Opportunity Information: Apply for CDC RFA GH20 2075

This grant opportunity, titled "Technical Assistance to the Provincial Health Offices in Zambia to Support Optimized HIV Case Finding, Treatment, Viral Suppression, Retention and HIV Epidemic Control under PEPFAR," is a U.S. Centers for Disease Control and Prevention (CDC) cooperative agreement designed to strengthen HIV service delivery across CDC-supported provinces in Zambia. The overall aim is to help Zambia achieve national HIV goals, especially the 95-95-95 targets (95 percent of people living with HIV knowing their status, 95 percent of those diagnosed receiving sustained treatment, and 95 percent of those on treatment achieving viral suppression), along with other PEPFAR and national HIV-related performance targets tied to epidemic control.

The program is focused on providing hands-on technical assistance rather than directly operating stand-alone services. Recipients are expected to support provincial health offices and the wider health system through practical capacity building approaches such as training, on-the-job mentorship, technical advising, and direct support to staff working at the provincial, district, facility, and community levels. The intention is to enable local teams to plan, implement, and continuously improve evidence-based interventions, using routine program data and quality improvement methods to strengthen performance and patient outcomes. This work is meant to be carried out in close coordination with other implementing partners involved in HIV/AIDS and TB programming so that efforts are aligned, non-duplicative, and integrated into existing health structures.

The technical scope is broad and covers the major components needed to improve HIV outcomes across the full cascade of care. This includes optimized HIV case finding (identifying people living with HIV who are not yet diagnosed), linkage to and initiation of antiretroviral therapy, and sustained support to keep clients engaged in care over time. It also emphasizes viral load monitoring and broader laboratory support, clinical monitoring and patient management, and adherence and retention interventions that reduce treatment interruptions and loss to follow-up. Importantly, the opportunity specifies that support should cover all HIV populations in Zambia, including key and priority populations, meaning the work must address groups that may face higher risk, greater barriers to care, or disproportionate impact, and tailor service delivery approaches accordingly.

Funding is structured as a discretionary cooperative agreement under CFDA 93.067, indicating substantial involvement by CDC in the project’s implementation, such as collaboration on strategic direction, monitoring, and technical priorities. CDC anticipated approximately $16,000,000 in total funding for the first year, subject to availability of funds, and expected to make up to four awards. The posted "award ceiling" for Year 1 is listed as $0, which typically reflects a posting or formatting artifact rather than an absence of funding, especially given the stated anticipated total funding level. Eligibility is listed as unrestricted (open to any type of entity), subject to any additional eligibility language in the full notice.

Key administrative details include the funding opportunity number CDC RFA GH20-2075, the originating agency (U.S. Department of Health and Human Services, CDC - Center for Global Health), the original posting date of December 27, 2019, and an original application deadline of February 27, 2020, with electronic submissions due by 11:59 p.m. Eastern Time on the due date. Overall, the opportunity is built to strengthen provincial and subnational HIV program performance through targeted technical assistance that improves service quality, expands effective coverage, and accelerates progress toward sustained viral suppression and HIV epidemic control in Zambia.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Assistance to the Provincial Health Offices in Zambia to Support Optimized HIV Case Finding, Treatment, Viral Suppression, Retention and HIV Epidemic Control 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 27, 2019.
  • Applicants must submit their applications by Feb 27, 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 4 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 CDC RFA GH20 2075

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Frequently Asked Questions (FAQs)

1) What is the title of this grant opportunity?

The opportunity is titled "Technical Assistance to the Provincial Health Offices in Zambia to Support Optimized HIV Case Finding, Treatment, Viral Suppression, Retention and HIV Epidemic Control under PEPFAR."

2) Which agency is offering this funding opportunity?

This is a U.S. Centers for Disease Control and Prevention (CDC) cooperative agreement under the U.S. Department of Health and Human Services (HHS), CDC - Center for Global Health.

3) What is the funding opportunity number?

The funding opportunity number is CDC RFA GH20-2075.

4) What type of award is this?

This opportunity is a discretionary cooperative agreement. That structure indicates substantial involvement by CDC in the project implementation, such as collaboration on strategic direction, monitoring, and technical priorities.

5) What is the CFDA number for this opportunity?

The CFDA number listed is 93.067.

6) What is the overall purpose of the program?

The overall aim is to strengthen HIV service delivery across CDC-supported provinces in Zambia and help Zambia achieve national HIV goals, especially the 95-95-95 targets and other PEPFAR and national HIV-related performance targets tied to HIV epidemic control.

7) What are the 95-95-95 targets referenced in the opportunity?

