Opportunity Information: Apply for CDC RFA GH15 1506

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Voluntary Medical Male Circumcision as part of the National Program and the Combination Prevention Project in Botswana under the Presidents 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 Aug 22, 2014 and posted on Aug 22, 2014.
  • Applicants must submit their applications by Oct 10, 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 $4,000,000.00 in funding.
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants that can apply for this FOA are listed below Government Organizations National Ministries of Health State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau) . American Indian/Alaska Native tribal governments (federally recognized or state recognized) Political subdivisions of States (in consultation with States) Non government Organizations American Indian/Alaska native tribally designated organizations Alaska Native health corporations Tribal epidemiology centers Urban Indian health organizations Nonprofit with 501C3 IRS status (other than institution of higher education) Nonprofit without 501C3 IRS status (other than institution of higher education) Research institutions (that will perform activities deemed as non research) Colleges and Universities Community based organizations Faith based organizations For profit organizations (other than small business) Hospitals Small, minority, and women owned businesses All Other Eligible Applicants
Apply for CDC RFA GH15 1506

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Opportunity Summary:

This funding opportunity (CDC RFA GH15-1506) is a PEPFAR-supported cooperative agreement from the Centers for Disease Control and Prevention focused on scaling up Voluntary Medical Male Circumcision (VMMC) in Botswana as a core HIV prevention intervention. The public health context driving the award is Botswana's high HIV burden, with about 25 percent of adults ages 15 to 49 living with HIV. Because VMMC has strong evidence as a prevention strategy for reducing female-to-male sexual transmission of HIV, the FOA is designed to help the Government of Botswana expand access to safe, high-quality circumcision services while building demand and integrating HIV testing and monitoring systems. The planned period of performance is five years, and CDC anticipated making up to two awards under this announcement.

The FOA lays out two major implementation tracks. The first track supports VMMC as part of Botswana's national program in three geographic areas. The recipient is expected to generate and sustain demand for services, so that eligible males are aware of VMMC, motivated to seek it, and able to access services without undue barriers. Alongside demand creation, the recipient must ensure that every male who presents for VMMC is offered HIV testing, reflecting a routine, prevention-oriented service package that also helps connect clients to additional services as needed. The central numerical service-delivery target for this national component is at least 60,000 circumcision procedures over five years among males ages 13 to 49 who are HIV-negative or whose HIV status is unknown. The FOA frames delivery expectations as roughly 4,000 procedures per site per year across the selected areas. It also leaves room for geographic expansion if the model performs well, meaning a successful approach could be replicated or scaled beyond the initial three areas during the award period.

The second track ties VMMC scale-up to the Botswana Combination Prevention Project (BCPP), a broader prevention initiative that started in late 2013 and was planned for five years. Under this FOA, the VMMC award begins around year 1.5 of the BCPP timeline, and implementation details are explicitly linked to how the study progresses. The recipient must be ready to deliver circumcision services across 15 BCPP sites and reach coverage targets by the end of year 3 of the study. Specifically, the awardee must be prepared to circumcise at least 80 percent of eligible HIV-negative males or males of unknown status ages 16 to 49 in those sites, and to circumcise as many eligible men ages 50 to 64 as possible. After reaching those targets, the recipient is expected to maintain those coverage levels at all 15 intervention sites during years 3 through 5, assuming the VMMC component continues beyond the initial scale-up window.

Across both tracks, the FOA emphasizes quality, accountability, and cost-conscious delivery. A key requirement is a robust monitoring and evaluation system that captures all VMMC-related activities and aligns with Botswana's existing national M&E framework, rather than operating as a parallel reporting structure. This includes tracking service volume against targets, client eligibility and age bands, HIV testing offer rates, and likely quality and safety indicators such as adverse events and follow-up, with an overall expectation that services will be delivered at an acceptable cost per circumcision. In practical terms, the recipient is expected not only to perform procedures but to demonstrate, through consistent data, that demand creation is working, services are safe and standardized, targets are being met, and resources are being used efficiently.

Administratively, the opportunity is a discretionary cooperative agreement, indicating an assistance relationship where CDC is likely to have substantial involvement through technical guidance, collaboration, and oversight rather than simply issuing a grant with minimal federal interaction. The activity category is health, under CFDA 93.067 (Global AIDS). The FOA states no cost sharing or matching requirement. Eligible applicants are broad and include government entities and their bona fide agents, non-governmental organizations, community- and faith-based organizations, hospitals, universities, research institutions proposing non-research activities, and for-profit entities other than small businesses, among others. The posted date was August 22, 2014, with an original and final closing date of October 10, 2014, and an award ceiling listed at $4,000,000, with up to two awards expected. For access issues, the FOA directs applicants to CDC's Procurement and Grants Office Technical Information Management Section.

Frequently Asked Questions (FAQs)

What is the funding opportunity (CDC RFA GH15-1506) about?

CDC RFA GH15-1506 is a PEPFAR-supported cooperative agreement from the Centers for Disease Control and Prevention (CDC) focused on scaling up Voluntary Medical Male Circumcision (VMMC) in Botswana as a core HIV prevention intervention. The opportunity is designed to help expand access to safe, high-quality circumcision services, increase demand for those services, and integrate HIV testing and monitoring systems.

