Strengthening Local Capacity to Deliver Sustainable Quality Assured Universal Coverage of Clinical HIV/TB Services in Manzini Region, and Provide Central Level Technical Assistance to the National Tuberculosis Control Program (NTCP) in the Kingdom of | Apply Online

Opportunity Summary:

This opportunity is a continuation cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under the President's Emergency Plan for AIDS Relief (PEPFAR). Its focus is the Kingdom of Swaziland (now commonly referred to as Eswatini) and, more specifically, strengthening local capacity to deliver sustainable, quality-assured clinical HIV and tuberculosis (TB) services in the Manzini Region, while also providing central-level technical assistance to the National Tuberculosis Control Program (NTCP). In practical terms, the award is designed to help improve how HIV and TB services are organized, delivered, monitored, and maintained over time, with an emphasis on reaching universal coverage and ensuring service quality rather than one-off, short-lived gains.

The work described in the title signals two interconnected priorities. First, the recipient is expected to support front-line clinical HIV/TB service delivery in Manzini, a key region for the country's health response, by strengthening the systems and skills needed for consistent, high-quality care. That typically includes building capacity in facilities and among healthcare workers to implement standardized clinical protocols, improve patient flow, ensure continuity of care, integrate HIV and TB services where appropriate, and maintain high standards for diagnosis, treatment initiation, adherence support, follow-up, and outcomes tracking. The phrase "sustainable quality assured universal coverage" highlights that the aim is not only to expand access, but to do so in a way that can be maintained by local institutions and that meets defined quality benchmarks. It also implies a strong focus on quality improvement, supportive supervision, mentorship, and the use of routine data to identify gaps and correct them.

Second, the award includes central-level technical assistance to the NTCP, meaning support that strengthens national TB program leadership, strategy, guidelines, surveillance, and overall program performance. This can include helping the NTCP refine policies and standard operating procedures, strengthen monitoring and evaluation systems, improve laboratory and diagnostic networks, enhance drug supply and logistics planning, and coordinate national TB/HIV collaborative activities. Because TB is a major cause of illness and death among people living with HIV, the combined HIV/TB framing suggests the program expects close alignment between HIV clinical services and TB prevention, screening, diagnosis, and treatment, including intensified case finding, infection prevention and control, and management of co-infected patients. Central-level assistance also often involves helping national programs translate evidence and global recommendations into workable national guidance, and ensuring consistent implementation across regions.

Administratively, this is listed as a continuation funding opportunity (Opportunity Category: Continuation), which generally indicates it is intended to extend or continue an ongoing project rather than compete a brand-new program from scratch. The funding instrument is a cooperative agreement, which means CDC is expected to have substantial involvement during implementation compared with a standard grant. In cooperative agreements, the recipient implements the work, but CDC typically collaborates on planning, technical direction, performance monitoring, and sometimes approval of key deliverables, ensuring the program aligns with PEPFAR and CDC priorities and meets performance expectations.

Key data elements from the notice include the funding opportunity number (CDC RFA GH15-158303CONT17), the activity category (Health), and the CFDA number 93.067, which corresponds to CDC's global health assistance programming. The opportunity anticipated a single award (Expected Awards: 1), suggesting one primary implementing partner would lead the work, potentially coordinating with sub-partners. The posting date was September 30, 2016, and the original closing date was November 30, 2016, placing it in the context of PEPFAR-era investments focused on scaling up and institutionalizing high-impact HIV and TB interventions.

Eligibility is listed broadly as "Others," with additional eligibility details referenced as being in an "Additional Information on Eligibility" section not provided in the excerpt. In many CDC global health opportunities, eligible applicants may include non-profit organizations, NGOs, universities, and other entities with demonstrated technical and operational capacity in HIV/TB programming and health systems strengthening, especially those able to work closely with ministries of health and public-sector facilities.

The award ceiling is shown as 0 in the extracted data, which usually means the ceiling was not specified in the summary field, was provided elsewhere in the full announcement, or was not applicable for the way the continuation action was structured. In any case, the central thrust of the opportunity is clear: it is a CDC/PEPFAR-supported continuation cooperative agreement aimed at improving the quality, reach, and long-term sustainability of integrated HIV and TB clinical services in Manzini while simultaneously reinforcing national TB program performance through central technical assistance to the NTCP.

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Next opportunity: Strengthening HIV/TB Laboratory Quality Management Systems and Services in the Kingdom of Swaziland under the President’s Emergency Plan for AIDS Relief (PEPFAR)

Previous opportunity: FY 2017 Continuation of Solicitation for the Office of Science Financial Assistance Program

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