Opportunity Information: Apply for CDC RFA PS10 10111

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Supporting the National Blood Transfusion Service in the Implementation and Expansion of Blood Safety Activities in Ethiopia under the President s Emergency Plan for AIDS Relief" 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 Jan 13, 2010 and posted on Jan 13, 2010.
  • Applicants must submit their applications by Mar 15, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $12,500,000.00 to eligible and selected applicants.
  • 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) of the Federal Democratic Republic of Ethiopia is the responsible body for the NBTS in Ethiopia, with regulatory, coordination, and oversight roles. Blood transfusion service delivery, however, has been delegated to the Ethiopian Red Cross Society (ERCS) through a Memorandum of Understanding (MOU) since 2006, which will expire in January 2010. Upon expiration of the MOU, NBTS will assume responsibility for blood transfusion service delivery. The Ethiopian FMOH, through the ERCS, has built 21 blood banks 16 with support from PEPFAR funding three through the Global Fund, and two through the Ethiopia Multi Sectoral HIV/AIDS Project, a national program funded by the World Bank to reduce the spread of the HIV/AIDS epidemic, alleviate its impact, and increase access to treatment, care, and support for those infected and affected by HIV/AIDS. The new blood banks, as well as the 12 existing blood banks, are strategically located throughout the country to cover the transfusion requirements of all health units within a 100 km radius. As new blood banks were constructed within the existing ones, overlaps were evident and currently there are 26 blood centers throughout Ethiopia. Since 2004, the NBTS has received approximately 12,300,000 from PEPFAR as a construction and non construction grant to strengthen blood transfusion services in Ethiopia in order to ensure the safety and adequacy of the national blood supply. During this period, with technical assistance from the World Health Organization (WHO), core strategies and achievements of the NBTS have included 1) development of a national blood policy and a five year strategic plan for the years 2006 2010, which serves as a road map for implementing the country s blood safety activities 2) mobilization and recruitment of low risk donors 3) strengthening the capacity of NBTS and regional blood banks (acquisition of laboratory equipment and other supplies, vehicles for donor mobilization, generators, cold chain systems, computers) 4) testing 100 of donated blood units for transfusion transmitted infections (including HIV) 5) training prescribers and users of blood products in order to improve the therapeutic and clinical use of blood and 6) development of national guidelines, protocols, standards, and standard operating procedures (SOPs) to ensure the delivery of high quality blood services. The NBTS under the FMOH is the only eligible applicant that can apply for this funding opportunity due to its unique position as the official national service provider and policy maker for safe blood collection and transfusion practices in Ethiopia. Furthermore, supporting the NBTS is consistent with the national mandate to strengthen one central system for sustainable practices in blood safety and with PEPFAR goals for sustainability and systems strengthening.
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Opportunity Summary:

This grant opportunity, titled "Supporting the National Blood Transfusion Service in the Implementation and Expansion of Blood Safety Activities in Ethiopia under the President's Emergency Plan for AIDS Relief," is a CDC-funded cooperative agreement designed to strengthen Ethiopia's national capacity to collect, test, process, and distribute blood and blood products safely and reliably. The central purpose is to support the National Blood Transfusion Service (NBTS) in ensuring that health facilities across Ethiopia can access an adequate supply of safe blood, with a strong emphasis on preventing transfusion-transmitted infections, including HIV, in line with PEPFAR priorities and broader public health needs.

The announcement (Funding Opportunity Number CDC-RFA-PS10-10111) was posted on January 13, 2010, with an application deadline of March 15, 2010, and it was later archived on April 14, 2010. The CDC anticipated making one award under this opportunity, with an estimated total funding amount of $12,500,000. The funding activity category is health, and it falls under CFDA 93.067 (Global AIDS). There was no cost-sharing or matching requirement, and the award mechanism was a cooperative agreement, meaning CDC involvement was expected to be substantial, typically through technical collaboration, ongoing programmatic guidance, monitoring, and shared responsibility for achieving key outcomes.

A major driver behind the opportunity is a governance and service delivery transition in Ethiopia's blood system. The Federal Ministry of Health (FMOH) holds the national regulatory, coordination, and oversight mandate for blood transfusion services. However, since 2006, the actual delivery of blood transfusion services had been delegated to the Ethiopian Red Cross Society (ERCS) through a Memorandum of Understanding. That MOU was scheduled to expire in January 2010, after which NBTS would assume direct responsibility for service delivery. This funding opportunity is framed to help NBTS take on that expanded leadership role while maintaining and improving service continuity, safety, and national coverage.

The source information also highlights the scale of infrastructure expansion that Ethiopia had already undertaken, with multiple funding partners contributing to a growing network of blood banks. Through the FMOH and implementation arrangements involving ERCS, Ethiopia had built 21 blood banks, including 16 supported by PEPFAR, three supported by the Global Fund, and two supported through the Ethiopia Multi-Sectoral HIV/AIDS Project backed by the World Bank. In addition to those new facilities, there were 12 existing blood banks. The placement of these blood centers was intended to improve geographic access, with a planning assumption that blood banks should cover the transfusion needs of health units within a 100 km radius. As new facilities were constructed near or within existing ones, overlaps emerged, and the system was described as having 26 blood centers across the country. In that context, the grant can be understood as supporting not just expansion, but also rationalization, standardization, and strengthening of a national network so it functions as a coordinated system rather than a patchwork of sites.

