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Coyotes for Health: LGB Tobacco

Education and Cessation Program,
Riverside County Grant Proposal
Submitted to: National Institutes of Health

Date: June 14, 2019

Erich Bonilla, MPH©

Rochelle Granados, MPH©
Juan Landeros, MPH©
Dolores Mancha, MPH©
Stephanie Okolo, MPH©
Ana Romero, MPH©, CHES
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April 11, 2019

5500 University Parkway

San Bernardino, CA, 92407

Attn: Tom Hernandez

Re: LGB Tobacco Prevention Letter of Intent

Dear: Tom Hernandez

The Coyotes for Health Organization would like to express its interest in the forthcoming allocations from
the National Institutes of Health (NIH) for the reduction of smoking rates in the Lesbian, Gay, and
Bisexual (LGB) community. This letter is to inform of our intention to submit the LGB Tobacco
Prevention to the National Institutes of Health.

The Coyotes for Health Organization has more than 10 years in providing services to the residents of
Riverside County. Currently, the Coyotes for Health Organization administers several grant-funded
programs including San Bernardino LGBTQ Tobacco Project, the purpose is to reduce secondhand smoke
exposure in outdoor dining and bars in Riverside and San Bernardino Counties.

As you are aware, the Center for Disease Control and Prevention (CDC) has identified “Cigarette
smoking among LGB individuals in the U.S. is higher than among heterosexual/straight individuals.
About 1 in 5 LGB adults smoke cigarettes compared with about 1 in 6 heterosexual/straight adults”
(CDC,2016). As a nonprofit organization, we recognized our responsibility in reducing the rate at which
LGB adults smoke.

The Coyotes for Health Organization will be responsible for administering the day-to-day fiscal and
administrative oversight and accountability of the National Institutes of Health, LGB Tobacco Prevention.
It is understood that the first year of funding is reported as $1,000,000 with ongoing annual funding of
$2,000,000. Upon submission, a National Institutes of Health (NIH) form will provide detailed
information for review and evaluation by the first date of submission acceptance, June 13, 2019, or within
the noted time frame for submission.

We are currently interested in providing these LGB Tobacco Prevention services and would like to be
kept notified of any modifications or updates related to this funding opportunity.

Respectfully,

Erich Bonilla, Rochelle Granados, Juan Landeros, Dolores Mancha, Stephanie Okolo and Ana Romero

Coyotes for Health Organization

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Table of Contents

Abstract…………………………………...………………………….……………………………4

Specific Aims …………………………………………………………………………………......5

Literature review

Needs/Problems…………………….……………………………………………………………..7

Working Hypothesis………………………………………………………………...………….....7

General Program Plan……………………………………………………………………………..8

Target populations ………………………………………………………...……………………...8

Approaches and Methods………………………………………………………………………….9

Program goals and objectives……………………………………………………………………10

Activities………………………………………………………………………………………....10

Timeline………………………………………………………………………………………….11

Program Evaluation Plan………………………………………………………………………...13

Agency Capacity and Project Management……………………………………………………...17

Community Support……………………………………………………………………………...20

Budget and Budget Justification…………………………………………………………………21

Reference………………………………………………………………………………………...25
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Coyotes for Health: LGB Tobacco Education and Cessation Program, Riverside County
Grant Proposal

Abstract

Lesbian, Gay, and Bisexual (LGB) adults smoke and use tobacco products at
disportionately higher rates. The prevalence of tobacco use in LGB adults is typically overlooked
due to the social stigma and discriminatory treatment that they encounter. Coyotes for Health is
requesting a grant to provide programs that decrease the rate of smoking and use of tobacco in
the LGB community and address the health disparities that are associated with smoking. Our
intent is to provide smoking cessation and intervention services that are specifically aimed to the
LGB community members ages 12 and up in Riverside County, California. Coyote for Health is
dedicated to increasing the knowledge of LGB adults in regard to the negative outcomes
associated with smoking, increasing the access and availability of smoking cessation programs,
and providing support to LGB community members. Our team is complete with highly motivated
and educated advocates that seek to promote wellness and serve as allies for LGB health.
Through this grant we aim to reduce the smoking rates of LGB individuals aged 12 and up,
increase the availability of smoking intervention and cessation programs, and decrease the
accessibility of tobacco products in Riverside County.
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Specific Aims

