# Puerto Rico Collaborative Advancement of Research, Innovations, Best Practices and Equity for Children, Youth and Families (PR-CARIBE)

> **NIH NIH OT2** · GRUPO NEXOS INC. · 2024 · $375,000

## Abstract

Puerto Rico Collaborative Advancement of Research, Innovations, Best Practices and Equity for
Children, Youth and Families (PR-CARIBE) employs a Collective Impact approach to co-create a
structural intervention research strategy with equity focus. Poverty is the structural barrier fueling health
disparities in PR. Kids Counts Puerto Rico1 found that 57% of children and youth live under poverty levels
with a median household income of $21,492. Positions PR as the jurisdiction with the highest economic and
social inequality for children and youth in the US. Our main challenge is to reduce child poverty, increase
mobility opportunities that foster equity, wellness, and healthy development. Intervening in the social context
providing additional resources for children and youth from less privileged socioeconomic status to attain their
full health potential is paramount.
Collective Impact provides PR-CARIBE’s HERA tools to launch structural changes through policies,
practices, and programs impacting selected health outcomes. PR is on the threshold of structural change. At
the policy and practice level between 2019-2022 various stakeholder groups in PR developed relevant needs
assessments, strategic plans and laws providing data driven roadmaps to scale-up strategies in a coordinated
and sustainable way.
PR-CARIBE overall approach is guided by the National Academies of Sciences3 conceptual model to
leverage opportunities advancing health equity across the life span which illustrates complex
sociocultural environment shaping development at the individual level and opportunities to improve
individual health, developmental outcomes, population health, well-being, and health equity.
PR-CARIBE innovates advancing methods to design, implement, and evaluate structural interventions
transferable to resource-poor communities.
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## Key facts

- **NIH application ID:** 11167939
- **Project number:** 3OT2OD035677-01S1
- **Recipient organization:** GRUPO NEXOS INC.
- **Principal Investigator:** Cristina Adames
- **Activity code:** OT2 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $375,000
- **Award type:** 3
- **Project period:** 2023-09-22 → 2029-05-20

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11167939

## Citation

> US National Institutes of Health, RePORTER application 11167939, Puerto Rico Collaborative Advancement of Research, Innovations, Best Practices and Equity for Children, Youth and Families (PR-CARIBE) (3OT2OD035677-01S1). Retrieved via AI Analytics 2026-07-25 from https://api.ai-analytics.org/grant/nih/11167939. Licensed CC0.

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