Now Accepting Letters of Intent for 2016-2017 NCD Mini-Grants
Non-Communicable Disease (NCD) Field Epidemiology Projects
Mini Grant Opportunity 2016-2017
TEPHINET is pleased to announce the opportunity to submit mini-grant proposals for non-communicable disease (NCD) field epidemiology projects. National and Regional Field Epidemiology Training Programs (FETPs) are welcome to submit multiple proposals.
Who can apply?
- Current Field Epidemiology Training Program (FETP) residents
- Applicant must be the principal investigator
Priority will be given to:
- 2-year trainees in advanced FETP programs with U.S. Centers for Disease Control and Prevention (CDC) Resident Advisors
- Countries with NCD Units within their Ministry of Health (MOH)
- Evidence of NCD mentorship within the MOH or within the university affiliated with their FETP
- Applications related to one of the subject matters listed below
Specific areas of interest for these proposals include non-research projects in the following areas:
- Birth Defects
- Heart disease & Stroke Prevention
- Maternal & Perinatal Health
- Physical Activity & Obesity
- Air Pollution
- Environmental Health
- Emergency response
Projects should focus on a non-communicable disease or condition, using applied field epidemiology. This may include (but are not limited to):
- Piloting or evaluating a surveillance system
- Analyzing surveillance data
- Analyzing other related data
- Implementing and evaluating prevention efforts
Previous mini-grant projects include:
- Establishing and Piloting a Population-based Cancer Registry in Gazipur District, Bangladesh, 2015
- Effects of Increasing Daily Walking in Adult Patients with Type 2 Diabetes Mellitus Attending Debre Tabor General Hospital, Northwest Ethiopia, 2015
- Farmers' Knowledge, Practices and Injuries Associated with Pesticide Exposure in Rural Bindura District, Zimbabwe, 2015
- The effect of airborne fine particulate matter on daily outpatient visits in Shenzhen, China, 2015
- The incidence and the causes of unintentional non-fatal injuries at a commune in the Central Highlands - Vietnam, 2013
- Development and Piloting of National Injury Surveillance System of Sri Lanka –NISSSL
- Global Youth Tobacco Survey (GYTS) - evaluation of an electronic instrument on students in public and private schools through the use of mobile devices form created by Epi Info 7, Asuncion, Paraguay
- Perceived barriers, knowledge and attitude in relation to access to institutional delivery among community members in a rural district, Tanzania, 2011
Guidance for Respective Topic Areas
For injury prevention projects, priority will be given to proposals that involve analysis of road traffic injury surveillance systems or surveillance data. Sources of road traffic injury surveillance data include hospitals, emergency departments, mortuaries, and police departments. If possible, include relevant risk factor information such as drunk-driving, and helmet or safety belt use. Fellows may also consider secondary data analysis of survey data such as WHO STEPS or Demographic Health Surveys. Other potential topics include the evaluation of traffic laws (e.g. motorcycle helmet and safety belt mandates or Blood Alcohol Concentration limits). Priority will be given to projects that demonstrate the ability to be expanded or continued in the future.
In regards to tobacco control projects, priority will be given to proposals that involve analyses of GTSS (Global Tobacco Surveillance System) indicators or evaluation of a GTSS survey, if present in their country.
GTSS indicators correlate with the MPOWER measures, six evidence-based tobacco control measures that are the most effective in reducing tobacco use and correspond to one or more of the demand reduction measures included in the WHO Framework Convention on Tobacco Control (WHO FCTC).
The six proven strategies are:
- Monitor tobacco use and prevention policies
- Protect people from tobacco smoke
- Offer help to quit tobacco use
- Warn about the dangers of tobacco
- Enforce bans on tobacco advertising, promotion and sponsorship, and
- Raise taxes on tobacco.
