Opportunity Information: Apply for AID OAA A 12 00014
Apply for AID OAA A 12 00014
- The USAID in the health sector is offering a public funding opportunity titled "Support for Improvement Science (SIS)" 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 May 23, 2012 and posted on May 23, 2012.
- Applicants must submit their applications by Jun 29, 2012 This opportunity will close on Friday, June 29, 2012 at 500pm EDST/Washington, DC Local Time. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $185,492,000.00 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).
- To be eligible for the Cooperative Agreement under this RFA, an organization must 1. Be a U.S. PVO, a U.S. NGO or a local NGO. a. U.S. PVOs U.S. non governmental organizations that meet the Conditions of Registration as outlined in 22 CFR 203 To register with USAID as a U.S. PVO, please refer to USAID s website at www.usaid.gov, USAID Keyword PVO Registration, or http://idea.usaid.gov/ls/pvo for complete information and guidance b. U.S. NGOs other U.S. non profit NGOs that do not meet the definition of a U.S. PVO, as well as U.S. commercial organizations c. Non U.S. NGO either non profit or for profit, that are not affiliated with a foreign government and d. Must be able to meet the eligibility criteria in 22CR228, sub part D 2. Individuals are not eligible to apply.
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Opportunity Summary:
Support for Improvement Science (SIS) is a USAID health funding opportunity designed to strengthen how health systems in low- and middle-income countries plan, run, and continuously improve the care they deliver. The core idea is not just to fund isolated quality improvement (QI) projects, but to help host-country providers and managers apply modern, evidence-based improvement methods to real service delivery problems, measure whether those efforts work using quantitative quality indicators, and then document the work clearly enough that other health systems can replicate or adapt it. SIS places strong emphasis on practical, measurable change in health care processes and outcomes, paired with careful write-ups of what was done, how it was implemented, what challenges came up, and what results were achieved.
A key feature of SIS is that documentation is required regardless of whether a QI intervention is judged a success or not. The opportunity is structured to value learning and transparency, meaning implementers are expected to capture what was tried and what happened in enough operational detail to support broader learning across settings. This includes describing the intervention design, the improvement method used, the implementation steps, and the measurement approach used to demonstrate change in indicators of quality. In other words, the grant is about generating usable evidence on improvement work, not simply reporting that activities occurred.
Beyond supporting on-the-ground QI implementation, SIS also supports “improvement science†activities that study how QI methods work in LMIC contexts and how they can be strengthened. This knowledge-generation component is meant to refine and improve the practice of QI itself, including understanding what approaches are effective in resource-constrained settings, how teams adopt improvement methods, and what conditions help improvements persist. The overall purpose is capacity building: enabling host-country health systems to become better at continuously improving care across multiple dimensions, including effectiveness, efficiency, patient-centeredness, safety, accessibility, and equity.
The opportunity also makes clear that USAID is looking for more than short-term gains. Applicants are expected to show objective evidence of improvements in health care, while also demonstrating progress in three longer-term areas: (a) institutionalization, meaning improvement becomes an integrated, routine part of how health services are managed and delivered rather than a one-off project; (b) sustainability, meaning improved practices continue after initial support; and (c) scale-up or spread, meaning successful improvements expand to additional facilities, districts, or programs. Improvement methodologies should be selected based on evidence, reinforcing that interventions should be grounded in proven or well-supported QI approaches rather than ad hoc changes.
Administratively, SIS was issued by USAID as a discretionary funding opportunity under a Cooperative Agreement, indicating substantial collaboration with the agency during implementation. The Funding Opportunity Number is AID-OAA-A-12-00014, and the CFDA number is 98.001 (USAID Foreign Assistance for Programs Overseas). USAID expected to make one award, with an award ceiling of $185,492,000 and no stated award floor. There was no cost-sharing or matching requirement.
Eligibility was limited to organizations rather than individuals. Eligible applicants included U.S. Private Voluntary Organizations (PVOs) registered under 22 CFR 203, other U.S. non-profit NGOs (including those not classified as PVOs) as well as U.S. commercial organizations, and non-U.S. NGOs (non-profit or for-profit) that are not affiliated with a foreign government. Applicants also needed to be able to meet the eligibility criteria in 22 CFR 228, Subpart D. The announcement was posted on May 23, 2012, with an application closing date of June 29, 2012 at 5:00 pm Eastern time (Washington, DC), and an archive date of July 29, 2012. The listed point of contact was Deidre Jackson, Agreement/Contract Officer at USAID.
Support for Improvement Science (SIS) - FAQs
What is the Support for Improvement Science (SIS) opportunity?
Support for Improvement Science (SIS) is a USAID health funding opportunity focused on strengthening how health systems in low- and middle-income countries plan, manage, and continuously improve the care they deliver. It emphasizes practical, measurable improvements in health care processes and outcomes, alongside clear documentation so others can replicate or adapt the work.
What is the main purpose of SIS?