Literature Review

LGB adults have been the target of advertisements by the tobacco industry since the early

90s. As early as 1992, the Wall Street Journal published an article titled “Phillip Morris to Push

Brand on Gay Media” in response to the first tobacco advertisement in a national Lesbian, Gay,

Bisexual, Transgender (LGBT) magazine (Goebel, 1994). This advertisement campaign was the

first foray into branding tobacco products specifically for the LGB community. This

advertisement began to take a more aggressive tone in the early 2000s with Camel Brand

cigarettes purchasing one and two-page ads in LGB publications like The Advocate, and

Girlfriends, as well as a campaign that co-opted the Triangle symbol associated with gay pride to

promote American Spirits cigarettes (Goebel, 1994). This type of targeted advertisements have

changed throughout the years, but their purpose remains the same, to get members of the LGB

community to become smokers. Current studies show that members of the LGB community

report significantly higher rates of exposure to tobacco advertisements through social media

platforms when compared to non-LGB individuals, specifically advertisements for electronic

cigarettes and coupons for buying tobacco products (Emory, et al., 2018). These advertisements

have succeeded in making smoking a social aspect of the LGBT community, which historically

has had very few safe spaces to interact in other than bars and clubs, which are smoking venues

(The American Lung Association, 2014).

These advertisements have affected the rates at which LGB individuals use tobacco

products. According to the Centers for Disease Control and Prevention, the smoking rate

amongst heterosexual adults in the United States is 15.3% (Jamal et al., 2016). In comparison,

LGB adults smoke at a rate of 20.5%, which is much higher than their heterosexual counterparts
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(Jamal et al., 2016). LGB individuals who interacted with tobacco advertisements were more

likely to use tobacco products (Emory et al., 2018). Of all members of the LGB community, the

highest rates of smoking were seen within bisexual men and women (The American Lung

Association, 2014). What is more alarming is the difference in smoking rates amongst LGB

youth, ages 13-19. It is estimated that 35.4% of gay and lesbian youth smoke, and 39.6% of

bisexual youth smoke, which is stark when compared to the 18.9% of non-LGB youth who

smoke(County of Riverside Department of Public Health, 2014). It is evident that LGB

individuals begin smoking at a young age and continue smoking into adulthood.

Tobacco use is the leading cause of preventable disease and death in the United States

(The American Lung Association, 2014). LGB population may also be at risk for health

conditions that are related to smoking cigarettes, such as heart disease (CDC, 2018). Gay men

are almost two times as likely to receive a cancer diagnosis as compared to heterosexual men and

were diagnosed with cancer at a much younger age (Boehmer et al., 2011). These disparities are

seen not just among gay men, bisexual women reported a higher incidence of cervical cancer,

and bisexual men reported a higher prevalence of other cancers (Boehmer et al., 2011). Overall,

the LGB community faces lower rates of cancer screenings, higher incidences of certain cancers

and higher cancer mortality rates (Cathcart-Rake, 2018). With all of these adverse health

outcomes, it is imperative that tobacco prevention efforts target the LGB community with the

same vigor.

A study analyzing the uptake rate of smoking cessation quitlines identified that people

who identified as LGB were five times less likely to access smoking cessation through a quitline

(Burns et al., 2011). They were also 20% less likely to be aware of smoking cessation quitlines

than their heterosexual counterparts, even though they were exposed to smoking cessation
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advertisements at the same rate as their heterosexual counterparts (Fallin et al., 2015). This

disparity in access to smoking cessation quitlines points to a needed intervention that targets and

caters specifically to the LGB community.

