Opportunity Information: Apply for RFA 617 16 000007

  • The Agency for International Development, Uganda USAID-Kampala in the health sector is offering a public funding opportunity titled "USAID Regional Health Integration to Enhance Services in Eastern Uganda" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
  • This funding opportunity was created on Sep 19, 2016.
  • Applicants must submit their applications by Nov 18, 2016. (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 $65,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
Apply for RFA 617 16 000007

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Opportunity Summary:

USAID Regional Health Integration to Enhance Services in Eastern Uganda (RHITES-E) is a five-year cooperative agreement that was designed to strengthen and better coordinate health services across Eastern Uganda and parts of Karamoja. The core idea is to support the design and rollout of a comprehensive, integrated package of services at the district level, so that communities receive higher-quality care that is more connected across programs rather than delivered in isolated pieces. The activity centers on regional health systems, HIV/AIDS services, nutrition support, and child development, with an emphasis on achieving results that are not only measurable but also sustainable after the project period ends.

A key feature of the opportunity is its focus on maximizing the combined impact of investments already being made by the Government of Uganda (GOU), the United States Government (USG), and other partners. Instead of duplicating efforts, RHITES-E is meant to help districts use available resources more effectively by strengthening service delivery and health system functions in an integrated way. While most implementation is district-based, the program is also intended to connect closely with national health programs and systems, so improvements at the local level align with national standards, strategies, reporting structures, and supply and referral systems.

Geographically, the activity targets 23 districts in total: 21 districts in Eastern Uganda plus two districts in Karamoja (Kotido and Moroto). The total beneficiary population is estimated at about 5.33 million people. Programmatically, it builds on earlier USAID-funded work in the region, especially efforts addressing HIV/AIDS, tuberculosis (TB), family planning (FP), malaria, nutrition, and maternal, neonatal, and child health (MNCH). In practical terms, that means the activity is framed as a continuation and integration of prior gains, aiming to improve continuity of care, service quality, prevention and treatment coverage, and the performance of district health systems across these related health areas.

From an administrative standpoint, this was a discretionary funding opportunity issued by USAID/Uganda (USAID-Kampala) under Funding Opportunity Number RFA 617 16 000007 and CFDA 98.001. The funding instrument type is a cooperative agreement, which typically indicates that USAID anticipated substantial involvement during implementation (for example, collaboration on planning, monitoring, learning, and coordination). Eligibility was listed as unrestricted, meaning it was open to a broad range of applicant entities, subject to any additional eligibility conditions that may have been detailed in the full announcement. The opportunity was posted on September 19, 2016, with an original closing date of November 18, 2016.

In terms of scale, USAID set an estimated total award ceiling of $65,000,000 over five years and expected to make one award. Overall, RHITES-E can be understood as a large regional health systems and service delivery initiative intended to bring multiple health priorities together at district level, link them to national systems, and produce durable improvements in health outcomes and system performance across Eastern Uganda and targeted districts in Karamoja.

FAQs: USAID Regional Health Integration to Enhance Services in Eastern Uganda (RHITES-E)

What is RHITES-E?

RHITES-E (Regional Health Integration to Enhance Services in Eastern Uganda) is a USAID/Uganda-supported, five-year cooperative agreement designed to strengthen and better coordinate health services across Eastern Uganda and parts of Karamoja by supporting an integrated package of services at the district level.

What is the main goal of the activity?

The core goal is to improve the quality and connectedness of care by helping districts design and roll out a comprehensive, integrated service package so communities receive higher-quality services that are coordinated across programs rather than delivered in separate, isolated pieces.

What does "integrated package of services at the district level" mean in this opportunity?

Based on the description, it means bringing multiple related health priorities together in a coordinated way at district level, improving continuity of care and service quality while strengthening district health system functions so services are more connected across programs.

Which technical areas does RHITES-E focus on?

The activity centers on regional health systems, HIV/AIDS services, nutrition support, and child development. It also builds on earlier USAID-funded work in the region addressing HIV/AIDS, tuberculosis (TB), family planning (FP), malaria, nutrition, and maternal, neonatal, and child health (MNCH).

How does RHITES-E relate to previous USAID-funded work in the region?

RHITES-E is framed as a continuation and integration of prior gains in areas such as HIV/AIDS, TB, FP, malaria, nutrition, and MNCH, with an emphasis on improving continuity of care, prevention and treatment coverage, service quality, and district health system performance.

What does the program emphasize in terms of results?

The program emphasizes results that are measurable and sustainable, with the intent that improvements continue after the five-year project period ends.

How does RHITES-E avoid duplicating efforts by other partners?

A stated feature of the opportunity is maximizing the combined impact of investments already being made by the Government of Uganda (GOU), the United States Government (USG), and other partners. Instead of duplicating activities, RHITES-E is meant to help districts use available resources more effectively through integrated service delivery and stronger health system functions.

How does district-based implementation connect to national systems?

While implementation is largely district-based, the opportunity indicates RHITES-E is intended to connect closely with national health programs and systems so district-level improvements align with national standards, strategies, reporting structures, and supply and referral systems.

Where is RHITES-E implemented?

The activity targets 23 districts in total: 21 districts in Eastern Uganda plus two districts in Karamoja (Kotido and Moroto).

Which Karamoja districts are included?

The two Karamoja districts specifically named are Kotido and Moroto.

What is the estimated beneficiary population?

The total beneficiary population is estimated at about 5.33 million people.

Who issued this funding opportunity?

The opportunity was issued by USAID/Uganda (USAID-Kampala).

What is the Funding Opportunity Number (FON) for RHITES-E?

The Funding Opportunity Number listed is RFA 617 16 000007.

What is the CFDA number associated with this opportunity?

The CFDA number provided is 98.001.

What type of funding opportunity was this?

It was described as a discretionary funding opportunity.

What is the funding instrument type?

The funding instrument type is a cooperative agreement.

What does it mean that the instrument is a cooperative agreement?

As described in the opportunity summary, a cooperative agreement typically indicates USAID anticipated substantial involvement during implementation, such as collaboration on planning, monitoring, learning, and coordination.

How many awards did USAID expect to make?

USAID expected to make one award.

What was the estimated total award ceiling?

The estimated total award ceiling was $65,000,000 over five years.

How long is the RHITES-E activity period?

The activity was designed as a five-year cooperative agreement.

Who was eligible to apply?

Eligibility was listed as unrestricted, meaning it was open to a broad range of applicant entities, subject to any additional eligibility conditions that may have been detailed in the full announcement.

When was the opportunity posted?

The opportunity was posted on September 19, 2016.

What was the original closing date?

The original closing date was November 18, 2016.

What kinds of health system improvements is RHITES-E intended to support?

From the description provided, RHITES-E is intended to strengthen service delivery and district health system functions, improve continuity of care, improve service quality, increase prevention and treatment coverage, and ensure district efforts align with national reporting structures and supply and referral systems.

Is RHITES-E focused only on clinical services?

No. In addition to services (including HIV/AIDS and nutrition support), the activity description emphasizes regional health systems and strengthening health system functions, as well as coordination with national programs, standards, reporting, and supply and referral systems.

Is the program designed to be sustainable after the award ends?

Yes. The opportunity description explicitly emphasizes achieving results that are sustainable after the project period ends.

What is the overall purpose of RHITES-E in one sentence?

Overall, RHITES-E is a large regional health systems and service delivery initiative intended to integrate multiple health priorities at district level, link them to national systems, and produce durable improvements in health outcomes and system performance across Eastern Uganda and targeted districts in Karamoja.

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