Opportunity Information: Apply for CDC RFA GH21 2118
This funding opportunity, CDC RFA GH21 2118, is a PEPFAR-supported cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Center for Global Health. It is designed to strengthen how the Government of Kenya coordinates and manages the national HIV program so that high-quality, comprehensive HIV services can be sustained over time. The central emphasis is on long-term sustainability through stronger country and county ownership, improved efficiency and accountability, and increased domestic financing for HIV. Because Kenya operates a devolved health system where counties play major roles in planning and delivering services, the opportunity focuses on building the systems and capacities needed for both national and county governments to lead effectively and maintain HIV epidemic control.
The award is structured as a cooperative agreement, meaning CDC expects substantial involvement and collaboration with the recipient during implementation, rather than simply providing funds with minimal engagement. The notice anticipates a single award (ExpectedAwards: 1). For Year 1, CDC lists an approximate total funding amount of $1,500,000, contingent on the availability of funds. The posting also notes that the “Award Ceiling for Year 1 is 0 (none),” which typically signals that CDC is not setting a maximum limit in the usual way for that first budget period, even though it has stated an anticipated funding level. The opportunity falls under health-related assistance listings CFDA 93.067 and 93.318. The eligible applicant category is listed broadly as “Others,” with further clarification intended in the full eligibility section of the notice.
Programmatically, the opportunity is framed around the idea that sustaining epidemic control requires more than clinical service delivery; it depends on strong, well-coordinated health systems that can consistently find people with HIV, start and keep them on effective treatment, monitor quality and outcomes, and fund these services reliably. The NOFO highlights several technical and systems gaps that need strengthening in Kenya’s context: improved HIV and TB case identification; more effective HIV prevention efforts that prioritize key and priority populations; stronger linkage to care and retention on antiretroviral therapy (ART); laboratory quality management systems; institutionalized quality improvement (QI) approaches; better data systems for monitoring and assuring program quality; and stronger health financing mechanisms. It also stresses the need for management, leadership, and financing capacity at both national and county levels, alongside continued national leadership in policy development to guide counties.
To address these needs, the NOFO proposes an integrated package of health systems strengthening (HSS) activities organized around five core components. First is Leadership and Governance, which focuses on improving national and county coordination, oversight, and the ability to set direction, align stakeholders, and ensure accountability for results. Second is Human Resources for Health, aimed at strengthening the workforce systems that underpin HIV prevention, care, and treatment services, including planning, training, management, and broader capacity building needed to support service quality and continuity. Third is Strategic Information, which covers strengthening data systems and the use of data for decision-making, monitoring performance, and ensuring that programs can identify gaps and respond quickly. Fourth is Laboratory Systems, specifically through support to Kenya’s National Public Health Laboratory (NPHL), with an emphasis on lab quality management and the laboratory backbone required for reliable diagnosis, monitoring, and overall program quality. Fifth is Health Financing, which targets improvements in financial planning and management and encourages greater domestic resource mobilization and more sustainable financing structures for HIV services.
In addition to the system-level components, the opportunity explicitly includes capacity building for HIV prevention, care, and treatment services. This reflects a practical approach: even strong governance and financing reforms need to translate into improved implementation on the ground, including prevention interventions for populations at higher risk, effective testing and case-finding strategies, rapid linkage to treatment, sustained retention on ART, and ongoing quality improvement. Overall, the NOFO’s intent is to help the Government of Kenya strengthen its ability to lead and coordinate HIV programming across a devolved system, reduce reliance on external support over time, and maintain high-quality, comprehensive HIV services through stronger institutions, better data and laboratory systems, and more sustainable financing.Apply for CDC RFA GH21 2118
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Enhancing the National Government's Coordination of the National HIV Program to Ensure Sustainability of Quality and Comprehensive HIV Services in Kenya 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, 93.318.
- This funding opportunity was created on Feb 22, 2021.
- Applicants must submit their applications by Apr 23, 2021 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.)
- 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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Frequently Asked Questions (FAQs) - CDC RFA GH21-2118 (Kenya HIV Program Sustainability)
1) What is CDC RFA GH21-2118?
CDC RFA GH21-2118 is a PEPFAR-supported cooperative agreement funding opportunity from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Center for Global Health. It is intended to strengthen how the Government of Kenya coordinates and manages the national HIV program to sustain high-quality, comprehensive HIV services over time.
2) What is the main goal of this funding opportunity?
The main goal is long-term sustainability of Kenya's HIV response, with an emphasis on stronger country and county ownership, improved efficiency and accountability, and increased domestic financing so that HIV services can be maintained and epidemic control can be sustained.
3) Why does the opportunity focus on both national and county levels in Kenya?
