Opportunity Information: Apply for CDC RFA GH15 1508
Apply for CDC RFA GH15 1508
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Expand Coverage and Improve the Quality of Facility and Community Based Prevention of Mother to Child Transmission of HIV (PMTCT) Support for Rollout of Option B Services in the Littoral and Center Regions of Cameroon under the Presidents Emergency P" 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 Sep 23, 2014 and posted on Aug 29, 2014.
- Applicants must submit their applications by Oct 16, 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 $8,000,000.00 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
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Opportunity Summary:
This CDC Funding Opportunity Announcement (CDC RFA GH15-1508) supports the Presidents Emergency Plan for AIDS Relief (PEPFAR) efforts in Cameroon to cut HIV-related illness and deaths among mothers and children by expanding and improving Prevention of Mother to Child Transmission of HIV (PMTCT) services. The core aim is to scale up high-quality PMTCT activities and strengthen HIV treatment and care using the PMTCT platform, with a major focus on the Littoral and Center Regions. In practical terms, the opportunity is designed to increase PMTCT coverage and service uptake from roughly 34 percent to about 90 percent by integrating stronger PMTCT services into existing health facilities and pairing those facility improvements with robust community-based PMTCT activities.
A central feature of the grant is support for Cameroons national rollout of Option B PMTCT services, implemented according to national plans and guidelines. Option B generally means providing antiretroviral therapy to HIV-positive pregnant women during pregnancy and breastfeeding to reduce transmission to the infant, along with appropriate prophylaxis and follow-up for HIV-exposed infants. Cameroon planned a phased national expansion of Option B services: 247 sites in the four PEPFAR-supported regions (500 nationwide) in 2014, 691 sites in 2015 (1,500 nationwide), 1,141 sites in 2016 (2,500 nationwide), and 1,379 sites in 2017 (3,000 nationwide). Because this kind of expansion depends heavily on readiness at the facility level, the FOA emphasizes the training and preparation required to implement Option B at scale, with an anticipated total of about 7,500 health providers trained, including 3,447 providers working at PEPFAR-supported sites.
The announcement also highlights a shift in the model of service delivery that will be expected as Option B expands. The preferred approach (Service Delivery Model 1, or SDM1) keeps HIV-positive pregnant women and mothers, along with their HIV-exposed or HIV-infected infants, in care within the maternal and child health unit through 24 months after delivery. After that 24-month postpartum period, clients are referred to standard HIV care and treatment services for long-term follow-up. At the time of the announcement, this integrated mother-and-child follow-up model was being used in only 22 pilot sites offering Option B. Most other sites were still operating under Option A (SDM2), where pregnant women who met treatment eligibility criteria (such as a CD4 threshold of 350/mm3) were referred to separate antiretroviral therapy (ART) services for treatment while continuing routine follow-up in maternal, newborn, and child health services. Under SDM2, children confirmed as HIV-positive were also referred to the nearest ART site once diagnosis was established. The FOA makes clear that as sites are enrolled in the Option B rollout, they are expected to transition to SDM1 to improve continuity of care for mothers and infants and reduce loss to follow-up.
From an administrative standpoint, this is a discretionary cooperative agreement, meaning CDC expects substantial programmatic involvement beyond simply issuing funds, typically through technical guidance, coordination, and performance oversight. The program is categorized under Health and tied to CFDA 93.067 (Global AIDS). CDC anticipated making two awards, with an award ceiling listed at $8,000,000. No cost sharing or matching requirement was indicated. The opportunity was posted on August 29, 2014, with the closing date ultimately set as October 16, 2014, and an archive date of November 5, 2014.
Eligibility is broad and includes a wide range of public and private entities. Eligible applicants include government organizations (such as national ministries of health; state, local, and territorial governments and their bona fide agents; and political subdivisions), tribal governments and tribally designated organizations, and non-governmental entities including 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 businesses, and small/minority/women-owned businesses, among others. For applicants needing help accessing the full announcement, CDCs Procurement and Grants Office Technical Information Management Section was listed as the contact point (pgotim@cdc.gov; 770-488-2700).
Frequently Asked Questions (FAQs)
1. What is CDC RFA GH15-1508 trying to achieve?
This CDC Funding Opportunity Announcement (CDC RFA GH15-1508) supports PEPFAR efforts in Cameroon to reduce HIV-related illness and deaths among mothers and children by expanding and improving Prevention of Mother to Child Transmission of HIV (PMTCT) services. It is designed to scale up high-quality PMTCT activities and strengthen HIV treatment and care using the PMTCT platform.
2. Which country and regions are the focus of this funding opportunity?
The opportunity focuses on Cameroon, with a major emphasis on the Littoral and Center Regions.
