity is its focus on integrated models of care, meaning approaches that do more than address clinical care in isolation. Proposed models are expected to connect improvements in healthcare access and/or healthcare quality with deliberate strategies that confront structural and social inequities that shape pregnancy risks and outcomes. In practice, this can include healthcare delivery interventions (for example, team-based care, care coordination, patient navigation, community health worker or doula integration, telehealth-enabled prenatal/postpartum monitoring, or improved screening and referral pathways) that are intentionally designed to work alongside efforts that reduce barriers tied to social conditions, systemic bias, resource inequities, and other upstream drivers of risk. The goal is to move beyond describing disparities and instead test or evaluate interventions and systems-level strategies that can measurably improve outcomes.
The scope of supported research explicitly includes both original intervention studies and evaluations of the impact of policies and programs. That policy/program evaluation component is broad and can include federal, tribal, state, local, or organizational initiatives, recognizing that maternal outcomes are shaped not only by clinical encounters but also by how services are organized, funded, regulated, and accessed. Projects can examine whether and how specific policies or programs change maternal health outcomes, for whom they work best, and under what implementation conditions they are most effective, including impacts on equity.
The outcomes of interest cover a wide range of maternal health issues. The announcement highlights pregnancy-related morbidity such as hypertension, diabetes, obesity, cerebrovascular disease, and mental illness, and it also includes severe maternal morbidity. It extends to pregnancy-associated factors that can contribute to adverse outcomes, including violence exposure (explicitly including firearm violence), substance use disorders, and dietary patterns. Maternal mortality is also an outcome of interest, reflecting the seriousness of the disparities this initiative aims to address. Overall, the opportunity supports research that links integrated care and equity-focused strategies to tangible improvements in maternal health and survival.
Eligibility is broad and includes many types of U.S.-based applicants: state, county, and city/township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; Native American tribal governments (federally recognized); tribal organizations other than federally recognized tribal governments; public housing authorities/Indian housing authorities; nonprofits with or without 501(c)(3) status (other than institutions of higher education); for-profit organizations other than small businesses; small businesses; and other eligible entities. The announcement also emphasizes inclusion of organizations that often play key roles in addressing inequities, listing additional eligible applicants such as Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, eligible federal agencies, Indian/Native American tribal governments that are not federally recognized, and U.S. territories or possessions.
At the same time, the opportunity draws clear boundaries around non-U.S. participation. Non-domestic (non-U.S.) entities and foreign institutions are not eligible to apply as applicants. Non-domestic components of U.S. organizations are also not eligible to apply. However, foreign components, as defined in the NIH Grants Policy Statement, are allowed, which generally means a U.S. applicant may include certain well-justified international elements within the project if they meet NIH policy requirements, even though a foreign institution cannot serve as the primary applicant.
The funding opportunity was created on February 27, 2023, and listed an original closing date of May 1, 2023. It is associated with CFDA numbers 93.307, 93.313, and 93.361. The public summary does not specify an award ceiling or expected number of awards, so applicants typically would need to consult the full funding announcement and NIH guidance for budget expectations, project period norms, and review considerations. Overall, this R01 opportunity is aimed at advancing actionable, equity-centered research on integrated care and policy/program impacts to reduce maternal morbidity and mortality among women experiencing persistent disparities.Apply for RFA NR 23 002
- The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Advancing Integrated Models (AIM) of Care to Improve Pregnancy Outcomes among Women Who Experience Persistent Disparities (R01 Clinical Trial Optional)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.307, 93.313, 93.361.
- This funding opportunity was created on 2023-02-27.
- Applicants must submit their applications by 2023-05-01. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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