Opportunity Information: Apply for CDC RFA GH15 1587
Apply for CDC RFA GH15 1587
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Support the Mandate of the Ministry of Health and Social Welfare in the United Republic of Tanzania to Improve the Quality, Responsiveness, Accessibility and Sustainability of the National Health Laboratory Services (NHLS) under the Presidents Emerge" 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 Sep 23, 2014.
- Applicants must submit their applications by Nov 25, 2014. (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 $1,040,000.00 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).
- The Government of Tanzanias Ministry of Health and Social Welfare (MOHSW) is uniquely positioned, in terms of legal authority, ability, track record, infrastructure and credibility to develop and support HIV/AIDS activities throughout the country as stated within the Application Instructions of this FOA. Furthermore, the MOHSW has the mandate to coordinate the health sector response for all health issues, including HIV/AIDS, in Tanzania. It is the only organization on the Tanzania mainland with this mandate. It also has the mandate to provide technical support and coordination to the regional and district health management teams.
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Opportunity Summary:
This grant opportunity (CDC RFA GH15-1587) is a CDC-funded cooperative agreement designed to strengthen Tanzania's National Health Laboratory Services (NHLS) over a five-year period. The overall aim is to improve the quality, responsiveness, accessibility, and long-term sustainability of laboratory services that support major public health priorities, especially HIV care and treatment and related infectious disease work. The announcement is explicitly aligned with Tanzania's health-sector leadership structure, recognizing the Ministry of Health and Social Welfare (MOHSW) as the central authority responsible for coordinating national health responses, including HIV/AIDS, and for providing technical oversight to regional and district health management teams.
The program is focused on four main objectives. First, it seeks to expand access to and equity of laboratory services, with a practical emphasis on ensuring patients can obtain timely diagnostic testing for HIV care and treatment, opportunistic infections, and high-burden or reportable diseases such as tuberculosis and malaria. This access and equity lens implies not only increasing service availability but also improving consistency across regions and levels of the health system so that diagnostic capacity is not concentrated only in higher-level facilities.
Second, the FOA prioritizes quality improvement and formal accreditation. The stated target is to achieve accreditation of all zonal, regional, and district laboratories to national and/or international standards. Tanzania's laboratory network is described as a multi-tiered system in which testing complexity and staff specialization decrease from the national reference level down to the dispensary level. The country is reported to have 6,217 laboratories in total, including 1 national reference laboratory, 4 zonal referral laboratories, 23 regional laboratories, 90 district laboratories, 577 health center laboratories, and 5,522 dispensary laboratories. The National Health Laboratory Standard Guidelines define which tests should be offered at each tier, what equipment should be placed where, and what level of expertise is required, and the funding supports implementation of these standards through quality management approaches. A key mechanism named in the announcement is the National Health Laboratory Quality Assurance and Training Center (NHL QATC), which is expected to drive Laboratory Quality Management System implementation and help facilities reach accreditation milestones.
Third, the FOA emphasizes strengthening laboratory information systems (LIS). The intent is for better LIS to support early and correct diagnosis and improve clinical decision-making through faster and more reliable reporting. Just as importantly, the LIS improvements are meant to strengthen laboratory logistics and supply chain functions, including managing commodities and minimizing stockouts, and to support operational research. In practice, this means using accurate and timely laboratory data not only for patient care but also for forecasting, quantification, and program monitoring across the national lab network.
Fourth, the announcement calls for stronger coordination and management of the NHLS overall. This management objective reflects the scale and complexity of the laboratory system and the need for consistent oversight across tiers and across both government-managed and faith-based organization facilities that are still categorized within the public health facility classification. Strengthened management is framed as essential to sustaining gains in quality, ensuring alignment with national guidelines, and improving how laboratory services support broader disease control efforts.
By the end of the five-year project period, the MOHSW is expected to deliver several measurable outcomes. These include increased access to quality laboratory services; a higher number of laboratories accredited to international standards; better use of accurate laboratory data for program management, including commodity forecasting and quantification; improved overall management and coordination of NHLS; enhanced national capacity for disease surveillance; and an overall increase in the quality of NHLS. Taken together, these outcomes point to a system-level approach: improving front-line diagnostic access while also building the quality systems, data infrastructure, and management capacity needed to make those improvements reliable and sustainable.
Administratively, this opportunity is categorized as discretionary funding through a cooperative agreement, indicating substantial involvement and partnership with CDC during implementation rather than a hands-off grant model. The FOA lists one expected award, with an award ceiling of USD 1,040,000 and no cost-sharing or matching requirement. It was posted September 23, 2014, and closed November 25, 2014, under CFDA number 93.067 (Global AIDS). Eligibility is effectively centered on the Tanzanian MOHSW, which the announcement describes as uniquely positioned due to its legal mandate, infrastructure, credibility, and nationwide coordination role in HIV/AIDS and broader health-sector responses.
Frequently Asked Questions (FAQs)
What is CDC RFA GH15-1587?
CDC RFA GH15-1587 is a CDC-funded cooperative agreement intended to strengthen Tanzania's National Health Laboratory Services (NHLS) over a five-year period. The opportunity focuses on improving laboratory services that support major public health priorities, especially HIV care and treatment and related infectious disease work.
What is the overall purpose of this cooperative agreement?
The overall aim is to improve the quality, responsiveness, accessibility, and long-term sustainability of laboratory services within Tanzania's NHLS. The program is designed to support reliable diagnostic testing for priority diseases and to strengthen the systems that keep laboratory services consistent and sustainable nationwide.
How long is the project period?
The project period is five years.
Which public health areas does the program emphasize?
The program emphasizes HIV care and treatment and related infectious disease work. It also highlights diagnostic testing for opportunistic infections and high-burden or reportable diseases such as tuberculosis and malaria.
