Opportunity Information: Apply for CDC RFA GH 23 0022
The grant opportunity titled "Sustain and Accelerate a Comprehensive HIV Response in the United Republic of Tanzania under the President's Emergency Plan for AIDS Relief (PEPFAR)" is a CDC cooperative agreement (Funding Opportunity Number: CDC RFA GH 23 0022; CFDA 93.067) designed to strengthen and expand Tanzania's national HIV response across the full continuum of prevention, diagnosis, treatment, and long-term viral suppression. It is framed as direct support to the Government of Tanzania (GOT) strategy, with a strong emphasis on systems strengthening and implementation of interventions that are innovative, evidence-based, person-centered, and culturally appropriate. Although the notice lists an award ceiling of 0 for Year 1 (meaning no fixed maximum per individual award is stated), CDC anticipated an approximate total Year 1 funding level of $50,000,000, contingent on funds being available, with an expectation of making two awards.
Programmatically, the opportunity focuses on improving core HIV outcomes: finding people living with HIV who are not yet diagnosed, ensuring rapid linkage to care, and promoting same-day initiation of antiretroviral therapy (ART) through Care and Treatment Clinics (CTC). A major priority is expanding and reinforcing community-based HIV services so that testing, linkage, treatment support, and prevention services are easier to access, especially for populations that experience barriers to care or higher risk of infection. The grant also highlights the need to maintain continuity of treatment and strengthen adherence support, recognizing that retention in care and consistent ART use are essential for achieving durable viral suppression and preventing onward transmission.
Another central requirement is the routine monitoring of viral load (VL) and the use of data for continuous quality improvement (CQI). Recipients are expected not only to support VL testing and the clinical follow-up needed to help clients reach suppression, but also to improve how data are collected, analyzed, and used to identify gaps, manage performance, and refine service delivery. This signals a strong interest in practical, measurable improvements in service quality, including better tracking of patients across community and facility settings, and stronger feedback loops that help health teams respond quickly when outcomes fall short.
Implementation is expected to be closely coordinated with local government health structures, specifically through collaboration with regional and council health management teams (R/CHMT). This collaboration component reflects the cooperative agreement model, where CDC remains substantially involved and where alignment with national and subnational planning, supervision, and accountability structures is a key expectation. In practical terms, applicants are being asked to work in partnership with GOT leadership to deliver prevention and treatment activities that move Tanzania toward both PEPFAR targets and national HIV goals.
The opportunity identifies a broad set of priority populations to ensure the response is comprehensive and equitable. Target groups include children and adolescents, adolescent boys and men (often underserved in testing and treatment), adolescent girls and young women (AGYW), and maternal and infant populations including pregnant women, breastfeeding mothers, and infants. It also explicitly includes key and vulnerable populations (KVP) and other at-risk groups, indicating that services should be tailored to the needs and realities of populations facing heightened risk, stigma, or structural barriers to care. Overall, the intent is to improve access, uptake, and outcomes across diverse groups, rather than focusing only on a single demographic.
Geographically, the work is expected to be carried out in Dar es Salaam, Kagera, Mara, Simiyu, Tanga, and Zanzibar. At the same time, the notice makes clear that geographic focus could shift to other CDC-supported regions depending on performance or evolving epidemiologic data, which suggests an adaptive approach where resources may be rebalanced toward areas of greater need or where implementing partners demonstrate stronger results. Awards may cover comprehensive community- and facility-based activities for specific regions, meaning recipients could be tasked with end-to-end implementation within designated areas, spanning community outreach and testing, facility service delivery, ART initiation and follow-up, and ongoing monitoring and quality improvement.
Administratively, the opportunity is categorized as discretionary funding, uses a cooperative agreement instrument, and is open to unrestricted applicants (subject to any eligibility clarifications in the full announcement). The notice was created on January 23, 2023, with an original application closing date of March 24, 2023, and required electronic submission by 11:59 pm ET on the due date.Apply for CDC RFA GH 23 0022
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Sustain and Accelerate a Comprehensive HIV Response in the United Republic of Tanzania 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 Jan 23, 2023.
- Applicants must submit their applications by Mar 24, 2023 Electronically submitted applications must be submitted no later than 1159 pm 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 2 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.
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Frequently Asked Questions (FAQs)
1) What is the name of this grant opportunity?
The opportunity is titled "Sustain and Accelerate a Comprehensive HIV Response in the United Republic of Tanzania under the President's Emergency Plan for AIDS Relief (PEPFAR)."
2) Who is offering this funding?
The funding is offered by CDC through a cooperative agreement mechanism.
3) What is the Funding Opportunity Number (FOA) for this announcement?
The Funding Opportunity Number is CDC RFA GH 23 0022.
4) What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.067.
5) What type of funding mechanism is being used?
This is a cooperative agreement, which indicates substantial CDC involvement in the supported work and emphasizes coordinated implementation and accountability.