GTSS indicators examine the need/impact of country-relevant control policies. Outlined below are some examples of publications that align with MPOWER measures:
M: Current manufactured cigarette smoking and roll-your-own cigarette smoking in Thailand—findings from the 2009 Global Adult Tobacco Survey
P: Exposure to secondhand smoke among adults—Philippines, 2009
O: Relationship between frequency and intensity of cigarette smoking and TTFC/C among students of the GYTS in select countries, 2007-2009 (project could be modified to examine one country instead of multiple)
W: Knowledge of health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults
E: Exposure to anti- and pro-tobacco advertising, promotions or sponsorships: Turkey 2008
R: Cigarette Prices and Smoking Prevalence after a Tobacco Tax Increase—Turkey, 2008 and 2012
Among proposals for cancer prevention and control, priority will be given to projects that focus on analyzing and evaluating the quality of cancer surveillance and program data. Key sources of data for cancer surveillance and control include population-based cancer registries, cancer screening and vaccination programs and population- based surveys. Proposals related to the following are encouraged:
- Evaluation of a population-based cancer registry and/or analysis of population-based cancer registry data. This could include indicators of data quality, measures of cancer burden, and policy implications.
- Analysis and/or validation of cancer screening data produced by a population-based survey, such as the Demographic Health survey or WHO STEPS survey.
- Evaluation of cervical cancer screening or human papillomavirus vaccination program data
- Survey of knowledge, attitudes and practices around cancer or cancer screening among healthcare providers and the public
For birth defects, priority will be given to projects focusing on external birth defects surveillance, estimates of birth defects prevalence or risk factors associated birth defects such as folate deficiency/insufficiency. Priority will also be given to projects that assess baseline infant measurements in order for countries to be able to capture Zika-related birth defects (i.e., microcephaly).
Examples of potential proposals include:
- Utilizing an established quality control protocol to conduct an assessment of current birth defect surveillance capacity and prevention activities and providing recommendations for improvement
- Utilizing a surveillance manual for NTD and other external birth defects to develop pilot surveillance programs in one or more hospitals
- Conducting an assessment of current laboratory capacity for measuring blood folate
- Conducting surveys with health care providers and women regarding birth defects awareness, intervention knowledge and prevention strategies
- Assessing blood folate levels among women of childbearing age
- Assessing folic acid intake among childbearing aged women.
Priority will be given to projects from low/middle income countries in the AFRO or SEARO regions, and given to projects that complement or expand on current MOH initiatives to move birth defects prevention and surveillance forward. Additional priority will be given to projects that can demonstrate a high quality data collection source and appropriate sampling frame for recruiting subjects/collecting data. Submission of multiple proposals is highly encouraged.
HEART DISEASE & STROKE PREVENTION
Among proposals for heart disease and stroke prevention, priority will be given to projects that focus on one of the following areas:
- Projects that explore the burden and potential disparities of heart disease and stroke, primary risk factors (e.g. hypertension and tobacco smoking), demographic indicators, and geographic variability, smoke-free laws and/or the inclusion of limited tobacco exposure in the areas of priority.
- Projects that evaluate heart disease and stroke prevention programs at the clinical or community setting. Clinical setting interventions may include health systems programs or interventions that improve blood pressure control, cholesterol management, aspirin use or smoking cessation by using standardized approaches to care or the use of a team of healthcare providers, potentially including community health workers). Community setting interventions may include smoke-free laws, the inclusion of limited tobacco exposure in the areas of priority.
- Projects that evaluate a population-based sodium reduction activities (procurement, working with industry, community based reduction activities) and/or analyze population-level sodium intake (This can include indicators of data quality, measures of burden, geographic variability and policy implications).
- Projects that assess the burden, primary risk factors and/or systems of care along the continuum of heart disease and stroke management. These projects may include the assessment of emergency services (e.g., formal emergency response, initial emergent response by the community, health system emergency department), inpatient care, and/or post-hospitalization care.
- Projects that evaluate heart disease and stroke prevention screening programs, and/or assess models of care that improve screening, treatment and control of primary risk factors (community health workers, team based care, and/or task shifting) to improve care.
Additionally, priority will be given to projects that demonstrate the ability to expand and continue the projects from 2015 onwards.
MATERNAL AND PERINATAL HEALTH (MCH)
For MCH proposals, examples of projects include:
- Evaluation of maternal/perinatal related surveillance systems (facility-based, community-based, combined), Secondary analysis of existing data
- Use of ANC as a platform for supporting reduction of perinatal deaths (could be related to congenital syphilis, malaria in pregnancy, etc.),
- Assessment of current surveillance capacity or effectiveness of prevention activities and providing recommendations for improvement related to the reduction of maternal and/or perinatal mortality,
- Conducting surveys or formative/qualitative research with health care providers and women regarding knowledge, attitudes, and practices around safe child birth or other MCH topics.
