Opportunity Information: Apply for CDC RFA GH15 1582
Apply for CDC RFA GH15 1582
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Strengthening Local Capacity to Deliver Sustainable Quality Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region," 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 26, 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.)
- The funding agency has allocated a total of $4,200,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $4,200,000.00 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).
- 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 eligible organizations PEPFAR Local Partner definition To be considered eligible as a local partner under this Funding Opportunity Announcement, the applicant must submit supporting documentation demonstrating how their organization meets one of the three criteria listed below under the PEPFAR Local Partner definition. The supporting documentation must be included in the Appendices of the application and must be labeled as Eligibility Documentation for PEPFAR Local Partner Definition. Applicants that do not provide and/or label the supporting documentation required to meet the PEPFAR Local Partner definition above will not be considered eligible for review. Under PEPFAR, a local partner may be an individual or sole proprietorship, an entity, or a joint venture or other arrangement. However, to be considered a local partner in a given country served by PEPFAR, the partner must meet the criteria under paragraph (1), (2), or (3) below (1) an individual must be a citizen or lawfully admitted permanent resident of and have his/her principal place of business in the country served by the PEPFAR program with which the individual is or may become involved, and a sole proprietorship must be owned by such an individual or (2) an entity (e.g., a corporation or partnership) a) must be incorporated or legally organized under the laws of, and have its principal place of business in, the country served by the PEPFAR program with which the entity is or may become involved b) must be at 75 for FY 2015 beneficially owned by individuals who are citizens or lawfully admitted permanent residents of that same country, per sub paragraph (2)(a), or by other corporations, partnerships or other arrangements that are local partners under this paragraph or paragraph (3) c) at least 75 for FY 2015 of the entity s staff (senior, mid level, support) must be citizens or lawfully admitted permanent residents of that same country, per sub paragraph (2)(a), and at least 75 for FY 2015 of the entity s senior staff (i.e., managerial and professional personnel) must be citizens or lawfully admitted permanent residents of such country and d) where an entity has a Board of Directors, at least 51 of the members of the Board must also be citizens or lawfully admitted permanent residents of such country or (3) a joint venture, unincorporated association, consortium, or other arrangement in which at least 75 for FY 2015 of the funding under the PEPFAR award is or will be provided to members who are local partners under the criteria in paragraphs (1) or (2) above, and a local partner is designated as the managing member of the organization.
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Opportunity Summary:
The Centers for Disease Control and Prevention (CDC) funding opportunity CDC RFA GH15-1582, titled "Strengthening Local Capacity to Deliver Sustainable Quality Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region," is a cooperative agreement aimed at helping Swaziland (Eswatini) confront one of the worlds most severe combined HIV and tuberculosis epidemics. The opportunity is grounded in alarming national and regional disease burden indicators: adult HIV incidence estimated around 2.4 annually, HIV prevalence of about 31 percent among adults ages 18 to 49, and an exceptionally high TB incidence rate of roughly 1380 per 100,000 people. The program context also highlights that around 6,000 TB cases were expected to be diagnosed by 2015, and that the majority of TB patients (about 75 to 80 percent) are co-infected with HIV. Compounding this, HIV prevalence among pregnant women is reported at about 41 percent, underscoring the urgency of strong antenatal and maternal HIV services and prevention of mother-to-child transmission efforts integrated with broader clinical care.
The core purpose of the award is not only to expand services, but to strengthen local capacity so HIV and TB clinical services in the Lubombo Region can reach sustainable, quality-assured universal coverage aligned with the 2013 WHO guidelines. In practical terms, the CDC is looking to support a model of care that improves delivery across the full continuum: HIV testing and diagnosis, linkage to care, initiation of treatment, long-term retention, and integration with TB services so that care feels seamless from the patient perspective. A major emphasis is ensuring these services are comprehensive and integrated within existing health system structures rather than operating as parallel programs, while also increasing the Ministrys stewardship capacity at national, regional, and facility levels so gains can be maintained over time.
