Opportunity Information: Apply for CDC RFA GH11 1153

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Expanding Coverage and Improving the Quality of Facility and Community Based Prevention of Mother to Child Transmission of HIV Programs in Two Regions of Cameroon 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 Global AIDS.
  • This funding opportunity was created on Apr 10, 2013 and posted on Feb 24, 2011.
  • Applicants must submit their applications by May 10, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $12,500,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $1,500,000.00 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) Private institutions of higher education For profit organizations other than small businesses Small businesses City or township governments Special district governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education State governments Native American tribal governments (Federally recognized) Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Public and State controlled institutions of higher education County governments.
  • Eligible applicants that can apply for this funding opportunity are listed below Nonprofit with 501C3 IRS status (other than institution of higher education) Nonprofit without 501C3 IRS status (other than institution of higher education) For profit organizations (other than small business) Small, minority, and women owned businesses Universities Colleges Research institutions Hospitals Community based organizations Faith based organizations Federally recognized or state recognized American Indian/Alaska Native tribal governments 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) Non domestic (non U.S.) entity Other (specify) A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If applying as a bona fide agent of a state or local government, a letter from the state or local government as documentation of the status is required. Attach with Other Attachment Forms when submitting via www.grants.gov.
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Opportunity Summary:

This CDC PEPFAR funding opportunity (CDC RFA GH11-1153) focuses on expanding coverage and improving the quality of prevention of mother-to-child transmission of HIV (PMTCT) services in Cameroon, with an emphasis on both facility-based and community-based delivery. The overall goal is to reduce HIV-related maternal and child mortality by ensuring that comprehensive PMTCT services are widely available and effectively used within Cameroon s national maternal and child health (MCH) and reproductive health system. The opportunity is structured as a cooperative agreement, which typically means the CDC expects to have substantial involvement in implementation and oversight rather than simply providing a grant with minimal federal engagement.

The core programmatic aim is to dramatically increase PMTCT reach and uptake, especially in the Southwest Region of Cameroon, where the program targets an expansion from roughly 35 percent to 90 percent coverage. In addition to the Southwest, applicants are expected to significantly improve PMTCT uptake in one additional region of Cameroon. A key feature of the approach is integration: PMTCT activities should be embedded into existing antenatal care (ANC) services at health facilities so that pregnant women encounter HIV prevention, testing, and treatment as a routine part of maternal health care, not as a separate or hard-to-access service. Alongside facility integration, the program also calls for community-based PMTCT activities that help generate demand, reduce loss to follow-up, and ensure mothers and infants remain connected to care over time.

A major priority is strengthening the linkage between health facilities and communities so services work as a connected system rather than as isolated pieces. The announcement emphasizes improving PMTCT utilization and follow-up for the mother infant pair, meaning the program should not end at the mother s test result or delivery visit. Instead, it should support continued engagement across pregnancy, delivery, postpartum care, and infant follow-up. Strong referral networks and case-finding or follow-up mechanisms are expected to connect HIV-positive pregnant women to comprehensive HIV care and treatment services and to ensure HIV-exposed infants receive appropriate testing, prophylaxis, and clinical monitoring. In practice, this implies building or reinforcing referral pathways, patient tracking, counseling support, and coordination between ANC clinics, maternity wards, pediatric services, laboratories, and community outreach workers.

The solicitation outlines a set of required or strongly expected service components. These include HIV testing and counseling in ANC settings so pregnant women can learn their HIV status early and receive immediate guidance and services. It also includes early infant diagnosis (EID), which is critical because HIV in infants cannot be reliably diagnosed early with standard antibody tests and requires specialized testing approaches. Another central activity is ensuring access to antiretroviral drugs (ARVs) for HIV-positive mothers and for exposed infants, aligning with PMTCT protocols that reduce transmission risk during pregnancy, labor, delivery, and breastfeeding, while also supporting maternal health. PMTCT education is also explicitly named, signaling the importance of clear, repeated messaging for mothers, families, and communities about prevention steps, adherence, safe infant feeding guidance consistent with national policy, and the importance of follow-up. Finally, the program expects applicants to establish and strengthen linkages to comprehensive care and treatment services for HIV-positive mothers and their children, reinforcing a continuum of care rather than a one-time intervention.