- Piloting community based strategies for maternal death and/or pregnancy outcome surveillance
- Utilizing immunization registries to improve birth registration and/or link with civil registration/vital statistics
- Assessment of NCD’s contribution to poor pregnancy outcomes
- Integrating Maternal Death Surveillance and Response into country Integrated Disease Surveillance and Response (IDSR) platforms using WHO guidelines.
- Programmatic implications of adding new vaccines to country EPI programs.
- Use of infant vaccination visits to provide family planning education.
NUTRITION, PHYSICAL ACTIVITY, AND OBESITY
For nutrition, physical activity, and obesity projects, priority will be given to proposals that involve analysis of:
- Breastfeeding rates
- Levels of physical activity
- Consumption of sugar sweetened beverages and/or fruits and vegetables
- Overweight and obesity rates
- Sources of breastfeeding, nutrition, physical activity, and obesity surveillance data include governmental data and University, hospital or school data
Surveillance studies should be representative of a surrounding municipality, province, region, or country. The evaluation of site specific practices such as breastfeeding promotion in hospitals or the use of food or physical activity guidelines/incentives in worksites, communities or schools are also welcomed.
For Air Pollution, priority will be given to proposals that include"
- Projects that characterize exposures to air pollution (e.g., indoor, traffic-related, agricultural, industrial, or other sources of air pollution). Characterization of exposures can include measuring air pollutants using air monitoring equipment, developing indicators of air pollution, or geographically mapping sources of air pollutants.
- Projects that characterize populations potentially at high risk for negative health effects associated with air pollution exposure. This can include persons living in close proximity to air pollution sources (e.g., roadways, industrial sources, etc.), children, or older adults.
- Projects that pilot or evaluate surveillance systems or health indicators for monitoring respiratory health.
- Projects that pilot or evaluate surveillance systems or health indicators for assessing potential associations between air pollutants and respiratory health.
For environmental health, priority will be given to proposals that fall into one of the following topic areas:
- Projects that describe the incidence of illnesses caused by exposure to toxic agents (for example, initiating a surveillance system or going through historical medical records)
- Projects that describe the extent of exposure to toxic agents (for example, measuring the levels of a toxic agent in environmental or biologic samples)
- Projects that identify risk factors for exposure to toxic agents (for example, determining if levels of a toxic agent are higher in a particular subgroup)
- Projects that evaluate the effectiveness of interventions designed to reduce the incidence of illnesses caused by exposure to toxic agents
- A toxic agent can include both naturally occurring substances (such as heavy metals or plant toxins) and man- made substances (such as pesticides). A high quality proposal would have the following characteristics:
- It would address a toxic agent that is a high-priority for the country, and would add to the general knowledge of the toxic agent in that country
- It would produce results that can be acted upon
- It would likely involve measuring levels of a toxic agent in biologic and/or environmental samples
- It could involve collecting new data, or utilizing data that already exists
The Emergency Response and Recovery Branch works to bring public health and epidemiologic principles to the aid of displaced populations affected by emergencies.
Areas of work involving FETP residents in the past have included conducting a nutrition and mortality survey among refugees from the Central African Republic (CAR) in Gado, Cameroon, May 2014; supporting early warning disease surveillance following the 2013 floods in Gaza Province, Mozambique; expanding and strengthening the early warning disease surveillance system nationally following the Pakistan floods, 2010; conducting a cross-sectional study of health facilities suffering from post-election violence in Kenya, 2008; and establishing injury surveillance in post-war Iraq.
Further non-communicable disease field research topics among displaced populations of particular interest could include:
- Evaluation of emergency or injury surveillance systems, such as systems in Iraq,
- Cross-sectional surveys in nutrition or water, sanitation and hygiene knowledge, attitudes and practices (KAPs),
- Sustainability of hygiene interventions in DRC,
- Rapid needs assessments following disasters,
- Dental caries with use of lipid-based nutrient supplements among emergency-affected children.