The announcement recognizes that Swaziland has already made meaningful progress scaling up HIV and TB clinical services, including TB/HIV collaborative interventions such as intensified TB case finding (ICF), isoniazid preventive therapy (IPT), and TB infection prevention and control (IPC). However, the opportunity is driven by the reality that important gaps and missed opportunities remain. Specifically, it points to persistent challenges in effectively reaching children and adolescents, as well as key populations, with appropriate HIV services. It also highlights incomplete coverage in getting pregnant women and TB clients onto antiretroviral therapy (ART) when eligible, and it calls attention to the need for better efficiency in using limited resources. Another central theme is improving the structures and processes that assure quality over the long term, meaning the work is expected to strengthen systems, standards, supervision, and performance management so service delivery remains consistently high-quality across facilities.
From a funding and administrative standpoint, this was a discretionary cooperative agreement in the health category under CFDA 93.067 (Global AIDS). The expected number of awards was one, with an estimated total funding amount of $4,200,000 and an award ceiling of $4,200,000. There was no cost sharing or matching requirement. The original posting date was August 26, 2014, with a final closing date of October 16, 2014, and the opportunity was later archived on November 5, 2014. As a cooperative agreement, the CDC typically anticipates substantial programmatic involvement, meaning the recipient would likely work closely with CDC staff on implementation approaches, monitoring, and quality improvement rather than operating completely independently.
Eligibility was broad, spanning government organizations and non-government entities. Eligible applicants included national ministries of health, state and local governments and their bona fide agents, US territorial and associated jurisdiction governments, tribal governments and tribal organizations, nonprofit organizations (with or without 501(c)(3) status), research institutions performing non-research activities, colleges and universities, community-based and faith-based organizations, hospitals, and for-profit organizations (other than small businesses), including small, minority-, and women-owned businesses. A key requirement emphasized in the announcement is the PEPFAR Local Partner definition: applicants needed to provide documentation showing they qualified as a local partner under specified ownership, staffing, governance, and place-of-business criteria (or through a consortium structure that directs most funding to qualifying local partners and designates a local managing member). Applications lacking properly labeled eligibility documentation for this local partner requirement would not be considered eligible for review.
Overall, the opportunity is best understood as a targeted investment in Lubombo Region to strengthen integrated HIV/TB clinical service delivery while building durable local leadership and health system capacity. It focuses on expanding access and improving quality across HIV testing through long-term treatment retention, deepening TB/HIV collaboration (ICF, IPT, IPC), closing coverage gaps for underserved groups like children, adolescents, key populations, pregnant women, and TB patients needing ART, and ensuring resources are used efficiently with strong quality assurance so the Ministry of Health can sustain improvements at every level of the health system.
FAQs: CDC RFA GH15-1582 - Strengthening Local Capacity to Deliver Sustainable Quality Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region
What is the official title and reference number for this funding opportunity?
The opportunity is titled "Strengthening Local Capacity to Deliver Sustainable Quality Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region" under CDC RFA GH15-1582.
Which federal agency is offering this opportunity?
The opportunity is offered by the Centers for Disease Control and Prevention (CDC).
What type of award is this?
This funding is a discretionary cooperative agreement. That structure typically indicates substantial CDC programmatic involvement during implementation (for example, collaboration on implementation approaches, monitoring, and quality improvement), rather than the recipient operating completely independently.
What is the main purpose of the cooperative agreement?
The core purpose is to strengthen local capacity so clinical HIV and TB services in the Lubombo Region can reach sustainable, quality-assured universal coverage aligned with the 2013 WHO guidelines. The focus is both on improving service delivery across the full continuum of care and on building durable stewardship and health system capacity so gains can be maintained long-term.
Where is the program intended to be implemented?
The work is targeted to the Lubombo Region in Swaziland (Eswatini).
Why is this opportunity considered urgent or high priority?
The announcement is grounded in severe combined HIV and TB burden indicators, including adult HIV incidence estimated around 2.4 annually, HIV prevalence of about 31 percent among adults ages 18 to 49, and TB incidence of roughly 1380 per 100,000 people. It also notes that most TB patients (about 75 to 80 percent) are co-infected with HIV, and HIV prevalence among pregnant women is reported around 41 percent.
What outcomes or improvements is CDC seeking through this award?
CDC is seeking strengthened delivery of integrated HIV/TB clinical services across the continuum, including HIV testing and diagnosis, linkage to care, initiation of treatment, long-term retention, and seamless integration with TB services. The opportunity also emphasizes strengthening quality assurance structures and processes so service delivery remains consistently high-quality across facilities over time.
What does "universal coverage" mean in the context of this announcement?
