Opportunity Information: Apply for CDC RFA GH20 2084

This funding opportunity (CDC RFA GH20-2084) is a PEPFAR-supported cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), focused on strengthening county-led delivery of comprehensive, high-quality HIV services in Kenya. It targets 12 counties: Homa Bay, Kiambu, Kirinyaga, Kisii, Kisumu, Kitui, Machakos, Makueni, Migori, Muranga, Nairobi, and Nyeri. The central idea is not only to maintain and improve HIV service coverage and quality, but also to shift more day-to-day program management and long-term financing responsibility from PEPFAR support toward county governments, consistent with Kenya's devolved health system under the 2010 Constitution.

For funding, the notice states that the Year 1 award ceiling is listed as 0 (none), while CDC anticipates an approximate total of $24,000,000 available for Year 1, depending on appropriations and availability of funds. The program expected to make about three awards. As a cooperative agreement, CDC would remain substantially involved in the work, meaning recipients should expect ongoing technical collaboration, performance oversight, and joint problem-solving rather than a hands-off grant relationship. Applications were originally due October 11, 2020, submitted electronically by 11:59 p.m. Eastern Time.

The purpose of the NOFO is to support implementation of sustainable, comprehensive HIV prevention, care, and treatment services with an explicit goal of achieving and maintaining national epidemic control. A major emphasis is capacity building for county governments so they can progressively take on stronger roles in implementing, managing, and fiscally overseeing HIV programs. In practical terms, this includes strengthening the working relationship between county health leadership and PEPFAR implementing partners (IPs) so that skills, systems, and accountability mechanisms increasingly sit within county structures rather than being primarily driven by external partners. The intent is that counties become better positioned to plan services, manage resources, supervise performance, and make evidence-based decisions that keep programs effective over time.

The NOFO frames success in terms of PEPFAR's 95-95-95 targets: 95 percent of people living with HIV know their status, 95 percent of those diagnosed are on antiretroviral therapy, and 95 percent of those on treatment are virally suppressed. Beyond these core cascade outcomes, the notice highlights broader public health goals: reducing new HIV infections in both the general population and key populations, eliminating pediatric HIV infections, and reducing illness and deaths related to HIV and tuberculosis. The program is therefore oriented toward both prevention and treatment outcomes, with an added focus on integration and co-management of HIV and TB impacts where they drive morbidity and mortality.

A distinct, repeated outcome in the announcement is sustainability through domestic financing, especially for human resources for health (HRH). The opportunity explicitly aims for county governments to increase local financing for the health workforce and for ongoing HIV service delivery, signaling that staffing, supervision, and other recurrent costs should increasingly be covered by county budgets and systems rather than remaining dependent on PEPFAR support. Overall, the opportunity is designed to move counties along a transition pathway: keeping HIV services strong and measurable in the short term, while building the management, oversight, and financing foundation needed to sustain epidemic control in the long term.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "County Government Implementation, Management and Sustainability of High Quality HIV Services in Homa Bay, Kiambu, Kirinyaga, Kisii, Kisumu, Kitui, Machakos, Makueni, Migori, Muranga, Nairobi, and Nyeri Counties in the Republic of Kenya 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 Aug 12, 2020.
  • Applicants must submit their applications by Oct 11, 2020 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 3 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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