Opportunity Information: Apply for CDC RFA GH11 1178

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Supporting the National Primary Health Care Development Agency to Integrate HIV Services with the Broader Health System through the Successful Implementation of a Decentralization Strategy in Nigeria under the President s Emergency Plan for AIDS Reli" 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 Feb 1, 2011 and posted on Feb 1, 2011.
  • Applicants must submit their applications by Apr 1, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $30,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $6,000,000.00 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).
  • This funding announcement is not a request for applications. This is a public notice of the Centers for Disease Control and Prevention s intention to fund the project activities described in the full announcement without full and open competition.
Apply for CDC RFA GH11 1178

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Opportunity Summary:

This CDC cooperative agreement opportunity (Funding Opportunity Number CDC-RFA-GH11-1178) was created under PEPFAR to help Nigeria expand HIV services by pushing them closer to communities through primary health care (PHC) facilities. The central idea is that HIV scale-up works best when it is not treated as a standalone program, but instead is integrated into the broader health system and delivered alongside other high-priority services. In practice, the grant is meant to strengthen the National Primary Health Care Development Agency (NPHCDA) so it can carry out a decentralization strategy that moves HIV services from more centralized sites to PHC level facilities, while improving overall service delivery and coordination across the health sector.

A major focus of the award is improved collaboration and planning across levels of government and health authorities. The grant would support NPHCDA working closely with the Federal Ministry of Health (FMoH) and State Ministries of Health (SMoH) to design and implement locally relevant packages of priority health interventions. These packages are expected to be tailored to the actual public health needs of Nigerian communities rather than being one-size-fits-all, and they explicitly reflect the program logic that HIV services should be packaged and delivered in a way that complements other ongoing health priorities and systems-strengthening efforts.

Another core component is health workforce strategy at the PHC level, since decentralizing HIV services depends on having enough appropriately trained staff in the facilities that will take on new responsibilities. The award aims to help NPHCDA coordinate with federal, state, and local government institutions to develop effective policies and implementation strategies for staffing PHC facilities in a way that aligns with Nigeria s National Strategic Health Development Plan (NSHDP). This includes planning for adequate numbers of personnel, the right mix of skills, and staffing approaches that can realistically support expanded HIV prevention, testing, treatment linkages, and ongoing care at the community level.

The opportunity also emphasizes building on an existing national platform, the Midwifery Service Scheme, as a proven entry point for deploying and supporting health workers at the PHC level. By leveraging lessons and operational structures from that scheme, the project would support personnel-based strategies to address multiple priority diseases and health needs together, including HIV, tuberculosis, malaria, and related areas. The intent is to use HIV investments to reinforce broader PHC capacity so that improvements in staffing, supervision, and service delivery benefit the wider health system, not only HIV programs.

From an administrative standpoint, this was a discretionary funding opportunity from the Centers for Disease Control and Prevention under CFDA 93.067 (Global AIDS). It was structured as a cooperative agreement, meaning CDC expected to have substantial involvement in the implementation and oversight of the supported activities. The announcement projected a single award, with an estimated total funding level of $30,000,000 and an anticipated award range (floor to ceiling) of $3,000,000 to $6,000,000. There was no cost sharing or matching requirement noted.

This notice is also important because it was not released as a competitive call for applications. The eligibility field indicates it was not a request for applications and served as a public notice of CDC s intention to fund the described activities without full and open competition. The opportunity was posted February 1, 2011, with an original and current closing date of April 1, 2011, and an archive date of May 1, 2011, indicating it is no longer active.

Frequently Asked Questions (FAQs)

What is this funding opportunity?

This is a CDC cooperative agreement funding opportunity created under PEPFAR, identified as Funding Opportunity Number (FON) CDC-RFA-GH11-1178. It was designed to help Nigeria expand HIV services by moving them closer to communities through primary health care (PHC) facilities and integrating HIV scale-up into broader health system delivery.

What is the main goal of the award?

The main goal is to support Nigeria in decentralizing HIV services from more centralized sites to PHC-level facilities, while strengthening overall service delivery and coordination across the health sector. A key idea behind the award is that HIV services are expected to work best when they are integrated with other high-priority health services instead of being run as a standalone program.

Which country and health system level does the program focus on?

The focus is Nigeria, with an emphasis on primary health care (PHC) facilities as the point of service delivery closer to communities.

Which agency in Nigeria is intended to be strengthened through this award?

The award is meant to strengthen the National Primary Health Care Development Agency (NPHCDA) so it can carry out a decentralization strategy for HIV services at the PHC level and improve coordination across the health sector.

How does the opportunity describe the approach to HIV service expansion?

The opportunity emphasizes that HIV scale-up should be integrated into the broader health system. In practice, that means packaging and delivering HIV services alongside other high-priority interventions and systems-strengthening efforts rather than treating HIV as a separate vertical program.

What does "decentralization" mean in the context of this grant?

In this context, decentralization means shifting HIV services away from more centralized service sites and expanding delivery through PHC facilities, so services are more accessible at the community level.

What types of HIV services are envisioned at the PHC level?

