Opportunity Information: Apply for CDC RFA GH20 2136
This funding opportunity, titled "Strengthening Access to and Delivery of Quality Public Health Services for Prevention, Care and Treatment of HIV, STIs, and TB, Addressing Diseases of Public Health Importance, and Advancing Global Health Security in Jamaica under PEPFAR" (CDC RFA GH20-2136), is a CDC cooperative agreement aimed at helping Jamaica overcome persistent barriers to HIV epidemic control while also strengthening broader public health capacity. The program is positioned under PEPFAR and is designed to tackle both system-level (above-site) weaknesses and facility/community-level (site-level) service delivery gaps that interfere with timely HIV diagnosis, effective linkage to care, long-term retention, and sustained viral suppression. Although the award ceiling for Year 1 is listed as 0 (meaning no fixed maximum cap is specified for individual awards), CDC projected an approximate total funding level of $4,000,000 for the first year, contingent on the availability of funds, with one award expected.
A central feature of the opportunity is its dual emphasis on above-site and site-level interventions. Above-site work focuses on the enabling environment and core health system functions that support consistent, high-quality implementation of international best practices. This includes improving the policy environment, strengthening systems that make national scale-up possible, and addressing cross-cutting gaps that affect clinical service delivery, laboratory systems, and strategic information (SI). In practice, this kind of above-site support typically aims to make service delivery more uniform across facilities, reduce fragmentation between programs and information systems, and ensure that guidelines and operating procedures translate into routine practice.
At the site level, the opportunity prioritizes prevention, care, and treatment (PCT) activities that directly close gaps along the HIV cascade. The stated goal is to improve outcomes from diagnosis through viral suppression, with particular attention to the points where programs often lose people: identifying undiagnosed individuals, rapidly linking them to care, keeping them engaged over time, and ensuring treatment is optimized so that viral load suppression is achieved and sustained. The notice highlights scale-up and expansion of index case testing (ICT) and partner notification services (PNS) as the primary case-finding strategy, signaling a focus on more efficient, targeted approaches to finding people with undiagnosed HIV by working through networks of known cases. It also emphasizes differentiated service delivery models to improve adherence and retention, which generally means adapting how care is delivered to better fit patient needs (for example, reducing unnecessary clinic visits for stable patients while providing more intensive follow-up for those at higher risk of dropping out of care). In addition, the opportunity calls for optimization of medical care so that all patients become virally suppressed, reflecting a quality-of-care agenda that goes beyond simply initiating treatment to ensuring it is effective.
Strategic information is another major pillar of the award. The NOFO makes clear that stronger decision-making depends on better data, and it therefore prioritizes improving the quality, availability, timeliness, and use of SI. Key approaches named include strengthening quality assurance procedures, digitizing data collection tools, and improving interoperability between information systems. The practical intent is to reduce errors and delays, move away from fragmented paper-based processes, support near-real-time monitoring, and allow data to be shared and used across relevant platforms so program managers and clinicians can act on it. By focusing on both data quality and data use, the opportunity is aimed at improving accountability and enabling more targeted program improvements based on evidence.
Laboratory strengthening is included with a specific emphasis on the lab-clinic interface, highlighting the operational connection between testing services and clinical decision-making. Improving this interface generally means ensuring that tests are ordered appropriately, specimens move efficiently, results return quickly and reliably, results are correctly recorded in patient records, and clinicians act on them in a timely manner. In an HIV program, this is particularly important for viral load testing and other diagnostics that guide treatment decisions, detect treatment failure, and support patient management. The NOFO frames this as essential to more effective patient care and better outcomes.
Finally, while HIV is the dominant focus, the scope explicitly allows for related work on other infectious and non-infectious diseases that affect people living with HIV and populations impacted by HIV, as well as topics of urgent public health importance. The title and framing also reference STIs, TB, and advancing global health security, indicating that CDC is seeking an implementing partner that can strengthen core public health functions and integrate efforts where appropriate, rather than treating HIV as a completely standalone program. Overall, the opportunity is structured to support a comprehensive set of improvements: policy and systems work at the national or program level, targeted service delivery interventions at the facility and community level, stronger data systems for monitoring and improvement, and laboratory-clinic coordination to ensure patients receive timely, appropriate care.Apply for CDC RFA GH20 2136
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening Access to and Delivery of Quality Public Health Services for Prevention, Care and Treatment of HIV, STIs, and TB, Addressing Diseases of Public Health Importance, and Advancing Global Health Security in Jamaica 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 Mar 24, 2020.
- Applicants must submit their applications by May 23, 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 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)
1) What is the name of this funding opportunity?
The opportunity is titled "Strengthening Access to and Delivery of Quality Public Health Services for Prevention, Care and Treatment of HIV, STIs, and TB, Addressing Diseases of Public Health Importance, and Advancing Global Health Security in Jamaica under PEPFAR" (CDC RFA GH20-2136).
2) What type of award is being offered?
This is a CDC cooperative agreement. That generally means CDC expects substantial involvement in the implementation and oversight of activities compared to a standard grant.
3) What country and setting does the opportunity focus on?
The work is focused on Jamaica, with activities spanning national (above-site) systems and facility/community (site-level) service delivery.
