Opportunity Information: Apply for CDC RFA GH15 158203CONT17
Apply for CDC RFA GH15 158203CONT17
- The Department of Health and Human Services, Centers for Disease Control - CGH 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 Provide Central Level Technical Assistance to the Swaziland National AIDS Program (SNAP) in the Kingdom of Swazi" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.067.
- This funding opportunity was created on Sep 30, 2016.
- Applicants must submit their applications by Nov 30, 2016. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:
This funding opportunity is a CDC (Centers for Disease Control and Prevention) cooperative agreement under the U.S. Department of Health and Human Services, supported through the President's Emergency Plan for AIDS Relief (PEPFAR). It focuses on the Kingdom of Swaziland (now commonly referred to as Eswatini) and is aimed at strengthening the ability of local systems to deliver sustainable, quality-assured clinical services for HIV and tuberculosis (TB), with a particular emphasis on the Lubombo Region. In addition to regional service delivery improvements, the opportunity also includes a national-level component: providing central technical assistance to the Swaziland National AIDS Program (SNAP) to help the country maintain and improve an effective, coordinated HIV response.
The core intent is capacity strengthening rather than short-term service delivery alone. The project is framed around building local institutions, health facilities, and program management structures so that high-quality HIV/TB services can reach universal coverage and remain effective over time. In practice, "universal coverage" in this context generally refers to ensuring that people who need HIV testing, treatment, and prevention services, as well as TB screening and care, can access them without major gaps in availability or quality. The repeated emphasis on "quality-assured" signals that the program expects implementers not only to expand access, but also to standardize clinical practices, improve adherence to national guidelines, strengthen supervision and mentorship, and embed routine quality improvement processes so that clinical outcomes improve and patient safety is protected.
Geographically, the opportunity highlights Lubombo Region, which suggests a targeted approach to strengthening frontline clinical services in that area. Typical activities under such a goal often include improving HIV case finding and linkage to care, supporting antiretroviral therapy (ART) initiation and long-term retention, integrating TB and HIV services (including TB symptom screening for people living with HIV and HIV testing for TB patients), and reinforcing clinical monitoring systems such as viral load testing follow-up and treatment adherence support. The opportunity title also implies a focus on sustainability, which commonly includes developing local clinical leadership, training and mentoring health workers, strengthening facility management, and improving supply chain and laboratory referral coordination so services do not collapse when external support decreases.
At the national level, the grant calls for central technical assistance to SNAP. This usually means helping the Ministry of Health and the national AIDS program with planning, strategy, guideline development or updates, data systems and surveillance support, performance monitoring, and coordination across partners. Central assistance can also include strengthening national program management functions like setting targets, improving reporting and use of data for decision-making, supporting national quality management frameworks, and aligning Lubombo-specific implementation with the broader national HIV/TB strategy. Because the mechanism is a cooperative agreement, CDC would typically remain substantially involved in the program, which often translates into close collaboration on technical direction, monitoring, and evaluation expectations, and alignment with PEPFAR priorities and annual planning processes.
Administratively, the opportunity is labeled as a continuation (Opportunity Category: Continuation) under Funding Opportunity Number CDC RFA GH15 158203CONT17. That continuation label suggests it is connected to an existing program or previously awarded project, rather than a brand-new open competition, and may be structured to extend or expand work that is already underway. The funding instrument is a cooperative agreement, indicating an assistance relationship with significant federal involvement rather than a procurement contract. The activity category is Health, and the CFDA number listed is 93.067, which corresponds to CDC-related public health assistance programming.
The eligible applicants field is listed as "Others (see text field entitled Additional Information on Eligibility for clarification)," which implies eligibility may be limited or specifically defined in the full announcement text (for example, restricted to current recipients, certain types of organizations, or organizations with specific demonstrated capacity). The posting information shows a creation date of September 30, 2016 and an original closing date of November 30, 2016, placing it within a time period when PEPFAR was continuing to push toward epidemic control goals, including higher ART coverage, improved viral suppression, stronger TB/HIV integration, and greater country ownership of program management.
Several listed fields should be interpreted carefully. The award ceiling is shown as 0, which typically means the ceiling was not specified in the summary record or was to be determined based on availability of funds, negotiations, or continuation funding amounts rather than a fixed maximum. The expected number of awards is listed as 10, suggesting CDC anticipated multiple awards or sub-awards across implementing partners, though in continuation contexts this can also reflect administrative expectations rather than a fully open competition.
Overall, the opportunity is best understood as a PEPFAR-supported effort to consolidate and strengthen HIV/TB clinical service delivery in Lubombo while simultaneously improving national technical and management capacity through SNAP. The emphasis on local capacity, sustainable systems, and quality assurance indicates that success would likely be measured not only by service volume (numbers tested or treated) but by durable improvements in clinical quality, program performance, and the ability of national and regional structures to manage HIV/TB services effectively with reduced dependence on external implementing partners over time.
Frequently Asked Questions (FAQs)
1) What is this funding opportunity?
