Apply to the Challenge

Thank you for your interest in joining the Healthiest Cities & Counties Challenge!

KEY DATES

  • The deadline to submit applications is Wednesday, Feb. 26, 2020 at 3 p.m. EST.
  • Follow-up phone calls will be held with select applicants on March 24 – 27, 2020.
  • Notification of award decisions will be made in April 2020.
  • The Healthiest Cities & Counties Challenge will run from April 2020 – April 2022.

HOW TO APPLY

  • Step 1: Read the Request for Proposals (PDF) to learn more about the Healthiest Cities & Counties Challenge.
  • Step 2: Verify your eligibility before completing an application.
  • Step 3: Prepare your submission materials. We recommend all applicants draft responses to the questions in the Request for Proposals and gather all required information and letters of commitment from their partners before beginning the application, as you must complete the form in one sitting to ensure that your responses are not lost.
  • Step 4: Complete the Healthiest Cities & Counties Challenge Application Form. You will be required to log in to your Google account to access the form. If you do not have a Google account, follow the instructions on how to create a Google account.

FREQUENTLY ASKED QUESTIONS

Why is there a restriction on the size of communities that are eligible to apply, and what if I want to work with a smaller community?

Every community is unique and may require different approaches to promote health equity. The Healthiest Cities & Counties Challenge focuses on public health and prevention approaches that are likely to be most effective in small to mid-sized cities and counties. As such, we have put boundaries around the size of participating communities in order to ensure limited funds are directed to promising strategies, peer-to-peer learning and high-quality technical assistance.

For the purposes of this project, "cities and counties" means incorporated places within a defined geographic area with an active local government. They may include: cities, counties, municipalities, and federally recognized tribes. The Challenge is limited to cross-sector, initiatives that operate within cities and counties that have a population of up to 600,000. Segments and neighborhoods of cities and counties with populations over 600,000 are not eligible to participate in this opportunity. There is no minimum population size requirement.

Should projects serve the entire city or county, or can they focus on a particular group within the community?

Both. The applicant must identify a priority population(s) from within the city or county that is significantly impacted by health inequity and stands to benefit from the proposed project. In addition, because the goal of this project is to improve the health of the overall community through systems-level approaches, we expect interventions to address policies and/or systems that have the potential to benefit the entire city or county. As such, we welcome pilot projects that focus more deeply on the priority population(s) identified in parallel with the broader work of systems change.

For example, a county's project may focus broadly on food security work and policy change within the entire county but prioritize pilot action/activities in an area that is characterized as a food dessert with a population that experiences health disparities.

What types of organizations can be designated as the lead partner organization for our cross-sector team?

Cross-sector teams can be comprised of local government, nonprofit partners, businesses, academic institutions, community-based organizations, and others that are ready to accelerate systems-level approaches to improving community health and to support community engagement through authentic resident participation.

The lead partner organization can be a city or county government agency, federally recognized tribal leader, non-governmental organization (501c3s), academic institution, or other organization that can effectively engage with all of the relevant partners and is able to receive and disburse grant funding on behalf of the community. The lead partner organization cannot be a for-profit corporation.

How does the Challenge define access to foods that support healthy eating patterns?

Access to foods that support healthy eating patterns is impeded by barriers that limit the accessibility and availability of these foods in some communities, according to the U.S. Department of Health and Human Services. Disparities in food access that support healthy eating patterns arise due to limited availability of transportation options and a lack of access to supermarkets. The cost of food is also a barrier for low-income communities. Lack of access to foods that support healthy eating patterns contributes to disparities in chronic disease outcomes, such as diabetes.

Examples of projects addressing access to foods that support healthy eating patterns at the systems level include those that address food policies and the food environment within a community. These strategies help increase access for all members of the community, rather than only those individuals being served by one particular organization. While systems-level food access projects should not focus on promoting individual behavior change, they should align with and complement existing behavior change efforts.

How does the Challenge define access to health services?