HOW TO APPLY
Letter of Intent
Individuals interested in submitting a proposal must first submit a Letter of Intent for each mini grant application. Letters of Intent should include:
- A descriptive title of the proposed project
- Contact information for the FETP resident principal investigator (name, address, and e-mail address)
- Current year of FETP trainee (1st or 2nd)
- A brief summary of the injury/tobacco/cancer/MCH or other NCD related issue and how you plan to address/study the issue
- Anticipated outcomes and/or impact of the project
- The names of participating institutions (e.g., Ministry of Health, University)
- Contact information for in-country mentor(s) for proposed project (name, job title, physical address, and current working relationship with applicant)
Please limit the Letter of Intent to no more than 2 pages. Letters of Intent should be submitted online at: http://tephinet.org/content/2016-2017-ncd-field-epidemiology-projects-mi... by 11:59 PM EST on Friday, August 19, 2016.
Please note that we will only accept letters of intent and proposals in English. If you have any questions about how to submit the application online, please email Tina Rezvani at trezvani [at] taskforce [dot] org.
Note: You must create an account at www.tephinet.org and be logged in to access the application forms.
Authors selected to submit a full proposal will be notified by September 5, 2016 and will receive instructions on how to submit their proposal. Full proposals will be due October 14, 2016. Projects will last approximately 9 months and all work should be completed by August 31, 2017. About 20 projects will be funded and the average award amount is expected to be approximately $5,000 USD. Please note that all awards are contingent upon available funding.
If a full proposal is requested, the following materials will be required for submission:
- Include a narrative description of your current position (not just a CV)
- 100-250-word abstract
- NIH type biographical sketches, including other support with yearly direct costs, for the significant participants
- The abstract page from all ongoing funded and pending research proposals
- Specific Aims
- Background and Significance
- Preliminary Studies (if applicable)
- Must indicate if PI has received a prior mini-grant
- Study Design and Methods
- Literature Cited (not included in the 5-page limit)
- A detailed budget with budget justification
- Data use agreements (IMPORTANT: Prior to submitting a proposal, residents must verify that the data variables they plan to collect are actually being collected (e.g., road user type, injury outcome, etc.)
- Must include letters of support from any collaborating institution/agency (e.g., police if using police data, hospital if using hospital data or personnel, etc.)
- State whether or not project is scalable or has plans for expansion
- IRB applications for a non-research determination must be submitted at the same time as the Stage 2 submission, and should provide evidence of IRB (HRPP) pending review (e.g., HRPP # for the project).
- Paragraph on community relevance (maximum 175 words) that includes the project title. Paragraph should answer the following question "How important is funding this research to improving human health, either in the near or distant future?" Do not include your name, as this paragraph will get a blinded review.
- Applications will be read by international reviewers, so describe any system, data source, etc. that may not be familiar to those outside your own country. (e.g., how a boda boda driver system is set up, structure of healthcare system, data sources, etc.)
Overall Evaluation Criteria
Applications should be in well-written, precise, and succinct English. Applications will be subject to both scientific and programmatic review. The following criteria will be used in evaluating these proposals:
- Significance of the research and its translational relevance
- Scientific quality
- Feasibility to complete the project in 9 months year
- Probability that the work will yield important new information and have lasting public health impact
- Qualifications of the Principal Investigator and collaborators
- Inclusion of a strong mentor in NCD or injury epidemiology; from either the Ministry of Health or your FETP’s school of public health.
Presentations and Publications
Awardees are expected to publish their findings in scholarly peer‐reviewed journals and present their research at professional meetings. At the completion of the project a draft manuscript should be submitted. All publications, grants, and presentations resulting from research funded by the CDC or using CDC/FETP resources must cite the CDC (Relevant Divisions and Centers) as a contributing source of support and indicate the CDC FETP grant title and number: (for example Kampala University, CDC grant #5UL 1TR000100.)
Please provide a detailed budget for how the funds will be used. All guidelines pertaining to allowable expenses on federal grants will be applicable for these awards. In addition, no funding will be provided for books and subscriptions or graduate student support and tuition remission.