“Expanding Comprehensive HIV Prevention Programs for People Who Inject Drugs and People Who Use Drugs in the United Republic of Tanzania under the President’s Emergency Plan for AIDS Relief (PEPFAR)” TANZANIZ | Apply Online

Opportunity Summary:

This funding opportunity, titled "Expanding Comprehensive HIV Prevention Programs for People Who Inject Drugs and People Who Use Drugs in the United Republic of Tanzania under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a continuation cooperative agreement issued by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (HHS-CDC), specifically through CDC's Center for Global Health. The notice was posted on May 27, 2016, with an application closing date of July 26, 2016. It is framed as part of PEPFAR, meaning it sits within the U.S. government's broader global HIV response and is focused on scaling and strengthening evidence-based prevention approaches for populations at elevated risk of HIV acquisition and transmission in Tanzania, particularly people who inject drugs (PWID) and people who use drugs (PWUD).

The mechanism is a cooperative agreement, which matters because it signals substantial ongoing involvement by CDC in the technical direction of the work, not just a one-time grant payment. In practice, cooperative agreements typically involve CDC collaboration on program design refinements, monitoring and evaluation expectations, alignment with national and PEPFAR strategies, and ensuring that interventions meet required technical standards. The listing shows the opportunity category as "continuation," which usually indicates it is intended to extend or expand an existing, previously funded project rather than launch a completely new effort from scratch. The activity category is health, and the CFDA number is 93.067, which corresponds to CDC's global HIV/AIDS program authorities used for international HIV prevention, care, and treatment-related work.

The program purpose, as stated in the title and brief description, is to expand comprehensive HIV prevention programming for PWID and PWUD in Tanzania. Comprehensive prevention in this context generally implies a combination approach rather than a single intervention, typically integrating multiple services that reduce HIV risk and improve linkage to care. For people who inject drugs, comprehensive prevention commonly includes outreach and peer-led engagement, HIV testing services and linkage to antiretroviral therapy for those who test positive, condom promotion, sexually transmitted infection screening and treatment, and harm reduction measures that reduce transmission through unsafe injecting practices. Although the short notice does not list specific required interventions, PEPFAR and CDC harm reduction-oriented prevention for PWID often emphasizes proven strategies like safer injection education, access to sterile injecting equipment where permitted, overdose prevention integration where feasible, and strong referral pathways into medication-assisted treatment and other substance use treatment services when available. For people who use drugs more broadly (including non-injecting drug use), programs frequently focus on sexual risk reduction, consistent HIV testing, prevention commodities, risk counseling, and removing barriers to accessing general health and HIV services.

Geographically and programmatically, the opportunity is explicitly anchored in the United Republic of Tanzania and tied to PEPFAR, which typically means the work must align with Tanzania's national HIV response architecture and PEPFAR's annual planning and performance framework. PEPFAR-funded HIV prevention programs usually prioritize measurable outcomes such as increased HIV status awareness among key populations, improved linkage to treatment for HIV-positive individuals, improved retention in prevention and care services, and reductions in risk behaviors. They also commonly require robust monitoring and evaluation, routine reporting, and use of standardized indicators so results can be aggregated into national and PEPFAR reporting systems. Because PWID and PWUD are often stigmatized and face legal and social barriers, comprehensive programs also tend to include elements designed to improve access and quality, such as stigma reduction, training for healthcare workers, community-based service delivery models, and partnerships with local organizations that have credibility with the target communities.

The eligible applicant type listed for this announcement is "city or township governments," which indicates that local government entities were the intended applicant pool for this continuation action. The posting also notes an expected number of awards of one, which strongly suggests this was structured for a single recipient to carry forward and expand an ongoing program footprint, rather than fund multiple competing implementers. The award ceiling is shown as zero in the source data, which is a common artifact in some postings and does not necessarily mean the award size is literally zero; it often means the ceiling was not specified in the publicly displayed field or was determined through internal continuation funding parameters rather than a competed ceiling.

In summary, the opportunity is a CDC-issued, PEPFAR-supported continuation cooperative agreement aimed at expanding integrated HIV prevention services for PWID and PWUD in Tanzania. It is designed to build on existing efforts, with close CDC involvement, and to strengthen comprehensive, combination prevention programming and the service delivery systems that reach people who use drugs, with the overarching goal of reducing HIV transmission risk and improving connection to HIV testing, prevention, and treatment services in this high-priority population.

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