Opportunity Information: Apply for CDC RFA GH13 13500301SUPP17
This funding opportunity, issued by the U.S. Department of Health and Human Services through the CDC (Centers for Disease Control and Prevention), is a cooperative agreement focused on strengthening Zambia's ability to eliminate mother-to-child transmission (EMTCT) of HIV and improve HIV-free child survival under PEPFAR. The central idea is not to fund direct service delivery or run clinics outright, but to provide targeted, high-impact technical assistance that helps the organizations already delivering services (PEPFAR and Global Fund implementing partners, along with government counterparts) improve quality, scale up faster, and build sustainable local capacity. In practice, the award is meant to supply expert support, training, mentorship, and systems-improvement help so that Zambia can increasingly manage and sustain high-quality HIV services with less dependence on external technical support over time.
The announcement emphasizes that the technical assistance must be comprehensive and cost-effective, combining capacity building with practical program support that strengthens implementation. It also specifically includes support to Global Fund implementing partners to assess how HIV services are being delivered and to translate those assessments into technical assistance plans and strategies. That means the work is expected to be hands-on in the sense of diagnosing bottlenecks, identifying quality gaps, and building clear improvement roadmaps, but it stops short of directly purchasing and delivering services at scale. The CDC's role here is to ensure that the technical expertise reaching the field is aligned with global standards and national policy, and that it directly improves program outcomes rather than creating parallel systems.
The FOA concentrates on five technical program areas that applicants can address individually or in combination. First is Prevention of Mother-to-Child Transmission of HIV (PMTCT), the core of the EMTCT agenda, which typically involves strengthening antenatal and maternal HIV testing, immediate treatment initiation for pregnant and breastfeeding women living with HIV, retention and adherence support, safer delivery and postpartum follow-up, and early infant diagnosis with rapid linkage to pediatric care. Second is HIV care and treatment clinical services for adults and children, which includes improving the clinical quality of ART (antiretroviral therapy) delivery, retention, and continuity of care. Third is dedicated HIV pediatric care and treatment, recognizing that children require different case-finding approaches, formulations, dosing, and follow-up systems, and that missed pediatric infections can undermine gains in child survival. Fourth is Surveillance and Strategic Information (SI), covering data quality, routine monitoring, program evaluation, and the use of epidemiologic and service data to target resources and measure progress. Fifth is Laboratory strengthening, which is essential for reliable HIV diagnosis and monitoring, including viral load testing, early infant diagnostic testing, quality assurance systems, specimen transport networks, and lab data connectivity that supports clinical decision-making.
A major programmatic thrust is expanding support for comprehensive "Test and Treat" (also referred to as "Test and Start" in some contexts), in line with the latest WHO, PEPFAR, and Zambia national guidelines. This reflects the shift to initiating ART as soon as someone is diagnosed with HIV, rather than waiting for clinical staging or immune status thresholds. The FOA also points to differentiated service delivery models, which are approaches that adapt HIV services to client needs and health system realities, such as multi-month dispensing, community-based refill points, streamlined clinic visits for stable patients, and more intensive clinical follow-up for those with advanced disease or adherence challenges. The goal is to maintain quality while improving access, reducing burden on facilities, and increasing retention and viral suppression, all of which contribute to epidemic control and reduced transmission, including transmission to infants.
Geographically, the work is intended to be implemented in prioritized locations in Zambia's Southern Province, selected based on epidemiologic data. The use of data-driven geographic prioritization signals that the awardee should help focus effort where HIV burden, transmission risk, or service gaps are greatest, rather than spreading resources thinly. The FOA situates this work within Zambia's broader progress toward epidemic control, noting collaboration with the Government of the Republic of Zambia and highlighting the importance of the 2016 Zambia Population Based HIV Impact Assessment (ZAMPHIA). ZAMPHIA is referenced as a critical source for understanding the epidemic and targeting resources for maximum impact. The FOA also notes reported program successes around the national launch of Test and Start, ART coverage levels, and retention on treatment, and frames the new support as a way to close remaining programmatic and demographic gaps and extend effective approaches to additional areas.
From an operational standpoint, the award is designed to strengthen systems and performance across prevention, treatment, laboratory, and data functions in ways that support quality and sustainability. That often includes building local technical capacity through training and mentorship, improving clinical and laboratory quality management, strengthening supply and referral linkages, improving monitoring and evaluation systems, and supporting partner performance through supportive supervision and continuous quality improvement. The intended outcome is stronger national and subnational capacity to manage HIV services, faster and more consistent adoption of current guidelines, improved service delivery performance among implementing partners, and better outcomes for mothers, infants, and children, particularly in preventing new pediatric infections and ensuring children remain HIV-free and healthy.
Key administrative details include that this is a discretionary funding opportunity using a cooperative agreement mechanism, meaning CDC expects substantial involvement and collaboration during implementation rather than a hands-off grant. The funding opportunity number is CDC RFA GH13-13500301SUPP17, with CFDA 93.067. The award ceiling is $2,000,000, and the CDC anticipated making one award under this announcement. The opportunity was created on October 31, 2017, with an original closing date of December 31, 2017 (applications due by 11:59 p.m. Eastern Time). Eligibility is listed broadly as "Others" with additional eligibility details referenced in the full announcement, implying that non-traditional or specialized entities with strong technical assistance capacity may be considered depending on the FOA's eligibility language.Apply for CDC RFA GH13 13500301SUPP17
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Assistance to Accelerate the Elimination of Mother to Child Transmission (EMTCT) of HIV and Improve HIV-Free Child Survival in the Republic of Zambia under 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 Oct 31, 2017.
- Applicants must submit their applications by Dec 31, 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 $2,000,000.00 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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