of effective strategies and interventions becoming paramount. To foster the necessary research and development efforts, CDC has sought to develop the capacity to conduct and support prevention research that is recognized as innovative and effective. To address these goals, the scientific research that the CDC supports at academic centers must be innovative and of high quality, and it must include dissemination research and application.

CDC sees the PRC program as (1) providing a sound basis for health promotion and disease prevention and (2) translating research findings into community-based interventions. It identifies four main goals for the program, all intended to help meet national health objectives:

  • Maximize resources for complex public health research.

  • Make communities accessible and amenable to prevention interventions.

  • Increase collaboration among agencies and nontraditional partners.

  • Train public health professionals (NCCDPHP, 1996).

GROWTH OF THE PRC PROGRAM

PL 98-551 authorized the Secretary of Health and Human Services to provide funding at the annual level of $1 million per center for a total of 3 centers in 1985, 8 centers in 1986, and 13 centers in 1987. The actual appropriations from Congress, however, have fallen short of these authorized levels. Congress has expanded the PRC program from 3 PRCs and a total budget of $1.5 million to 13 PRCs and a total budget of approximately $7.7 million. This growth is shown in Table 1-1.

In 1993, CDC began providing supplementary funds to the PRCs as a way to increase the levels of research activity within the PRCs through a Special Interest Project (SIP) funding mechanism. The PRCs received a total of $1.3 million through SIP funding in 1993 (ranging from $10,000 to $408,000 per PRC). In 1994 and 1995, the amounts were $3.3 million (ranging from $30,000 to $864,000 per PRC) and $9.5 million (ranging from $82,000 to $1.615 million per PRC), respectively. In 1996, $9.6 million was available for SIPs. Figure 1.1 illustrates the growth of the core funding and SIP components of the PRC program budget.

Most of the PRCs also receive funding from the National Institutes of Health, state health departments, private foundations, and other sources. Some receive additional funding from CDC that is not associated with the PRC program core grants or SIPs. In fiscal year 1996, core funding for the PRC program was about $7.7 million, but CDC estimates that the total funding for



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