The description highlights expanded HIV prevention, testing, treatment linkages, and ongoing care delivered at the community/PHC level as facilities take on new responsibilities under decentralization.

What role do collaboration and planning play in this award?

Improved collaboration and planning across levels of government and health authorities is a major focus. The award would support NPHCDA working closely with the Federal Ministry of Health (FMoH) and State Ministries of Health (SMoH) to design and implement locally relevant packages of priority health interventions.

Who are the key government partners referenced for implementation?

The opportunity specifically references NPHCDA coordinating and working closely with the Federal Ministry of Health (FMoH) and State Ministries of Health (SMoH), as well as coordination with federal, state, and local government institutions for workforce strategy.

What are "packages of priority health interventions" in this opportunity?

They are locally relevant sets of priority health interventions designed and implemented by NPHCDA in collaboration with FMoH and SMoH. The packages are expected to be tailored to the actual public health needs of communities rather than using a one-size-fits-all model, and they explicitly align HIV services with other ongoing health priorities.

How is local tailoring of services emphasized?

The opportunity states that the intervention packages should be tailored to the real public health needs of Nigerian communities, instead of being uniform across settings. This tailoring is part of the broader intent to integrate HIV delivery with other local priorities and health system strengthening.

Why is the PHC health workforce a core component of the award?

Because decentralizing HIV services depends on having enough appropriately trained staff in PHC facilities that will take on new responsibilities. The award is aimed at helping develop policies and implementation strategies for staffing PHC facilities so they can realistically support expanded HIV services at the community level.

What staffing outcomes does the opportunity highlight?

The opportunity highlights planning for adequate numbers of personnel, the right mix of skills, and staffing approaches that support expanded HIV prevention, testing, treatment linkages, and ongoing care at PHC facilities.

How does this relate to Nigeria's National Strategic Health Development Plan (NSHDP)?

The workforce policies and implementation strategies supported under the award are intended to align with Nigeria's National Strategic Health Development Plan (NSHDP).

What existing national platform does the opportunity propose building on?

The opportunity emphasizes building on the Midwifery Service Scheme as an existing national platform and a proven entry point for deploying and supporting health workers at the PHC level.

How is the Midwifery Service Scheme expected to be used?

By leveraging lessons and operational structures from the Midwifery Service Scheme, the project would support personnel-based strategies that strengthen PHC staffing, supervision, and service delivery as HIV services expand to community levels.

Is the award intended to address health issues beyond HIV?

Yes. While HIV decentralization is central, the opportunity describes using HIV investments to reinforce broader PHC capacity and to address multiple priority diseases and health needs together, including tuberculosis, malaria, and related areas.

What is the funding mechanism for this opportunity?

The opportunity was structured as a cooperative agreement. That means CDC expected to have substantial involvement in the implementation and oversight of the supported activities.

What does "substantial involvement" by CDC imply here?

Based on the description, it implies CDC would not only provide funding but also be actively involved in implementation and oversight of the activities supported under the cooperative agreement.

What is the CFDA number and program area?

The opportunity was a CDC discretionary funding opportunity under CFDA 93.067, Global AIDS.

How much funding was projected under this announcement?

The announcement projected an estimated total funding level of $30,000,000.

What was the anticipated award size (floor and ceiling)?

The anticipated award range was $3,000,000 to $6,000,000 (floor to ceiling).

How many awards were expected?

The announcement projected a single award.

Was cost sharing or matching required?

No. The notice indicates there was no cost sharing or matching requirement noted.

Was this released as a competitive call for applications?

No. The notice states it was not released as a competitive request for applications. It served as a public notice of CDC's intention to fund the described activities without full and open competition.

What does it mean that it was "not a request for applications"?

Based on the notice, it means the eligibility field indicated it was not a request for applications and was instead a public notice that CDC intended to fund the activities without full and open competition.

What were the key dates for this opportunity?

The opportunity was posted February 1, 2011. The original and current closing date was April 1, 2011. The archive date was May 1, 2011.

Is this funding opportunity still active?

No. The closing date (April 1, 2011) and archive date (May 1, 2011) indicate the opportunity is no longer active.

What is the underlying program that this opportunity was created under?

The cooperative agreement opportunity was created under PEPFAR.

What is the program logic behind integrating HIV services with other services?

The opportunity explicitly reflects the logic that HIV services should be packaged and delivered in a way that complements other ongoing health priorities and broader systems-strengthening efforts, improving overall PHC capacity instead of building a standalone HIV-only delivery structure.

What kinds of system improvements are implied by the description?

Based on the text, improvements include stronger PHC capacity through better staffing strategies, enhanced supervision and support structures (leveraging the Midwifery Service Scheme), improved coordination across government levels and health authorities, and better integrated service delivery that benefits HIV and other priority health areas.

What is the full identifier for the opportunity?

The full identifier provided is CDC-RFA-GH11-1178.

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Next opportunity: Improving The Dominican Republic Capacity to Plan and Conduct Monitoring and Evaluation Activities

Previous opportunity: Supporting the Federal Ministry of Health to Improve HIV/AIDS Services Provision, in Nigeria under the President s Emergency Plan for AIDS Relief (PEPFAR)

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