3. What is the main coverage target mentioned in the announcement?
The FOA aims to increase PMTCT coverage and service uptake from roughly 34 percent to about 90 percent by strengthening PMTCT services in health facilities and pairing those improvements with robust community-based PMTCT activities.
4. What types of activities does the FOA emphasize to raise PMTCT coverage?
Based on the description provided, the FOA emphasizes two connected approaches: (1) integrating stronger PMTCT services into existing health facilities and (2) implementing robust community-based PMTCT activities to increase uptake and reduce loss to follow-up.
5. What is Option B in the context of PMTCT?
Option B generally refers to providing antiretroviral therapy to HIV-positive pregnant women during pregnancy and breastfeeding to reduce HIV transmission to the infant, along with appropriate prophylaxis and follow-up for HIV-exposed infants.
6. Is this FOA tied to Cameroon's national Option B rollout?
Yes. A central feature of the grant is support for Cameroon's national rollout of Option B PMTCT services, implemented in line with national plans and guidelines.
7. How many sites were planned for Option B expansion, and over what timeframe?
Cameroon planned a phased national expansion of Option B services with the following targets (as described in the FOA):
- 2014: 247 sites in the four PEPFAR-supported regions (500 nationwide)
- 2015: 691 sites (1,500 nationwide)
- 2016: 1,141 sites (2,500 nationwide)
- 2017: 1,379 sites (3,000 nationwide)
8. Why does the FOA highlight facility readiness and training?
The announcement notes that scaling Option B depends heavily on facility-level readiness. For that reason, it emphasizes the training and preparation needed to implement Option B at scale.
9. Approximately how many health providers were expected to be trained?
The FOA anticipates about 7,500 health providers trained in total, including 3,447 providers working at PEPFAR-supported sites.
10. What service delivery model is preferred under this FOA?
The preferred approach is Service Delivery Model 1 (SDM1). Under SDM1, HIV-positive pregnant women and mothers, along with their HIV-exposed or HIV-infected infants, remain in care within the maternal and child health unit through 24 months after delivery. After that 24-month postpartum period, clients are referred to standard HIV care and treatment services for long-term follow-up.
11. How widely was SDM1 being used at the time of the announcement?
At the time of the announcement, the integrated mother-and-child follow-up model (SDM1) was being used in only 22 pilot sites offering Option B.
12. What is SDM2 (Option A) and how does it differ from SDM1?
Most sites were still operating under Option A (Service Delivery Model 2, or SDM2). Under SDM2, pregnant women who met treatment eligibility criteria (such as a CD4 threshold of 350/mm3) were referred to separate antiretroviral therapy (ART) services for treatment while continuing routine follow-up in maternal, newborn, and child health services. Children confirmed as HIV-positive were also referred to the nearest ART site once diagnosis was established.
13. Are sites expected to transition to SDM1 as Option B expands?
Yes. The FOA states that as sites are enrolled in the Option B rollout, they are expected to transition to SDM1 to improve continuity of care for mothers and infants and reduce loss to follow-up.
14. What type of award mechanism is this?
This is a discretionary cooperative agreement.
15. What does a "cooperative agreement" imply for CDC's role?
The FOA indicates CDC expects substantial programmatic involvement beyond simply issuing funds, typically through technical guidance, coordination, and performance oversight.
16. What program area and CFDA number are associated with this opportunity?
The program is categorized under Health and tied to CFDA 93.067 (Global AIDS).
17. How many awards were anticipated?
CDC anticipated making two awards.
18. What is the award ceiling listed in the announcement?
The award ceiling listed is $8,000,000.
19. Is cost sharing or matching required?
No cost sharing or matching requirement was indicated in the information provided.
20. When was the opportunity posted and when did it close?
The opportunity was posted on August 29, 2014. The closing date was ultimately set as October 16, 2014.
21. When was the archive date for this opportunity?
The archive date was November 5, 2014.
22. Who is eligible to apply?
Eligibility is broad and includes many public and private entities. Eligible applicants listed include:
- Government organizations (including national ministries of health; state, local, and territorial governments and their bona fide agents; and political subdivisions)
- Tribal governments and tribally designated organizations
- Non-governmental entities, including 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 businesses
- Small/minority/women-owned businesses, among others
23. Are nonprofits required to have 501(c)(3) status to be eligible?
No. The eligibility list explicitly includes nonprofits with or without 501(c)(3) status.
24. Can for-profit organizations apply?
Yes. The eligibility description includes for-profit organizations other than small businesses, as well as small/minority/women-owned businesses.
25. Who can be contacted for help accessing the full announcement?
Applicants needing help accessing the full announcement can contact the CDC Procurement and Grants Office Technical Information Management Section at pgotim@cdc.gov or 770-488-2700.
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