Opportunity Information: Apply for CDC RFA GH20 2054
This funding opportunity, titled "Maintaining and Strengthening Institutional Capacity of Cabo Delgado Province Health Directorate in Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)" (Funding Opportunity Number CDC RFA GH20 2054), is a CDC Centers for Global Health discretionary Notice of Funding Opportunity that will be issued as a cooperative agreement. The focus is not on directly delivering clinical services, but on reinforcing the ability of the Cabo Delgado Provincial Health Directorate (DPS) to lead the province's HIV response by improving how it plans, coordinates, and supervises PEPFAR-supported HIV activities in line with Mozambique Ministry of Health guidelines, policies, and patient retention strategies. The underlying idea is that strengthening provincial government management and oversight creates a durable platform for local leadership, better accountability, and long-term ownership of HIV programming, which in turn supports sustained control of the HIV epidemic.
The program rationale is tied to the scale and importance of Cabo Delgado within Mozambique's HIV response. The province has an HIV prevalence of 13.8 and an estimated population of about 2.5 million people, meaning the HIV burden is substantial and requires strong provincial coordination to ensure services are consistent and effective. Programmatic data cited in the opportunity highlights that Cabo Delgado has 44 high-volume health facilities that historically meet the criteria of collectively serving the vast majority of Mozambique's ART patients (noted as 90 percent). These sites are described as essential to achieving epidemic control because they represent the backbone of treatment delivery, patient follow-up, and continuity of care; if these facilities are not well managed and supported through strong provincial systems, outcomes like retention on treatment, viral suppression, and program quality can suffer.
Funding details are somewhat unusual in that the listed award ceiling for Year 1 is "0 (none)," while CDC simultaneously anticipates an approximate total fiscal year funding amount of $350,000 for Year 1, contingent on the availability of funds. The opportunity expects to make one award. As a cooperative agreement, applicants should expect active involvement from CDC compared with a standard grant, typically through collaboration on planning, monitoring, and technical direction to ensure the work aligns with PEPFAR expectations and national policy. The assistance is categorized under health and is associated with CFDA 93.067. Eligibility is broadly described as "Others" with clarification referenced in the full announcement's eligibility section.
Key administrative details include an original posting date of December 19, 2019, and an original application deadline of February 19, 2020, with electronic submissions due by 11:59 p.m. Eastern Time on the due date. Overall, the opportunity is designed to strengthen institutional and managerial capacity at the provincial level so Cabo Delgado's DPS can more effectively guide and oversee HIV programming across high-volume ART sites, thereby supporting Mozambique's broader goal of epidemic control through stronger government-led systems rather than parallel or externally driven structures.Apply for CDC RFA GH20 2054
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Maintaining and Strengthening Institutional Capacity of Cabo Delgado Province Health Directorate in Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)" 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 Dec 19, 2019.
- Applicants must submit their applications by Feb 19, 2020 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- 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).
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Frequently Asked Questions (FAQs)
1) What is the title of this funding opportunity?
The opportunity is titled "Maintaining and Strengthening Institutional Capacity of Cabo Delgado Province Health Directorate in Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)."
2) What is the Funding Opportunity Number?
The Funding Opportunity Number is CDC RFA GH20 2054.
3) Which agency is offering this opportunity?
This is a CDC Centers for Global Health discretionary Notice of Funding Opportunity (NOFO).
4) What type of award is expected?
The NOFO will be issued as a cooperative agreement. This typically means CDC will have active involvement with the recipient compared with a standard grant, often including collaboration on planning, monitoring, and technical direction.
5) What is the main purpose of the funding?
The main purpose is to reinforce the institutional and managerial capacity of the Cabo Delgado Provincial Health Directorate (DPS) to lead the province's HIV response, particularly by improving planning, coordination, and supervision of PEPFAR-supported HIV activities.
6) Is this opportunity intended to fund direct clinical service delivery?
