Opportunity Information: Apply for APS OAA 15 000005
Apply for APS OAA 15 000005
- The Agency for International Development in the health sector is offering a public funding opportunity titled "Addendum 1 Community Health Workers Programming under the Integrating Community Health APS" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001 USAID Foreign Assistance for Programs Overseas.
- This funding opportunity was created on May 21, 2015 and posted on May 21, 2015.
- Applicants must submit their applications by Jun 30, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $10,000,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Only local Applicants may apply under Category 1. All eligible Applicants may apply under Category 2. Local Applicants must meet the following definition Non profit or for profit that is not affiliated with a foreign government, including universities, professional associations, etc. A non U.S. local/national NGO must 1) Be a local non governmental organization organized under the laws of the country or region of the proposed activity 2) Have its principal place of business in the country or region of the proposed activity 3) Be managed by a governing body, the majority of which consists of citizens or lawful permanent residents of the country or region of the proposed activity 4) Not be controlled by a foreign entity or by an individual or individuals who are not citizens or permanent residents of the recipient country 5) Attach official documentation of its formal legal status as an NGO in the host country or in a country in the region. Local/national NGOs are not required to register with USAID and 6) if a for profit, profit must be waived per USAID policy. Individuals and governments are not eligible to apply.
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Opportunity Summary:
Addendum 1 on Community Health Workers (CHW) Programming under the Integrating Community Health APS (APS OAA 15 000004) is a USAID grant opportunity designed to strengthen community health worker programs so they can expand effectively, stay high quality at scale, and ultimately improve population health. The core idea is straightforward: many countries have CHW initiatives, but they are often fragmented, uneven in quality, and difficult to sustain. USAID is looking for applicants who can help governments and partners identify what is holding CHW programs back, test and apply practical solutions, and make sure the learning is translated into real decisions and improvements from community level operations all the way up to national policy and planning.
The opportunity is framed around increasing the effective coverage of high impact health and nutrition interventions. In practice, this means the focus is not only on whether CHWs exist or whether services are offered, but whether communities are actually receiving and benefiting from proven interventions at sufficient quality and reach. The addendum emphasizes tackling the barriers that prevent CHW programming from scaling up and remaining strong over time, including issues that sit across the broader community health system such as supervision, incentives and motivation, supply chains, referral linkages, information systems, training, workload, financing, governance, and coordination among multiple implementing partners.
A central priority is harmonization. USAID explicitly calls out the problem of fragmented CHW programming, where different donors, NGOs, or projects may run parallel systems with different training packages, tools, reporting requirements, or incentive structures. Applicants are expected to play a substantive role in reducing that fragmentation by supporting better alignment and shared approaches. This includes identifying knowledge gaps in how CHW programs are planned and implemented and then generating and translating new knowledge so it influences decisions and actions at multiple levels. The addendum encourages a joint community health and health systems lens, meaning proposals should not treat CHWs as an isolated workforce issue; they should connect CHW performance to the larger system that enables or constrains what CHWs can do.
Community engagement is highlighted as a key lever for improving CHW performance and impact. USAID is signaling that strong CHW programs are not just technically well designed; they are rooted in trusted relationships with communities, responsive feedback mechanisms, local accountability, and structures that help communities shape priorities and monitor service quality. Applicants are encouraged to strengthen how communities engage with and support CHWs, with the expectation that better engagement leads to better performance, utilization, and health outcomes.
The addendum outlines three main ways applicants should use the funding. First, support governments and partners in identifying the most critical barriers affecting the scale and sustainability of high quality CHW programming. Second, develop local and national capacity and leadership so that a data-driven approach to identifying problems and implementing solutions becomes institutionalized rather than remaining project-based. Third, document the actions taken to identify and overcome barriers and demonstrate what effect those actions had on CHW performance, along with the broader influence on policies, systems, and programs. The documentation requirement is not just about reporting activities; it is about capturing credible learning and showing how that learning affected decisions and reforms.
From an administrative and funding standpoint, this is a discretionary USAID foreign assistance opportunity (CFDA 98.001) offered through a cooperative agreement, which typically means USAID expects substantial involvement during implementation compared to a more hands-off grant. USAID anticipated making around 10 awards, with an award floor of $1,000,000 and an award ceiling of $10,000,000. Cost sharing or matching is required, so applicants need to plan for contributing resources in line with USAID requirements. The opportunity was posted May 21, 2015, with a closing date of June 30, 2015, and it was archived July 30, 2015.
Eligibility is structured in categories. Only local applicants may apply under Category 1, while Category 2 is open to all eligible applicants. The definition of a local applicant is detailed and centers on being a non-profit or for-profit entity not affiliated with a foreign government, with the organization legally established in the country or region of the proposed activity, principally based there, governed primarily by citizens or lawful permanent residents of that country or region, and not controlled by a foreign entity or non-resident individuals. Local NGOs must provide official documentation of legal status. Local/national NGOs are not required to register with USAID, and if the applicant is a for-profit entity, profit must be waived per USAID policy. Individuals and governments are not eligible to apply.
