Opportunity Information: Apply for CDC RFA GH19 1944
The funding opportunity titled "HIV Prevention, Care, and Treatment Support for Church-related Hospitals and Clinics in the Republic of Zimbabwe under the President's Emergency Plan for AIDS Relief (PEPFAR)" is a U.S. government cooperative agreement issued by the Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under Funding Opportunity Number CDC RFA GH19 1944. It was created on September 10, 2018, with an original application deadline of November 13, 2018 (applications due by 11:59 p.m. ET). The program sits within the health activity category (CFDA 93.067) and was structured to make a single award, with an anticipated maximum funding level (award ceiling) of $1,980,401. Eligibility is listed as unrestricted, meaning a broad range of organizations could apply as long as they met any additional conditions described in the full announcement.
The central purpose of the grant is to strengthen HIV prevention, care, and treatment services delivered through Zimbabwe's network of church-related hospitals and clinics, often referred to as mission facilities. These facilities are formally recognized by Zimbabwe's Ministry of Health and Child Care (MOHCC) as "church related hospitals/facilities" and play an outsized role in reaching rural populations. According to the notice, mission hospitals and clinics account for a large share of healthcare delivery in rural Zimbabwe and provide services to underserved, marginalized, and vulnerable communities. Because these facilities sit on the front lines of rural healthcare, improving their ability to deliver HIV services is positioned as a practical way to increase coverage and move the country closer to epidemic control goals.
The opportunity is framed by Zimbabwe's generalized HIV epidemic, with an estimated 1.4 million people living with HIV. While the adult HIV prevalence among people aged 15 to 49 has declined to 14.0 (down from 18.1 in 2015), major gaps remain across the HIV service continuum. Adult incidence is listed as 0.47, and the 18-month mother-to-child transmission rate is 6.74. Despite progress, the notice emphasizes that HIV testing, antiretroviral treatment, and viral suppression are still below the global 95-95-95 targets, indicating that many people living with HIV are either not diagnosed, not on sustained treatment, or not virally suppressed. The MOHCC has also highlighted human resource challenges across service delivery, which can translate into long wait times, overburdened clinical staff, and uneven service quality, especially in high-need or hard-to-reach areas.
A major implementation theme in the announcement is the need for differentiated care, aligned with the UNAIDS Fast Track strategy, to reduce congestion in health facilities and use limited staffing more efficiently. In practice, this typically means organizing HIV services so stable patients can receive streamlined medication refills and follow-up (often less frequently and sometimes through alternative delivery models), while clinical time and intensive follow-up are prioritized for patients who are newly diagnosed, clinically complex, or at higher risk of treatment interruption. By supporting church-related facilities to adopt and scale these approaches, the grant aims to accelerate progress along the HIV cascade, from testing and linkage to care through treatment retention and viral load suppression.
In addition to core HIV services, the announcement places strong emphasis on cervical cancer prevention and treatment, particularly because cervical cancer is a leading cause of death among women living with HIV and is described as the most prevalent cancer among women in Zimbabwe. The notice cites an estimated 2,270 new cases each year and highlights a sharp gap between screening and treatment. In 2017, 86,186 women were screened, yet among those diagnosed with precancer during screening, only 53 received treatment. This treatment drop-off underscores a critical "screen-and-treat" bottleneck, where screening programs identify disease but health systems struggle to ensure timely management of precancerous lesions. The grant therefore seeks to expand cervical cancer screening and significantly increase access to treatment for precancerous cervical lesions, closing the gap between identification and care and reducing preventable illness and deaths among women, including women living with HIV.
Overall, the CDC intends to fund one recipient to provide both direct support and technical assistance to church-related hospitals and clinics in Zimbabwe. The work is expected to focus on accelerating HIV service delivery across the cascade (improving testing, linkage, treatment initiation, retention, and viral suppression), strengthening differentiated care models to alleviate facility crowding and human resource constraints, scaling cervical cancer screening and improving treatment uptake for precancerous lesions, and improving data quality. The emphasis on data quality reflects the need for accurate, timely program data to track patient outcomes, identify service gaps, support performance improvement, and ensure that HIV and cervical cancer interventions are targeted and effective in the rural and underserved communities served by mission facilities.Apply for CDC RFA GH19 1944
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "HIV Prevention, Care, and Treatment Support for Church-related Hospitals and Clinics in the Republic of Zimbabwe 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 Sep 10, 2018.
- Applicants must submit their applications by Nov 13, 2018 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.)
- Each selected applicant is eligible to receive up to $1,980,401.00 in funding.
- The number of recipients for this funding is limited to 1 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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