This is a CDC (Centers for Disease Control and Prevention) cooperative agreement under the U.S. Department of Health and Human Services, supported through the President's Emergency Plan for AIDS Relief (PEPFAR). It is focused on strengthening HIV and tuberculosis (TB) clinical services and related health systems in the Kingdom of Swaziland (now commonly referred to as Eswatini).
2) What is the funding mechanism?
The funding mechanism is a cooperative agreement. This generally means CDC is expected to have substantial involvement in the program, often including close collaboration on technical direction, monitoring, evaluation, and alignment with PEPFAR priorities and planning processes.
3) What is the main purpose of the program?
The core purpose is capacity strengthening of local systems to deliver sustainable, quality-assured HIV and TB clinical services. The intent is not only short-term service delivery, but building durable local institutions, health facilities, and program management structures that can maintain and improve performance over time.
4) Which country and geography does it focus on?
The opportunity focuses on Swaziland/Eswatini, with a particular emphasis on strengthening frontline service delivery in the Lubombo Region. It also includes a national-level component to support the countrywide HIV response.
5) Is the program only regional, or does it have a national component?
It includes both. There is a Lubombo-focused service delivery strengthening component, and there is also a national component that provides central technical assistance to the Swaziland National AIDS Program (SNAP) to support an effective, coordinated national HIV response.
6) What does "quality-assured" clinical services mean in this context?
Based on the description, "quality-assured" emphasizes that implementers are expected to expand access while also standardizing clinical practices, improving adherence to national guidelines, strengthening supervision and mentorship, and embedding routine quality improvement processes to protect patient safety and improve clinical outcomes.
7) What does "universal coverage" mean here?
In this context, universal coverage generally refers to ensuring people who need HIV testing, treatment, and prevention services, as well as TB screening and care, can access them without major gaps in availability or quality.
8) What kinds of activities are suggested for Lubombo Region?
The summary points to typical activities such as improving HIV case finding and linkage to care, supporting antiretroviral therapy (ART) initiation and long-term retention, integrating TB and HIV services (including TB symptom screening for people living with HIV and HIV testing for TB patients), and reinforcing clinical monitoring systems such as viral load testing follow-up and adherence support.
9) What does sustainability mean for this opportunity?
The opportunity stresses sustainability through strengthening local capacity and systems so services do not collapse when external support decreases. Examples described include developing local clinical leadership, training and mentoring health workers, strengthening facility management, and improving supply chain and laboratory referral coordination.
10) What is the role of the Swaziland National AIDS Program (SNAP) in this grant?
SNAP is the national program receiving central technical assistance under the national-level component. The purpose is to help Swaziland/Eswatini maintain and improve an effective, coordinated HIV response.
11) What kinds of support may be included as central technical assistance to SNAP?
Based on the description, central technical assistance may include support for planning, strategy development, guideline development or updates, data systems and surveillance support, performance monitoring, coordination across partners, strengthening national program management (including target-setting and reporting), use of data for decision-making, national quality management frameworks, and alignment between Lubombo implementation and national HIV/TB strategy.
12) How might CDC be involved during implementation?
Because this is a cooperative agreement, CDC would typically be substantially involved, which commonly includes collaboration on technical direction, monitoring and evaluation expectations, and alignment with PEPFAR priorities and annual planning processes.
13) Is this a new, open competition?
The opportunity category is listed as "Continuation," which suggests it is connected to an existing program or a previously awarded project, rather than a brand-new open competition.
14) What is the Funding Opportunity Number (FOA number)?
The Funding Opportunity Number provided is CDC RFA GH15 158203CONT17.
15) What is the activity category?
The activity category is Health.
16) What is the CFDA number for this opportunity?
The CFDA number listed is 93.067, which is associated with CDC public health assistance programming.
17) Who is eligible to apply?
The eligible applicants field is listed as "Others (see text field entitled Additional Information on Eligibility for clarification)." This indicates eligibility may be limited or specifically defined in the full announcement text (for example, it may be restricted to current recipients, certain organization types, or applicants with specific demonstrated capacity), but the summary provided does not specify the exact eligibility rules.
18) What are the posted dates for this opportunity?
The posting information shows a creation date of September 30, 2016 and an original closing date of November 30, 2016.
19) What is the award ceiling?
The award ceiling is shown as 0. In many grant listings, this can mean the ceiling was not specified in the summary record or that final amounts were to be determined based on factors such as availability of funds, negotiations, or continuation funding amounts rather than a fixed maximum.
20) How many awards were expected?
The expected number of awards is listed as 10. The description notes that in continuation contexts this figure may reflect administrative expectations rather than a fully open competitive award structure.
21) What outcomes does this opportunity appear to emphasize?
The description suggests success would likely be measured not only by service volume (such as numbers tested or treated) but also by durable improvements in clinical quality, program performance, quality assurance systems, and strengthened national and regional capacity to manage HIV/TB services with reduced dependence on external partners over time.
22) How does TB/HIV integration fit into the program?
TB/HIV integration is explicitly emphasized. Examples described include TB symptom screening for people living with HIV and HIV testing for TB patients, alongside strengthening the overall clinical services and monitoring systems that support both programs.
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