Opportunity Information: Apply for HRSA 21 121

Healthy Start Supplement: Community-Based Doulas (HRSA-21-121) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), offered as supplemental funding under the Healthy Start Initiative: Eliminating Disparities in Perinatal Health. The larger Healthy Start program is designed to improve health outcomes before pregnancy, during pregnancy, and after birth, with a strong focus on reducing racial and ethnic disparities in infant mortality and other adverse perinatal outcomes. This specific supplement narrows in on one practical strategy for closing those gaps: expanding access to doula support in Healthy Start service areas that are experiencing the highest maternal and infant mortality.

The central aim is to increase the availability of community-based doulas for Healthy Start participants and, through that expanded support, reduce preventable maternal and infant deaths while also decreasing longstanding inequities. Under this supplement, doulas are expected to provide continuous, supportive services across the perinatal timeline, including pregnancy, labor and delivery, and at least three months postpartum. The grant emphasizes that doula services should not be generic or one-size-fits-all; recipients are expected to show how doula care will be culturally responsive and aligned with the needs, preferences, and realities of the communities served by Healthy Start, particularly the priority populations facing the highest risks and the greatest barriers to care.

Allowable use of funds is oriented around building and sustaining a doula workforce within Healthy Start project areas. Awards are intended to cover the costs of training, certification, and compensation of doulas. Applicants are expected to describe clearly how doulas will deliver pregnancy and childbirth education, connect clients early to health care and social services, provide labor coaching and hands-on birth support, and offer breastfeeding education and counseling. The opportunity also highlights the importance of fostering parental attachment and ensuring supportive services continue after delivery, including explicit attention to breastfeeding initiation promotion. In practice, this means applicants need to lay out a concrete service model for what support looks like before birth, at the time of birth, and in the early postpartum period, and how that model will be integrated with or coordinated alongside clinical care and community resources.

HRSA set a series of time-bound objectives that recipients are expected to meet. By November 2021, each recipient should have contracts in place with one or more doula training organizations to train doula candidates. By March 2022, recipients should recruit at least three candidates to become doulas. By September 2022, recipients should facilitate training for each hired doula. By March 2023, hired doulas are expected to complete all requirements for Doulas of North America (DONA) birth doula certification. By March 2024, recipients should have provided prenatal, birth, and short-term postpartum doula support to at least 72 Healthy Start participants. Because workforce stability matters for continuity of care, HRSA also suggests recipients consider formal agreements with hired doulas stating their intent to provide doula services to Healthy Start clients for a specified period of performance, as a retention strategy.

From a funding and administrative standpoint, the opportunity is a grant (not a contract) with an award ceiling of $125,000 and an anticipated 20 awards. The funding opportunity number is HRSA-21-121, and it falls under CFDA 93.926. The posting lists eligibility as "Others (see text field entitled Additional Information on Eligibility for clarification)," indicating that applicants needed to consult the full notice for the precise eligibility details. Key dates in the notice include a creation/posting date of May 28, 2021, and an original closing date of June 30, 2021.

Overall, this supplement is essentially a targeted workforce-and-services expansion effort within Healthy Start: it pays to train, certify, and compensate doulas, expects a structured rollout with measurable milestones, and focuses on culturally responsive, continuous perinatal support intended to improve birth outcomes and reduce racial and ethnic disparities in communities with the greatest burden of maternal and infant mortality.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Supplement: Community-Based Doulas" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926.
  • This funding opportunity was created on May 28, 2021.
  • Applicants must submit their applications by Jun 30, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $125,000.00 in funding.
  • The number of recipients for this funding is limited to 20 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 21 121

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