Opportunity Information: Apply for CDC RFA GH15 1605

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Ensuring Reliable and Equitable Access to PMTCT Services for Key Populations in the Republic of Mali 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 Oct 3, 2014 and posted on Oct 3, 2014.
  • Applicants must submit their applications by Dec 1, 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 $250,000.00 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).
  • In 1987, very early on in the fight against HIV AIDS, the Republic of Mali created what was then called the PNLS (National Program for the Fight Against HIV AIDS) to develop a vision, strategies, and policies in order to implement and coordinate all activities to combat HIV/AIDS in Mali. In 2004, the PNLS was transformed into the CSLS (Cellule Sectorial De Lutte Contre Le Sida). Each Ministry of the government developed a CSLS to focus on all HIV/AIDS activities for the sector in which they operated and for which they had responsibility. The CSLS of the Ministry of Health, being the largest, the most professionally staffed, the most visible, and the most active in the country has always served as de facto National HIV AIDS Control program in Mali. CDC has had a collaborative working and professional relationship with the PNLS since 1996. With the restructuring of the PNLS into CSLS, CDC continued its relationship with the CSLS of the MOH.
Apply for CDC RFA GH15 1605

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Opportunity Summary:

This grant opportunity, titled "Ensuring Reliable and Equitable Access to PMTCT Services for Key Populations in the Republic of Mali under the Presidents Emergency Plan for AIDS Relief (PEPFAR)," is a CDC cooperative agreement designed to strengthen Mali's prevention of mother-to-child transmission (PMTCT) program by improving the evidence base used for program decisions and by making service delivery more responsive to populations that are often missed by standard maternal and child health systems. The core aim is to support the Ministry of Health's CSLS (which functions as Mali's national HIV/AIDS control program) in generating practical scientific data that can directly guide PMTCT planning and operations, with a particular emphasis on key populations such as professional sex workers and female partners of men who have sex with men (MSM). In other words, the project is not just about providing services, but about producing actionable information that helps Mali understand where gaps exist for these groups, why those gaps persist, and what program changes can close them.

A major technical focus of the project is improving Early Infant Diagnosis (EID), which is a critical component of PMTCT because it determines whether infants exposed to HIV are tested early enough to be identified and linked to treatment. The opportunity highlights the need to optimize Mali's current EID program by strengthening laboratory systems and creating effective linkages with the National Reference Laboratory. The intent is to move toward a more patient-focused approach, meaning that specimens, results, and follow-up actions should flow in a way that reduces delays and loss to follow-up, and ensures that mothers and infants actually receive results and services in time for them to matter clinically. This type of work commonly involves improving sample transport and referral networks, result return mechanisms, data tracking between facilities and laboratories, and coordination across different levels of the health system, with the goal of making EID more reliable and equitable.

The project is also framed as a pilot PMTCT effort in a specific geographic area of Mali. The reasoning behind the pilot approach is to concentrate resources where the program can deliberately build and test stronger coordination between existing HIV prevention, care, and treatment services, then use lessons learned to inform broader scale-up. By emphasizing "synergies" with existing programs, the FOA signals that the work should not operate in isolation; it should integrate with ongoing HIV services so that pregnant and breastfeeding women from key populations, and their infants, can move smoothly across prevention, testing, treatment, and follow-up services without falling through administrative or clinical cracks.

From an administrative standpoint, the opportunity is a discretionary health funding announcement using a cooperative agreement mechanism, meaning CDC expects substantial involvement and collaboration during implementation rather than a hands-off grant. It was posted on October 3, 2014, with an application closing date of December 1, 2014, and an archive date of December 31, 2014. The CFDA number listed is 93.067 (Global AIDS), and the announcement anticipates a single award. The award ceiling is $250,000, with a stated cost-sharing or matching requirement. The "estimated total funding" field is shown as zero in the summary data, which typically indicates that applicants should rely on the ceiling amount and the detailed FOA language rather than that summary field for planning purposes.

Eligibility is described broadly as "Others," with clarification in the additional eligibility text emphasizing the long-standing institutional framework Mali has used to coordinate its HIV response. The background provided explains that Mali established an early national HIV program in 1987 (PNLS) and later reorganized it in 2004 into CSLS structures across ministries, with the Ministry of Health CSLS serving as the de facto national program due to its scale and technical capacity. The FOA also underscores CDC's long collaborative relationship with Mali's national HIV leadership, dating back to 1996, which reinforces that the award is intended to be implemented in close partnership with the Ministry of Health and aligned to national systems rather than creating parallel ones.

For applicants needing help accessing the full announcement, the contact point listed is the CDC Procurement and Grants Office Technical Information Management Section (pgotim@cdc.gov, phone 770-488-2700).

Frequently Asked Questions (FAQs)

What is the title of this grant opportunity?

The opportunity is titled "Ensuring Reliable and Equitable Access to PMTCT Services for Key Populations in the Republic of Mali under the Presidents Emergency Plan for AIDS Relief (PEPFAR)."

Which U.S. agency is offering this funding?

This is a CDC (Centers for Disease Control and Prevention) funding opportunity.

What type of award is this?

It is a cooperative agreement, which generally means CDC expects substantial involvement and collaboration during implementation rather than a fully hands-off grant.

What is the main purpose of the project?

The core purpose is to strengthen Mali's prevention of mother-to-child transmission (PMTCT) program by improving the evidence base used for program decisions and by making PMTCT service delivery more responsive to populations often missed by standard maternal and child health systems.