The 95-95-95 targets are: 95 percent of people living with HIV know their status, 95 percent of those diagnosed receive sustained treatment, and 95 percent of those on treatment achieve viral suppression.

8) What does “HIV epidemic control” mean in the context of this opportunity?

Based on the information provided, the opportunity links epidemic control to meeting PEPFAR and national performance targets and accelerating progress toward sustained viral suppression through improved case finding, treatment, and retention across provinces in Zambia.

9) Where is the work expected to take place?

The work is focused in Zambia, specifically supporting CDC-supported provinces through technical assistance to provincial health offices and subnational levels of the health system.

10) Is this grant meant to directly operate HIV services?

No. The program is focused on providing hands-on technical assistance rather than directly operating stand-alone services.

11) What kinds of technical assistance activities are expected?

Expected approaches include training, on-the-job mentorship, technical advising, and direct support to staff working at provincial, district, facility, and community levels.

12) Who are the main counterparts or beneficiaries of the technical assistance?

Recipients are expected to support provincial health offices and the wider health system, including staff and teams at the provincial, district, facility, and community levels.

13) How does the opportunity expect recipients to improve performance?

Recipients are expected to help local teams plan, implement, and continuously improve evidence-based interventions using routine program data and quality improvement methods to strengthen performance and patient outcomes.

14) What is meant by “evidence-based interventions” in this announcement?

The opportunity indicates that interventions should be evidence-based and implemented and improved through routine program data and quality improvement methods, with the goal of strengthening HIV outcomes across the cascade of care.

15) Does this opportunity emphasize coordination with other organizations?

Yes. The work is meant to be carried out in close coordination with other implementing partners involved in HIV/AIDS and TB programming so efforts are aligned, non-duplicative, and integrated into existing health structures.

16) What parts of the HIV care cascade are included in the technical scope?

The scope includes optimized HIV case finding, linkage to and initiation of antiretroviral therapy, and sustained support to keep clients engaged in care over time, with emphasis on viral load monitoring and broader laboratory support, clinical monitoring and patient management, and adherence and retention interventions.

17) What does “optimized HIV case finding” refer to here?

It refers to identifying people living with HIV who are not yet diagnosed.

18) What is the role of viral load monitoring in this opportunity?

Viral load monitoring is emphasized as a key component of achieving viral suppression, alongside broader laboratory support and clinical monitoring and patient management.

19) What kinds of retention and adherence support are expected?

The opportunity highlights adherence and retention interventions designed to reduce treatment interruptions and loss to follow-up and to keep clients engaged in care over time.

20) Does the opportunity include laboratory and clinical systems support?

Yes. It explicitly emphasizes viral load monitoring and broader laboratory support, as well as clinical monitoring and patient management.

21) Which populations should be covered by the program?

The opportunity specifies that support should cover all HIV populations in Zambia, including key and priority populations, and that approaches should be tailored for groups that may face higher risk, greater barriers to care, or disproportionate impact.

22) What does “key and priority populations” mean in this opportunity?

Based on the provided information, it refers to groups that may face higher risk, greater barriers to care, or disproportionate impact, and therefore require tailored service delivery approaches.

23) How is PEPFAR connected to this funding opportunity?

The opportunity is framed under PEPFAR and is intended to support performance targets and epidemic control goals associated with PEPFAR and national HIV-related targets in Zambia.

24) How much funding is anticipated?

CDC anticipated approximately $16,000,000 in total funding for the first year, subject to the availability of funds.

25) How many awards does CDC expect to make?

CDC expected to make up to four awards.

26) Why does the posting show an “award ceiling” of $0 for Year 1?

The information provided notes that the posted award ceiling of $0 is typically a posting or formatting artifact rather than an absence of funding, especially given the stated anticipated total funding level.

27) Who is eligible to apply?

Eligibility is listed as unrestricted (open to any type of entity), subject to any additional eligibility language in the full notice.

28) What is the application deadline listed for this opportunity?

The original application deadline is February 27, 2020.

29) What time are electronic submissions due?

Electronic submissions were due by 11:59 p.m. Eastern Time on the due date.

30) What is the original posting date for this opportunity?

The original posting date is December 27, 2019.

31) What is the core strategy behind this award?

The core strategy is to strengthen provincial and subnational HIV program performance through targeted, hands-on technical assistance that improves service quality, expands effective coverage, and accelerates progress toward sustained viral suppression and HIV epidemic control.

32) How involved will CDC be during implementation?

Because this is a cooperative agreement, CDC is expected to have substantial involvement, including collaboration on strategic direction, monitoring, and technical priorities.

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