Opportunity Information: Apply for CDC RFA GH18 1806

This grant opportunity, titled "Strengthening Local Ownership for the Sustainable Provision of Comprehensive HIV/AIDS Services by Amhara Region Health Bureau of the Federal Democratic Republic of Ethiopia under PEPFAR," is a U.S. government-funded cooperative agreement meant to support and expand comprehensive HIV services across Ethiopia's Amhara Region. The central aim is to help drive progress toward the UNAIDS 90-90-90 goals for HIV epidemic control, meaning more people living with HIV know their status, more of those diagnosed are on sustained treatment, and more of those on treatment achieve viral suppression. A major theme running through the opportunity is transition and sustainability: the program is designed not only to deliver services, but to build the capacity of the Amhara Regional Health Bureau (RHB) to plan, manage, coordinate, and monitor HIV programming in a way that strengthens long-term local ownership.

The scope of work focuses on high-impact service delivery areas that directly affect HIV transmission, treatment outcomes, and overall health system performance. Activities include scaling and sustaining HIV Testing Services (HTS) so that more people are identified earlier and linked to care quickly. It also includes strengthening antiretroviral treatment (ART) programs, with emphasis on ongoing care and support so patients remain engaged in treatment and can reach and maintain viral suppression. Prevention of mother-to-child transmission (PMTCT) is another core component, reflecting the priority of preventing new pediatric HIV infections by ensuring pregnant and breastfeeding women have access to timely testing, treatment, and follow-up services. Integrated services for tuberculosis and HIV (TB/HIV) coinfection are included as well, recognizing TB as a leading cause of illness and death among people living with HIV and the need for coordinated screening, prevention, and treatment.

Beyond these primary service lines, the opportunity supports complementary interventions that strengthen comprehensive care. This includes prevention and treatment of sexually transmitted infections (STIs), which can increase HIV transmission risk and complicate clinical outcomes if left untreated. It also emphasizes laboratory services, which are critical for diagnosis and ongoing management, particularly for monitoring viral load and supporting quality clinical decision-making. Gender-based violence (GBV) care is explicitly included, signaling attention to the ways violence and coercion can increase HIV vulnerability and create barriers to accessing and staying in care. Quality improvement (QI) is another key element, intended to improve service performance and consistency as programs are scaled up and sustained across sub-national units (SNUs), which typically refers to administrative or geographic service delivery areas used for planning and reporting.

A defining feature of the opportunity is that it is structured as a cooperative agreement rather than a simple grant. In practical terms, that means the funder (the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Center for Global Health) anticipates substantial involvement in the project, such as ongoing technical collaboration, performance monitoring, and coordination to ensure activities align with PEPFAR strategies and reporting expectations. The program is expected to pursue maximum impact in line with PEPFAR goals: preventing new infections, finding people who are HIV-positive and linking them to services, keeping people living with HIV retained in care over time, and ensuring that patients on ART achieve optimal viral suppression.

From an administrative and funding standpoint, the opportunity is identified as CDC RFA GH18-1806 under CFDA 93.067, categorized as discretionary funding, with an anticipated single award. The award ceiling listed is $8.5 million, indicating the maximum expected funding level for the recipient under this notice of funding opportunity. The notice was created on September 29, 2017, with an original closing date of November 29, 2017, and it specifies that electronic applications were due by 11:59 p.m. Eastern Time on the deadline date. Eligibility is noted as "Others," with further clarification referenced in the original eligibility text, which typically means applicants must consult the full NOFO to confirm who can apply, though the description makes clear that the Amhara Regional Health Bureau is central to implementation and capacity-building for local ownership.

Overall, the grant opportunity is best understood as a targeted investment in both HIV service delivery and the regional systems needed to sustain those services over time. It combines direct program interventions (testing, treatment, PMTCT, TB/HIV, STI services, laboratory strengthening, GBV care) with broader health system and management supports (strategic planning, coordination, monitoring, and QI). The intended result is a stronger, locally led HIV response in the Amhara Region that can deliver measurable progress toward epidemic control by increasing diagnosis, improving linkage and retention, and boosting viral suppression among people receiving ART.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening Local Ownership for the Sustainable Provision of Comprehensive HIV/AIDS Services by Amhara Region Health Bureau of the Federal Democratic Republic of Ethiopia 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 29, 2017.
  • Applicants must submit their applications by Nov 29, 2017 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 $8,500,000.00 in funding.
  • 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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