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U.S. Department of Health and Human Services
Nutrition

P4 Grant Resources

 
Important Dates & Links

P4 Monthly Cohort Meeting

  • December 13th at
    2 pm CT/ 1 pm MT

P4 Basics

The IHS P4 is intended to help reduce food insecurity and improve health care outcomes among American Indian and Alaska Native (AI/AN) people by increasing access to produce and other traditional foods within Native communities.

The goal of this program is to demonstrate and evaluate the impact of produce prescription programs on AI/AN people and their families, specifically by reducing food insecurity, improving overall dietary health by increasing consumption of fruits, vegetables, and traditional food consumption, and improving health care outcomes.

 

Expectations

What is expected from me?

  • Work with us: You will be working with the Division of Diabetes Treatment and Prevention (DDTP), the Division of Grants Management (DGM), and the P4 Grant Program Official (PO).
  • Project Director: Your program must have a project director who has relevant health care education and/or experience, experience with award program management, and working knowledge of nutrition and nutrition challenges in AI/AN communities. This person should also be the primary contact to the DDTP, DGM, and the P4 PO.
  • Attend and track P4 Grant Required Trainings: Trainings that are specific to requirements for grant activities and other related topics will be offered. It is up to the grant program to attend and keep track of the trainings they attended. All trainings are recorded.
  • Submit baseline, semi-annual, and annual/final data to the IHS: See 'Requirements' below for the types and timing of data collection reporting.
  • Submit Annual Reports and Applications: See 'Requirements' below for the types and timing of reports and applications.
  • Attend quarterly conference calls: Provide an update on the progress of P4 implementation.
  • Respond promptly to requests for information: This can include providing short presentations on the grantees processes and successes, as requested.
  • Keep us informed: Notify your P4 PO of emerging issues, developments, and challenges that may affect your ability to comply with the award Terms and Conditions and/or any requirements.
  • Comply with IHS Policies and Procedures related to this grant: Most policies and procedures are provided on the Notice of Award (NoA) or on DGM or DDTP websites. However, if you have additional questions, contact your Grants Management Specialist, Ms. Paula Acevedo at paula.acevedo@ihs.gov.

Reporting Requirements

Provides an overview of required reports and application due dates.

  • Data Submission: Grant programs will provide IHS data at baseline, semi-annual, and annual/final. Further guidance, as well as templates, will be provided to grant programs from the P4 grant Program Official once grant program onboarding activities have taken place.
  • Continuation Application: Based on the DGM policy, the application materials are due 120 days before the start of the grant's budget period or fiscal year. Application materials are submitted in GrantSolutions.
  • Annual Reports: Based on grants policy, there are two reports due 90 days after the end of your program's budget period or fiscal year:
    1. Program Progress Report: Along with providing project narrative updates, grant programs will also report on which P4 Grant Required Trainings they attended. Progress Reports are submitted in GrantSolutions as a Grant Note.
    2. Federal Financial Report (SF-425): Submit to the Payment Management System (PMS) and the DGM. The Federal Financial Report must be submitted in PMS. Your local fiscal office should have access to this. Submit a copy of the SF-425 in GrantSolutions as a Grant Note.

Grant Training

The IHS DDTP hosts virtual trainings for grantees on a variety of topics. Some trainings are required; however, others are offered as learning opportunities for grantees to attend based on their interest. In addition to P4 grant-specific training, DDTP regularly offers no-cost training on public health and diabetes management topics in the Advancements in Diabetes Webinar Series.

Collecting, Reporting, and Evaluating Data

Data collection, reporting, and evaluation are critically important to demonstrate the impact of IHS-funded P4.

The goal of P4 is to demonstrate and evaluate the impact of Produce Prescription Programs on AI/AN people and their families, specifically by:

  1. Reducing food insecurity;
  2. Improving overall dietary health by increasing fruits, vegetables, and traditional food consumption; and
  3. Improving health care outcomes.

Evaluation Plan

As stated in the P4 Programmatic Terms and Conditions, grantees will develop an evaluation plan that tracks and trends data to demonstrate the impact P4 has on the community. Data must show the following:

  1. Measurement of food insecurity over time using the U.S. Adult Food Security Survey Module. Exit Disclaimer: You Are Leaving www.ihs.gov 
    1. Did food insecurity rates decrease, increase, or remain unchanged by participating in P4?
  2. Participant's use of services offered by the program.
    1. How is the implementation of P4 measured?
    2. What percentage of participants redeem the produce prescriptions/vouchers?
    3. How is consumption of produce measured and what percentage of participants consume the produce?
    4. How much fruit and vegetables are consumed at baseline and how did that amount change over time, in comparison to the number of vouchers prescribed by the health care provider?
    5. Did the participants attend the education program?
  3. Evidence of improvement in health outcomes.
    1. Are healthcare facility records available and accessible, in accordance with privacy laws, to track changes in participant's clinical parameters, such as A1C and lipid levels?
    2. Are anthropometric measures also available through the healthcare facility or measured in separate facilities and made available for analysis?
  4. Changes in access to healthy and traditional foods.

Grant programs will submit baseline and annual/final data to the IHS.

ATTENTION

This page will be updated frequently to provide resources and support for P4.

Questions?

Please include your name, contact information, program name, and grant number (if known) when submitting questions via email.