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.Apply for CDC RFA OT16 16010301SUPP18
- 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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Frequently Asked Questions (FAQs)
What is the "Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands" grant opportunity?
This is a CDC supplemental funding opportunity intended to strengthen core public health systems across the U.S.-Affiliated Pacific Islands (USAPI). It is designed to expand and deepen work that began under an earlier CDC funding opportunity (CDC-RFA-OT16-1601, awarded July 1, 2016) by supporting additional capacity-building projects that improve the quality, efficiency, and effectiveness of public health services.
Is this an open grant competition for new applicants?
No. The announcement is a supplemental funding opportunity designed specifically for the organization that was originally funded under FOA CDC-RFA-OT16-1601. It is not a broad, open competition for new applicants.
Who is the intended applicant for this supplemental funding?
The opportunity is intended for the previously funded recipient of CDC-RFA-OT16-1601. The eligible applicant type listed is a nonprofit organization with 501(c)(3) status (excluding institutions of higher education), consistent with the targeted nature of the supplemental award.
Which federal agency is offering this funding?
The funding is issued by the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), under OSTLTS.
What funding instrument is used for this opportunity?
The opportunity uses a cooperative agreement funding instrument. This typically indicates substantial federal programmatic involvement, meaning CDC is likely to be actively engaged in the work beyond simply providing funds.
What is the main purpose of the supplemental award?
The overall purpose is to strengthen core public health systems so USAPI jurisdictions can deliver higher-quality, more efficient public health services and improve population health outcomes over time. The supplemental projects emphasize practical system improvements that can be extended across multiple island jurisdictions.
What are the four capacity-building projects supported by this supplemental funding?
The supplemental funding supports four new projects focused on system and workforce improvements:
- Integrate tuberculosis (TB) considerations into an existing structure used to develop a comprehensive STD/HIV prevention plan for Pacific Island jurisdictions (so TB is not handled as a siloed program).
- Improve knowledge, competence, and real-world performance of the public health workforce on TB control and prevention, with particular attention to nurses and outreach workers.
- Expand access to Immunization Information Systems (IIS) at vaccine provider sites and increase the ability of public health staff to use IIS effectively (both technical connectivity and operational training/workflows).
- Build laboratory coordination capacity across the USAPI, including strengthening coordination, alignment of standards, communication of results, and quality management practices.
How does this opportunity address tuberculosis (TB) beyond a standalone TB program?
A key expectation is to integrate TB considerations into an existing structure used for comprehensive STD/HIV prevention planning. The intent is to ensure TB is incorporated into broader communicable disease planning rather than treated as an isolated program area.
Which parts of the workforce are emphasized for TB capacity building?
The announcement emphasizes improving TB-related capability among frontline personnel, particularly nurses and outreach workers. These roles are commonly central to screening, treatment support, contact investigation, and community engagement.
What is an Immunization Information System (IIS) in the context of this announcement?
In this opportunity, an IIS refers to the immunization data system used to support vaccine provider sites and public health decision-making. The supplemental work focuses on expanding provider-site access to IIS and strengthening staff ability to use IIS for entering, retrieving, and applying immunization data in practice.
What does expanding IIS access involve?
The announcement describes both technical and operational elements. Technical elements include getting more vaccine provider sites connected and able to access the IIS. Operational elements include training and workflow support so public health staff can effectively enter, retrieve, and use immunization data for clinical care and public health actions.
What does "laboratory coordination capacity" mean in this funding context?
The laboratory component focuses on strengthening how laboratories work together across the USAPI. This includes improving coordination, aligning standards, communicating results effectively, and supporting quality management practices to make testing more reliable and more useful for surveillance and outbreak response.
What is "capacity-building assistance" (CBA) as used by CDC in this announcement?
CDC defines capacity-building assistance (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.
What forms of capacity-building assistance are specifically mentioned?
The announcement notes that CBA can include 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.
What broad strategy areas guide how the work should be carried out?
The program is framed around three strategy areas:
- Workforce development: strengthening knowledge, skills, and competencies (including TB prevention and effective use of immunization data systems).
- Organizational development: improving management structures, processes, and procedures within and between organizations, including coordination across public and private sectors (relevant to labs and IIS connectivity).
- Partnership development: building and sustaining relationships to address community needs, manage resources, and communicate with the public, which is especially important across geographically dispersed island jurisdictions.
What outcome measurement requirement is included in the announcement?
The recipient is expected to select three out of six CDC-defined program outcomes and demonstrate clear, measurable improvement during the budget year. This is intended to ensure the work shows documented results, not just planned activities.
What are the six CDC-defined program outcomes listed for selection?
The six outcomes are:
- Public health leadership
- Public health systems and infrastructure
- Public health workforce
- Public health laws and policies
- Public health practices and services
- Public health monitoring and surveillance systems
Which outcomes do the described supplemental projects most naturally align with?
Based on the project descriptions, the work most naturally aligns with outcomes tied to public health workforce, public health systems and infrastructure, and public health monitoring and surveillance systems. However, the recipient has flexibility to select whichever three outcomes best fit the proposed approach and performance measures.
How many awards are expected under this opportunity?
The posting indicates an expected single award.
What is the award ceiling listed for this supplemental opportunity?
The award ceiling is $1,000,000.
What activity area is this opportunity categorized under?
The opportunity is categorized under the health activity area.
What CFDA number is associated with this opportunity?
The opportunity is associated with CFDA 93.874.
When was the opportunity created, and what was the application deadline?
The opportunity was created on August 13, 2018. The original closing date was September 13, 2018, and applications were required to be submitted electronically by 11:59 p.m. ET on the due date.
Why does the announcement emphasize work that can be spread across multiple island jurisdictions?
The supplemental projects are framed as practical system improvements that can be shared and implemented across multiple USAPI jurisdictions, supporting broader and more consistent strengthening of foundational public health capabilities in geographically dispersed settings.
What is the long-term logic behind investing in these supplemental capacity-building projects?
The underlying logic is that strengthening infrastructure, coordination, and workforce competency at the system level improves the quality, efficiency, and effectiveness of public health services, which supports better prevention and improved population health outcomes over time.
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