Kenya operates a devolved health system where counties play major roles in planning and delivering health services. The opportunity focuses on strengthening the systems and capacities needed for both national and county governments to lead effectively, coordinate across stakeholders, and maintain HIV epidemic control.
4) What type of award is this?
This opportunity is structured as a cooperative agreement. That means CDC expects substantial involvement and collaboration with the recipient during implementation, rather than providing funds with minimal engagement.
5) How many awards does CDC expect to make?
The notice anticipates a single award (ExpectedAwards: 1).
6) What is the approximate funding amount for Year 1?
For Year 1, CDC lists an approximate total funding amount of $1,500,000, contingent on the availability of funds.
7) Is there an award ceiling for Year 1?
The posting notes that the "Award Ceiling for Year 1 is 0 (none)." This typically indicates CDC is not setting a maximum limit in the usual way for that first budget period, even though an anticipated funding level is stated.
8) What assistance listings (CFDA) are associated with this opportunity?
The opportunity falls under CFDA 93.067 and 93.318.
9) Who is eligible to apply?
The eligible applicant category is listed broadly as "Others," with further clarification intended in the full eligibility section of the notice.
10) What is the central program emphasis beyond clinical service delivery?
The opportunity emphasizes that sustaining epidemic control requires strong, well-coordinated health systems, not only clinical services. It focuses on systems that can consistently identify people with HIV, initiate and maintain effective treatment, monitor quality and outcomes, and finance services reliably over time.
11) What technical and systems gaps does the NOFO highlight in Kenya's context?
The NOFO highlights needs to strengthen: HIV and TB case identification; HIV prevention that prioritizes key and priority populations; linkage to care and retention on antiretroviral therapy (ART); laboratory quality management systems; institutionalized quality improvement (QI); data systems for monitoring and assuring program quality; and health financing mechanisms.
12) What are the five core components of the proposed health systems strengthening (HSS) package?
The integrated HSS package is organized around five components: (1) Leadership and Governance, (2) Human Resources for Health, (3) Strategic Information, (4) Laboratory Systems, and (5) Health Financing.
13) What does the Leadership and Governance component focus on?
Leadership and Governance focuses on improving national and county coordination, oversight, and the ability to set direction, align stakeholders, and ensure accountability for results.
14) What is included under Human Resources for Health?
Human Resources for Health aims to strengthen workforce systems that underpin HIV prevention, care, and treatment services, including planning, training, management, and broader capacity building needed to support service quality and continuity.
15) What does the Strategic Information component cover?
Strategic Information covers strengthening data systems and improving the use of data for decision-making, monitoring performance, and ensuring programs can identify gaps and respond quickly.
16) What is the focus of the Laboratory Systems component?
Laboratory Systems support is directed to Kenya's National Public Health Laboratory (NPHL), with an emphasis on laboratory quality management and the laboratory backbone required for reliable diagnosis, monitoring, and overall program quality.
17) What does the Health Financing component aim to improve?
Health Financing targets improvements in financial planning and management and encourages greater domestic resource mobilization and more sustainable financing structures for HIV services.
18) Does the opportunity include capacity building for direct HIV prevention, care, and treatment services?
Yes. In addition to system-level strengthening, the opportunity explicitly includes capacity building for HIV prevention, care, and treatment services so that governance and financing improvements translate into better implementation on the ground.
19) What service delivery outcomes does the NOFO emphasize as part of strengthening implementation?
It emphasizes prevention interventions for populations at higher risk, effective testing and case-finding strategies, rapid linkage to treatment, sustained retention on ART, and ongoing quality improvement.
20) How does this opportunity address accountability and efficiency?
Accountability and efficiency are addressed through stronger national and county coordination and oversight, improved data systems for monitoring performance and quality, institutionalized QI approaches, and strengthened financing and financial management mechanisms.
21) How does the opportunity relate to reducing reliance on external support?
A core intent is to reduce reliance on external support over time by strengthening institutions, improving county and national ownership, and increasing domestic financing and sustainable financing structures for HIV services.
22) What role does national leadership play according to the NOFO?
The NOFO stresses continued national leadership in policy development to guide counties, alongside building management, leadership, and financing capacity at both national and county levels.
23) What is meant by sustaining "HIV epidemic control" in the context of this opportunity?
Within the framing of the notice, sustaining epidemic control depends on the ability of the health system to consistently find people with HIV, start and keep them on effective treatment, monitor quality and outcomes, and reliably finance these services over time.
24) What HIV-related areas are explicitly called out for strengthening?
Areas explicitly called out include HIV and TB case identification, HIV prevention prioritizing key and priority populations, linkage to care, retention on ART, laboratory quality management, quality improvement, data systems for quality monitoring, and health financing mechanisms.
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