6) Is this considered discretionary funding?
Yes. The opportunity is categorized as discretionary funding.
7) What is the overall purpose of the award?
The purpose is to strengthen and expand Tanzania's national HIV response across prevention, diagnosis, treatment, and long-term viral suppression, aligned with PEPFAR and the Government of Tanzania (GOT) strategy.
8) How does this opportunity relate to the Government of Tanzania (GOT)?
The work is framed as direct support to GOT strategy, with a strong focus on systems strengthening and implementation of interventions that are innovative, evidence-based, person-centered, and culturally appropriate.
9) What HIV outcomes does the program prioritize?
The program prioritizes core outcomes such as identifying people living with HIV who are not yet diagnosed, ensuring rapid linkage to care, promoting same-day ART initiation through Care and Treatment Clinics (CTC), and supporting long-term retention and viral suppression.
10) What does the grant say about HIV testing and identifying undiagnosed people?
A key focus is finding people living with HIV who are not yet diagnosed and improving access to testing, particularly through strengthened community-based services and targeted approaches for populations facing barriers to care.
11) What is expected related to linkage to care and starting treatment?
Recipients are expected to ensure rapid linkage to care and promote same-day initiation of antiretroviral therapy (ART) through Care and Treatment Clinics (CTC).
12) What is meant by expanding community-based HIV services?
The opportunity emphasizes expanding and reinforcing community-based HIV services so testing, linkage, treatment support, and prevention services are easier to access, especially for populations with higher risk or barriers to care.
13) Does the opportunity address treatment continuity and adherence?
Yes. It highlights the need to maintain continuity of treatment and strengthen adherence support, recognizing that retention in care and consistent ART use are essential for durable viral suppression and prevention of onward transmission.
14) What are the expectations around viral load (VL) monitoring?
Routine monitoring of viral load is a central requirement. Recipients are expected to support VL testing and the clinical follow-up needed to help clients achieve viral suppression.
15) What does the opportunity require regarding data use and quality improvement?
Recipients are expected to improve how HIV program data are collected, analyzed, and used for continuous quality improvement (CQI), including identifying gaps, managing performance, and refining service delivery.
16) Does the announcement indicate an interest in measurable performance improvements?
Yes. The emphasis on CQI, performance management, and stronger feedback loops signals that practical, measurable improvements in service quality and outcomes are a central expectation.
17) How should community and facility services be coordinated?
The opportunity points to better tracking of patients across community and facility settings and strengthening feedback loops so health teams can respond quickly when outcomes fall short.
18) What local coordination structures are applicants expected to work with?
Implementation is expected to be closely coordinated with local government health structures, specifically in collaboration with regional and council health management teams (R/CHMT).
19) What populations are prioritized by this opportunity?
Priority populations include children and adolescents, adolescent boys and men, adolescent girls and young women (AGYW), and maternal/infant populations (pregnant women, breastfeeding mothers, and infants). The opportunity also explicitly includes key and vulnerable populations (KVP) and other at-risk groups.
20) Are key and vulnerable populations (KVP) included in the scope?
Yes. The opportunity explicitly includes KVP and other at-risk groups, indicating that services should be tailored to populations that experience heightened risk, stigma, or structural barriers to care.
21) Is the grant focused on a single demographic or a broad HIV response?
It is designed to be comprehensive and equitable, aiming to improve access, uptake, and outcomes across diverse groups rather than focusing on only one demographic.
22) Where is the program expected to be implemented?
The work is expected to be carried out in Dar es Salaam, Kagera, Mara, Simiyu, Tanga, and Zanzibar.
23) Can the geographic focus change after an award is made?
Yes. The notice indicates the geographic focus could shift to other CDC-supported regions depending on performance or evolving epidemiologic data, suggesting an adaptive approach to allocating resources.
24) What does it mean that awards may cover comprehensive community- and facility-based activities for specific regions?
This indicates recipients may be responsible for end-to-end implementation in designated areas, spanning community outreach and testing, facility service delivery, ART initiation and follow-up, and ongoing monitoring and quality improvement.
25) How much funding is expected to be available in Year 1?
CDC anticipated an approximate total Year 1 funding level of $50,000,000, contingent on funds being available.
26) How many awards does CDC expect to make?
CDC expected to make two awards.
27) Why does the notice list an award ceiling of 0 for Year 1?
The notice lists an award ceiling of 0 for Year 1 to indicate that no fixed maximum per individual award is stated in the notice, even though an approximate total Year 1 funding amount is anticipated.
28) Who is eligible to apply?
The opportunity is described as open to unrestricted applicants, subject to any eligibility clarifications in the full announcement.
29) When was this notice created?
The notice was created on January 23, 2023.
30) What was the application due date?
The original application closing date was March 24, 2023.
31) What time were applications due on the closing date?
Electronic submissions were required by 11:59 pm ET on the due date.
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