No. The focus is not on directly delivering clinical services. It is focused on strengthening provincial leadership, management, oversight, and coordination functions for HIV programming.
7) What kinds of activities are emphasized?
Activities emphasized include improving how the Cabo Delgado DPS plans, coordinates, and supervises PEPFAR-supported HIV activities in line with Mozambique Ministry of Health guidelines, policies, and patient retention strategies.
8) How does this opportunity relate to PEPFAR?
The opportunity is explicitly under PEPFAR and is intended to strengthen the provincial government platform that guides and oversees PEPFAR-supported HIV activities in Cabo Delgado.
9) Why is Cabo Delgado Province a focus area for this NOFO?
The rationale provided is that Cabo Delgado has an HIV prevalence of 13.8 and an estimated population of about 2.5 million, indicating a substantial HIV burden that requires strong provincial coordination to ensure consistency and effectiveness of HIV services.
10) What programmatic context does the NOFO highlight about service delivery sites?
The NOFO cites that Cabo Delgado has 44 high-volume health facilities that historically meet criteria described as collectively serving the vast majority of Mozambique's ART patients (noted as 90 percent). These sites are portrayed as central to treatment delivery, patient follow-up, and continuity of care.
11) Why does the NOFO emphasize high-volume ART facilities?
Because these facilities are described as essential to achieving epidemic control. The NOFO suggests that if they are not well managed and supported through strong provincial systems, outcomes such as retention on treatment, viral suppression, and overall program quality can suffer.
12) What is the underlying strategy behind this funding approach?
The stated strategy is that strengthening provincial government management and oversight creates a durable platform for local leadership, stronger accountability, and long-term ownership of HIV programming, supporting sustained control of the HIV epidemic.
13) How many awards does CDC expect to make?
CDC anticipates making one award.
14) How much funding is expected for Year 1?
The NOFO notes an approximate total fiscal year funding amount of $350,000 for Year 1, contingent on the availability of funds.
15) Why does the NOFO list a Year 1 award ceiling of "0 (none)"?
The NOFO lists the award ceiling for Year 1 as "0 (none)" while also stating an anticipated approximate total fiscal year funding amount of $350,000 for Year 1, contingent on available funds. Based on the information provided, the opportunity contains this apparent inconsistency and applicants should rely on the full announcement details and funding availability.
16) What is the assistance category associated with this opportunity?
The assistance is categorized under health.
17) What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA 93.067.
18) Who is eligible to apply?
Eligibility is broadly described as "Others," with clarification referenced in the full announcement's eligibility section. The provided summary does not specify additional eligibility details.
19) When was the opportunity originally posted?
The original posting date is December 19, 2019.
20) What was the original application deadline?
The original application deadline is February 19, 2020.
21) What time were applications due on the deadline date?
Electronic submissions were due by 11:59 p.m. Eastern Time on the due date.
22) What role is Cabo Delgado DPS expected to play under this award?
The Cabo Delgado Provincial Health Directorate (DPS) is positioned as the provincial authority whose capacity to lead the HIV response should be strengthened, particularly in planning, coordination, and supervision of PEPFAR-supported HIV activities aligned with national guidance and retention strategies.
23) What outcomes does the NOFO connect to stronger provincial oversight?
The NOFO connects stronger provincial systems and oversight with better program performance at key sites, helping protect outcomes such as retention on ART, viral suppression, and program quality, which are linked to broader epidemic control goals.
24) What does "cooperative agreement" imply for working with CDC?
Based on the summary provided, applicants should expect more active CDC involvement than under a standard grant, typically through collaboration on planning, monitoring, and technical direction to ensure alignment with PEPFAR expectations and national policy.
25) Is the funding framed as building parallel systems or strengthening government-led systems?
The opportunity is framed around strengthening government-led provincial systems and institutional capacity to support durable local leadership and long-term ownership, rather than creating parallel or externally driven structures.
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