Needs/Problems

The Lesbian, Gay and Bisexual (LGB) community make up a significant part of the

community of Riverside County, with the size of the community being somewhere between 3%-

10% of the general population of the county (County of Riverside Department of Public Health,

2014). In an era of ever-expanding comfort with differing sexual identities, it has become

apparent that there are health disparities in the LGB community, such as higher cervical cancer

rates among lesbians, higher rates of cancer diagnoses amongst bisexual men (Boehmer et al.,

2011), lower rates of cancer screenings, and higher cancer mortality rates (Cathcart-Rake, 2018),

these heath needs must be addressed in order to limit the negative health outcomes that can

occur.

A large portion of LGB individuals in Riverside County, it is imperative that these rates

be addressed. The causal connection between smoking and negative health outcomes has been

heavily studied over the past few decades. However, there is a lack of research that specifically

studies the health outcomes and effects of smoking in the LGB community. Addressing health

disparities among the targeted population will provide a path to improved health within the LGB

community.

Working Hypothesis

Providing targeted interventions that include outreach, education, and support services in

regards to smoking, we hope to decrease smoking rates within the LGB community, which will

help improve their overall health.

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General Program Plan

The goal is to host community outreach events, youth and adult coalitions, and develop

quit kits to increase access to smoking prevention and cessation resources. The program will be

fulfilling a community need and address the health disparities that affect the quality of life of the

LGB community. Ultimately, our program will be reducing health care costs, increase longevity

and access to services that will benefit our target populations needs.

Target Population

The LGB community encompasses many backgrounds and social classes. However, this

community faces many disparities that must be addressed, especially in Riverside County, given

that there is a large LGB community presence. According to Lesbian, Gay, Bisexual,

Transgender Health & Wellness Profile, lesbian, gay and bisexual Riverside residents estimate

about 4.2 % of the population and transgender residents estimate between 0.1-0.3% (Emory et

al., 2018). Riverside County is reported to be one of the largest LGBT communities per capita in

the nation. It was reported that gay men and lesbians in Riverside County have the highest levels

of education and income. Bisexuals report the lowest incomes and education levels(County of

Riverside Department of Public Health, 2014). The target population for our tobacco grant is

Lesbian, Gay, Bisexual (LGB) in Riverside County, youth and adult ages 12 years older.

Given the large presence of the LGB community in Riverside County addressing their

needs and health disparities is a major public health issue. There are many programs and services

that are present in Riverside County to help address health needs, however, there are few that

specifically target the needs of the LGB population. Programs must be created and implemented

specifically for the LGB population because the LGB population has high rates of tobacco and

alcohol use, participation in high-risk sexual behaviors, and suicide (CDC, 2019). Specifically,
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“gay men have high rates of HPV infection which, when coupled with tobacco use, increases

their risk for anal and other cancers”, as well as “LGBT individuals often have risk factors for

smoking that include daily stress related to prejudice and stigma that they may face.” (CDC,

2019).

According to the LGBT Health and Wellness Profile, in California, 1 in 10 lesbians and

gay men self-reported cancer diagnosis and nearly a quarter of all lesbians and bisexual women

reported having asthma(County of Riverside Department of Public Health, 2014). The program

will be focusing on tobacco in the LGB community because according to the CDC, “About 1 in 5

LGB adults smoke cigarettes compared with about 1 in 6 heterosexual/straight adults”. The rates

of “Cigarette smoking among LGB individuals in the U.S. is higher than among

heterosexual/straight individuals” (CDC, 2018). The program is hoping to not only provided

target interventions and education to reduce and prevent the smoking rates within the LGB

community but also raise awareness of the health disparities and needs of the population and to

encourage more research to be conducted within the LGB community to find more ways to better

serve their needs.

Approaches and Methods

To achieve the objectives of our LGB smoking intervention program, Coyotes for Health

Organization will utilize the methods discussed below. We believe these approaches are best

suited to address the needs of the Lesbian, Gay, and Bisexual (LGB) community of Riverside

County.

