Opportunity Information: Apply for CDC RFA GH16 1670

  • The HHS-CDC-CGH in the health sector is offering a public funding opportunity titled "Capacity Building and Strengthening Implementation of HIV Combination Prevention and Treatment Services in Priority Geographic Locations and Populations at Facility, Community, District and Provincial Levels in the Republic of Zambia under the Presid" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.067.
  • This funding opportunity was created on Dec 08, 2015 and posted on Dec 08, 2015.
  • Applicants must submit their applications by Feb 08, 2016. (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 $20,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for CDC RFA GH16 1670

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Opportunity Summary:

This funding opportunity, titled "Capacity Building and Strengthening Implementation of HIV Combination Prevention and Treatment Services in Priority Geographic Locations and Populations at Facility, Community, District and Provincial Levels in the Republic of Zambia under the President's," is a U.S. government cooperative agreement administered by the U.S. Centers for Disease Control and Prevention (CDC) under HHS (Agency: HHS-CDC-CGH). It was posted on December 8, 2015, created the same day, and had a single application deadline of February 8, 2016. The opportunity is listed as discretionary funding in the health category (CFDA 93.067), with an anticipated single award and an award ceiling of $20,000,000.

The core purpose of the program is to implement a comprehensive package of HIV services that directly strengthens Zambia's national HIV/AIDS response while also building the underlying health and laboratory systems needed to sustain those services over time. The emphasis is not only on delivering HIV prevention and treatment activities, but also on reinforcing the systems that make those activities reliable and scalable, such as facility capacity, community service platforms, district and provincial coordination, and laboratory networks that support testing and clinical monitoring. In practice, this points to combination prevention and treatment services delivered across multiple levels of the health system, rather than a narrow or single-intervention approach.

A defining feature of the grant is its explicit transition strategy: the project is expected to move toward full transition to the Government of the Republic of Zambia (GRZ) by the end of the project period. Progress toward that transition is meant to be measurable, using a planned reduction in externally supported service delivery targets. Specifically, beginning in the second program year, service delivery targets are expected to decline by 20 percent each year, signaling that the GRZ is increasingly taking ownership of financing, management, and implementation. This structure makes sustainability a built-in requirement rather than an aspirational goal, and it implies a strong focus on capacity building, handover planning, and strengthening routine government systems so that performance can be maintained as direct donor-driven delivery steps back.

Geographically, the program is designed to be data-driven and targeted. Activities are to be implemented in prioritized locations based on epidemiologic evidence, meaning that HIV burden and related indicators guide where resources go first. The approach is phased: some districts would receive interventions in the first year, and additional districts would be added in subsequent years based on continued analysis of HIV burden and evolving epidemiologic patterns. This suggests an adaptive implementation model that can shift or expand geographic coverage as new data emerge, rather than locking the program into a static footprint from the start.

Eligibility is listed broadly as "Others (see text field entitled Additional Information on Eligibility for clarification)," which indicates that the announcement itself contained further detail on who could apply beyond standard categories. The instrument type is a cooperative agreement, which typically means the funder expects substantial involvement during implementation, such as ongoing technical collaboration, performance monitoring, and joint planning between the recipient and CDC. Overall, the opportunity is aimed at accelerating effective HIV service delivery in high-need settings while deliberately strengthening Zambia's systems and governance structures so the national program can fully absorb and sustain the work as external support tapers over the life of the award.

Frequently Asked Questions (FAQs)

1) What is the title of this funding opportunity?

The opportunity is titled "Capacity Building and Strengthening Implementation of HIV Combination Prevention and Treatment Services in Priority Geographic Locations and Populations at Facility, Community, District and Provincial Levels in the Republic of Zambia under the President's," as provided in the opportunity description.

2) What type of funding mechanism is being used?

This opportunity uses a U.S. government cooperative agreement.

3) Which U.S. agency is administering this opportunity?

The opportunity is administered by the U.S. Centers for Disease Control and Prevention (CDC) under the U.S. Department of Health and Human Services (HHS), listed as HHS-CDC-CGH.

4) When was the opportunity posted and when was it created?

It was posted on December 8, 2015, and it was also created on December 8, 2015.

