To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #72-197-3 with FIERCE Advocates (Families and Individuals Equitably Rooted in Collective Empowerment), Inc.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment/Extension #72-197-3 with FIERCE Advocates (Families and Individuals Equitably Rooted in Collective Empowerment), Inc., a non-profit corporation, effective June 30, 2026, to amend Contract #72-197-1 (as amended by Contract Amendment/Extension #72-197-2), to increase the payment limit by $150,000, from $440,000, to a new payment limit of $590,000, and to extend the termination date from June 30, 2026 to September 30, 2026 for additional consultation and technical assistance to assist and support the Doula Program for Contra Costa Health Services (CCHS) Public Health Division's, Family, Maternal & Child Health Programs (FMCH), Perinatal Equity Initiative (PEI) to provide prenatal, birth and postpartum community support for enrolled County participants.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional annual expenditures of up to $150,000 and will be funded 100% by Community Development PEI Grant funds. (No rate increase)
BACKGROUND:
PEI aims to improve birth outcomes in African American communities and was established with the passage of California State Legislature's Assembly Bill (AB) 1810. CCHS, FMCH Programs have been funded to accomplish a scope of work which includes conducting an environmental scan, engaging community partners in planning a process to determine needs, gaining a deeper understanding of the African-American community and its infant mortality rate in Contra Costa County, and developing and implementing a public health awareness campaign to raise awareness about pre-term bi...
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