Opportunity Information: Apply for CDC RFA GH20 2058

This funding opportunity, titled "Comprehensive Approaches to Sustaining the Health System and HIV Response in the Republic of Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a CDC-led cooperative agreement intended to strengthen and sustain Mozambique's national HIV response while also reinforcing the broader health system that supports it. The opportunity is administered by the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), under CFDA 93.067, and was posted as CDC RFA GH20-2058. It was created on December 22, 2019, with an original application deadline of February 21, 2020 (electronic submissions due by 11:59 p.m. ET). Eligibility is listed as unrestricted, meaning a wide range of organizations may apply, subject to any additional eligibility details that may be provided in the full announcement.

In terms of funding structure, the notice states that the Year 1 award ceiling is listed as 0 (none), which typically signals that CDC is not setting a strict per-award maximum in the public synopsis even though funding is available and awards are expected. At the same time, CDC indicates an approximate total amount of $30,000,000 available for Fiscal Year Year 1, contingent on the availability of funds, and anticipates making 2 awards. The instrument type is a cooperative agreement, which generally means CDC expects substantial involvement in the work beyond standard grant oversight, such as collaboration on technical direction, monitoring, evaluation approaches, and coordination with national strategies and partners.

The public health rationale is grounded in Mozambique's generalized HIV epidemic, described as predominantly driven by heterosexual transmission. While Mozambique has made progress in expanding antiretroviral therapy coverage over the prior five years, the scale of the epidemic has placed heavy pressure on a health system described as fragile, with limited infrastructure. The opportunity is designed to support a comprehensive HIV response that does not treat HIV services as isolated programs, but instead builds the capacity of the health system and national institutions to deliver HIV prevention, care, and treatment in a durable way.

Programmatically, the NOFO emphasizes a set of core interventions spanning prevention, diagnosis, clinical care, and cross-cutting protections. Key supported areas include voluntary medical male circumcision (VMMC) as an evidence-based HIV prevention intervention; HIV testing and counseling (HTC) to identify people living with HIV and link them to services; infection prevention and control to improve the safety and quality of care in health facilities; and integration of Tuberculosis and HIV (TB/HIV) services, recognizing the high burden and clinical overlap of these diseases. It also highlights gender-based violence (GBV) prevention, reflecting the relationship between violence, HIV risk, and barriers to accessing services, alongside care and support activities for people living with HIV/AIDS (PLHIV) to improve health outcomes and long-term treatment success.

A central goal of the award is sustainability through capacity strengthening of the Ministry of Health (MOH) and other host-country organizations. The NOFO frames this as directly supporting implementation of Mozambique's national HIV response strategic plan by building systems and workforce capability at a national level. It calls out practical methods such as clinical mentoring to strengthen provider skills and adherence to standards of care; retention strategies to keep patients engaged across the full continuum from diagnosis to viral suppression; training to expand and standardize competencies; and strengthening information systems so that decision-making, performance monitoring, and patient management can be supported by reliable data.

Operationally, the funded activities are intended to expand access to high-quality HIV prevention, care, and treatment services in hospitals and clinics across Mozambique, with an emphasis on ensuring strong linkages between service points so that patients do not fall out of care during transitions (for example, from testing to treatment initiation, or from HIV care to TB services). The NOFO also notes that work will occur across multiple priority provinces and districts, indicating a geographically targeted approach aligned with burden and program priorities, while still supporting national-level systems that can reinforce services beyond any single site. Overall, the opportunity is positioned as a comprehensive, systems-oriented investment under PEPFAR meant to improve service quality, integration, and sustainability of Mozambique's HIV response at scale.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Comprehensive Approaches to Sustaining the Health System and HIV Response in the Republic of 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 22, 2019.
  • Applicants must submit their applications by Feb 21, 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 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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