Opportunity Information: Apply for CDC RFA GH18 1807

This funding opportunity is a CDC cooperative agreement under PEPFAR focused on strengthening Ethiopia's ability to reach and sustain HIV epidemic control by expanding and improving comprehensive HIV/AIDS programming, with particular emphasis on direct, practical support to service delivery sites in Ethiopias four emerging regions. The work is meant to build on previous progress in health system strengthening and shift the HIV response toward consistently high performance in the most important sub-national units (SNUs), especially those prioritized for rapid scale-up and long-term sustainment. A central theme is improving the quality and reach of HIV services so that gains are durable and can be managed increasingly by Ethiopian institutions rather than external partners.

A major component of the award is technical assistance to the Federal Ministry of Health and to seven Regional Health Bureaus that hold direct CDC awards, including two city administrations, along with other relevant government bodies as appropriate. The technical assistance is intended to support planning, implementation, monitoring, and continuous improvement of HIV programs across the cascade, aligning efforts with the UNAIDS 90-90-90 targets: diagnosing people living with HIV, initiating and maintaining antiretroviral treatment, and achieving viral suppression. In practice, this implies support for strengthening HIV testing strategies and linkage to care, improving treatment initiation and retention, enhancing viral load monitoring and suppression, and ensuring that program management and data systems can guide decisions at national, regional, and lower administrative levels.

The opportunity also emphasizes direct site-level support in the four emerging regions, suggesting hands-on work with health facilities and local health structures to improve day-to-day performance. This can include improving service delivery workflows, mentoring and supportive supervision, strengthening clinical and program quality assurance, reinforcing supply chain and laboratory systems that underpin HIV care, and building the capacity of local teams to identify gaps and rapidly implement corrective actions. The expectation is not only to deliver short-term improvements, but to develop local competence so that facility and district teams can sustain high-quality HIV services without continued intensive external input.

Another key goal is building capacity at the Regional Health Bureau and lower SNU levels to enable a gradual transition of mature activities to local ownership. The grant anticipates that certain interventions and management functions will become stable enough over time to be increasingly led and financed through local systems. Because readiness will vary by region and institution, the technical assistance is designed to evolve across the five-year period based on program performance, changing needs, and the demonstrated capacity of the government counterparts. In other words, the implementing partner is expected to adjust its role over time from doing and directing toward coaching, institutionalizing, and handing over.

The recipient is also expected to support the planning and rollout of new US Government and host government initiatives intended to improve performance and accelerate progress toward epidemic control in top-priority SNUs. This reflects the reality that PEPFAR strategies, national guidelines, and operational priorities can shift over a multi-year period, and the awardee will need to help translate new initiatives into operational plans, implementation support, and measurable results at regional and facility levels.

Administratively, the award is listed as a discretionary cooperative agreement (meaning substantial involvement by CDC is typical, including joint planning and close collaboration). It falls under CFDA 93.067 and is open to unrestricted applicants. The posted ceiling is up to USD 15,000,000, with an expectation of two awards. The opportunity was created on 2017-08-21 with an original closing date of 2020-04-23, and it is managed by the Centers for Disease Control and Prevention, Center for Global Health.

  • The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Assistance to Ethiopia's Federal Ministry of Health and Regional Health Bureaus in Comprehensive HIV/AIDS Programming and Direct Site-Level Support in the Four Emerging Regions 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.
  • This funding opportunity was created on 2017-08-21.
  • Applicants must submit their applications by 2020-04-23. (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 $15,000,000.00 in funding.
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: Unrestricted.
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