Opportunity Information: Apply for CDC RFA GH17 1753

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Delivering Comprehensive Services to Achieve HIV Epidemic Control in Subnational Units in Nigeria under the President's 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.
  • This funding opportunity was created on Aug 05, 2016.
  • Applicants must submit their applications by Oct 04, 2016 Electronically submitted applications must be submitted no later than 500 p.m., ET, on the listed application due date.. (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 $200,000,000.00 in funding.
  • The number of recipients for this funding is limited to 4 candidate(s).
  • Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
Apply for CDC RFA GH17 1753

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Opportunity Summary:

The grant opportunity titled "Delivering Comprehensive Services to Achieve HIV Epidemic Control in Subnational Units in Nigeria under the President's Emergency Plan for AIDS Relief (PEPFAR)" is a U.S. government-funded cooperative agreement designed to sustain and strengthen comprehensive HIV/AIDS programming in Nigeria. Issued by the U.S. Department of Health and Human Services through the Centers for Disease Control and Prevention (CDC), Center for Global Health, the initiative is framed as a follow-on funding opportunity, meaning it is intended to maintain momentum from prior investments while improving performance and expanding impact where needed. The overall goal is to help Nigeria achieve and maintain HIV epidemic control, specifically by applying proven service delivery approaches and adapting them to targeted subnational settings where HIV burden and prevalence remain high.

At the core of the program is the delivery of a full package of HIV services across both health facilities and community settings. This includes HIV prevention, treatment, and support services, with implementation focused on specific geographic locations and populations most affected by HIV. The emphasis on both facility-based and community-based platforms reflects the reality that epidemic control depends not only on clinic services like HIV testing and antiretroviral treatment, but also on community outreach that finds people not yet diagnosed, supports treatment adherence, reduces drop-off from care, and addresses barriers such as stigma, transportation, and limited health system capacity. By directing resources to high-burden and high-prevalence communities, the opportunity is structured to concentrate effort where it can produce measurable reductions in new infections and HIV-related illness and death.

A major expectation of the award is strong collaboration with Nigerian stakeholders. The program is designed to work in partnership with the Government of Nigeria (GON), as well as with the private sector and other donors, to ensure that services are coordinated, high quality, and aligned with national strategies. This collaboration is meant to reduce duplication, harmonize standards and reporting, and help integrate externally supported HIV services into local systems in a way that strengthens long-term sustainability. In practical terms, the funded work is expected to contribute to improved service quality and broader access, particularly for communities that face the highest risk and the greatest gaps in care.

The opportunity also signals a clear preference for applicants that can bring innovation and efficiency to service delivery. While it calls for the use of proven strategies and models, it also asks successful applicants to develop and implement innovative approaches that make programs more effective and more efficient. Innovation in this context typically refers to practical improvements such as optimizing patient flow in clinics, expanding differentiated service delivery models to reduce unnecessary facility visits, strengthening community-led testing and linkage approaches, improving retention and viral load monitoring systems, and using data for real-time program improvement. Importantly, these improvements are not treated as isolated pilot ideas; they are expected to strengthen local health systems, indicating a focus on building capacity and improving the underlying structures that make high-quality HIV services possible.

Cost-effectiveness and resource leveraging are explicit requirements. The awardee is expected to employ cost-effective strategies while also leveraging resources from the Government of Nigeria and other stakeholders. This reflects a broader PEPFAR and CDC expectation that implementers demonstrate responsible stewardship of funds, drive down the cost per outcome where feasible, and actively coordinate financing, commodities, staffing, and infrastructure support with other contributors in the HIV response. The idea is to maximize coverage and quality without relying solely on the U.S. award, and to position programs for greater local ownership over time.

From an administrative standpoint, this is a discretionary funding opportunity using a cooperative agreement mechanism, which generally means the CDC anticipates substantial involvement during implementation, such as collaborative planning, technical guidance, and performance monitoring. The funding activity category is health, with CFDA number 93.067. Eligibility is listed as unrestricted (open to any type of entity), subject to any additional eligibility clarifications in the full announcement text. The funding opportunity number is CDC RFA GH17-1753, created August 5, 2016, with an original application closing date of October 4, 2016, and electronic submissions due by 5:00 p.m. Eastern Time on the due date.

In terms of scale, the announcement lists an award ceiling of $200,000,000 and anticipates up to four awards. Taken together, these details indicate a large, multi-award program intended to support major service delivery efforts across multiple subnational areas, with implementers expected to operate at significant scale, coordinate closely with national and local partners, and deliver measurable progress toward sustained HIV epidemic control in Nigeria.

Frequently Asked Questions (FAQs)

What is the title of this grant opportunity?

The opportunity is titled "Delivering Comprehensive Services to Achieve HIV Epidemic Control in Subnational Units in Nigeria under the President's Emergency Plan for AIDS Relief (PEPFAR)."

