Accountable and Coordinated HIV/AIDS Services by Regional Health Management Teams in the United Republic of Tanzania under the President s Emergency Plan for AIDS Relief (PEPFAR) | Apply Online

Opportunity Summary:

This funding opportunity, titled "Accountable and Coordinated HIV/AIDS Services by Regional Health Management Teams in the United Republic of Tanzania under PEPFAR," is a CDC cooperative agreement designed to strengthen and sustain HIV/AIDS services in Tanzania by putting regional government health leadership in a more central, accountable role. The program focuses on supporting HIV prevention, care and support, and treatment services that were previously initiated under PEPFAR-funded HIV clinical services and antiretroviral treatment efforts supported by HHS/CDC and HHS/HRSA. A core theme running through the announcement is the shift toward local leadership and ownership, where Tanzanian regional structures are positioned not only to oversee implementation, but also to coordinate, supervise, and continuously improve service quality as HIV programs expand.

The main purpose is twofold: first, to ensure continuity and quality of HIV services already underway; and second, to build the long-term technical and managerial capacity of Tanzanian entities that will be responsible for managing those services. The announcement specifically targets Regional Health Management Teams (RHMTs) and Regional Medical Offices (RMOs), emphasizing that these government-led regional bodies should have the tools, systems, and skills to direct HIV care and treatment activities across their respective regions. The intent is to make HIV service delivery more coordinated at the regional level, better supervised, and more responsive to program performance and patient needs, while also aligning with national oversight through the Ministry of Health and Social Welfare (MOHSW).

The opportunity lays out three priorities. The first priority is capacity-building for RHMTs, with an emphasis on strengthening managerial, organizational, communication, and technical competencies. This implies building the practical systems that keep programs running well: planning and coordination, performance monitoring, data use, staff management, communication across districts and facilities, and technical understanding of HIV program components. The second priority is to support RHMTs, under the leadership of the Regional Medical Officer, to carry out supportive supervision of HIV services and to coordinate HIV/AIDS treatment and related services throughout each region. In practice, this means RHMTs are expected to play an active role in mentoring and overseeing service delivery sites, identifying gaps, promoting adherence to standards, and ensuring that treatment, prevention, and support services are organized in a way that patients can access consistently across districts. The third priority focuses on the role of RMOs as channels for US Government (USG) funds to district health systems, while also supporting activities that help RHMTs identify, leverage, and attract additional external resources. This part of the announcement signals an expectation that regions will not only manage PEPFAR-supported work responsibly, but will also strengthen their ability to mobilize complementary donor support and coordinate financing in a way that benefits district-level implementation.

Administratively, this is a discretionary grant using a cooperative agreement funding instrument, which generally indicates substantial involvement by the funding agency (CDC) in program direction, coordination, or technical input compared with a standard grant. The activity category is health, and the CFDA number listed is 93.067 (Global AIDS). The estimated total funding amount is USD 10,000,000, with an expectation of about five awards. No cost sharing or matching is required. While the notice lists award ceiling and floor as 0, that typically reflects that specific award amounts are determined through the application and budgeting process rather than being pre-set in the summary.

Eligibility is limited and very specific: applicants must be Tanzania's Regional Health Management Teams operating under MOHSW authority, serving one of the named geographic regions. The regions listed are Arusha, Pwani (Coast), Dar es Salaam, Kagera, Kigoma, Kilimanjaro, Lindi, Manyara, Mara, Mtwara, Mwanza, Pemba, Shinyanga, Tabora, Tanga, and Zanzibar. In other words, this opportunity is designed for government regional health structures rather than NGOs, universities, or private entities, and it aims to strengthen the public-sector system that coordinates HIV services across multiple districts and facilities.

The timeline in the source data indicates the opportunity was posted on February 12, 2011, created in the system on April 11, 2011, and originally closed on April 13, 2011, with a current closing date shown as April 27, 2011. The archive date is May 27, 2011, meaning this is an older, archived funding opportunity rather than an active solicitation today. The funding agency is the Centers for Disease Control and Prevention (CDC). For access or technical issues related to the full announcement at the time, the contact listed is the CDC Procurement and Grants Office Technical Information Management Section (TIMS) at 770-488-2700.

Overall, the grant opportunity is best understood as a system-strengthening and service-coordination investment meant to institutionalize HIV program leadership within Tanzania's regional health governance. It supports RHMTs and RMOs in taking on stronger roles in supervision, coordination, resource management, and technical stewardship of HIV prevention and treatment programs, with the broader PEPFAR goal of sustaining and expanding quality HIV services through durable local ownership.

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