Why is this program being funded in Botswana?

The FOA is driven by Botswana's high HIV burden, with about 25 percent of adults ages 15 to 49 living with HIV. Because VMMC has strong evidence for reducing female-to-male sexual transmission of HIV, the FOA supports VMMC scale-up as a prevention strategy in the country.

What type of award is this?

This is a discretionary cooperative agreement. That means it is an assistance relationship in which CDC is expected to have substantial involvement, such as technical guidance, collaboration, and oversight, rather than a low-touch grant relationship.

What is the planned period of performance?

The planned period of performance is five years.

How many awards did CDC anticipate making under this announcement?

CDC anticipated making up to two awards under this funding opportunity announcement.

What is the maximum funding amount listed for this opportunity?

The FOA lists an award ceiling of $4,000,000.

Is there a cost sharing or matching requirement?

No. The FOA states there is no cost sharing or matching requirement.

What is the activity category and CFDA number for this opportunity?

The activity category is health, under CFDA 93.067 (Global AIDS).

Who is eligible to apply?

Eligible applicants are broad and include government entities and their bona fide agents, non-governmental organizations, community- and faith-based organizations, hospitals, universities, research institutions proposing non-research activities, and for-profit entities other than small businesses, among others.

What are the two major implementation tracks described in the FOA?

The FOA outlines two tracks: (1) supporting VMMC as part of Botswana's national program in three geographic areas, and (2) linking VMMC scale-up to the Botswana Combination Prevention Project (BCPP) across 15 BCPP sites with specific coverage targets tied to the study timeline.

What is expected under the national VMMC program track?

Under the national track, the recipient is expected to generate and sustain demand so eligible males are aware of VMMC, motivated to seek it, and able to access services without undue barriers. The recipient must also ensure that every male who presents for VMMC is offered HIV testing as part of a routine prevention-oriented service package.

What is the main service-delivery target under the national track?

The central target is at least 60,000 circumcision procedures over five years among males ages 13 to 49 who are HIV-negative or whose HIV status is unknown.

What is the FOA's implied delivery pace per site?

The FOA frames delivery expectations as roughly 4,000 procedures per site per year across the selected areas.

Can the program expand beyond the initial geographic areas?

Yes. The FOA leaves room for geographic expansion if the model performs well, meaning a successful approach could be replicated or scaled beyond the initial three areas during the award period.

How does the second track relate to the Botswana Combination Prevention Project (BCPP)?

The second track ties VMMC scale-up to BCPP, a broader prevention initiative that started in late 2013 and was planned for five years. Under this FOA, the VMMC award begins around year 1.5 of the BCPP timeline, and implementation details are linked to how the study progresses.

What are the VMMC coverage targets in the 15 BCPP sites?

The recipient must be prepared to circumcise at least 80 percent of eligible HIV-negative males or males of unknown status ages 16 to 49 in the 15 BCPP sites by the end of year 3 of the study, and to circumcise as many eligible men ages 50 to 64 as possible.

What happens after the coverage targets are reached in the BCPP sites?

After reaching the targets, the recipient is expected to maintain those coverage levels at all 15 intervention sites during years 3 through 5, assuming the VMMC component continues beyond the initial scale-up window.

What are the age ranges targeted for VMMC services in this FOA?

The national component targets males ages 13 to 49 who are HIV-negative or of unknown HIV status. The BCPP component targets males ages 16 to 49 for the 80 percent coverage goal, and also includes eligible men ages 50 to 64 to the extent possible.

Does the FOA require HIV testing as part of VMMC service delivery?

Yes. The FOA states that every male who presents for VMMC must be offered HIV testing as part of a routine, prevention-oriented service package.

What does the FOA emphasize about service quality and safety?

The FOA emphasizes safe, high-quality, standardized services with quality, accountability, and cost-conscious delivery. It indicates expectations for monitoring indicators that likely include quality and safety measures such as adverse events and follow-up.

What monitoring and evaluation (M&E) requirements are highlighted?

A key requirement is a robust monitoring and evaluation system that captures all VMMC-related activities and aligns with Botswana's existing national M&E framework rather than operating as a parallel reporting structure. The FOA highlights tracking service volume against targets, client eligibility and age bands, and HIV testing offer rates, alongside indicators related to quality, safety, and follow-up.

Is the recipient expected to track costs?

Yes. The FOA emphasizes cost-conscious delivery and includes an expectation that services will be delivered at an acceptable cost per circumcision, supported by consistent data and accountability.

What does the FOA say about demand creation?

The FOA requires the recipient to generate and sustain demand so that eligible males are aware of VMMC, motivated to seek it, and able to access services without undue barriers. Demand creation is treated as a core implementation responsibility alongside service delivery.

When was the opportunity posted and when did it close?

The posted date was August 22, 2014. The original and final closing date was October 10, 2014.

Who should applicants contact for access issues related to the FOA?

For access issues, the FOA directs applicants to CDC's Procurement and Grants Office Technical Information Management Section.

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