The purpose of SIS is capacity building: helping host-country providers and managers apply modern, evidence-based improvement methods to real service delivery problems, measure whether those efforts work using quantitative quality indicators, and document results in enough operational detail to support broader learning and replication.
How is SIS different from funding isolated quality improvement (QI) projects?
SIS is designed to go beyond stand-alone QI activities. Instead of only funding individual projects, it supports systematic use of evidence-based improvement methods, rigorous measurement of change using quantitative indicators, and detailed documentation of what was implemented and what outcomes were achieved.
What does SIS mean by "improvement science"?
In addition to supporting on-the-ground QI implementation, SIS supports improvement science activities that study how QI methods work in low- and middle-income country contexts and how those methods can be strengthened. This includes learning what approaches work in resource-constrained settings, how teams adopt improvement methods, and what conditions help improvements persist over time.
What kinds of results does USAID expect applicants to demonstrate?
Applicants are expected to show objective evidence of improvements in health care. Beyond short-term gains, they are also expected to demonstrate progress toward institutionalization (improvement becomes routine), sustainability (improvements continue after initial support), and scale-up or spread (successful improvements expand to additional settings).
What health care dimensions does SIS aim to improve?
SIS aims to strengthen continuous improvement across multiple dimensions, including effectiveness, efficiency, patient-centeredness, safety, accessibility, and equity.
Are interventions required to be evidence-based?
Yes. Improvement methodologies are expected to be selected based on evidence. The opportunity emphasizes grounding interventions in proven or well-supported QI approaches rather than ad hoc changes.
How does SIS require progress to be measured?
SIS emphasizes measurement using quantitative quality indicators to demonstrate whether changes in care processes and outcomes occurred and whether improvement efforts were effective.
What documentation is required under SIS?
Documentation is a required component of SIS. Implementers are expected to describe what was tried and what happened in enough operational detail to support learning across settings. This includes documenting the intervention design, the improvement method used, implementation steps, the measurement approach, challenges encountered, and results achieved.
Is documentation required even if the QI intervention is not successful?
Yes. A key feature of SIS is that documentation is required regardless of whether a QI intervention is judged a success or not. The opportunity values learning and transparency, and expects implementers to capture what was tried and what happened.
What is meant by "institutionalization" in the SIS context?
Institutionalization means improvement becomes integrated into routine management and service delivery, rather than being treated as a one-off project or short-term initiative.
What is meant by "sustainability" in the SIS context?
Sustainability refers to improved practices continuing after the initial support period, rather than ending when the project support ends.
What is meant by "scale-up or spread" in the SIS context?
Scale-up or spread means successful improvements expand beyond the initial implementation sites, such as to additional facilities, districts, or programs.
What type of funding instrument was SIS issued under?
SIS was issued by USAID as a discretionary funding opportunity under a Cooperative Agreement, which indicates substantial collaboration with USAID during implementation.
What is the Funding Opportunity Number (FON) for SIS?
The Funding Opportunity Number is AID-OAA-A-12-00014.
What is the CFDA number for this opportunity?
The CFDA number listed is 98.001 (USAID Foreign Assistance for Programs Overseas).
How many awards did USAID expect to make under SIS?
USAID expected to make one award.
What was the maximum award amount (ceiling) for SIS?
The award ceiling was $185,492,000.
Was there a minimum award amount (floor) stated?
No. The opportunity listed no stated award floor.
Was cost sharing or matching required?
No. There was no cost-sharing or matching requirement stated.
Who was eligible to apply?
Eligibility was limited to organizations (not individuals). Eligible applicants included U.S. Private Voluntary Organizations (PVOs) registered under 22 CFR 203; other U.S. non-profit NGOs (including those not classified as PVOs); U.S. commercial organizations; and non-U.S. NGOs (non-profit or for-profit) that are not affiliated with a foreign government. Applicants also needed to be able to meet the eligibility criteria in 22 CFR 228, Subpart D.
Could individuals apply for SIS funding?
No. Eligibility was limited to organizations rather than individuals.
When was the SIS opportunity posted?
The announcement was posted on May 23, 2012.
What was the application deadline?
The application closing date was June 29, 2012 at 5:00 pm Eastern time (Washington, DC).
When was the opportunity archived?
The archive date listed was July 29, 2012.
Who was the point of contact for the opportunity?
The listed point of contact was Deidre Jackson, Agreement/Contract Officer at USAID.
What is the core idea behind SIS-funded work?
The core idea is to apply improvement methods to real service delivery problems, measure changes through quantitative quality indicators, and produce clear, replicable documentation. The goal is generating usable evidence about improvement work, not simply reporting that activities occurred.
What should write-ups include under SIS expectations?
SIS emphasizes careful write-ups describing what was done, how it was implemented, what challenges came up, and what results were achieved. The documentation expectations also include intervention design, the improvement method used, implementation steps, and the measurement approach used to demonstrate change in indicators of quality.
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