Goals & Objectives:

● Raise knowledge of the negative health impacts of tobacco use

● Increase the use of resources and cessation programs

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● Increase the inclusion of the LGB community into tobacco prevention activities

● Increase availability of quit kits and other cessation services.

● Increase awareness of smoking cessation services for LGB residents in Riverside County

● Reduce the initiation of tobacco use amongst the LGB community through prevention

programs.

● Reduce the rates of tobacco product use among the LGB community

● Increased cessation amongst LGB individuals ages 12 and up

● Increase policy implementations that challenge social norms of smoking and decrease the

availability of tobacco products in LGB

Activities:

● Host a Community Coalition: Host an adult and youth coalition to educate and empower

community members to have a voice and make a change in the community.

● Host an outreach activity to provide services to individuals in the community. For

example, health fairs, PRIDE-tabling event, and cancer screenings.

● Host smoking cessation courses geared specifically toward the LGB community

● Offer training for existing smoking cessation services providers on how to be more LGB

inclusive

● Within 6 months we will develop quit kits that include stress balls, gum, motivational

bracelets, and suckers to encourage individuals to quit smoking.

Timeline:

The LGB community is a priority population for tobacco control and prevention. There is

a lack of organizations who are working with the LGB community, specifically in the realm of

tobacco control and cessation. Most importantly not many programs are providing the
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wraparound services that the Coyotes for Health Organization offers. In order to assess the needs

of the population, and find avenues for tailoring services to the LGB population, a community

coalition of LGB services providers, CBO’s, community members and stakeholders will take

place. This is an essential first step for assessing the needs of the community and the available

resources, as well as bringing together other agencies and community members to create an

overall vision for LGB services in Riverside County. Through these coalition strategies for

engaging the community will be identified, the self-reported needs of community members will

be identified, as well as strategies to reduce smoking rates in the LGB community. More

importantly, this engages and gives a voice to a community that is, more often than not,

marginalized and left voiceless. This will incorporate community members, stakeholders, and

other service providers into the implementation of the proposed program. Once the community,

stakeholders, CBO’s and LGB service providers are all on the same page, we can proceed with

the creation and implementation of a smoking cessation curriculum and resource referrals. The

curriculum is the fulcrum of the program. Currently, there are no smoking cessation programs

tailored directly for the LGB community, which correlates with the low usage rates of smoking

cessation programs by the LGB community. By creating a tailored program, with input from the

community, we hope to increase usage rates and create avenues for capacity building with other

smoking cessation programs. Also, the program is focused on establishing a linkage system and

toolbox where individuals of the LGB community can receive the necessary tools to cease their

smoking or reduce the smoking rates through education and prevention. The program will offer

resources and referrals for cancer screenings, smoking cessation programs, dispersal of nicotine

gum and other medical resources to help with cessation, as well as education, and any other

resources identified during the community coalition meeting.

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Addressing health disparities within the LGB community will provide a path to improved

health within the LGB community. Once a curriculum and referral system is in place, the

Coyotes for Health Organization will organize and attend health education events, ranging from

health fairs, community events, PRIDE events, and other events that include the LGB

community. These events serve as ground zero for our activities, it is here that we will foster

open dialogue, partake in health education, and recruit LGB smokers into our smoking cessation

program. At these events, clients will be provided targeted interventions, including outreach,

education, and support services on smoking cessation. Individuals identified as smokers within

the LGB community will be provided individually tailored resources to reduce their smoking,

including a referral to various smoking cessation programs, including our own which is

specifically tailored to the LGB community, as well as Quit Kits which will provide alternatives

and simple strategies to reduce smoking. This will have the desired effect of decreasing smoking

rates within the LGB community and will help improve the overall health of the LGB

community.

