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NFIMR Small Grant Funding Award Request for Proposals

NFIMR Small Grant Funding Award Request for Proposals

To continue the work begun at the 7thNational FIMR conference, NFIMR is announcing the availability of up to 5 small one time grant awards of $ 7,500-$10,000 to incorporate innovative life course theory (LCT) into the FIMR methodology.

Eligible Applicants: Current FIMR Programs

Letter of Intent (to apply for funding): A one page LOI must be submitted by June 30, 2012 (see sample). Only applications who have previously submitted a LOI will be considered.

Proposal Due: July 20, 2012 at 5 PM EST. Please email electronic Word Documents to NFIMR Program Director, Kathleen Buckley at

Grant period: August 30, 2012 through August 30, 2013

Notice of Award: August 15, 2012

Possible FIMR Approaches:

1. For those FIMR projects that have already begun to incorporate these LCT principles, the challenge will be to take further steps to move that effort forward into an integrated whole  system and philosophy of the FIMR methodology.

2. For projects that have not yet begun, the challenge is to discover strategies to incorporate the life course theory into existing local FIMR activities at the same time as creating local support to begin this work from both CRT and CAT team members and the community at large.

General Application Information* Applicants who exceed the page limit requirements for any section will not be considered. This concise application may actually take more planning and skill to successfully present proposed strategies than one with an expanded page limit. The decision to fund any community is within the discretion of NFIMR and submission of an application does not guarantee approval of funds.

*Note: page margins = 1 inch, type font = Arial 11, Single- Spaced. Any application that does not adhere to these guidelines will not be considered.

Proposal Content

A. Cover page should include:

Lead Agency
Proposal Title
Contact Person for Application


 B. Proposal Narrative:

1. Your FIMR Community. (1 Page Limit)Describe the cultural diversity, capacities, and assets of the local area designated for your FIMR program.

2. Statement of Need (1 Page Limit) Include the most recent data available on the state of maternal and infant health in your community, health disparities, and other indicators.

3. History of FIMR (1 Page Limit) Provide information regarding local Fetal and Infant Mortality Review (FIMR) history and capacity in your community. Include examples of community action and systems changes that have resulted from FIMR in your community. Describe FIMR actions that specifically address health disparities in your community.

4. FIMR and LCT.  (1 Page Limit) Describe any/all past efforts to date implementing LCT into your local FIMR, if appropriate. (Section may be omitted if no LCT elements are as yet incorporated into your local FIMR.)

5. Describe your community specific plans and strategies to incorporate LCT into the local community FIMR. (3 Page Limit) Be creative and thoughtful – best FIMR practices come from the community UP. It is hoped that your FIMR/LCT pilot can be an important guide for any of the 220 FIMR programs that may wish to incorporate LCT into their FIMR process in the future.

Include local FIMR/LCT plans for future development. Describe new planned activities, including projected development of tools and models that may be adapted by other FIMR programs. Develop a timeline that leads from 2-3 months of planning through 9-10 months of implementation. Include steps in this process to develop community buy – in.

Since information from the maternal interview is crucial to FIMR and FIMR/LCT, discuss strategies including monetary incentives to increase participation. Although about 10% of mothers who have lost their infant are lost to follow-up, it is anticipated that about 50-60% of the remaining women could be found and would participate in an interview. 

If appropriate, discuss 1) how the CRT and/or CAT might be expanded to include additional members with experience in LCT; 2) new data elements or CRT case summary formats to be developed and included in reviews; 3) possible new case review protocols, questions and/or recommendations to be included in reviews.

As part of CAT activities, develop strategies that FIMR can use to effectively respond to larger communitysocial, economic and environmentalissues that may be beyond the scope of FIMR problem solving but are impacting the health and wellbeing of women, infants, and families.

Summarize how your FIMR program will have evolved after this project work is completed. Compare and contrast similarities and differences between past and revised FIMR/LCT process.

Commit to participate in quarterly NFIMR FIMR/LCT project conference calls and be prepared to report progress to NFIMR and other funded FIMR projects on each of these calls. Commit to develop a final written report and specifically identify who will be responsible for this deliverable. Commit to be available as a resource for other FIMR programs that request technical assistance in the future.

6. Budget (1 Page Limit): Please submit a line item budget and budget justification. Line items should reflect the strategies that the local program will develop to incorporate LCT into their FIMR and may include but are notlimited to: staff FTEs, consultant fees, convening focus groups, community meeting costs, purchase of The Life Course Game, printing costs, maternal interview incentives. The budget justification should indicate the basis for your specific cost estimates. If local resources are committed as well as the funds requested, please describe both estimates for each expense. Construction or equipment costs may not be included.

C.  Letters of Support (No Limit): Letters of Support from the head of the FIMR Program’s sponsoring agency, the state Title V agency and/or the state FIMR coordinator and the local federal Healthy Start Program, if applicable are strongly encouraged. Additional letters are encouraged but optional.

Outcomes: FIMR projects that are awarded these small grants are expected to develop successful, sustainable model FIMR/LCT programs that other FIMR programs may wish to emulate and be available to discuss their work with interested FIMR projects. A final report of the project’s efforts is required and final payments to the project are contingent upon receipt of the report. A summary of the five individual project’s methods and accomplishments will be published by NFIMR.

Additional Key conceptsand further reading can be found here: here

Also review National FIMR Conference Thursday June 7 slide presentations of Drs Hogan and Braveman at

More about LCT:  According to the Maternal and Child Health Bureau: “Life course theory (LCT) is a conceptual framework that helps explain health and disease patterns – particularly health disparities – across populations and over time. Instead of focusing on differences in health patterns one disease or condition at a time, LCT points to broad social, economic and environmental factors as underlying causes of persistent inequalities in health for a wide range of diseases and conditions across population groups. LCT is population focused, and firmly rooted in social determinants and social equity models. Though not often explicitly stated, LCT is also community(or “place”) focused, since social, economic and environmental patterns are closely linked to community and neighborhood settings. While LCT has developed in large part from efforts to better understand and address disparities in health and disease patterns, it is also applied more universally to understand factors that can help everyone attain optimal health and developmental trajectories over a lifetime and across generations. From

For more information about this proposal: e-mail kbuckley@acog.orgor call 202.863.1630.

© Copyright 2018 American College of Obstetricians and Gynecologists. The National Fetal and Infant Mortality Review Program is a collaborative effort between the American College of Obstetricians and Gynecologists and the Maternal and Child Health Bureau, Health Resources and Services Administration.