Disclosure of HIV Status to Children in Low and Middle Income Country Settings (R01) | Apply Online

Opportunity Summary:

The grant opportunity titled "Disclosure of HIV Status to Children in Low and Middle Income Country Settings (R01)" (Funding Opportunity Number RFA-HD-12-197) was issued by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) within the National Institutes of Health (NIH). It is a discretionary, research project grant (R01) focused on a specific and often overlooked challenge in global HIV work: how HIV status is disclosed to children and within families in low-resource environments. The central aim is to support intervention-based research that tests practical approaches for disclosure, rather than simply documenting that disclosure is difficult or emotionally charged. NICHD frames this topic as neglected and profoundly understudied, while also emphasizing its importance to millions of children and families living with HIV in low and middle income countries.

The FOA is seeking applications that evaluate interventions related to two closely connected disclosure processes. First, it supports studies on disclosing HIV infection status to children who are themselves infected with HIV, as well as children who are affected by HIV in their household or caregiving environment. Second, it supports studies on HIV-infected women, and other caregivers, disclosing their own HIV status to their children. Applicants can propose work focused on either of these disclosure pathways or integrate both into one intervention strategy. The emphasis on intervention studies signals interest in approaches that can be implemented, compared, refined, and potentially scaled, such as structured counseling models, caregiver training, clinic-based disclosure protocols, family-centered communication strategies, or community-supported disclosure assistance. The overall intent is to generate evidence about what improves the disclosure process, what reduces harm, and what strengthens child and family outcomes in settings where resources, trained personnel, and supportive services may be limited.

From an eligibility standpoint, the announcement is broad and inclusive, allowing a wide range of institutions and organizations to apply. Eligible applicants include public and private institutions of higher education, nonprofits with and without 501(c)(3) status, for-profit organizations (including small businesses and other for-profits), and multiple levels of government (state, county, city or township, special district governments, independent school districts, and public housing authorities). It also explicitly includes Native American tribal governments (federally recognized and other than federally recognized) and tribal organizations, as well as tribally controlled colleges and universities. In addition, the FOA identifies several other eligible categories such as historically black colleges and universities (HBCUs), Hispanic-serving institutions, Alaska Native and Native Hawaiian serving institutions, faith-based and community-based organizations, U.S. territories or possessions, regional organizations, eligible federal agencies, and non-U.S. entities (foreign organizations). This wide eligibility suggests NICHD wanted to encourage partnerships across academic, clinical, community, and international implementer organizations, which is often necessary for conducting ethically sound and culturally appropriate HIV disclosure interventions in real-world settings.

The funding details indicate an estimated total funding amount of $1,000,000 for the opportunity, with an award ceiling of $300,000. The FOA states there is no cost sharing or matching requirement, meaning applicants are not required to provide non-federal funds to be considered or to receive an award. The posting and creation date are February 9, 2011, with an original and current closing date of November 29, 2011, and an archive date of December 30, 2011. The CFDA number associated with this announcement is 93.865 (Child Health and Human Development Extramural Research), which aligns with NICHD's mission and signals that funded projects should strongly connect disclosure interventions to child health, development, family functioning, and related psychosocial outcomes.

In practical terms, this FOA is designed for teams that can combine HIV clinical knowledge, child development expertise, behavioral and social science methods, and strong local partnerships in low and middle income country settings. Disclosure is not treated as a single event but as a process that can involve caregiver readiness, child developmental stage, stigma concerns, mental health impacts, adherence and engagement in care, and family stability. By calling the area understudied and high importance, NICHD is highlighting a gap between the scale of the problem and the limited evidence on effective, context-appropriate ways to help families navigate disclosure safely and constructively.

For applicants who needed help accessing the full announcement or encountered technical issues, the contact provided is the NIH Office of Extramural Research (OER) Webmaster at FBOWebmaster@OD.NIH.GOV, and the full announcement link is listed as http://grants.nih.gov/grants/guide/rfa-files/RFA-HD-12-197.html.

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