From a funding and administrative standpoint, the opportunity is listed under the CFDA number 93.067 (Global AIDS) with an estimated total funding amount of 12,500,000 and an award ceiling of 1,500,000 per award. The expected number of awards is 2, and there is no cost sharing or matching requirement. The original posting date is February 24, 2011, with an original closing date of April 25, 2011, and a later current closing date listed as May 10, 2013, with an archive date of May 11, 2013. Even though the listing is archived, the details describe the intent, scope, and required activities that characterized the competition while it was active.

Eligibility is broad and includes many organizational types capable of implementing public health programs at scale. Eligible applicants include nonprofits with or without 501(c)(3) status, for-profit organizations (including small businesses and specifically small, minority, and women-owned businesses), universities and colleges, research institutions, hospitals, community-based organizations, faith-based organizations, U.S. state and local governments or their bona fide agents, federally or state recognized American Indian/Alaska Native tribal governments, and non-U.S. entities. If an organization applies as a bona fide agent of a state or local government, it must provide documentation (a letter from the relevant government) confirming that status as part of the application package.

In practical terms, a competitive application under this announcement would be expected to show how the applicant will expand PMTCT service availability across targeted geographies, improve the quality and consistency of PMTCT service delivery in ANC and related settings, and build community-to-facility systems that keep women and infants engaged through testing, ARV initiation and adherence, delivery planning, postpartum follow-up, infant prophylaxis, EID, and linkage into ongoing HIV care. The emphasis on both scale (expanding coverage) and performance (improving uptake and follow-up) suggests CDC was looking for implementers that could combine service delivery support, training and mentoring, community mobilization, and strong referral and tracking systems to produce measurable improvements in PMTCT outcomes.

Frequently Asked Questions (FAQs)

What is the funding opportunity?

This is a CDC PEPFAR funding opportunity focused on prevention of mother-to-child transmission of HIV (PMTCT) in Cameroon. The opportunity is identified as CDC RFA GH11-1153.

What is the overall goal of this opportunity?

The overall goal is to reduce HIV-related maternal and child mortality by ensuring comprehensive PMTCT services are widely available and effectively used within Cameroon's national maternal and child health (MCH) and reproductive health system.

What type of award mechanism is being used?

The opportunity is structured as a cooperative agreement, meaning CDC is expected to have substantial involvement in implementation and oversight rather than providing funding with minimal federal engagement.

Where is the program expected to operate?

The program focuses on Cameroon, with a particular emphasis on the Southwest Region. Applicants are also expected to significantly improve PMTCT uptake in one additional region of Cameroon.

What coverage expansion is targeted in the Southwest Region?

The program targets a major expansion of PMTCT coverage in the Southwest Region, from roughly 35 percent to 90 percent.

Is the program limited to facility-based services?

No. The announcement emphasizes both facility-based delivery (especially integration into antenatal care services) and community-based PMTCT activities to generate demand, reduce loss to follow-up, and keep mothers and infants connected to care.

How should PMTCT be integrated into health services?

PMTCT activities are expected to be embedded into existing antenatal care (ANC) services at health facilities so pregnant women encounter HIV prevention, testing, and treatment as a routine part of maternal health care rather than as a separate service.

What does the opportunity mean by improving the "facility-community linkage"?

It refers to strengthening the connection between health facilities and communities so PMTCT services function as a connected system. This includes referral networks and follow-up mechanisms that support ongoing engagement of the mother-infant pair across pregnancy, delivery, postpartum care, and infant follow-up.

What is meant by supporting the "mother-infant pair"?