The announcement places the opportunity within the larger arc of PEPFAR investments in Ethiopia's blood safety. Since 2004, NBTS had received approximately $12.3 million in PEPFAR support through construction and non-construction grants to improve both the safety and adequacy of the blood supply. With technical assistance from the World Health Organization, NBTS had already pursued several core strategies that form the backbone of modern blood safety programs. These include establishing national policy and planning, particularly through developing a national blood policy and a five-year strategic plan for 2006-2010 that served as a roadmap for implementation. They also include building a low-risk donor base through donor mobilization and recruitment, which is critical for reducing the likelihood of transfusion-transmitted infections and improving the sustainability of supply.

In addition to policy and donor recruitment, prior achievements emphasized operational capacity building at the national and regional levels. The announcement notes investments such as laboratory equipment and supplies, vehicles to support donor mobilization, generators and cold chain systems to protect blood integrity, and information infrastructure like computers. It also underscores a major safety milestone: testing 100 percent of donated blood units for transfusion-transmitted infections, explicitly including HIV. Another notable emphasis is on appropriate clinical use of blood through training prescribers and users of blood products, reflecting the fact that blood safety is not only about collection and lab screening but also about reducing unnecessary transfusions and ensuring blood is used correctly when it is needed. Finally, NBTS had worked on standardization through national guidelines, protocols, standards, and standard operating procedures aimed at ensuring consistent, high-quality services across multiple sites.

Eligibility for the award was intentionally narrow and essentially single-source. The announcement states that NBTS under the FMOH was the only eligible applicant because it is the official national service provider and policy maker for blood collection and transfusion practices in Ethiopia. The rationale is tied to national systems strengthening: directing resources to NBTS supports a single central system that can sustain standardized practices nationwide and aligns with PEPFAR goals around sustainability and durable public health infrastructure. While the eligibility field in the summary data lists "Others (see text field entitled Additional Information on Eligibility for clarification)," the narrative clarification makes it clear the intended and permitted applicant is NBTS operating under the Ethiopian FMOH structure.

Overall, the grant opportunity is best summarized as a substantial, time-sensitive investment meant to help Ethiopia consolidate and expand a national blood safety system during a key transition from ERCS-delivered services to NBTS-delivered services. It targets the full chain of blood safety activities, including governance and planning, donor recruitment, laboratory screening, quality standards, logistics and cold chain reliability, and clinical training for appropriate use. The intended outcome is a stronger, centrally coordinated NBTS that can reliably provide safe blood and blood products to health facilities throughout Ethiopia, reducing the risk of HIV and other transfusion-transmitted infections while ensuring the country has enough blood available for routine and emergency medical care.

For administrative questions, the announcement provided a CDC procurement and grants contact point through PGO TIMS grants, with a listed phone number (770-488-2700) and a general email contact noted in the source text.

FAQs: Supporting the National Blood Transfusion Service (NBTS) in Ethiopia - Blood Safety Activities (CDC-RFA-PS10-10111)

What is the title of this grant opportunity?

The opportunity is titled "Supporting the National Blood Transfusion Service in the Implementation and Expansion of Blood Safety Activities in Ethiopia under the President's Emergency Plan for AIDS Relief."

Who is funding this opportunity?

This is a CDC-funded cooperative agreement, aligned with the President's Emergency Plan for AIDS Relief (PEPFAR).

What is the main purpose of the funding?

The purpose is to strengthen Ethiopia's national capacity to collect, test, process, and distribute blood and blood products safely and reliably, with a strong emphasis on preventing transfusion-transmitted infections, including HIV.

What key public health issue does the program emphasize?

The program strongly emphasizes preventing transfusion-transmitted infections (TTIs), explicitly including HIV, while also supporting broader public health needs related to having an adequate supply of safe blood.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is CDC-RFA-PS10-10111.

When was the announcement posted, and what were the key dates?

The announcement was posted on January 13, 2010. The application deadline was March 15, 2010. The opportunity was later archived on April 14, 2010.

Is this funding opportunity still active?

No. The announcement was archived on April 14, 2010.

How many awards did CDC expect to make?

CDC anticipated making one award under this opportunity.

What was the estimated total funding amount?

The estimated total funding amount was $12,500,000.

What is the funding activity category?

The funding activity category is health.

What CFDA program is associated with this opportunity?

This opportunity falls under CFDA 93.067 (Global AIDS).

What type of award mechanism was used?

The award mechanism was a cooperative agreement, meaning CDC expected to have substantial involvement, such as technical collaboration, ongoing programmatic guidance, monitoring, and shared responsibility for achieving key outcomes.

