Opportunity Information: Apply for CDC RFA OT16 16010301SUPP18

The grant opportunity "Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands" is a CDC supplemental funding announcement designed specifically for the organization that was originally funded under the earlier FOA CDC-RFA-OT16-1601 (awarded July 1, 2016). In other words, this is not a broad, open competition for new applicants; it is an extension that allows the original recipient to propose additional work that deepens and expands public health capacity across the U.S.-Affiliated Pacific Islands (USAPI). The overall purpose is to strengthen core public health systems so jurisdictions can deliver higher-quality, more efficient services and ultimately improve population health outcomes.

The supplemental funding supports four new capacity-building projects, all focused on practical system improvements that can be spread across multiple island jurisdictions. First, the recipient must integrate tuberculosis (TB) considerations into an existing structure used to develop a comprehensive STD/HIV prevention plan for Pacific Island jurisdictions, effectively ensuring TB is not treated as a siloed program but is incorporated into broader communicable disease planning. Second, the recipient must improve the knowledge, competence, and real-world performance of the public health workforce on TB control and prevention, with particular attention to nurses and outreach workers, who are often the front line for screening, treatment support, contact investigation, and community engagement. The intent is that stronger workforce capability translates into reduced TB burden over time through better prevention, earlier detection, and more consistent treatment completion. Third, the award aims to expand access to Immunization Information Systems (IIS) at vaccine provider sites and increase the ability of public health staff to use IIS effectively. This includes both the technical side (getting more sites connected and able to access the system) and the operational side (training and workflow support so staff can enter, retrieve, and use immunization data for clinical care and public health decision-making). Fourth, the supplemental projects include building laboratory coordination capacity across the USAPI, which points to strengthening how labs work together, align standards, communicate results, and support quality management practices that make testing more reliable and useful for surveillance and outbreak response.

A central theme of the opportunity is "capacity-building assistance" (CBA). CDC defines CBA as activities that strengthen and maintain the infrastructure and resources needed to sustain or improve systems and to improve organizational, community, or individual competencies. The announcement emphasizes that CBA can be delivered in multiple forms, including technical assistance, training, information sharing, technology transfer, development of practical materials or tools, and targeted funding that enables organizations to operate in a comprehensive, responsive, and effective way. The expectation is that the recipient already has the reach, experience, and relationships needed to deliver this type of assistance across the Pacific Island jurisdictions, and that the work will be implemented through cooperative agreement mechanisms, meaning CDC is likely to be actively involved through substantial federal programmatic engagement rather than functioning only as a funder.

The program is framed around three broad strategy areas that guide how the work should be carried out. Workforce development focuses on improving knowledge, skills, and competencies so the public health workforce can perform effectively, especially in areas like TB prevention and use of immunization data systems. Organizational development focuses on improving management structures, processes, and procedures within and between organizations, including coordination across public and private sectors, which is particularly relevant for laboratory systems and IIS connectivity where multiple entities must work together. Partnership development focuses on building and sustaining relationships to address community needs, manage resources, and communicate with the public, which is critical in geographically dispersed island settings where trust, coordination, and consistent messaging can directly influence service uptake and health outcomes.

To ensure measurable progress, the recipient is expected to select three of six CDC-defined program outcomes and demonstrate clear, measurable improvement during the budget year. The six outcomes are: (1) public health leadership, (2) public health systems and infrastructure, (3) public health workforce, (4) public health laws and policies, (5) public health practices and services, and (6) public health monitoring and surveillance systems. This requirement pushes the recipient to prioritize and to document results rather than simply describing activities. In practice, the supplemental projects described in the announcement most naturally align with outcomes tied to workforce, systems and infrastructure, and monitoring/surveillance, though the recipient has flexibility to select whichever three outcomes best fit their proposed approach and performance measures.

Administratively, the opportunity is issued by the Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under OSTLTS, and uses a cooperative agreement funding instrument. It is categorized under the health activity area and is associated with CFDA 93.874. The eligible applicant type listed is nonprofits with 501(c)(3) status (excluding institutions of higher education), consistent with the fact that only the previously funded recipient is intended to apply under this supplemental FOA. The posting indicates an expected single award, with an award ceiling of $1,000,000. The opportunity was created on August 13, 2018, with an original closing date of September 13, 2018, and applications were required to be submitted electronically by 11:59 p.m. ET on the due date.

Taken together, the supplemental announcement is essentially a targeted investment to expand and modernize foundational public health capabilities in the USAPI, with special emphasis on integrating TB into broader communicable disease planning, strengthening frontline workforce performance, expanding practical access to immunization data systems, and improving laboratory coordination and quality management. The underlying logic is that stronger infrastructure and competency at the system level will improve the quality, efficiency, and effectiveness of public health services, leading to better prevention and improved population health outcomes over time.

  • The Department of Health and Human Services, Centers for Disease Control - OSTLTS in the health sector is offering a public funding opportunity titled "Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.874.
  • This funding opportunity was created on Aug 13, 2018.
  • Applicants must submit their applications by Sep 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 $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
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