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Promoting Pediatric Primary Prevention (P4 Challenge)

Innovations in Pediatric Primary Care to Improve Child Health

Department of Health and Human Services - Health Resources and Services Administration, Maternal and Child Health Bureau

Total Cash Prizes Offered: Up to $1,000,000
Type of Challenge: Software and apps, Ideas, Technology demonstration and hardware
Submission Start: 12/02/2020 09:00 AM ET
Submission End: 03/15/2021 05:00 PM ET


Recent CDC data show that fewer vaccines have been given during the pandemic, and that to avoid outbreaks of vaccine-preventable diseases and keep children protected, vaccinations and well-child visits are essential. As noted by CDC, observed declines in vaccination coverage might leave young children and communities vulnerable to vaccine-preventable diseases such as measles. Additionally, well-child visits are also noted to have declined since the COVID-19 emergency pandemic. These visits are an important venue for counseling as well as administration of vaccines. At these visits, parents can raise concerns about physical problems, as well as about a child’s behavior and mental health. Providers can screen for developmental delays and offer personalized guidance on healthy nutrition, exercise and safety.

It’s important to get the message out to parents and caregivers that children should maintain well-child visits, as well as continue to get timely vaccinations in their medical home, and ensure that children who may not be up-to-date with vaccines quickly catch up with ACIP-recommended vaccinations.

Applicants will propose and implement innovative approaches to increase well-child visits and immunizations within primary care settings.


Total Cash Prize Pool: Up to $1,000,000

Prize Breakdown:

A prize purse of $1,000,000 is available for this prize challenge. The Phase 1 prize purse is $500,000. We expect to select up to 50 Phase 1 winners to progress on to Phase II. Each Phase 1 winner will win $10,000 upon selection. Please note - in the event we choose fewer than 50 Phase 1 winners, the $500,000 will be split evenly among those teams selected.

The Phase 2 prize purse is $500,000. We expect to award up to 20 Phase 2 winners who will each be awarded up to $25,000. Please note - in the event we choose fewer than 20 Phase 2 winners, the $500,000 will be split evenly among those teams selected.

Non-monetary Prizes: 

Winning approaches will be promoted widely by MCHB and key partners.



To be eligible to win a prize under this Challenge, an individual or entity:

  • Must be based in or targeting a community with infant mortality rates that are high or increasing above the national average. Infant mortality is a well-accepted general marker of community health; projects in this challenge will focus on high-risk communities.
  • Must be submitting on behalf of or in partnership with a primary care provider (partnerships with community partners are encouraged)

Additionally, applicants:

  • Shall have complied with all the requirements under this section.
  • In the case of a private entity, shall be incorporated and maintain a primary place of business in the United States and in the case of an individual, whether participating singly or in a group, shall be a citizen or permanent resident of the United States.
  • May not be a federal entity or federal employee acting within the scope of their employment.
  • Shall not be an HHS employee working on their applications or submissions during assigned duty hours.
  • May not be employees of HRSA or any other company, organization, or individual involved with the design, production, execution, judging, or distribution of the Challenge and their immediate family (spouse, parents and step-parents, siblings and step-siblings, and children and step-children) and household members (people who share the same residence at least three (3) months out of the year).
  • Federal grantees may not use federal funds to develop COMPETES Act Challenge applications unless consistent with the purpose of their grant award.
  • Federal contractors may not use federal funds from a contract to develop COMPETES Act Challenge applications or to fund efforts in support of a COMPETES Act Challenge submission.
  • An individual or entity shall not be deemed ineligible because the individual or entity used federal facilities or consulted with federal employees during a competition if the facilities and employees are made equitably available to all individuals and entities participating in the competition.
  • Entrants must agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from participation in this prize contest, whether the injury, death, damage, or loss arises through negligence or otherwise.
  • Entrants must also agree to indemnify the Federal Government against third-party claims for damages arising from or related to competition activities.
  • The government will not select as a winner an individual who is currently on the Excluded Parties List.

Additional Information:

  • No HHS or HRSA logo—The intervention must not use HHS or HRSA logos or official seals in the submission, and must not claim endorsement.
  • General Conditions: HRSA reserves the right to cancel, suspend, and/or modify the Contest, or any part of it, for any reason, at HRSA’s sole discretion.
  • Each entrant retains full ownership in and title to their submission. As an entrant, you reserve all intellectual property rights not expressly granted under the Challenge agreements. However, by participating in the Challenges, you, as an entrant, irrevocably grant HRSA a limited, non-exclusive, royalty-free, worldwide license and right to reproduce, publicly perform, publicly display and use the submission for internal HHS business, and to the extent necessary to administer the Challenge, and to publicly perform and publicly display the submission, including, without limitation, for advertising and promotional purposes relating to the Challenge.

Judging Criteria

Phase one: Teams will submit a 3-5 page proposal and will be evaluated on:

  • description of the project area (infant mortality rate, baseline rate of one performance measure)
  • proposed innovative approach to increase well-child visits and/or immunizations
  • identified project partners

Performance measures may include:

  • Well-child visits (entire population)
  • Well-child visit disparities (comparing measure across two or more subpopulations)
  • Immunizations (entire population)
  • Immunization disparities (comparing measure across two or more subpopulations)

Phase two: Teams will deploy the proposed innovation for six months using the prize funding and submit a progress summary, which will be evaluated on:

  • the updated performance measure;
  • description of implementation of the innovation;
  • collaboration with key partners;
  • plans for sustainability; and
  • potential for adoption/adaption for other settings.

How to Enter

Please check back here for submission information.

Point of Contact

Have feedback or questions about this challenge? Send the challenge manager an email