Opportunity Information: Apply for CDC RFA GH11 11090501SUPP15
Apply for CDC RFA GH11 11090501SUPP15
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Program Expansion Supplement for GH11 1109, Strengthening Local Capacity to Provide Sustainable HIV Related Care and Treatment Services in South Africa 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 Feb 13, 2015 and posted on Jan 14, 2015.
- Applicants must submit their applications by Feb 27, 2015 Electronically submitted applications must be submitted no later than 1159 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.)
- The funding agency has allocated a total of $24,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $24,000,000.00 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).
- Health Systems Trust
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Opportunity Summary:
The grant opportunity titled "Program Expansion Supplement for GH11 1109, Strengthening Local Capacity to Provide Sustainable HIV Related Care and Treatment Services in South Africa under PEPFAR" is a CDC cooperative agreement aimed at reinforcing South Africa's ability to deliver long-term, high-quality HIV care and treatment services, while also addressing the closely linked tuberculosis (TB) epidemic, including rising multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB. It is framed around the reality that South Africa has the largest HIV epidemic globally, with an estimated 6.1 million people living with HIV as of 2012, and one of the highest TB burdens worldwide. The opportunity builds on years of national scale-up of HIV services, including the expansion of antiretroviral therapy (ART) to more than 2.5 million people by the end of 2013 through over 3,500 public health facilities, with national goals at the time to reach 4.6 million people on ART by 2016.
A core theme of the opportunity is sustaining and improving a decentralized, nurse-led model of HIV service delivery that has been central to South Africa's ART expansion. Rather than focusing on direct service delivery by external partners, the award reflects a strategic shift that began after the 2010 Partnership Framework between the South African Government (SAG) and the US Government. Under that framework, PEPFAR implementing partners increasingly moved toward technical assistance and capacity building, working alongside national, provincial, district, and sub-district health management structures. The intent is to ensure that public sector systems can independently manage and maintain service quality at scale across all 52 districts in South Africa's nine provinces, aligning with the Department of Health (DOH) primary health care (PHC) re-engineering strategy and broader health reforms.
The supplement emphasizes closing persistent gaps in HIV and TB service delivery identified by PEPFAR, the National Department of Health (NDOH), and implementing partners. Priority areas include strengthening pediatric and adolescent HIV services, improving retention in care and adherence for all patients receiving ART, and improving TB prevention, diagnosis, and treatment, including for drug-resistant TB. The opportunity also stresses strengthening the prevention of mother-to-child transmission (PMTCT) cascade and improving integration between HIV services and related programs such as family planning, maternal and child health, nutrition, and prevention services. In addition, it highlights national reform priorities like the "ideal clinic" approach and the continued strengthening of health information systems to support better planning, monitoring, and performance management.
In practical terms, the award is designed to improve effectiveness and quality across HIV/AIDS programs, reduce illness and deaths from HIV, AIDS, and TB, and contribute to reductions in child and maternal mortality. It explicitly aligns with the Partnership Framework Implementation Plan (PFIP), the National Strategic Plan on HIV/TB/STIs 2012-2016, and the Five Year Transition Strategy, reflecting a strong emphasis on sustainability and local ownership. The scope of health systems strengthening described in the announcement is broad and includes support for planning and management capacity, laboratory and information systems, supply chain and delivery systems (including public sector ARV delivery), and human resource management, all intended to make decentralized, integrated HIV/TB services more resilient and consistently high quality.
From an administrative standpoint, this is a discretionary funding opportunity issued by the Centers for Disease Control and Prevention under a cooperative agreement mechanism, meaning CDC would likely remain substantially involved through collaboration, oversight, and technical engagement rather than simply issuing funds with minimal interaction. The funding opportunity number is CDC RFA GH11 11090501SUPP15, listed under CFDA 93.067 (Global AIDS). The posting date was January 14, 2015, with an estimated total funding amount of $24,000,000, and both the award ceiling and floor set at $24,000,000, indicating an expectation of a single award at that full amount (expected awards: 1). There is no cost-sharing or matching requirement. Eligibility is limited and specifically names Health Systems Trust as the eligible applicant. The application deadline listed in the record is February 27, 2015 (originally February 17, 2015), with electronic submissions due by 11:59 p.m. Eastern Time, and the archive date is March 29, 2015. The listed CDC project officer contact is Thomas Warne (ivf3@cdc.gov).
Frequently Asked Questions (FAQs)
1. What is the title of this grant opportunity?
The opportunity is titled "Program Expansion Supplement for GH11 1109, Strengthening Local Capacity to Provide Sustainable HIV Related Care and Treatment Services in South Africa under PEPFAR."
2. Which agency is offering this funding?
The funding is offered by the Centers for Disease Control and Prevention (CDC).
3. What type of funding mechanism is this?
This is a cooperative agreement. That typically means CDC would remain substantially involved through collaboration, oversight, and technical engagement, rather than providing funding with minimal interaction.