The smoking cessation curriculum will be implemented and will include group meetings,

individualized counseling, and a smoking cessation warm line to provide strategies for smoking

cessation and necessary referrals to other services including nicotine gum access and other

medicinal interventions for smoking cessation.

The goal is to host community outreach events, youth and adult coalitions, and develop

quit kits to increase access to resources. The program will be fulfilling a community need and

address the health disparities that affect their quality of life of the LGB community. Targeted

programs will help cater services to a population that traditionally does not participate in

smoking cessation activities. The services provided by the Coyotes for Health Organization seek
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to address the comparatively high rates of smoking among the LGB community, as well as the

low usage rate of smoking cessation activities among the LGB community. The desired long

term results of this program would be increased access of smoking cessation services, lower rates

of tobacco uptake among LGB individuals, higher rates of smoking cessation among LGB

smokers, and ultimately lower health care costs, and longer, healthier lives for LGB individuals.

Program Evaluation Plan

The goal of the Coyotes for Health Organization is the reduction of smoking rates among

the LGB community. In order to do this several program, activities need to be implemented.

Progress on each of these activities will be captured and analyzed quarterly in order to ensure

timely and proper implementation. Each activity will have set measures that can be used to

identify progress. Coyotes for Health Organization will conduct a program evaluation to ensure

that the program is implemented in a manner that aligns with our goals and targeted measures. In

order to reduce the rate of smoking in the LGB community, an intervention program will be

implemented in Riverside County. The program will aim to increase knowledge regarding the

adverse effects of smoking by a rate of 50%, to be measured by the number of participants

enrolled in smoking cessation courses. The courses will be offered throughout the fiscal year and

require an exit survey from each participant. The target population for this program includes any

individual residing in Riverside County; that is 12 years old and above; identifies as either

lesbian, gay, or bisexual; and regularly use tobacco products.

Our primary methods of evaluation will be through tracking participant entry and

completion of our smoking cessation courses. We will also track the number of quit kits that are

disseminated during our outreach events. Through formative and summative evaluations, we can

gauge the effectiveness of each implemented course and outreach project to ensure that measures
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and learning objectives are met. Additionally, it allows us to identify barriers to implementation

and adjust program procedures. Stakeholders will be included during this process to attest to

program accomplishments and make any recommendations.

As part of our program evaluation, we will conduct a SWOT Analysis to better

understand and distinguish the strengths, weaknesses, opportunities, and threats to our program.

We will conduct a formative evaluation every quarter and a summative evaluation at the end of

the fiscal year through an annual report. The information that is gathered will be used to address

any inadequacies in our program implementation and allow us to make modifications to increase

the program’s success.

The program manager in conjunction with staff working the community coalition will be

required to report on a quarterly basis the progress of coalition objectives, attendance, and

partnerships established. The goal is to evaluate coalition infrastructure and process, measure the
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impact of programs and community resources, and evaluate the changes in smoking rates

amongst the LGB community.

Evaluation of the smoking cessation program will be conducted by our health educators

and data manager. Firstly, health educators will be required to develop a pre and post survey that

will collect both qualitative and quantitative data. The surveys will be administered at the

beginning of the smoking cessation program to establish a baseline and at the conclusion of the

program to measure changes in knowledge, attitudes, and behavior. Data collected from these

surveys will help measure if the program is helping to increase cessation amongst the LGB

individuals ages 12 and up, increase awareness of smoking cessation services, and raise

knowledge of the negative health impacts of tobacco use.

Activities, Goals, and Measures

Host a Community Coalition Meeting within the first quarter

The community coalition meetings are designed to convene healthcare professionals and

community stakeholders to advocate and promote programs to achieve better health outcomes for

the LGB community.

Measurement:

o 50 RSVPs to attend the meeting

o 5 CBO’s

o 10 Service providers

o 35 Community members and stakeholders

Needs assessment

Measurements

o Instrument
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o Data on identified needs

o Number of participants

o Needs identified

Create a targeted smoking cessation curriculum within the first quarter

The smoking cessation curriculum will be developed to specifically meet the needs of the

LGB community. It will address LGBT-specific barriers that affect their smoking activities and

access to resources.

