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Enhancing STI and Sexual Health Clinic Infrastructure (ESSHCI)

Award Number: NH25PS005226
ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2023
PERIOD OF PERFORMANCE END DATE: 09/29/2028

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Enhancing STI and Sexual Health Clinic Infrastructure (ESSHCI) - In NYC, STI rates are significantly higher among Black New Yorkers compared to white New Yorkers, as well as higher in neighborhoods with a high level of poverty compared to neighborhoods with lower levels of poverty. Transgender, gender non-conforming, and non-binary (TGNCNB) individuals experience chronic health conditions, as well as a higher rate of health concerns related to HIV, STIs, substance use, and mental health, compared with the general population, and transgender women, particularly those experiencing poverty and who are women of color, have a high prevalence of HIV and STIs in NYC. Because of socioeconomic and sociopolitical barriers often faced by TGNCNB individuals in health care settings and in the world at large, illness may go undiagnosed and untreated and quality care may feel out of reach. One way to address this is to integrate gender-affirming care into health settings. Gender-affirming care may include hormone therapy and gender-affirming surgeries, but it can also be accomplished by ensuring clinicians and staff are knowledgeable and comfortable asking about pronouns, reconciling name differences on documents, and taking medical history in an informed, respectful, and non-judgmental manner. NYC DOHMH sexual health clinics, run by the Bureau of Public Health Clinics (BPHC), are well-placed to help identify and rectify problems TGNCNB people might face in accessing care because they see large numbers of uninsured clients, have a public mission, and are identified as sites where patients can get both immediate care and referrals to other services. BPHC clinics are in neighborhoods that experience excess burdens of health inequities. The catchment area is neighborhoods surrounding the clinics and specifically TGNCNB and Black, Indigenous, and People of Color communities. Due to the importance of integrating gender-affirming care with existing HIV/STI services, we would like to introduce low- to no-cost hormone therapy in our Corona Clinic and increase our capacity to better serve TGNCNB patients systemwide. This application includes Strategies A and B only. Strategy A activities include a partnership with a known community-based organization and the development of a request for proposals to partner with a vendor to conduct formative research to inform Strategy B activities. For Strategy B, BPHC will amend protocols and procedures to improve clinic flow, identify areas of improvement in quality service delivery, and develop and deliver appropriate training and technical assistance with clinic staff. Strategy B activities aim to improve upon the available services and patient experience by enhancing clinical services to include hormone therapy in at least one clinic, increase the cultural capacity of our clinic workforce to better serve TGNCNB patients in all BPHC sexual health clinics, and create and distribute marketing materials to raise awareness of available sexual health services for TGNCNB New Yorkers. Expected outcomes include increased community engagement with community members and organizations who identify with or are a trusted entity among the TGNCNB community; increased engagement with public health partners addressing the STI epidemic; increased access to low or no-cost comprehensive sexual health services for TGNCNB individuals; increase in sexual health patients who identify as TGNCNB and receive screening for STI and HIV; increase in access to PrEP among TGNCNB individuals; improved patient experience; and decreased STI disparities


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $500,000 )
2026	2026	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	4	8/18/2026	NON-COMPETING CONTINUATION	$500,000
2026	2025	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	4	8/18/2026	NON-COMPETING CONTINUATION	$0
2026	2024	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	4	8/18/2026	NON-COMPETING CONTINUATION	$0
2026	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	4	8/18/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $500,000

Issue Date FY: 2025 ( Subtotal = $200,000 )
2025	2025	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	3	9/24/2025	NON-COMPETING CONTINUATION	$200,000
2025	2024	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	2	5/9/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	2	11/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	3	9/24/2025	NON-COMPETING CONTINUATION	$0
2025	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	3	9/24/2025	NON-COMPETING CONTINUATION	$0
2025	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	2	5/9/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	2	11/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $200,000

Issue Date FY: 2024 ( Subtotal = $200,000 )
2024	2024	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	2	8/22/2024	NON-COMPETING CONTINUATION	$200,000
2024	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	1	11/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	03	1	7/17/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$500,000
2024	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	04	1	7/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$500,000
2024	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	1	11/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	CITY OF NEW YORK	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	2	8/22/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $200,000

Issue Date FY: 2023 ( Subtotal = $500,000 )
2023	2023	NEW YORK, CITY OF	4209 28TH ST	LONG ISLAND CITY	NY	11101	QUEENS	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	1	9/13/2023	NEW	$500,000
														Subtotal = $500,000

Grand Total All Awards = $1,400,000

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Enhancing STI and Sexual Health Clinic Infrastructure (ESSHCI)

Award Number: NH25PS005226

ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2023

PERIOD OF PERFORMANCE END DATE: 09/29/2028

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