4. Is this a discretionary grant opportunity?
Yes. The record describes it as a discretionary funding opportunity.
5. What is the funding opportunity number?
The funding opportunity number is CDC RFA GH11 11090501SUPP15.
6. What CFDA program is this associated with?
This opportunity is listed under CFDA 93.067 (Global AIDS).
7. What is the purpose of the supplement?
The purpose is to reinforce South Africa's ability to deliver long-term, high-quality HIV care and treatment services, while also addressing the closely linked tuberculosis (TB) epidemic, including increasing multidrug-resistant (MDR) and extensively drug-resistant (XDR) TB.
8. What problem context does the opportunity highlight?
It is framed around South Africa having the largest HIV epidemic globally (estimated 6.1 million people living with HIV as of 2012) and one of the highest TB burdens worldwide.
9. How does this opportunity relate to South Africa's ART scale-up?
It builds on years of national scale-up of HIV services, including expansion of antiretroviral therapy (ART) to more than 2.5 million people by the end of 2013 through over 3,500 public health facilities, with national goals at the time to reach 4.6 million people on ART by 2016.
10. What service delivery model is emphasized?
A key theme is sustaining and improving a decentralized, nurse-led model of HIV service delivery that has been central to South Africa's ART expansion.
11. Does the opportunity focus on direct service delivery by external partners?
No. It reflects a strategic shift toward technical assistance and capacity building, with implementing partners working alongside national, provincial, district, and sub-district health management structures.
12. What is the broader strategic framework behind this shift?
The shift is described as part of the strategic direction that followed the 2010 Partnership Framework between the South African Government (SAG) and the US Government, in which PEPFAR implementing partners increasingly moved toward technical assistance and capacity building.
13. What geographic scope does the opportunity aim to support?
The intent is to ensure public sector systems can manage and maintain service quality at scale across all 52 districts in South Africa's nine provinces.
14. How does the opportunity align with South Africa's health reforms?
It aligns with the Department of Health (DOH) primary health care (PHC) re-engineering strategy and broader health reforms, and it highlights national reform priorities such as the "ideal clinic" approach and strengthening health information systems.
15. What persistent HIV and TB service delivery gaps are prioritized?
The supplement emphasizes closing gaps identified by PEPFAR, the National Department of Health (NDOH), and implementing partners. Priority areas include pediatric and adolescent HIV services, retention in care and adherence for people receiving ART, and TB prevention, diagnosis, and treatment, including drug-resistant TB.
16. What does the opportunity say about pediatric and adolescent HIV services?
Strengthening pediatric and adolescent HIV services is explicitly listed as a priority area.
17. What does the opportunity emphasize about retention and adherence?
Improving retention in care and adherence for all patients receiving ART is a stated priority.
18. How does the opportunity address tuberculosis (TB), including MDR/XDR TB?
It stresses improving TB prevention, diagnosis, and treatment, including addressing drug-resistant TB such as MDR and XDR TB.
19. What does the opportunity say about PMTCT (prevention of mother-to-child transmission)?
It stresses strengthening the PMTCT cascade.
20. Does the opportunity emphasize integration with other health services?
Yes. It highlights better integration between HIV services and related programs including family planning, maternal and child health, nutrition, and prevention services.
21. What health systems strengthening areas are included in the scope?
The scope includes support for planning and management capacity, laboratory and information systems, supply chain and delivery systems (including public sector ARV delivery), and human resource management, with the goal of making decentralized, integrated HIV/TB services more resilient and consistently high quality.
22. What outcomes is the award designed to improve?
It is designed to improve effectiveness and quality across HIV/AIDS programs, reduce illness and deaths from HIV, AIDS, and TB, and contribute to reductions in child and maternal mortality.
23. What national and bilateral plans does the opportunity align with?
It explicitly aligns with the Partnership Framework Implementation Plan (PFIP), the National Strategic Plan on HIV/TB/STIs 2012-2016, and the Five Year Transition Strategy, reflecting an emphasis on sustainability and local ownership.
24. What is the total estimated funding amount?
The estimated total funding amount is $24,000,000.
25. What are the award ceiling and floor?
Both the award ceiling and the award floor are set at $24,000,000.
26. How many awards are expected?
The opportunity lists expected awards as 1, which aligns with the single ceiling/floor amount indicating an expectation of one award at the full amount.
27. Is there a cost-sharing or matching requirement?
No. The record states there is no cost-sharing or matching requirement.
28. Who is eligible to apply?
Eligibility is limited. The eligible applicant specifically named is Health Systems Trust.
29. What is the posting date for the opportunity?
The posting date is January 14, 2015.
30. What is the application deadline?
The application deadline listed is February 27, 2015 (originally February 17, 2015).
31. What is the electronic submission deadline time?
Electronic submissions are due by 11:59 p.m. Eastern Time.
32. What is the archive date?
The archive date is March 29, 2015.
33. Who is the CDC project officer contact?
The listed CDC project officer contact is Thomas Warne (ivf3@cdc.gov).
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