Based on the announcement, universal coverage refers to achieving broad access to comprehensive, integrated, and quality-assured clinical HIV and TB services in the Lubombo Region, aligned with the 2013 WHO guidelines and embedded within existing health system structures.
What is meant by "quality-assured" services in this opportunity?
The announcement emphasizes improving long-term quality through strengthened systems, standards, supervision, and performance management. The intent is to ensure consistent service quality across facilities and to institutionalize quality assurance within the health system rather than relying on temporary or parallel program structures.
What does the opportunity say about integrating HIV and TB services?
A major emphasis is integration so that HIV and TB services feel seamless from the patient perspective. The award aims to support comprehensive services that are integrated within existing health system structures and strengthen TB/HIV collaborative interventions.
Which TB/HIV collaborative interventions are specifically referenced?
The opportunity references intensified TB case finding (ICF), isoniazid preventive therapy (IPT), and TB infection prevention and control (IPC) as TB/HIV collaborative interventions that have already been scaled and remain part of the program context.
What gaps or missed opportunities does the announcement highlight?
It highlights persistent challenges in effectively reaching children and adolescents, as well as key populations, with appropriate HIV services. It also points to incomplete coverage in getting pregnant women and TB clients onto antiretroviral therapy (ART) when eligible, and it calls attention to the need for better efficiency in using limited resources.
Which populations are specifically emphasized as underserved or needing improved coverage?
The announcement calls out children, adolescents, key populations, pregnant women, and TB patients (especially those needing ART when eligible) as groups where coverage and service delivery gaps need to be addressed.
Does the opportunity focus only on expanding services, or also on strengthening systems?
It focuses on both. While service expansion and improved delivery across the continuum of care are central, the opportunity is explicitly aimed at strengthening local capacity, Ministry stewardship, and quality assurance systems so improvements are sustainable.
What is the role of the Ministry of Health in this opportunity?
The opportunity emphasizes increasing the Ministry's stewardship capacity at national, regional, and facility levels so gains can be maintained over time and embedded in the health system.
What is the CFDA number and program category listed?
The CFDA is 93.067 (Global AIDS), and the category is health.
How many awards were expected?
The expected number of awards was one.
What was the estimated total funding amount and the award ceiling?
The estimated total funding amount was $4,200,000, and the award ceiling was $4,200,000.
Is cost sharing or matching required?
No. The opportunity states there was no cost sharing or matching requirement.
What were the key dates for this opportunity?
The original posting date was August 26, 2014. The final closing date was October 16, 2014. The opportunity was archived on November 5, 2014.
Who was eligible to apply?
Eligibility was broad and included government organizations and non-government entities such as national ministries of health; state and local governments and their bona fide agents; US territorial and associated jurisdiction governments; tribal governments and tribal organizations; nonprofit organizations (with or without 501(c)(3) status); research institutions performing non-research activities; colleges and universities; community-based and faith-based organizations; hospitals; and for-profit organizations (other than small businesses), including small, minority-, and women-owned businesses.
Are for-profit organizations eligible?
Yes. The eligibility list includes for-profit organizations (other than small businesses), including small, minority-, and women-owned businesses.
Are nonprofits required to have 501(c)(3) status to be eligible?
No. The eligibility list includes nonprofit organizations with or without 501(c)(3) status.
What is the PEPFAR Local Partner requirement mentioned in the announcement?
The announcement emphasizes that applicants needed to provide documentation showing they qualified as a local partner under the PEPFAR Local Partner definition, based on specified ownership, staffing, governance, and place-of-business criteria. It also notes that eligibility could be satisfied through a consortium structure that directs most funding to qualifying local partners and designates a local managing member.
What happens if an application does not include the required local partner eligibility documentation?
Applications lacking properly labeled eligibility documentation for the local partner requirement would not be considered eligible for review.
Does the announcement allow consortium or partnership approaches to meet the local partner requirement?
Yes. It notes that qualification could be met through a consortium structure that directs most funding to qualifying local partners and designates a local managing member.
What does the cooperative agreement structure imply about CDC involvement?
The announcement indicates that, as a cooperative agreement, CDC typically anticipates substantial programmatic involvement. In practice, that means the recipient would likely work closely with CDC staff on implementation approaches, monitoring, and quality improvement.
Is the opportunity framed as a stand-alone program or integrated into existing health structures?
The announcement stresses that services should be comprehensive and integrated within existing health system structures rather than operating as parallel programs.
