Opportunity Information: Apply for RFA 674 10 0001

  • The South Africa USAID Pretoria in the health sector is offering a public funding opportunity titled "Strengthening Clinical Services in Lesotho" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001 USAID Foreign Assistance for Programs Overseas.
  • This funding opportunity was created on Nov 2, 2009 and posted on Oct 5, 2009.
  • Applicants must submit their applications by Nov 16, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $25,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $25,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
Apply for RFA 674 10 0001

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Opportunity Summary:

Strengthening Clinical Services in Lesotho is a USAID-funded grant opportunity focused on improving HIV/AIDS clinical care and treatment services in Lesotho using approaches that have already been proven effective. The program is designed to support comprehensive and integrated HIV services, meaning it is not limited to a single intervention area but instead aims to strengthen the full continuum of HIV care and treatment. A specific emphasis is placed on ensuring that activities align with and include work connected to existing PMTCT (Prevention of Mother-to-Child Transmission) programs, rather than operating separately from them.

A central expectation of this funding is strong coordination and integration across the HIV response. Applicants are expected to demonstrate the ability to collaborate at a high level with government bodies, technical partners, and other stakeholders, and to show how proposed activities will fit into the broader national HIV/AIDS effort. The grant stresses harmonization with the Government of Lesotho's HIV/AIDS strategy and with the Ministry of Health and Social Welfare's policies, procedures, and guidelines. It also requires alignment with the broader Partnership Framework and with US Government PEPFAR guidance specific to Lesotho, signaling that the program sits within the larger PEPFAR-supported health platform and will be implemented in a way that supports shared priorities, consistent standards, and coordinated service delivery.

Administratively, this opportunity was issued as a discretionary cooperative agreement, which typically means USAID anticipated substantial involvement during implementation, such as ongoing technical collaboration, joint planning, and performance monitoring rather than a hands-off grant structure. The funding activity category is health, and the opportunity was managed through USAID in Pretoria (South Africa USAID Pretoria). The opportunity anticipated a single award, with an estimated total funding amount of USD 25,000,000. The award ceiling and floor were both set at USD 25,000,000, indicating the intent to fund one project at that full amount rather than a range of award sizes. Cost sharing or matching was required, so applicants needed to contribute a portion of resources, whether in cash or allowable in-kind support, consistent with the rules described in the full announcement.

Eligibility was listed as unrestricted, meaning it was open to any type of entity as long as it met any additional eligibility conditions contained in the full solicitation text. The opportunity was posted on October 5, 2009, with an original and final closing date of November 16, 2009, and it was later archived on December 16, 2009. For applicants who had trouble accessing the full announcement electronically, the listed point of contact was Francinah Hlatshwayo, Acquisition Assistant Specialist, reachable by phone at +27 12 452 2175.

Overall, the opportunity aimed to strengthen clinical HIV service delivery in Lesotho at scale by funding a single, coordinated program that could deliver integrated HIV/AIDS care and treatment, build on PMTCT platforms, and work in close alignment with national strategies and PEPFAR implementation guidance, while demonstrating strong partnership management and system-level coordination.

Frequently Asked Questions (FAQs)

What is the "Strengthening Clinical Services in Lesotho" grant opportunity?

It is a USAID-funded grant opportunity focused on improving HIV/AIDS clinical care and treatment services in Lesotho by using approaches that have already been proven effective. The intent is to strengthen HIV services at scale through a coordinated program.

What is the main goal of this program?

The main goal is to strengthen clinical HIV service delivery in Lesotho across the full continuum of HIV care and treatment, with comprehensive and integrated services rather than a narrow, single-intervention approach.

Is this opportunity limited to one specific HIV intervention area?

No. The opportunity emphasizes comprehensive and integrated HIV services, meaning it is designed to support multiple parts of the HIV care and treatment continuum rather than being limited to one intervention area.

How does PMTCT fit into this program?

PMTCT (Prevention of Mother-to-Child Transmission) is a specific emphasis. Activities are expected to align with and include work connected to existing PMTCT programs, rather than operating separately from them.

What level of coordination is expected from applicants?

Strong coordination and integration across the HIV response is a central expectation. Applicants are expected to demonstrate an ability to collaborate at a high level with government bodies, technical partners, and other stakeholders, and to show how activities fit into the broader national HIV/AIDS effort.

What national policies or strategies must the program align with?

The grant stresses harmonization with the Government of Lesotho's HIV/AIDS strategy and with the Ministry of Health and Social Welfare's policies, procedures, and guidelines.

Does the opportunity require alignment with PEPFAR?

Yes. The program requires alignment with the broader Partnership Framework and with US Government PEPFAR guidance specific to Lesotho, indicating the activity is part of the larger PEPFAR-supported health platform and should support shared priorities, consistent standards, and coordinated service delivery.

What type of award mechanism is this?

This opportunity was issued as a discretionary cooperative agreement. This typically indicates USAID anticipated substantial involvement during implementation, such as ongoing technical collaboration, joint planning, and performance monitoring (rather than a hands-off grant structure).

Which sector or activity category does this opportunity fall under?

The funding activity category is health.

Which USAID office managed this opportunity?

The opportunity was managed through USAID in Pretoria (South Africa USAID Pretoria).

How many awards were anticipated?

The opportunity anticipated a single award.

What was the estimated total funding amount?

The estimated total funding amount was USD 25,000,000.

What were the award floor and ceiling amounts?

Both the award ceiling and floor were set at USD 25,000,000, indicating the intent to fund one project at the full amount rather than a range of award sizes.

Was cost sharing or matching required?

Yes. Cost sharing or matching was required, meaning applicants needed to contribute a portion of resources (cash and/or allowable in-kind support), consistent with the rules described in the full announcement.

Who was eligible to apply?

Eligibility was listed as unrestricted, meaning it was open to any type of entity as long as it met any additional eligibility conditions contained in the full solicitation text.

When was the opportunity posted and when did it close?

The opportunity was posted on October 5, 2009. The original and final closing date was November 16, 2009.

When was the opportunity archived?

It was archived on December 16, 2009.

Who should applicants contact if they had trouble accessing the full announcement electronically?

The listed point of contact was Francinah Hlatshwayo, Acquisition Assistant Specialist. Phone: +27 12 452 2175.

What is USAID looking for in an implementation approach?

USAID is looking for a single, coordinated program that strengthens integrated HIV/AIDS care and treatment services, builds on existing PMTCT platforms, and aligns closely with national strategies and PEPFAR guidance, while demonstrating strong partnership management and system-level coordination.

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