The program is expected to go beyond a single visit or test result. It should support continued engagement for both mother and infant through pregnancy, delivery, postpartum care, and infant follow-up, including referrals and tracking to maintain connection to care over time.

What kinds of referral and follow-up systems are expected?

The announcement implies building or reinforcing referral pathways, patient tracking, counseling support, and coordination among ANC clinics, maternity wards, pediatric services, laboratories, and community outreach workers.

What service components are required or strongly expected?

The solicitation describes multiple expected PMTCT components, including HIV testing and counseling in ANC, early infant diagnosis (EID), access to antiretroviral drugs (ARVs) for HIV-positive mothers and exposed infants, PMTCT education, and strong linkages to comprehensive HIV care and treatment services for mothers and children.

What is the role of HIV testing and counseling in this program?

HIV testing and counseling in ANC settings is emphasized so pregnant women can learn their HIV status early and receive immediate guidance and services.

What is early infant diagnosis (EID), and why is it included?

EID is a specialized approach for diagnosing HIV in infants, which is important because HIV in infants cannot be reliably diagnosed early with standard antibody tests. The opportunity highlights EID as a critical service component.

Are antiretroviral drugs (ARVs) part of the expected activities?

Yes. Ensuring access to ARVs for HIV-positive mothers and for HIV-exposed infants is identified as a central activity aligned with PMTCT protocols that reduce transmission risk and support maternal health.

What is expected regarding PMTCT education?

PMTCT education is explicitly named, indicating the program should provide clear and repeated messaging for mothers, families, and communities about prevention steps, adherence, safe infant feeding guidance consistent with national policy, and the importance of follow-up.

Does the program require linkage to broader HIV care and treatment services?

Yes. The opportunity expects applicants to establish and strengthen linkages to comprehensive care and treatment services for HIV-positive mothers and their children, reinforcing a continuum of care rather than a one-time intervention.

What is the CFDA number for this opportunity?

The opportunity is listed under CFDA 93.067 (Global AIDS).

How much funding is available under this opportunity?

The estimated total funding amount is 12,500,000, and the award ceiling is 1,500,000 per award.

How many awards were expected?

The expected number of awards is 2.

Is cost sharing or matching required?

No. The announcement states there is no cost sharing or matching requirement.

What were the key dates for this funding opportunity?

The original posting date is February 24, 2011. The original closing date is April 25, 2011. A later current closing date is listed as May 10, 2013, with an archive date of May 11, 2013.

Is the opportunity still active?

The listing is archived. The details provided describe the intent, scope, and required activities that characterized the competition while it was active.

Who is eligible to apply?

Eligibility is broad and includes nonprofits (with or without 501(c)(3) status), for-profit organizations (including small businesses and specifically small, minority, and women-owned businesses), universities and colleges, research institutions, hospitals, community-based organizations, faith-based organizations, U.S. state and local governments or their bona fide agents, federally or state recognized American Indian/Alaska Native tribal governments, and non-U.S. entities.

Can non-U.S. organizations apply?

Yes. Non-U.S. entities are included in the list of eligible applicants.

What documentation is needed if applying as a bona fide agent of a state or local government?

If an organization applies as a bona fide agent of a state or local government, it must provide documentation as part of the application package, specifically a letter from the relevant government confirming that status.

What would a competitive application need to demonstrate?

A strong application would be expected to show how the applicant will expand PMTCT service availability across targeted geographies, improve the quality and consistency of PMTCT service delivery in ANC and related settings, and build community-to-facility systems that keep women and infants engaged through testing, ARV initiation and adherence, delivery planning, postpartum follow-up, infant prophylaxis, EID, and linkage into ongoing HIV care.

What kinds of implementation capabilities does CDC appear to be seeking?

The emphasis on both scale (expanding coverage) and performance (improving uptake and follow-up) suggests CDC was looking for implementers that can combine service delivery support, training and mentoring, community mobilization, and strong referral and tracking systems to produce measurable improvements in PMTCT outcomes.

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