What type of funding opportunity is this?

This is a U.S. government-funded discretionary cooperative agreement.

Which U.S. agency is issuing this opportunity?

The opportunity is issued by the U.S. Department of Health and Human Services (HHS) through the Centers for Disease Control and Prevention (CDC), Center for Global Health.

What is the main goal of the program?

The overall goal is to help Nigeria achieve and maintain HIV epidemic control by sustaining and strengthening comprehensive HIV/AIDS programming and improving performance and impact in targeted subnational settings with high HIV burden and prevalence.

What does "follow-on funding opportunity" mean in this context?

It means the program is intended to maintain momentum from prior investments while improving performance and expanding impact where needed, rather than starting from scratch.

Where is the work expected to take place?

The work is focused on subnational units in Nigeria, specifically targeted settings where HIV burden and prevalence remain high.

What kinds of services are expected to be delivered?

The program centers on delivering a full package of HIV services across both health facilities and community settings. This includes HIV prevention, treatment, and support services.

Why does the opportunity emphasize both facility-based and community-based platforms?

Because achieving epidemic control depends on clinic services (such as HIV testing and antiretroviral treatment) as well as community outreach that identifies people not yet diagnosed, supports adherence, reduces drop-off from care, and addresses barriers like stigma, transportation challenges, and limited health system capacity.

How are geographic areas and populations prioritized?

Implementation is intended to focus on specific geographic locations and populations most affected by HIV, with resources directed to high-burden and high-prevalence communities to drive measurable reductions in new infections and HIV-related illness and death.

What collaboration is expected with Nigerian stakeholders?

Strong collaboration is a major expectation. The program is designed to work in partnership with the Government of Nigeria (GON), the private sector, and other donors to coordinate services, improve quality, align with national strategies, reduce duplication, and harmonize standards and reporting.

How does the program address sustainability and integration into local systems?

Coordination with national and local partners is intended to help integrate externally supported HIV services into local systems and strengthen long-term sustainability, supporting greater local ownership over time.

Does the opportunity encourage innovation?

Yes. There is a clear preference for applicants that can bring innovation and efficiency to service delivery while also applying proven approaches.

What kinds of innovation are referenced in the announcement?

Examples described include practical improvements such as optimizing patient flow in clinics, expanding differentiated service delivery models to reduce unnecessary facility visits, strengthening community-led testing and linkage approaches, improving retention and viral load monitoring systems, and using data for real-time program improvement.

Are innovations expected to be pilots, or part of broader system improvements?

The opportunity indicates these improvements should not be isolated pilot ideas. They are expected to strengthen local health systems and improve the underlying structures that enable high-quality HIV services.

What is expected regarding cost-effectiveness?

Cost-effectiveness is an explicit requirement. The awardee is expected to employ cost-effective strategies and demonstrate responsible stewardship of funds, including driving down cost per outcome where feasible.

What does "resource leveraging" mean for this opportunity?

It means the awardee is expected to leverage resources from the Government of Nigeria and other stakeholders, coordinating financing, commodities, staffing, and infrastructure support to maximize coverage and quality without relying solely on the U.S. award.

What does a "cooperative agreement" imply for project implementation?

A cooperative agreement generally means the CDC anticipates substantial involvement during implementation, such as collaborative planning, technical guidance, and performance monitoring.

What is the funding activity category?

The funding activity category is health.

What is the CFDA number associated with this opportunity?

The CFDA number is 93.067.

Who is eligible to apply?

Eligibility is listed as unrestricted (open to any type of entity), subject to any additional eligibility clarifications that may appear in the full announcement text.

What is the funding opportunity number?

The funding opportunity number is CDC RFA GH17-1753.

When was this opportunity created?

The opportunity was created on August 5, 2016.

What was the original application closing date?

The original application closing date was October 4, 2016.

What time were electronic submissions due on the due date?

Electronic submissions were due by 5:00 p.m. Eastern Time on the due date.

What is the maximum award amount (award ceiling)?

The announcement lists an award ceiling of $200,000,000.

How many awards were anticipated?

The announcement anticipated up to four awards.

What does the scale of funding suggest about expected implementation capacity?

The stated ceiling and multi-award structure suggest a large, high-scale service delivery program. Implementers are expected to operate across multiple subnational areas, coordinate closely with national and local partners, and deliver measurable progress toward sustained HIV epidemic control in Nigeria.

What outcomes is the program aiming to influence?

The program is structured to produce measurable reductions in new HIV infections and reductions in HIV-related illness and death by strengthening prevention, treatment, and support services and improving retention and quality of care.

How does the opportunity address barriers that can prevent people from accessing or staying in care?

It highlights community outreach and support approaches that address barriers such as stigma, transportation challenges, and health system capacity limitations, with the goal of improving diagnosis, linkage to care, adherence, and retention.

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