Opportunity Information: Apply for CDC RFA GH15 1547

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Support the Ministry of Health (MOH) to Scale up and Improve HIV/AIDS Prevention, Care, and Treatment Services in the Kingdom of Lesotho under the Presidents Emergency Plan for AIDS Relief (PEPFAR)" 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 Oct 3, 2014 and posted on Oct 3, 2014.
  • Applicants must submit their applications by Nov 20, 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 $1,500,000.00 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 Ministry of Health (MOH) is the only commissioned governmental agency in the Kingdom of Lesotho responsible for safeguarding public health. As mandated by the Government of the Kingdom of Lesotho, the MOH is responsible for coordinating and implementing health services throughout the country. The MOH has committed to reducing new HIV infections in adults and children, AIDS related deaths, and TB deaths associated with HIV/AIDS. The MOH has the statutory authority to develop, implement, and oversee regulations related to HIV/AIDS prevention, care, and treatment programs, and other health services throughout the country. The agency manages health care facilities within the public health care sector and ensures that the Basotho people in Lesotho have access to quality healthcare services. Responsibilities include prioritization and decision making on all development partners and USG supported HIV/AIDS and related services. This funding opportunity announcement (FOA) is designed to increase government to government collaborations and to build the capability of MOH as part of a long term sustainability program.
Apply for CDC RFA GH15 1547

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Opportunity Summary:

This grant opportunity (CDC RFA GH15-1547) is a PEPFAR-funded cooperative agreement run by the U.S. Centers for Disease Control and Prevention (CDC) focused on strengthening the Government of Lesotho's ability, through the Ministry of Health (MOH), to scale up and improve HIV/AIDS prevention, care, and treatment services nationwide. The core idea is not simply to fund isolated activities, but to build MOH institutional capacity so Lesotho can expand services quickly while also improving quality, consistency, and long-term sustainability. The award is framed as a government-to-government collaboration, reinforcing MOH leadership over the national HIV response and aligning external support with national systems and priorities.

The stated purpose of the funding opportunity is to enhance Lesotho's response to the HIV epidemic by rapidly expanding high-quality HIV/AIDS prevention, care, and treatment programs, with strong integration of tuberculosis (TB) services given the close link between HIV and TB morbidity and mortality. The FOA emphasizes improvements across the health system components that determine whether patients can be diagnosed early, initiated on treatment, retained in care, and monitored effectively. In practical terms, it targets the enabling foundations of service delivery: the health workforce, data and reporting systems, laboratory capacity, commodity and supply systems, and quality improvement coordination at national scale.

The FOA lays out five major objectives. First, it prioritizes human resource capacity development so MOH can provide enhanced and continuous HIV and TB services. This generally implies strengthening staffing models, training and mentorship, supportive supervision, and retention strategies so facilities can reliably deliver testing, ART services, TB screening and treatment, and follow-up care without frequent disruptions. Second, it seeks to strengthen strategic information (SI) systems to generate dependable national and district-level HIV data for better program planning and performance management. This focus reflects the importance of timely, accurate data to track epidemic trends, monitor treatment outcomes, allocate resources, identify service gaps, and drive accountability for targets.

Third, the opportunity aims to enhance laboratory services in order to meet HIV treatment targets. Lab systems are central to modern HIV care because they support diagnosis and ongoing clinical monitoring (for example, tests that confirm infection, assess treatment effectiveness, and detect treatment failure). Strengthening laboratories typically involves improving infrastructure, equipment, specimen transport and referral networks, quality management systems, staff competency, and turnaround times so clinicians can make timely treatment decisions. Fourth, the FOA emphasizes procurement and supply chain management and overall commodity security to meet targets. This directly addresses a common bottleneck in HIV programs: stockouts and weak logistics that interrupt ART, test kits, TB medicines, and essential lab supplies. Improving forecasting, procurement planning, warehousing, distribution, and inventory management is treated as essential to uninterrupted services and patient retention.

Fifth, the FOA seeks to enhance MOH capacity to coordinate nationwide scale-up of quality improvement (QI) strategies for HIV and TB services. This objective points to building a coherent national approach to quality, where MOH can set standards, monitor performance, support facility improvement efforts, and spread proven interventions across districts. Rather than quality being dependent on individual sites or partners, the FOA signals that MOH should be able to lead and institutionalize QI so that service improvements persist and expand across the public health system.

From an administrative standpoint, the opportunity is categorized as discretionary funding and uses a cooperative agreement mechanism, which usually means CDC expects substantial involvement in technical collaboration, planning, and oversight compared with a standard grant. The FOA anticipated a single award, with an award ceiling of $1,500,000. The CFDA number listed is 93.067 (Global AIDS). The posting date was October 3, 2014, with an application closing date of November 20, 2014, and an archive date of December 20, 2014. A cost-sharing or matching requirement is indicated as "Yes," meaning the recipient was expected to contribute resources in some form as part of the agreement, consistent with the terms described in the full announcement.

Eligibility is highly restricted: the Lesotho Ministry of Health is identified as the only eligible applicant. The justification given is that MOH is the legally mandated governmental authority responsible for coordinating and implementing health services across the country, including HIV/AIDS prevention, care, and treatment programs, and for managing public-sector health facilities and regulations. The FOA also highlights MOH's role in prioritization and decision-making for development partners and U.S. Government-supported HIV services, underscoring that the intent is to strengthen MOH leadership, coordination, and implementation capacity as part of a broader sustainability strategy under PEPFAR.

For access issues or technical questions about the full announcement, the listed contact point is the CDC Procurement and Grants Office Technical Information Management Section (PGO TIM) via pgotim@cdc.gov or by phone at 770-488-2700.

Frequently Asked Questions (FAQs)

What is CDC RFA GH15-1547?