Access to health services has been defined by the U.S. Department of Health and Hyman Services as a social determinant of health connected to residential location. External forces such as cost of care and availability of culturally competent services within a community contribute to an individual's use of health services. Communities can help their residents gain access to care by supporting them in:

  • Gaining entry into the health care system (usually through insurance coverage).
  • Accessing a location where needed health care services are provided (geographic availability).
  • Finding a health care provider the patient trusts and can communicate with (personal relationship).

Lack of access to care contributes to health disparities between communities, with some individuals having unmet health needs based solely on where they live. These unmet needs can lead to further health complications and emotional distress, as well as increased cost.

Examples of projects addressing access to health services at the systems level include those that address health systems policies and the availability of and timely access to a trusted provider and culturally competent workforce. Systems-level projects in access to health services go beyond individual insurance coverage or help-seeking behaviors to create supports that improve timely access to a trusted provider for all members of the community, while complementing existing programs that focus on individual-level interventions.

How does the Challenge define health equity?

According to the American Public Health Association, health equity means everyone has the opportunity to attain their highest level of health.

How do we achieve health equity? We address the conditions in which people are born, grow, live, work, learn, play and age. These social determinants of health are shaped by the distribution of money and resources that include employment, housing, education, health care, public safety and food access.

What types of projects does the Challenge seek to include?

Systems-level, community-based projects are the primary focus of the Challenge. APHA promotes a health-in-all-policies approach to addressing community health. In order to achieve this, communities must be prepared to engage cross-sector teams including local government, nonprofit partners, businesses and others to address pressing local health challenges by bringing in a diverse range of experiences and technical knowledge.

Most importantly, these teams must also include community residents as equal partners.

While public health science and expertise are essential, knowledge of community context and lived experience are crucial assets in creating change. The APHA Community-Based Public Health Caucus states "that in order for these partnerships to be equal and for interventions to be community-based, community members must participate fully in the identification of health issues and the selection, design, implementation and evaluation of programs that address them."

Does the proposed project have to be a brand new project for the city or county?

All communities interested in participating should look to develop new partnerships and strategies, even if building on existing activities and goals for the community. The proposal should be based on actions that are new and specifically in response to this RFP, and any existing partnerships or projects need to demonstrate innovation/evolution in their approach and partnerships.

How will proposals be reviewed and evaluated?

Each proposal will be checked for completeness, and the answer to each proposal question will be scored, with the exception of Potential Challenges and Technical Assistance Needs. Please refer to the RFP for selection criteria. Some applicants my receive a phone call if additional information is needed during the review process.

What is a Challenge Plan?

Each community will develop a plan to guide their participation in the Challenge. Each grant team, including community members, will be expected to draft a Challenge Plan in the first three months of the Challenge with support from their assigned liaison and technical assistance partners. Where applicable, communities may connect this document to their community's existing plans and programs.

A living document, the plan will evolve as teams learn from residents, implement their projects and explore the social factors and systems that are influencing health outcomes for community residents. At the conclusion of the Challenge, each grant team will have a deeper understanding of their community priorities and a plan for building on their collaborative work, including strategies for sustaining their partnerships and proposals for longer-term investments to reduce disparities in chronic disease outcomes and improve health equity.

What type of technical assistance will grantees receive?

Grant teams will receive 1:1 technical support from a designated liaison from the American Public Health Association or the National Association of Counties. These liaisons will engage regularly with communities as they work through barriers and solutions to implementing their proposed projects and developing their Challenge Plan. Liaisons will also coordinate with the Challenge's multiple technical assistance partners and an advisory council consisting of specialists in relevant subjects to ensure teams receive customized support over the life of their grants.

Additionally, Healthy Places by Design will facilitate a well-supported peer network and learning opportunities led by subject-matter specialists in health equity, community engagement, access to care and healthy food, and other important topics. The peer network will complement and deepen content-based learning and enable grantees to build capacity, develop relationships and address common barriers.

I don’t have a Google account. Is there another way for me to access the submission form?

You must have a Google account so you can sign the submission form. Sign-in is required to receive a copy of your responses and to upload letters of commitment.

Visit https://support.google.com/accounts/answer/27441?hl=en for step-by-step tips on creating a Google account.