Measurement:

o Weekly reports and presentations on progress

Implement a smoking cessation curriculum

Measurement:

o Pre and Post-test

o Number of participants

o Data on change in attitudes and knowledge

Development and dispersal of Quit Kits by the end of the second quarter

These quit kits will be handed out at outreach events and will encourage and support

smoking cessation. The kit includes stress balls, gum, encouraging quotes, educational materials,

and hotline numbers.

Measurements:

o Number of units ordered

o Number of kits made

o Number of kits dispersed

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Implement a referral system for a wide array of services for the LGB community within

the first quarter

The referral system will aide in closing the loop of services for LGB individuals who are

seeking smoking cessation assistance but are experiencing setbacks due to other barriers. (i.e.

unemployment, health related conditions, uninsured, mental health, etc.)

Measurements

o Reach out to 10 LGB service providers

o Reach out to 5 CBO’s

o Reach out to RUHS public health programs

o Development of LGB resource guide

Organize a community health fair with other LGB service providers and CBO’s by second

quarter

The purpose of a community health fair is to help individuals of the LGB community

to be healthier. The fair will help to engage members of the LGB community to a conversation

about health issues and concerns that affect their community.

Measurements

o 15 RSVP’s of service providers and CBO’s

o Data from the instrument for community needs

o Number of participants

o Needs identified

Attend an outreach event for the LGB community (Gay Pride, Pride Prom, White Party,

etc.) per quarter

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Health educators will table at local events to not only raise awareness on tobacco

prevention and offer quit kits to promote our services, but also to engage members of the LGB

community to a conversation about health issues and concerns that affect their community.

Measurements

o Number of Quit Kits dispersed

o Data from the instrument of community needs

o Number of participants

o Needs identified

Offer capacity building for other existing smoking cessation programs

o Adapt smoking cessation curriculum for capacity building

o Identify interested organizations

Agency Capacity and Project Management

The Coyotes for Health Organization has more than 10 years in providing tobacco

prevention and cessation services to the residents of Riverside County. The agency provides a

range of services that include tobacco awareness programs, advocacy and support for local

policies that decrease secondhand tobacco smoke exposure, smoking cessation programs, and

referrals to agencies for community resources.

The agency oversees a 10-member staff that are under the umbrella of the CEO and CFO

of the agency. This potentially new grant will provide an additional 8 staff members to the

already established team. This 8-new members consist of (2) health educators I, (1) health

educator II, an outreach manager, whom will report to a newly hired program manager. Also

hired will be an IT specialist and a data manager. All staff will work collectively to support the
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success of the new LGB tobacco program.This agency works collaboratively with community

organizations and volunteers to reach community members to aid in the implementation of

programs offered.

Project Management

Best practices: Evidenced based evaluation

Strategy: Provide Cessation Programs to LGB Youth and Adults

Position: Activity

Health Educator I (2) ● Provide community education outreach

● Distribute quit kits
● Distribute cessation resources

Health Educator II ● Conduct scheduled presentations on negative health effects of

tobacco, electronic cigarettes, and provide resources to cessation
programs.

Outreach Manager ● Recruitment of volunteers

● Building relationships among wide-range of agencies
● Networking for community events
● Responsible for planning program events

Program Manager ● Review and approve main project elements.

● Takes the lead on project operations.
● Writes progress reports, ensures the scope of work activities are
met during deadlines.
● Provides direction and feedback to staff.
● Conducts staff meetings to promote healthy work environment

Data Manager ● Provides assistance with developing surveys, presentation

surveys, and cessation evaluation tools.
● Collects pre and post surveys
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Program Evaluator ● Gather, analyze, and interpret data.

