Opportunity Information: Apply for CDC RFA GH15 1540
Apply for CDC RFA GH15 1540
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Building Institutional Capacity to Improve HIV TB Care and Treatment Service Quality in India under the Presidents Emergency Plan for AIDS Relief (PEPFAR)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.067 Global AIDS.
- This funding opportunity was created on Aug 29, 2014 and posted on Aug 29, 2014.
- Applicants must submit their applications by Oct 15, 2014. (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 $750,000.00 in funding.
- The number of recipients for this funding is limited to 2 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants that can apply for this FOA are listed below Government Organizations National Ministries of Health State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau) . American Indian/Alaska Native tribal governments (federally recognized or state recognized) Political subdivisions of States (in consultation with States) Non government Organizations American Indian/Alaska native tribally designated organizations Alaska Native health corporations Tribal epidemiology centers Urban Indian health organizations Nonprofit with 501C3 IRS status (other than institution of higher education) Nonprofit without 501C3 IRS status (other than institution of higher education) Research institutions (that will perform activities deemed as non research) Colleges and Universities Community based organizations Faith based organizations For profit organizations (other than small business) Hospitals Small, minority, and women owned businesses All Other eligible organizations
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Opportunity Summary:
The grant opportunity, titled "Building Institutional Capacity to Improve HIV TB Care and Treatment Service Quality in India under the Presidents Emergency Plan for AIDS Relief (PEPFAR)," is a CDC-funded cooperative agreement focused on strengthening India s ability to deliver higher quality, better connected HIV and TB services. It is framed around a central reality: India has one of the largest HIV burdens globally, with an estimated 2.09 million people living with HIV, and while the country has rapidly expanded antiretroviral treatment services, persistent system and service delivery gaps are keeping many people from being diagnosed early, enrolled promptly, retained in care, and successfully treated.
The background described in the announcement highlights both progress and the remaining bottlenecks. India s national ART program scaled from eight ART centers in 2004 to more than 420 centers by 2014, and about 750,000 people were receiving ART out of roughly 1.1 million considered eligible at the time. Even with that expansion, the opportunity underscores a large and continuing loss of patients along the care continuum. The notice points to major drop offs from HIV testing to enrollment in care, from enrollment to retention, and from retention to sustained treatment, estimating that more than 200,000 patients are lost at each stage. It also emphasizes underlying causes, including limited human capacity, late HIV detection, and difficulty keeping patients engaged once they enter the system.
A major focus of the grant is the HIV TB interface, where service integration and referral systems are described as incomplete. Although India has made progress implementing HIV TB activities, the CDC notes important gaps in how HIV programs link with the Revised National Tuberculosis Control Program (RNTCP), especially in northern states where capacity and infrastructure are more limited. The announcement calls out weak performance in two directions: TB patients are not consistently screened for HIV, and people identified within HIV testing and care services are not being referred or linked effectively into TB services. The example figures provided illustrate these weaknesses: in the prior year referenced, only 61 (as written in the notice) of TB patients were screened for HIV and knew their status, and among those found HIV positive, 85 were linked to ART. At the same time, referrals from HIV testing and care facilities to RNTCP are described as quite low, indicating that co infected patients may be missed, diagnosed late, or treated in fragmented ways that reduce outcomes.
From a funding and administrative standpoint, this was a discretionary funding opportunity administered by the Centers for Disease Control and Prevention under CFDA 93.067 (Global AIDS) and funded through PEPFAR. The instrument type is a cooperative agreement, which typically means CDC expects substantial involvement in technical direction, collaboration, and monitoring rather than providing funds with minimal federal engagement. The opportunity anticipated making two awards, with an award ceiling of USD 750,000. No cost sharing or matching was required. Key dates listed include a posted and creation date of Aug 29, 2014, an application closing date of Oct 15, 2014, and an archive date of Nov 14, 2014.
Eligibility was broad and included a wide range of public and private entities. Eligible applicants included government organizations (such as national ministries of health, state and local governments and their agents, and certain U.S. territorial and tribal government entities) as well as non government organizations. The NGO categories included nonprofits with or without 501(c)(3) status, research institutions conducting non research activities, colleges and universities, community based and faith based organizations, hospitals, for profit organizations (other than small business), and small, minority, and women owned businesses, along with other eligible organizations as allowed in the full eligibility clarification.
In practical terms, the opportunity is aiming to build institutional capacity so that Indias HIV program can move from rapid scale up to consistently high quality service delivery, with fewer losses between testing and treatment and stronger two way linkages between HIV and TB systems. The overarching intent is to improve how programs function on the ground: better trained and supported staff, tighter referral and follow up mechanisms, more effective coordination between HIV and TB services, and stronger retention approaches so that people do not fall out of care before they can benefit from lifelong treatment. For applicants, the implicit expectation is to propose activities that close those well documented gaps, especially in areas where program capacity and infrastructure are weakest and where HIV TB coordination is currently underperforming.
For technical or access issues related to the full announcement, the contact listed was the CDC Procurement and Grants Office, Technical Information Management Section, reachable by email at pgotim@cdc.gov or by phone at 770-488-2700.
Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Building Institutional Capacity to Improve HIV TB Care and Treatment Service Quality in India under the Presidents Emergency Plan for AIDS Relief (PEPFAR)."
Which federal agency is funding and administering this opportunity?
This is a Centers for Disease Control and Prevention (CDC) funded opportunity administered by the CDC.
What type of funding mechanism is being used?
The instrument type is a cooperative agreement. This typically indicates substantial CDC involvement in areas such as technical direction, collaboration, and monitoring (rather than minimal federal involvement).
What program listing or CFDA number is associated with this opportunity?
The announcement lists CFDA 93.067 (Global AIDS).
What is the source of funds for this opportunity?
Funding is provided through the Presidents Emergency Plan for AIDS Relief (PEPFAR).
What is the main goal of the grant?
The central goal is to strengthen institutional capacity in India to deliver higher quality and better connected HIV and TB services, with a focus on reducing losses along the HIV care continuum and improving the HIV-TB service interface.
Why does the announcement emphasize quality improvement and system strengthening in India?
The notice explains that India has one of the largest HIV burdens globally (estimated 2.09 million people living with HIV) and, despite rapid expansion of antiretroviral treatment (ART) services, persistent system and service delivery gaps continue to delay diagnosis, slow enrollment, reduce retention, and limit sustained treatment success.
What specific service delivery gaps does the notice highlight along the HIV care continuum?
The announcement describes major drop-offs from HIV testing to enrollment in care, from enrollment to retention, and from retention to sustained treatment. It estimates that more than 200,000 patients are lost at each stage.
What underlying causes of patient losses are mentioned?
The notice cites limited human capacity, late HIV detection, and difficulty keeping patients engaged once they enter the system as key contributors to losses along the continuum.
How does the opportunity describe the scale-up of Indias ART program?
It notes the national ART program expanded from eight ART centers in 2004 to more than 420 centers by 2014, and that about 750,000 people were receiving ART out of roughly 1.1 million considered eligible at the time referenced.
What does the opportunity focus on at the HIV-TB interface?
A major focus is improving integration and referral systems between HIV and TB services. The notice states that linkages between HIV programs and the Revised National Tuberculosis Control Program (RNTCP) are incomplete and underperforming in key ways.
What two-way linkage problems between HIV and TB services are called out?
The announcement highlights two primary weaknesses: (1) TB patients are not consistently screened for HIV and do not always know their HIV status, and (2) people identified through HIV testing and care services are not being effectively referred or linked into TB services.
What example performance figures are included related to TB patients and HIV screening?
The notice provides example figures indicating that, in the prior year referenced, only 61 (as written in the notice) of TB patients were screened for HIV and knew their status, and among those found HIV positive, 85 were linked to ART.
Which TB program is referenced for coordination with HIV services?
The notice specifically references the Revised National Tuberculosis Control Program (RNTCP).
Does the opportunity mention geographic areas of particular concern?
Yes. It notes that gaps are especially pronounced in northern states where capacity and infrastructure are more limited.
How many awards were anticipated?
The opportunity anticipated making two awards.
What is the maximum award amount (award ceiling)?
The award ceiling listed is USD 750,000.
Is cost sharing or matching required?
No cost sharing or matching is required according to the notice.
When was the opportunity posted, and what were the key dates?
The posted and creation date listed is Aug 29, 2014. The application closing date is Oct 15, 2014. The archive date is Nov 14, 2014.
Is this opportunity still open based on the dates provided?
Based on the listed closing date (Oct 15, 2014) and archive date (Nov 14, 2014), the opportunity is not open within the timeframe described in the announcement.
Who is eligible to apply?
Eligibility is broad and includes a wide range of public and private entities. The notice states eligible applicants include government organizations and non-government organizations (NGOs), among others.
Which government entities are included as eligible applicants?
Eligible government applicants include national ministries of health, state and local governments and their agents, and certain U.S. territorial and tribal government entities.
Which types of non-government entities are included as eligible applicants?
The notice includes nonprofits with or without 501(c)(3) status, research institutions conducting non-research activities, colleges and universities, community-based and faith-based organizations, hospitals, for-profit organizations (other than small business), and small, minority, and women-owned businesses, along with other eligible organizations as allowed in the eligibility clarification.
Are for-profit organizations allowed to apply?
Yes. The notice includes for-profit organizations (other than small business) as eligible, and also references small, minority, and women-owned businesses among eligible entities.
What kinds of activities does the opportunity implicitly expect applicants to propose?
Based on the stated intent, the opportunity points toward activities that close gaps in service quality and continuity, such as building staff capacity, strengthening referral and follow-up mechanisms, improving coordination between HIV and TB services, and improving retention so people do not fall out of care before benefiting from lifelong treatment.
What is meant by "building institutional capacity" in the context of this announcement?
In this notice, it refers to strengthening the ability of programs and systems to consistently deliver higher quality services, including better trained and supported staff, tighter referral and follow-up systems, stronger coordination between HIV and TB services, and improved approaches to retention and long-term treatment success.
Who is the contact for technical or access issues related to the full announcement?
The contact listed is the CDC Procurement and Grants Office, Technical Information Management Section.
How can applicants reach the listed contact?
Email: pgotim@cdc.gov. Phone: 770-488-2700.
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