Opportunity Information: Apply for CDC RFA GH 23 0005

The CDC funding opportunity CDC RFA GH 23 0005 is a PEPFAR-supported cooperative agreement focused on strengthening and sustaining integrated HIV and tuberculosis (TB) services in Namibia through a combination of facility-based and community-based programming. The aim is to help Namibia reach and maintain the global 95-95-95 HIV targets (95 percent of people living with HIV knowing their status, 95 percent of those diagnosed receiving sustained treatment, and 95 percent of those on treatment achieving viral suppression) and to support broader epidemic control. While the notice lists an award ceiling of 0 for Year 1 (meaning there is no fixed per-award maximum specified in the posting), CDC indicates it anticipates approximately 34.5 million USD in total Year 1 funding across awards, depending on the availability of funds. The opportunity was posted January 19, 2023, with an application deadline of March 20, 2023, by 11:59 pm Eastern Time, and it planned for up to four awards.

At its core, the grant is designed to accelerate and maintain a high-quality, comprehensive package of HIV and TB services delivered in selected geographic areas of Namibia. The programming emphasis is on practical service delivery improvements and system strengthening that can be maintained over time rather than short-lived campaign activities. The work is intended to happen where patients actually receive care, including clinics and hospitals as well as community settings that can improve access, find people who have not yet been diagnosed, and support retention in care. A key theme throughout the opportunity is integration: HIV and TB activities are expected to be closely linked, and improvements in data systems, quality management, and surveillance are treated as essential foundations for durable progress.

The service package described in the opportunity is broad and spans prevention, diagnosis, treatment, and monitoring. For HIV, it includes targeted case-finding approaches to identify people with undiagnosed HIV, paired with immediate linkage to appropriate services so that diagnosis quickly leads to care. It also covers both adult and pediatric HIV prevention and treatment, reflecting the need to tailor services to different age groups and to ensure children are not left behind in testing and treatment coverage. For TB, the package includes prevention, diagnosis, and treatment, recognizing TB as a major cause of illness and death among people living with HIV and a critical co-epidemic requiring coordinated services. The opportunity also explicitly includes elimination of mother-to-child transmission (EMTCT) of HIV, signaling continued emphasis on preventing new pediatric infections and ensuring pregnant and breastfeeding individuals receive effective services across the maternal and child health continuum.

Beyond HIV and TB, the NOFO incorporates cervical cancer prevention, screening, and treatment, which aligns with the elevated cervical cancer risk among women living with HIV and the importance of embedding cervical cancer services within HIV platforms. Another major component is surveillance of HIV, TB, and related health conditions, along with improvements in the quality, access, and use of health information systems and strategic information (SI). In practice, this means recipients are expected not only to support service delivery but also to strengthen the underlying data and reporting systems so decision-makers can identify gaps, target resources, measure results, and respond quickly to emerging trends. The focus on SI suggests the program will prioritize data-driven management, routine monitoring, and stronger use of information at facility, district, and national levels.

The cooperative agreement structure signals that CDC anticipates substantial involvement in the work, typically through collaboration on technical approaches, monitoring, and alignment with national strategies and PEPFAR priorities. The intended recipients are expected to provide technical assistance and capacity building to Namibia's Ministry of Health and Social Services (MHSS), working at the facility and/or community level in one or more assigned geographic areas. Rather than replacing government systems, the expectation is that implementers will help strengthen MHSS capacity, improve service quality, and institutionalize effective practices so results can be sustained. Eligibility is described as unrestricted, meaning a wide range of entity types can apply, as long as they meet any additional eligibility conditions described in the full announcement.

The outcomes CDC expects from this investment are framed in terms of long-term sustainability and measurable health impact. On the system side, the program is expected to contribute to a more sustainable, integrated, and efficient health system, with improved ability to identify and close remaining gaps in HIV and TB prevention, care, and treatment. On the population health side, CDC expects reductions in HIV- and TB-related illness and death, reductions in new HIV and TB infections, and continued progress toward EMTCT of HIV. Taken together, the opportunity is positioned as a large-scale, geographically targeted effort to improve the full continuum of HIV and TB services in Namibia, strengthen the supporting data and quality systems, and translate those improvements into durable epidemic control and better overall health outcomes.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Comprehensive Provision of Integrated, High-Quality Community- and Facility-Based HIV and Tuberculosis (TB) Services in Namibia 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 Jan 19, 2023.
  • Applicants must submit their applications by Mar 20, 2023 Electronically submitted applications must be submitted no later than 1159 pm 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 4 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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