● Creates evaluation report at the end of the fiscal year.
● Provide knowledge and recommendations for future data
collecting

Community Support

Through strategic partnerships with an existing organization, LGB clients will be

provided a broad set of services and referrals in order to address the disparate smoking rates seen

among the LGB community. Organizations like American Lung Association, California Health

Collaborative, American Cancer Society, TruEvolution -LGBT Center, Community Centers,

Senior Center, PFLAG, The California Youth Advocacy Network, Desert Aids Project, Foothill

Aids Project, RUHS Public Health HIV and STD Program, Desert City Safe Schools, can work

together to support the LGB community. Partnering with different programs is important in

maintaining good relationships and bringing people together to support and advocate for the

needs of the LGB community. With collaborative efforts and grant funding, our goal is to work

with these organizations to help reduce the high smoking rates among the LGB individuals aged

12 and up. Overall, our goal is to increase the availability of smoking intervention and cessation

programs, but also encouraging the development and accessibility of programs that include LGB

needs within Riverside County. Community support is vital in maintaining relationships with the

target population. There is a high prevalence of tobacco use in LGB adults, which is typically

overlooked, therefore community support is important to make sure that this population can

receive the treatment that they need and that they can overcome the social stigma and

discrimination that they encounter. A program cannot be successful without the support from the

community.

Budget and Budget Justification

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PROGRAM OR PROJECT BUDGET

PROGRAM/PROJECT INCOME Fiscal Year: 1 year 2020

Source Amount Committed Amount Pending*

Support

Government grants $ 100,000 $100,000

Foundations $ 150,000

Corporations $ 150,000

United Way or federated campaigns $ 100,000

Individual contributions $ 250,000

Fundraising events and products $100,000

Investment income $850,000 $850,000

Revenue

Government contracts $150,000

Total Income $1,000,000

*Note: Pending sources of support include those requests currently under consideration. Please
indicate anticipated decision date

PROGRAM/PROJECT EXPENSES
Item Amount %
FT/PT
Salaries and wages (break down by
individual position and indicate full- or
part-time

Health Educator I $40,000 FT

Health Educator I $40,000 FT

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Health Educator II $55,000 FT

Program Manager $65,000 FT

Data Manager $45,000 FT

Program Evaluator $30,000 PT

Outreach Manager $50,000 FT

IT Specialist $50,000 FT

CEO $75,000 FT

CFO $70,000 FT

SUBTOTAL $520,000

Insurance, benefits and other related $130,000

taxes

Consultants and professional fees $70,000

Travel $50,000

Equipment $60,000

Supplies $14,400

Printing and copying $6,000

Telephone and fax $2,400

Postage and delivery $3,000

Rent and utilities $54,700

In-kind expenses $70,000

Other (specify) $19,500

Total Expense $1,000,000

Difference (Income less Expense) $0

Budget Justification
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Category
PHA
1. Salaries Request Leverage
Health Educator I (2): $40,000 $0
This position serves as a Health Educator I and is supervised by the Health Educator II. Co-
responsible for planning, development, implementation, and completion with the community
organizing, disseminate information and education activities. Responsible for building
partnerships with community-based organizations and local agencies. Attends health fairs and
assists with community presentations. Attends coalition meetings to inform agencies about the
services offered. Puts together materials needed for health events, including educational
materials and quit kits.

Position - Health Educator II $55,000

Supervises the Health Educator I positions, ensuring that they are completing their required
duties and collecting the required data. Responsible for working with community-based
organizations, community members and the media in the development of advertisements and
educational materials. Lead member in the creation of the smoking cessation curriculum, and
Participates in the duties of the Health Educator I position as needed.

Position - Program Manager: $65,000

The program manager is responsible for the planning and governing, and successfully program’s
products and activities, and is supervised by the director. The manager must ensure that the
programs are in line with the vision of the board of directors, and coordinating with the different
members of the team to maintain the fidelity of the program. They must also coordinate the
communication between the stakeholders, manage the program budget, and coordinate with the
data manager to monitor progress.