Overall, this addendum is best understood as a call for practical, system-oriented CHW programming that helps countries move from scattered, project-by-project CHW efforts toward coordinated, sustainable national approaches. USAID is looking for implementers who can diagnose constraints with governments, build enduring local leadership and analytic capacity, strengthen community engagement, and produce actionable evidence that changes how CHW programs are run and supported at scale. For questions or access issues, the announcement lists Courtney Magill, Contract Specialist, at 202-567-4097.
Frequently Asked Questions (FAQs)
1) What is this USAID funding opportunity?
This opportunity is "Addendum 1 on Community Health Workers (CHW) Programming" under the Integrating Community Health APS (APS OAA 15 000004). It is a USAID foreign assistance grant opportunity focused on strengthening community health worker programs so they can expand effectively, maintain high quality at scale, and improve population health.
2) What is the main purpose of the addendum?
The core purpose is to help countries move from fragmented, uneven CHW efforts to coordinated and sustainable approaches. USAID is looking for applicants that can help governments and partners identify what is holding CHW programs back, test and apply practical solutions, and ensure learning translates into real improvements from community-level operations up through national policy and planning.
3) What outcomes is USAID trying to achieve through CHW programming?
The addendum is framed around increasing the effective coverage of high impact health and nutrition interventions. The emphasis is not just on whether services exist, but whether communities actually receive and benefit from proven interventions at sufficient quality and reach.
4) What kinds of barriers does USAID want applicants to address?
USAID highlights barriers that limit scale, quality, and sustainability of CHW programming, including cross-cutting community health system issues such as supervision, incentives and motivation, supply chains, referral linkages, information systems, training, workload, financing, governance, and coordination among multiple implementing partners.
5) What does USAID mean by "harmonization" in this addendum?
Harmonization refers to reducing fragmented CHW programming where donors, NGOs, or projects run parallel systems with different training packages, tools, reporting requirements, or incentive structures. Applicants are expected to play a substantive role in improving alignment and shared approaches across actors.
6) Is the focus only on CHWs as a workforce, or broader than that?
It is broader than workforce issues. The addendum encourages a joint community health and health systems lens, connecting CHW performance to the wider system that enables or constrains what CHWs can do (for example: supply chains, supervision, information systems, referral systems, financing, governance, and coordination).
7) How important is community engagement in this opportunity?
Community engagement is highlighted as a key lever for improving CHW performance and impact. USAID signals that strong CHW programs are rooted in trusted relationships with communities, responsive feedback mechanisms, local accountability, and structures that allow communities to shape priorities and monitor service quality.
8) What are the three main ways applicants are expected to use the funding?
USAID outlines three main uses:
- Support governments and partners to identify the most critical barriers affecting the scale and sustainability of high quality CHW programming.
- Develop local and national capacity and leadership so data-driven problem identification and solution implementation become institutionalized rather than project-based.
- Document actions taken to identify and overcome barriers, demonstrate effects on CHW performance, and show influence on policies, systems, and programs.
9) What does "document actions and demonstrate effects" mean in practice?
Based on the addendum description, documentation is not limited to listing activities. The expectation is to capture credible learning about what was done to overcome barriers, what effect those actions had on CHW performance, and how that learning influenced decisions and reforms across policies, systems, and programs.
10) What type of USAID award mechanism is being used?
The opportunity is offered through a cooperative agreement (a discretionary USAID foreign assistance opportunity under CFDA 98.001). A cooperative agreement typically means USAID expects substantial involvement during implementation compared to a more hands-off grant.
11) How many awards did USAID anticipate making, and what is the funding range?
USAID anticipated making around 10 awards. The award floor is $1,000,000 and the award ceiling is $10,000,000.
12) Is cost sharing or matching required?
Yes. Cost sharing or matching is required, so applicants are expected to contribute resources in line with USAID requirements.
13) Who is eligible to apply?
Eligibility is organized into categories:
- Category 1: Only local applicants may apply.
- Category 2: Open to all eligible applicants.
14) How does USAID define a "local applicant" for this opportunity?
A local applicant is defined (as described in the announcement) as a non-profit or for-profit entity not affiliated with a foreign government, legally established in the country or region of the proposed activity, principally based there, governed primarily by citizens or lawful permanent residents of that country or region, and not controlled by a foreign entity or non-resident individuals.
15) What documentation is required for local NGOs?
Local NGOs must provide official documentation of legal status.
16) Do local or national NGOs need to register with USAID to apply?
The addendum states that local/national NGOs are not required to register with USAID.
17) Can for-profit entities apply, and can they earn profit under the award?
For-profit entities may apply, but profit must be waived per USAID policy, as stated in the announcement.
18) Are individuals or governments eligible to apply?
No. Individuals and governments are not eligible to apply.
19) What problem is USAID trying to solve with this addendum?
USAID is responding to the reality that many countries have CHW initiatives that are often fragmented, uneven in quality, and difficult to sustain. This addendum seeks practical, system-oriented support to diagnose constraints, strengthen coordination, build enduring capacity, and translate learning into decisions and reforms that improve CHW programs at scale.
20) What are the key dates for this opportunity?
The opportunity was posted on May 21, 2015, and the closing date was June 30, 2015. It was archived on July 30, 2015.
21) Who can be contacted for questions or access issues?
The announcement lists Courtney Magill, Contract Specialist, at 202-567-4097.
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