CDC RFA GH15-1547 is a PEPFAR-funded cooperative agreement run by the U.S. Centers for Disease Control and Prevention (CDC). It is focused on strengthening the Government of Lesotho's ability, through the Ministry of Health (MOH), to scale up and improve HIV/AIDS prevention, care, and treatment services nationwide, with strong integration of tuberculosis (TB) services.

What is the main purpose of this funding opportunity?

The purpose is to enhance Lesotho's response to the HIV epidemic by rapidly expanding high-quality HIV/AIDS prevention, care, and treatment programs, while integrating TB services. The opportunity emphasizes building the underlying health system capabilities needed for early diagnosis, treatment initiation, retention in care, and effective patient monitoring.

Is this opportunity meant to fund isolated projects or broader system improvements?

It is framed to build MOH institutional capacity rather than funding isolated activities. The intent is to help Lesotho expand services quickly while improving quality, consistency, and long-term sustainability across the national health system.

How does tuberculosis (TB) fit into this HIV opportunity?

TB services are emphasized because of the close link between HIV and TB morbidity and mortality. The opportunity specifically calls for strong integration of TB services alongside HIV prevention, care, and treatment scale-up.

What are the major objectives described in the FOA?

The FOA outlines five major objectives: (1) human resource capacity development for continuous HIV and TB services; (2) strengthening strategic information (SI) systems for dependable data; (3) enhancing laboratory services to meet HIV treatment targets; (4) improving procurement and supply chain management and commodity security; and (5) strengthening MOH capacity to coordinate nationwide quality improvement (QI) strategies for HIV and TB services.

What does the first objective (human resource capacity development) focus on?

It prioritizes strengthening MOH capacity to provide enhanced and continuous HIV and TB services. This generally includes improving staffing models, training and mentorship, supportive supervision, and retention strategies so facilities can reliably deliver HIV testing, ART services, TB screening and treatment, and follow-up care.

What does “strategic information (SI) systems” mean in this FOA?

Strategic information (SI) refers to the data and reporting systems needed to produce dependable national and district-level HIV data. The FOA emphasizes SI to support program planning, performance management, tracking epidemic trends, monitoring treatment outcomes, allocating resources, identifying service gaps, and strengthening accountability.

Why are laboratory services a major focus of the opportunity?

Laboratory systems are essential for modern HIV care because they support diagnosis and ongoing clinical monitoring, including tests to confirm infection, assess treatment effectiveness, and detect treatment failure. The FOA aims to strengthen lab capacity so clinicians can make timely treatment decisions and programs can meet treatment targets.

What kinds of laboratory improvements are implied by the FOA?

The FOA points to strengthening laboratory infrastructure, equipment, specimen transport and referral networks, quality management systems, staff competency, and turnaround times so testing supports timely clinical and program decisions.

Why does the FOA emphasize procurement, supply chain management, and commodity security?

Commodity security is treated as essential because stockouts and weak logistics can disrupt HIV and TB services, including ART, test kits, TB medicines, and laboratory supplies. The FOA highlights improvements to forecasting, procurement planning, warehousing, distribution, and inventory management to support uninterrupted services and patient retention.

What does the quality improvement (QI) objective aim to achieve?

The QI objective aims to enhance MOH capacity to coordinate nationwide scale-up of quality improvement strategies for HIV and TB services. The goal is for MOH to lead a coherent national approach to quality by setting standards, monitoring performance, supporting facility improvement efforts, and spreading proven interventions across districts.

What makes this a “government-to-government collaboration”?

The award is framed as a government-to-government collaboration that reinforces MOH leadership over the national HIV response and aligns external support with national systems and priorities, rather than operating outside of government structures.

What type of funding mechanism is used?

This opportunity uses a cooperative agreement mechanism, categorized as discretionary funding.

What does a cooperative agreement imply compared to a standard grant?

In this FOA, a cooperative agreement indicates CDC expects substantial involvement in technical collaboration, planning, and oversight compared with a standard grant.

How many awards were anticipated?

The FOA anticipated a single award.

What is the maximum funding amount (award ceiling)?

The award ceiling listed in the FOA is $1,500,000.

What is the CFDA number associated with this opportunity?

The CFDA number listed is 93.067 (Global AIDS).

When was the opportunity posted and when did it close?

The posting date was October 3, 2014, and the application closing date was November 20, 2014.

When was the opportunity archived?

The archive date was December 20, 2014.

Is cost sharing or matching required?

Yes. The FOA indicates a cost-sharing or matching requirement ("Yes"), meaning the recipient was expected to contribute resources in some form as part of the agreement, consistent with the full announcement terms.

Who is eligible to apply?

Eligibility is highly restricted. The Lesotho Ministry of Health (MOH) is identified as the only eligible applicant.

Why is eligibility limited to the Lesotho Ministry of Health?

The FOA states that MOH is the legally mandated governmental authority responsible for coordinating and implementing health services across Lesotho, including HIV/AIDS prevention, care, and treatment programs, and for managing public-sector health facilities and regulations. The FOA also emphasizes MOH's role in prioritization and decision-making for development partners and U.S. Government-supported HIV services, aligning with PEPFAR sustainability goals.

How does the FOA describe the overall approach to strengthening service delivery?

It targets the enabling foundations of service delivery across the health system, including the health workforce, data and reporting systems, laboratory capacity, commodity and supply systems, and national coordination of quality improvement, to improve diagnosis, treatment initiation, retention, and monitoring.

Where can applicants or readers get technical help or access support for the full announcement?

For access issues or technical questions, the contact listed is the CDC Procurement and Grants Office Technical Information Management Section (PGO TIM) at pgotim@cdc.gov or by phone at 770-488-2700.

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