Was cost-sharing or matching required?

No. There was no cost-sharing or matching requirement.

Why was this funding considered time-sensitive?

The opportunity was framed around a major governance and service delivery transition in Ethiopia's blood system: the Memorandum of Understanding (MOU) delegating service delivery to the Ethiopian Red Cross Society (ERCS) was scheduled to expire in January 2010, after which NBTS would assume direct responsibility for service delivery.

What organizations and roles are mentioned in the blood system governance structure?

The Federal Ministry of Health (FMOH) holds the national regulatory, coordination, and oversight mandate for blood transfusion services. Since 2006, delivery of blood transfusion services had been delegated to the Ethiopian Red Cross Society (ERCS) through an MOU, with NBTS positioned to assume direct responsibility after the MOU expiration.

What problem or system need does the opportunity aim to address?

It aims to help NBTS take on expanded leadership and service delivery responsibility while maintaining and improving continuity, safety, and national coverage of blood services, ensuring health facilities across Ethiopia can access an adequate supply of safe blood.

What kinds of activities across the blood supply chain does the opportunity target?

The opportunity targets the full chain of blood safety activities, including governance and planning, donor recruitment, laboratory screening for TTIs (including HIV), quality standards and standard operating procedures, logistics and cold chain reliability, and clinical training for appropriate use of blood products.

What infrastructure expansion is described in the background of the announcement?

Ethiopia had built 21 blood banks with multiple partners: 16 supported by PEPFAR, three supported by the Global Fund, and two supported through the Ethiopia Multi-Sectoral HIV/AIDS Project backed by the World Bank. In addition, there were 12 existing blood banks.

How many blood centers are described overall, and why is there a difference in counts?

The source describes overlaps from new facilities built near or within existing ones and notes the system as having 26 blood centers across the country in that context, even while also listing 21 newly built blood banks plus 12 existing blood banks.

What was the planning assumption for geographic coverage of blood banks?

The planning assumption was that blood banks should cover the transfusion needs of health units within a 100 km radius.

What does the opportunity suggest beyond simple expansion of facilities?

It suggests supporting rationalization, standardization, and strengthening of a national network so it functions as a coordinated system rather than a patchwork of sites.

How much PEPFAR support had NBTS received prior to this opportunity?

Since 2004, NBTS had received approximately $12.3 million in PEPFAR support through construction and non-construction grants to improve the safety and adequacy of the blood supply.

What national policy and planning work is mentioned?

With technical assistance from the World Health Organization (WHO), NBTS had worked on establishing national policy and planning, including developing a national blood policy and a five-year strategic plan for 2006-2010.

What donor-related strategy is highlighted?

The announcement highlights building a low-risk donor base through donor mobilization and recruitment, which supports both safer blood and a more sustainable supply.

What types of operational capacity investments are referenced?

Referenced investments include laboratory equipment and supplies, vehicles to support donor mobilization, generators and cold chain systems, and information infrastructure such as computers.

What safety testing milestone is specifically mentioned?

The announcement notes testing 100 percent of donated blood units for transfusion-transmitted infections, explicitly including HIV.

Why does the announcement mention clinical training on blood use?

It emphasizes that blood safety includes appropriate clinical use, including training prescribers and users of blood products to reduce unnecessary transfusions and ensure proper use when blood is needed.

What standardization efforts are described?

NBTS had worked on standardization through national guidelines, protocols, standards, and standard operating procedures to support consistent, high-quality services across sites.

Who was eligible to apply?

Eligibility was intentionally narrow: NBTS under the FMOH was the only eligible applicant, as the official national service provider and policy maker for blood collection and transfusion practices in Ethiopia.

Why was eligibility limited to NBTS?

The rationale provided is national systems strengthening: directing resources to NBTS supports a single central system capable of sustaining standardized practices nationwide and aligns with PEPFAR goals around sustainability and durable public health infrastructure.

The eligibility summary mentions "Others." What does the narrative clarify?

While the summary field lists "Others (see text field entitled Additional Information on Eligibility for clarification)," the narrative makes clear the intended and permitted applicant is NBTS operating under the Ethiopian FMOH structure.

What is the expected role of CDC under a cooperative agreement for this program?

CDC involvement was expected to be substantial, typically through technical collaboration, ongoing programmatic guidance, monitoring, and shared responsibility for achieving key outcomes.

What is the intended outcome of the funded work?

The intended outcome is a stronger, centrally coordinated NBTS that can reliably provide safe blood and blood products to health facilities throughout Ethiopia, reducing the risk of HIV and other transfusion-transmitted infections while ensuring adequate blood availability for routine and emergency care.

Who was listed as a contact for administrative questions?

The announcement provided a CDC procurement and grants contact point through PGO TIMS grants.

What phone number was provided for the administrative contact?

The listed phone number was 770-488-2700.

Was an email contact mentioned?

Yes. The source text notes a general email contact, but it is not specified in the information provided here.

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