What part of the HIV care continuum is included in the program model?
The model described spans HIV testing and diagnosis, linkage to care, initiation of treatment, long-term retention, and integration with TB services so patients experience a seamless pathway through care.
Does the opportunity specifically mention antenatal or maternal HIV services?
Yes. It highlights HIV prevalence among pregnant women at about 41 percent and underscores the urgency of strong antenatal and maternal HIV services and prevention of mother-to-child transmission efforts integrated with broader clinical care.
Is this opportunity still open?
No. The final closing date was October 16, 2014, and the opportunity was archived on November 5, 2014.
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|---|
| Strengthening HIV/TB Laboratory Quality Management Systems and Services in the Kingdom of Swaziland under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1581 Funding Number: CDC RFA GH15 1581 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $2,100,000 |
| Implementing an Electronic Monitoring and Reporting System in the Republic of Rwanda under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1569 Funding Number: CDC RFA GH15 1569 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $310,000 |
| Monitoring and Evaluation Technical Support (METS) to Strengthen Monitoring and Evaluation, Disease Surveillance and the Capabilities of District Health Teams in the Republic of Uganda under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1611 Funding Number: CDC RFA GH15 1611 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $5,400,000 |
| Strengthening Regional and Community Health Systems through Support for Field Epidemiology in Tanzania under the Presidens Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1585 Funding Number: CDC RFA GH15 1585 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $450,000 |
| Technical Assistance for Strengthening National Laboratory Systems in Uganda under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1593 Funding Number: CDC RFA GH15 1593 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $5,000,000 |
| Strengthening the Capacity to Scale up HIV Prevention, Care and Treatment Programs in South Sudan under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1572 Funding Number: CDC RFA GH15 1572 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $3,800,000 |
| Support to Increasing Access to Voluntary Medical Male Circumcision (VMMC) Services in Malawi under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1555 Funding Number: CDC RFA GH15 1555 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $4,000,000 |
| Increase Access to Comprehensive HIV/AIDS Prevention, Care and Treatment Services in the Democratic Republic of Congo under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1521 Funding Number: CDC RFA GH15 1521 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $10,000,000 |
| USAID/Uganda Regional Health Integration to Enhance Services in East Central Uganda Apply for RFA 617 14 000013 Funding Number: RFA 617 14 000013 Agency: Uganda USAID Kampala Category: Health Funding Amount: $57,000,000 |
| Strengthen Uganda Ministry of Health Capacity to Execute its Essential Public Health Functions through Provision of Technical Assistance, Public Health Workforce Development and Institutional Capacity Building in the Republic of Uganda under PEPFAR Apply for CDC RFA GH15 1592 Funding Number: CDC RFA GH15 1592 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $10,000,000 |
| USAID/Ghana WASH for Health Apply for RFA 641 14 000007 Funding Number: RFA 641 14 000007 Agency: Ghana USAID Accra Category: Health Funding Amount: $18,700,000 |
| Approaches to Eliminate HIV and Opportunistic Pathogens from Oral Reservoirs (R01) Apply for RFA DE 15 003 Funding Number: RFA DE 15 003 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| Strengthening High Quality Laboratory Services Scale up for HIV Diagnosis, Care, Treatment and Monitoring in Malawi under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1551 Funding Number: CDC RFA GH15 1551 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $10,000,000 |
| Serious STEM Games for Pre College and Informal Science Education Audiences (SBIR) (R43/R44) Apply for PAR 14 325 Funding Number: PAR 14 325 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
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| Enhancing the Government of Indias Capacity through PEPFAR to Scale Up and Improve Comprehensive HIV Service Package Quality for People Who Inject Drugs under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1542 Funding Number: CDC RFA GH15 1542 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $1,800,000 |
| Administrative Supplements for U.S. Brazil Biomedical Collaborative Research Apply for PA 14 328 Funding Number: PA 14 328 Agency: National Institutes of Health Category: Health Funding Amount: $100,000 |
| Implementation of Sustainable Laboratory Quality Systems in the Republic of Kenya under the Presidents Emergency Plan for AIDS Relief (PEPFAR) Apply for CDC RFA GH15 1544 Funding Number: CDC RFA GH15 1544 Agency: Centers for Disease Control and Prevention Category: Health Funding Amount: $15,000,000 |
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