Opportunity Information: Apply for CDC RFA GH21 2117
This funding opportunity (CDC RFA GH21 2117) is a PEPFAR-supported cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), focused on Siaya County, Kenya. The aim is to support the implementation and expansion of high-quality, comprehensive HIV prevention and treatment services while building the long-term ability of the Siaya County Government Department of Health Services (DHS) to manage, sustain, and ultimately own HIV service delivery. In practice, the opportunity is designed to help the county move from heavy reliance on external partners toward stronger county-led planning, financing, oversight, and day-to-day program leadership across six sub-counties.
The notice lists an approximate total funding amount of $2,000,000 for Year 1, contingent on available funds, and anticipates making one award. It also notes that the "award ceiling" for Year 1 is listed as $0 (none), which is an administrative detail sometimes used in NOFOs and does not change the stated expectation that CDC anticipates approximately $2.0 million in first-year funding if funds are available. Applications were due April 19, 2021, and the program was offered under CFDA 93.067. The eligible applicant category is described as "Others," with additional eligibility details referenced in the full announcement.
Programmatically, the NOFO emphasizes both epidemic impact and sustainability. On the service delivery side, it supports expansion of HIV prevention and treatment aligned with national goals for achieving and maintaining epidemic control, alongside attention to tuberculosis (TB) among people living with HIV. On the systems side, it prioritizes integrating HIV services into the routine health-care delivery system for efficiency and durability, rather than operating HIV services as a parallel stand-alone program. A major theme is strong linkage between facilities and communities, recognizing that successful HIV programs depend on continuity of care, adherence support, and the ability to reach people who may not routinely present for services.
A central requirement is that the Siaya County DHS takes responsibility for creating and implementing an HIV services ownership and oversight management plan. This signals that the county is expected to define how leadership, governance, accountability, and performance monitoring will be handled locally, including how decisions are made and how service quality is maintained over time. In parallel, DHS is expected to develop and implement a health financing plan that leverages resources from multiple sources, including county budgets, national government support, and contributions from external partners, to ensure HIV service delivery can be funded and sustained across the six sub-counties beyond the life of donor support.
The expected outcomes combine health systems strengthening with measurable improvements in HIV/TB results. On the health system side, the NOFO anticipates stronger county-led systems demonstrated by increased resource allocation for HIV, improved leadership and management by DHS and the County government, and more effective implementation oversight. On the service delivery side, it targets improved coverage and quality of HIV services for all populations, which is expected to translate into reduced HIV incidence and better overall health outcomes. It also specifically highlights reduced morbidity and mortality among people living with HIV, including those co-infected with TB, and progress toward eliminating mother-to-child transmission of HIV (eMTCT). Overall, the opportunity is framed as a transition-and-strengthen investment: expanding and maintaining high-quality HIV/TB programming while building the county structures, financing, and ownership needed to sustain results.Apply for CDC RFA GH21 2117
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supporting the Implementation, Expansion, Sustainability, and Ownership of Comprehensive HIV and TB Prevention and Treatment Programs in Siaya County in the Republic of Kenya 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 Feb 18, 2021.
- Applicants must submit their applications by Apr 19, 2021 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)
What is CDC RFA GH21-2117?
CDC RFA GH21-2117 is a PEPFAR-supported cooperative agreement funding opportunity from the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC). It focuses on supporting HIV prevention and treatment services in Siaya County, Kenya, while strengthening the county's long-term capacity to manage and sustain HIV service delivery.
Where is this opportunity focused geographically?
The opportunity is focused on Siaya County, Kenya, across six sub-counties, with an emphasis on county-led planning, oversight, and day-to-day program leadership.
What is the overall goal of this funding opportunity?
The goal is to implement and expand high-quality, comprehensive HIV prevention and treatment services while building the long-term ability of the Siaya County Government Department of Health Services (DHS) to manage, sustain, and ultimately own HIV service delivery.
What does "transition to county ownership" mean in this NOFO?
It refers to moving away from heavy reliance on external partners toward stronger Siaya County-led planning, financing, oversight, and program leadership. The intent is for the county to be positioned to sustain HIV service delivery over time, including beyond donor support.
What type of award is being offered?
This is a cooperative agreement, meaning CDC anticipates substantial involvement aligned with the terms of the announcement, while the recipient carries out program activities.
How much funding is expected for Year 1?
The notice lists an approximate total funding amount of $2,000,000 for Year 1, contingent on the availability of funds.
How many awards does CDC anticipate making?
The notice anticipates making one award.
Why is the Year 1 "award ceiling" listed as $0?
The notice indicates an award ceiling of $0 (none) for Year 1 as an administrative detail sometimes used in NOFOs. It does not change the stated expectation that CDC anticipates approximately $2.0 million in first-year funding if funds are available.
What was the application due date?
Applications were due April 19, 2021.
What CFDA number is associated with this opportunity?
The program was offered under CFDA 93.067.
Who is eligible to apply?
The eligible applicant category is described as "Others." The notice references additional eligibility details in the full announcement.
What program areas are supported under this opportunity?
The opportunity supports HIV prevention and HIV treatment services, aligned with national goals for achieving and maintaining epidemic control. It also emphasizes attention to tuberculosis (TB) among people living with HIV.
How does TB fit into the program focus?
The NOFO highlights reduced morbidity and mortality among people living with HIV, including those co-infected with TB, indicating TB-HIV considerations are an important part of the expected health outcomes.
Does the NOFO emphasize HIV services as stand-alone programming?
No. A stated priority is integrating HIV services into the routine health-care delivery system for efficiency and durability, rather than operating HIV services as a parallel stand-alone program.
What does the NOFO say about facility-community linkages?
The NOFO emphasizes strong linkage between facilities and communities, recognizing that continuity of care, adherence support, and reaching people who may not routinely present for services are essential for successful HIV programs.
What is the "HIV services ownership and oversight management plan" requirement?
A central requirement is that the Siaya County DHS takes responsibility for creating and implementing an HIV services ownership and oversight management plan. This signals expectations around local leadership, governance, accountability, and performance monitoring, including how decisions are made and how service quality is maintained over time.
What is the expected role of the Siaya County Department of Health Services (DHS)?
DHS is expected to lead the creation and implementation of key plans (including ownership/oversight and financing), strengthen leadership and management, improve implementation oversight, and guide the transition toward county-led HIV service delivery across the six sub-counties.
What is the health financing plan mentioned in the NOFO?
DHS is expected to develop and implement a health financing plan that leverages multiple resource sources, including county budgets, national government support, and contributions from external partners, to help ensure HIV services can be funded and sustained beyond donor support.
What are the expected health systems outcomes?
Expected health systems outcomes include stronger county-led systems, increased resource allocation for HIV, improved leadership and management by DHS and the County government, and more effective implementation oversight.
What are the expected service delivery outcomes?
Expected service delivery outcomes include improved coverage and quality of HIV services for all populations, reduced HIV incidence, reduced morbidity and mortality among people living with HIV (including those co-infected with TB), and progress toward eliminating mother-to-child transmission of HIV (eMTCT).
How does this opportunity relate to epidemic control?
The NOFO supports expansion of HIV prevention and treatment aligned with national goals for achieving and maintaining epidemic control, pairing service delivery improvements with sustainability and integration into routine health systems.
Is this opportunity primarily about expansion, sustainability, or both?
Both. It is framed as a transition-and-strengthen investment: expanding and maintaining high-quality HIV/TB programming while building the county structures, financing, and ownership needed to sustain results over time.
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