How does the opportunity align with Tanzania's health-sector leadership structure?
The announcement is explicitly aligned with Tanzania's health-sector leadership structure and recognizes the Ministry of Health and Social Welfare (MOHSW) as the central authority for coordinating national health responses, including HIV/AIDS, and for providing technical oversight to regional and district health management teams.
Who is the central authority referenced in the announcement?
The Ministry of Health and Social Welfare (MOHSW) is identified as the central authority responsible for coordinating national health responses and providing technical oversight across the health system.
What type of funding mechanism is this?
This opportunity is discretionary funding awarded through a cooperative agreement. A cooperative agreement implies substantial involvement and partnership with CDC during implementation, rather than a hands-off grant model.
How many awards are expected under this funding announcement?
The FOA lists one expected award.
What is the award ceiling?
The award ceiling is USD 1,040,000.
Is cost sharing or matching required?
No. The FOA states there is no cost-sharing or matching requirement.
When was this opportunity posted and when did it close?
It was posted on September 23, 2014, and closed on November 25, 2014.
What is the CFDA number and program area?
The CFDA number is 93.067, listed as Global AIDS.
Who is eligible to apply based on the information provided?
Eligibility is effectively centered on the Tanzanian Ministry of Health and Social Welfare (MOHSW). The announcement describes MOHSW as uniquely positioned due to its legal mandate, infrastructure, credibility, and nationwide coordination role in HIV/AIDS and broader health-sector responses.
Why does the FOA emphasize MOHSW as the applicant?
The FOA frames MOHSW as uniquely positioned because it has a legal mandate, established infrastructure, credibility, and a nationwide coordination role for HIV/AIDS and broader health-sector responses, including oversight of regional and district health management teams.
What are the four main objectives of the program?
The program is organized around four main objectives: (1) expanding access to and equity of laboratory services; (2) quality improvement and formal accreditation; (3) strengthening laboratory information systems (LIS); and (4) strengthening coordination and management of the NHLS overall.
What does "expand access to and equity of laboratory services" mean in this FOA?
It means ensuring patients can obtain timely diagnostic testing for HIV care and treatment, opportunistic infections, and high-burden or reportable diseases (including tuberculosis and malaria). The equity focus also implies improving consistency across regions and levels of the health system so diagnostic capacity is not concentrated only in higher-level facilities.
Which diseases are specifically mentioned in the access and equity objective?
The FOA specifically mentions HIV (care and treatment), opportunistic infections, and high-burden or reportable diseases such as tuberculosis and malaria.
What is the quality improvement and accreditation goal?
The stated target is to achieve accreditation of all zonal, regional, and district laboratories to national and/or international standards.
Which laboratory tiers are explicitly targeted for accreditation?
The FOA explicitly targets zonal, regional, and district laboratories for accreditation to national and/or international standards.
How is Tanzania's laboratory network described in the announcement?
The laboratory network is described as a multi-tiered system where testing complexity and staff specialization decrease from the national reference level down to the dispensary level.
How many laboratories are reported in Tanzania's system, and what are the tiers?
The announcement reports 6,217 laboratories in total: 1 national reference laboratory, 4 zonal referral laboratories, 23 regional laboratories, 90 district laboratories, 577 health center laboratories, and 5,522 dispensary laboratories.
What do the National Health Laboratory Standard Guidelines cover?
The National Health Laboratory Standard Guidelines define which tests should be offered at each tier, what equipment should be placed where, and what level of expertise is required. Funding supports implementation of these standards through quality management approaches.
What mechanism is named to drive quality systems and accreditation?
The National Health Laboratory Quality Assurance and Training Center (NHL QATC) is named as a key mechanism. It is expected to drive Laboratory Quality Management System implementation and help facilities reach accreditation milestones.
What is meant by strengthening laboratory information systems (LIS) in this FOA?
The FOA calls for improvements to LIS to support early and correct diagnosis and to improve clinical decision-making through faster and more reliable reporting. It also emphasizes using LIS to strengthen laboratory logistics and supply chain functions, including commodity management and minimizing stockouts, and to support operational research.
How are LIS improvements expected to help supply chain and commodities?
According to the FOA, improved LIS should strengthen logistics and supply chain functions by supporting commodity management and helping minimize stockouts. It is also intended to improve forecasting and quantification using accurate and timely laboratory data.
How is laboratory data expected to be used beyond individual patient results?
The FOA highlights using accurate and timely laboratory data not only for patient care, but also for forecasting, quantification, and program monitoring across the national laboratory network, as well as for operational research.
What does the FOA mean by strengthening coordination and management of NHLS?
This objective reflects the scale and complexity of the laboratory system and the need for consistent oversight across tiers. It also includes coordination across both government-managed and faith-based organization facilities that are still categorized within the public health facility classification. Stronger management is framed as essential to sustaining quality gains, aligning with national guidelines, and improving how labs support broader disease control efforts.
Do faith-based organization facilities fall within the scope described?
Yes. The FOA notes the need for oversight across both government-managed and faith-based organization facilities that are categorized within the public health facility classification.
What outcomes are expected by the end of the five-year period?
Expected outcomes include increased access to quality laboratory services; a higher number of laboratories accredited to international standards; better use of accurate laboratory data for program management (including commodity forecasting and quantification); improved overall management and coordination of NHLS; enhanced national capacity for disease surveillance; and an overall increase in the quality of NHLS.
How does the FOA describe the overall approach of the program?
The FOA points to a system-level approach: improving front-line diagnostic access while also building quality systems, data infrastructure, and management capacity so improvements are reliable and sustainable.
What does "substantial involvement" from CDC imply in this cooperative agreement?
Based on the FOA description, substantial involvement implies CDC will be a partner during implementation rather than acting under a hands-off grant model.
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