Data Manager: $45,000

The data manager works concurrently with the program manager to ensure that proper data
collection is done. They are responsible for the collection and analyzation of the survey
instruments, pre and post surveys, and outcomes. They report to the CEO and also play a pivotal
role in program evaluation, ensuring that the required data is present for the part-time program
evaluator.
Position - Program Evaluator: $30,000
The program evaluator works closely with the Data Manager and Program Manager to ensure the
program activities documentation such as surveys, training, and quit kits are properly analyzed.
Assessing these materials will demonstrate if the program activities are effective.
Outreach Manager: $50,000
Outreach Manager is responsible for the recruiting of volunteers, communicating with liaisons,
and networking with agencies to increase cessation programs participants. In addition
responsible for program events and participating in community events.
IT Specialist: $50,000
The Information Technology Specialist ensures that there is access to the required technology for
proper functioning. Makes sure that the required technology is functioning and serves to
troubleshoot any issues during operation.
CEO: $75,000
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The Chief Executive Officer is the face of the organization. They are responsible for making
decisions on the operation of the program. They are responsible for the vision and overall
direction of the activities done, as well as an essential role in securing grant funding, along with
other funding sources. They work with stakeholders, community leaders, CBO’s, county
officials, and politicians in guiding the program and finding alternate funding sources to ensure
the continued operation of the organization.
CFO: $70,000
The Chief Financial Officer is responsible for the financial aspects of the organization. They are
directly responsible for the budget of the organization, ensuring that money is allocated as
required and that the office space and employee positions are funded. They report to the CEO on
the financial status of the organization, budgetary issues and possible avenues for funding,
including capacity building activities.
2. Fringe Benefits $130,000 $0

Benefits were calculated to be roughly 30% of the employee salary. This covers paid time off,
health insurance, life insurance, social security, medicare taxes, workers compensation insurance,
unemployment tax and retirement benefits.
3. Consultant Fees $70,000 $0

This is estimated for the fees, consultant services and trainings will be provided as required to
staff from outside agencies.

4. (a) Travel – Local Private Vehicle $10,000 $0

Travel in private vehicles will be paid at the rate of .58 cents per mile. Travel includes meetings
with community partners, health fairs, presentations to community members, etc.

(b) Travel – Transportation, Airfare $30,000 $0

This amount is estimated for transportation for all staff.

(c) Travel – Per Diem/Subsistence $10,000 $0

Estimated cost for tobacco conferences, cessation training, and flavored tobacco conference.
PHA
5. Consumable Supplies and Materials Request Match

General Office Supplies $14,400 $0

The estimated cost will cover expenses for general office supplies, including paper, pens,
paperclips, binders, notepads, easel pads, files tablets for the surveys, envelopes and other
mailing and office materials.

Archival Materials $10,000 $0

 25

Estimated cost for archival materials and supplies.

Miscellaneous $4,400 $0

Miscellaneous items will include extra costs that were not accounted for and/or for additional
activities with the community coalition.

6. Services $85,600 $0

Communications $2,400 $0

Estimated cost for communications costs for all staff, including telephone, online services, fax
lines, and internet access.

Printing Services $6,000 $0

Estimated cost for printing services, including printing of archival documents, education
materials, agendas, coalition meeting materials, announcements, and other mail outs.

Postage $3,000 $0

Estimated cost for mail-outs and postage.

Facilities Cost $54,700 $0

The total estimated cost of rent and utilities for a small office space for the year to house
employees.

Staff Training $19,500 $0

This is the estimated cost to provide culturally competent cessation trainings for staff that fit
the needs for our targeted population.

PHA
Request Match

7. Other Costs $60,000 $0

Equipment $60,000 $0

Estimated cost for computers and in house printing and machine maintenance.
8. Indirect

External/Internal Administrative Costs $70,000 $0

 26

IT Support $40,000
Human Resources $30,000

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https://www.rivcoph.org/Portals/0/LGBT_Health_Wellness_2014.pdf

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