Is the project focused on service delivery, research, or both?

Based on the description provided, the project is designed to generate practical scientific data that can directly guide PMTCT planning and operations, while also improving how services function for key populations. The emphasis is on producing actionable information that leads to program improvements.

Who are the key populations specifically emphasized in this opportunity?

The opportunity specifically emphasizes professional sex workers and female partners of men who have sex with men (MSM).

What does the opportunity mean by making PMTCT services more "equitable" for key populations?

As described, the aim is to reduce gaps where key populations are missed by standard maternal and child health systems, understand why those gaps persist, and identify what program changes can close them so that access and outcomes improve for these groups.

What does PMTCT stand for?

PMTCT stands for prevention of mother-to-child transmission (of HIV).

What technical area is highlighted as a major focus?

A major technical focus is improving Early Infant Diagnosis (EID), described as a critical component of PMTCT because it determines whether infants exposed to HIV are tested early enough to be identified and linked to treatment.

What does EID mean in the context of this project?

EID refers to Early Infant Diagnosis for infants exposed to HIV, with the intent of ensuring timely testing, timely results, and linkage to treatment and follow-up.

How does the opportunity propose to strengthen Early Infant Diagnosis (EID)?

The description emphasizes optimizing Mali's current EID program by strengthening laboratory systems and creating effective linkages with the National Reference Laboratory, moving toward a more patient-focused approach that reduces delays and loss to follow-up.

What kinds of system improvements are implied for EID?

The opportunity points toward improvements that help specimens, results, and follow-up actions flow reliably across the system, including stronger laboratory linkages (notably with the National Reference Laboratory) and approaches that reduce delays and loss to follow-up. The description also notes typical areas of work such as sample transport and referral networks, result return mechanisms, and data tracking between facilities and laboratories.

What does a "patient-focused approach" mean here?

In this context, it means organizing specimen handling, result delivery, and follow-up so mothers and infants receive results and services in time for them to matter clinically, with fewer delays and fewer missed follow-ups.

Is this a national project across all of Mali?

The project is framed as a pilot PMTCT effort in a specific geographic area of Mali, with the intent to generate lessons that can inform broader scale-up.

Why is the project designed as a pilot in a specific geographic area?

The pilot approach is described as a way to concentrate resources where the program can deliberately build and test stronger coordination among existing HIV prevention, care, and treatment services, then use lessons learned to inform broader expansion.

How is integration with existing HIV programs addressed?

The opportunity emphasizes "synergies" with existing programs, indicating the work should not operate in isolation and should integrate with ongoing HIV services so clients can move smoothly across prevention, testing, treatment, and follow-up.

Which national body in Mali is the project intended to support?

The project aims to support the Ministry of Health's CSLS, described as functioning as Mali's national HIV/AIDS control program.

What is CSLS in the context provided?

CSLS is described as a structure established across ministries after a 2004 reorganization, with the Ministry of Health CSLS serving as the de facto national HIV/AIDS program due to its scale and technical capacity.

How does the opportunity describe the existing national HIV program structure in Mali?

The background notes Mali established an early national HIV program in 1987 (PNLS) and reorganized in 2004 into CSLS structures across ministries, with the Ministry of Health CSLS serving as the de facto national program.

How is CDC's relationship with Mali described?

The opportunity notes CDC's long collaborative relationship with Mali's national HIV leadership dating back to 1996 and reinforces that the award is intended to be implemented in close partnership with the Ministry of Health and aligned to national systems rather than creating parallel ones.

What is the CFDA number for this opportunity?

The CFDA number listed is 93.067 (Global AIDS).

How many awards does the announcement anticipate?

The announcement anticipates a single award.

What is the maximum funding amount (award ceiling)?

The award ceiling is $250,000.

Is cost sharing or matching required?

Yes. The summary notes a stated cost-sharing or matching requirement.

Why does the summary show "estimated total funding" as zero?

The provided summary data shows the "estimated total funding" field as zero. The description indicates this typically means applicants should rely on the ceiling amount and the detailed FOA language rather than that summary field for planning.

What is the posting date for the opportunity?

The opportunity was posted on October 3, 2014.

What is the application closing date?

The application closing date is December 1, 2014.

What is the archive date?

The archive date is December 31, 2014.

What is the eligibility category?

Eligibility is described broadly as "Others," with additional eligibility text emphasizing Mali's long-standing institutional framework used to coordinate its HIV response and the expectation of close partnership aligned with national systems.

Where can applicants get help accessing the full announcement?

Applicants needing help accessing the full announcement are directed to the CDC Procurement and Grants Office Technical Information Management Section at pgotim@cdc.gov or by phone at 770-488-2700.

Is this opportunity associated with PEPFAR?

Yes. The title explicitly references the Presidents Emergency Plan for AIDS Relief (PEPFAR).

What outcomes is the opportunity trying to improve for infants?

The description highlights improving whether HIV-exposed infants are tested early enough, identified promptly if infected, and linked to treatment, with an overall intent to reduce delays and loss to follow-up in EID-related processes.

What operational problems is the opportunity trying to address?

Based on the description, the opportunity is targeting gaps in reaching key populations through standard maternal and child health systems and addressing delays and loss to follow-up in Early Infant Diagnosis processes by improving coordination and laboratory linkages (including linkages to the National Reference Laboratory).

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