5) What was the application deadline?

There was a single application deadline of February 8, 2016.

6) What is the funding category and assistance listing for this opportunity?

The opportunity is listed as discretionary funding in the health category, with CFDA 93.067.

7) How many awards were anticipated?

The opportunity anticipated a single award.

8) What is the maximum (ceiling) award amount?

The award ceiling is $20,000,000.

9) What is the core purpose of the program?

The core purpose is to implement a comprehensive package of HIV services that strengthens Zambia's national HIV/AIDS response and builds the health and laboratory systems needed to sustain those services over time.

10) What kinds of HIV activities does the opportunity emphasize?

The emphasis is on HIV combination prevention and treatment services delivered across multiple levels of the health system, rather than a narrow or single-intervention approach.

11) What does "combination prevention and treatment services" imply in this opportunity?

Based on the description, it implies a comprehensive package of services that includes both prevention and treatment elements and is implemented in a coordinated way across facility, community, district, and provincial levels.

12) What systems strengthening areas are explicitly highlighted?

The opportunity highlights strengthening facility capacity, community service platforms, district and provincial coordination, and laboratory networks that support testing and clinical monitoring.

13) At what levels of the health system are activities expected to be implemented?

Activities are expected at facility, community, district, and provincial levels in Zambia.

14) What country is the program focused on?

The program is focused on the Republic of Zambia.

15) What is the defining transition requirement in this opportunity?

A defining feature is an explicit transition strategy: the project is expected to move toward full transition to the Government of the Republic of Zambia (GRZ) by the end of the project period.

16) How is progress toward transition expected to be measured?

Progress is meant to be measurable through a planned reduction in externally supported service delivery targets.

17) What is the expected annual reduction in externally supported service delivery targets?

Beginning in the second program year, service delivery targets are expected to decline by 20 percent each year.

18) When do the target reductions begin?

The reductions are expected to begin in the second program year.

19) What does the 20 percent annual decline signal about program ownership?

It signals that the GRZ is increasingly taking ownership of financing, management, and implementation as the project progresses.

20) How does the opportunity treat sustainability?

Sustainability is built into the structure of the award through the transition plan and the planned reduction in externally supported service delivery targets, implying that handover planning and routine government systems strengthening are expected throughout implementation.

21) How are geographic areas selected for implementation?

Geographic locations are to be prioritized based on epidemiologic evidence, meaning HIV burden and related indicators guide where resources are focused first.

22) Is the geographic approach fixed for the entire project?

No. The approach described is phased and adaptive: some districts would be served in year one, and additional districts could be added in later years based on continued analysis of HIV burden and evolving epidemiologic patterns.

23) How does the phased approach work, according to the description?

Interventions start in selected districts during the first year, with additional districts added in subsequent years as epidemiologic data continue to be analyzed and priorities evolve.

24) What role does epidemiologic data play during the project, not just at the start?

The description indicates ongoing use of epidemiologic analysis to guide expansion or shifting of geographic coverage over time.

25) What is the listed eligibility category?

Eligibility is listed broadly as "Others (see text field entitled Additional Information on Eligibility for clarification)."

26) What does "Others (see text field...)" mean for applicants?

It indicates that the announcement included additional detail on who could apply beyond standard eligibility categories, and that eligibility specifics were provided in an "Additional Information on Eligibility" section of the original announcement.

27) What does a cooperative agreement imply for how CDC will be involved?

The description notes that a cooperative agreement typically means substantial funder involvement during implementation, such as ongoing technical collaboration, performance monitoring, and joint planning between the recipient and CDC.

28) Does this opportunity focus only on service delivery?

No. While it emphasizes delivering HIV prevention and treatment activities, it also explicitly emphasizes strengthening the underlying health and laboratory systems that make services reliable, scalable, and sustainable.

29) What populations are targeted?

The opportunity references "priority geographic locations and populations" but does not specify particular populations in the provided description.

30) What is the overarching goal of the award as described?

The overarching aim is to accelerate effective HIV service delivery in high-need settings while strengthening Zambia's systems and governance so the national program can absorb and sustain the work as external support tapers over the life of the award.

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