4) What is the overall purpose of the program?
The purpose is to help Jamaica overcome persistent barriers to HIV epidemic control while also strengthening broader public health capacity. The program is designed to address both system-level weaknesses and on-the-ground service delivery gaps that interfere with timely HIV diagnosis, linkage to care, retention in care, and sustained viral suppression.
5) How much funding is expected for Year 1?
CDC projected an approximate total funding level of $4,000,000 for the first year, contingent on the availability of funds.
6) Is there an award ceiling (maximum cap) for Year 1?
The award ceiling for Year 1 is listed as 0, which indicates that there is no fixed maximum cap specified for individual awards in the information provided.
7) How many awards does CDC expect to make?
One award is expected.
8) What does it mean that the opportunity is positioned under PEPFAR?
The opportunity sits under the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) framework, emphasizing HIV epidemic control priorities while also supporting complementary public health system strengthening in Jamaica.
9) What are the two main levels of intervention described in the opportunity?
The opportunity emphasizes (1) above-site interventions that strengthen national and program-wide systems and (2) site-level interventions that address gaps in facility and community service delivery.
10) What are "above-site" interventions in this program?
Above-site work focuses on the enabling environment and core health system functions needed for consistent, high-quality implementation of international best practices. It includes improving the policy environment, strengthening systems that support national scale-up, and addressing cross-cutting gaps that affect clinical services, laboratory systems, and strategic information (SI).
11) What kinds of problems are above-site activities meant to solve?
They are meant to reduce fragmentation between programs and information systems, promote more uniform service delivery across facilities, and ensure that guidelines and operating procedures translate into routine practice.
12) What are "site-level" interventions in this program?
Site-level interventions prioritize prevention, care, and treatment (PCT) activities that directly close gaps along the HIV cascade in facilities and communities, improving outcomes from diagnosis through viral suppression.
13) Which points in the HIV cascade are specifically highlighted as priorities?
The opportunity highlights improving timely diagnosis, rapid linkage to care, long-term retention, and sustained viral suppression, with attention to points where programs commonly lose people.
14) What case-finding strategy is emphasized for identifying undiagnosed HIV?
The notice highlights scale-up and expansion of index case testing (ICT) and partner notification services (PNS) as the primary case-finding strategy, reflecting a targeted approach that works through networks of known cases.
15) What does the opportunity emphasize regarding retention and adherence?
It emphasizes differentiated service delivery models intended to improve adherence and retention by adapting service delivery to patient needs (for example, reducing unnecessary clinic visits for stable patients while providing more intensive follow-up for those at higher risk of dropping out of care).
16) What does "optimization of medical care" mean in the context of this award?
It refers to strengthening quality of care so that patients are not only initiated on treatment, but achieve viral load suppression and sustain it over time. The focus is on ensuring treatment is effective and care processes support durable outcomes.
17) What role does Strategic Information (SI) play in this opportunity?
Strategic information is a major pillar. The opportunity prioritizes improving the quality, availability, timeliness, and use of data so that decision-making is evidence-based and programs can be monitored and improved more effectively.
18) What SI improvements are specifically mentioned?
Named approaches include strengthening quality assurance procedures, digitizing data collection tools, and improving interoperability between information systems.
19) What is the practical intent behind digitization and interoperability?
The intent is to reduce errors and delays, move away from fragmented paper-based processes, enable near-real-time monitoring, and allow data to be shared and used across relevant platforms so program managers and clinicians can act on it.
20) Why does the opportunity stress both data quality and data use?
Because better outcomes depend not only on accurate and timely data, but also on the routine use of that data for accountability, targeting gaps, and making program improvements.
21) What laboratory-related work is included in the scope?
Laboratory strengthening is included, with a specific emphasis on improving the lab-clinic interface.
22) What does "lab-clinic interface" mean here?
It refers to the operational connection between testing services and clinical decision-making, including appropriate test ordering, efficient specimen movement, quick and reliable result return, correct recording of results in patient records, and timely clinical action based on results.
23) Why is the lab-clinic interface especially important for HIV programs?
Because viral load testing and other diagnostics guide treatment decisions, help detect treatment failure, and support patient management. Improvements in this interface are framed as essential to more effective care and better outcomes.
24) Is the opportunity limited strictly to HIV activities?
No. While HIV is the dominant focus, the scope explicitly allows for related work on other infectious and non-infectious diseases that affect people living with HIV and populations impacted by HIV, as well as topics of urgent public health importance.
25) How do STIs, TB, and global health security fit into the scope?
The title and framing reference STIs, TB, and advancing global health security, indicating an interest in strengthening core public health functions and integrating efforts where appropriate rather than operating HIV as a completely standalone program.
26) What is meant by addressing "system-level (above-site) weaknesses" and "service delivery (site-level) gaps" together?
It means the program is designed to improve both the national/program infrastructure that enables consistent quality (policies, systems, SI, lab functions) and the direct services that people receive in facilities and communities (PCT services along the cascade).
27) What outcomes is this opportunity ultimately trying to improve?
Across the described activities, the opportunity aims to improve timely HIV diagnosis, effective linkage to care, retention over time, and sustained viral suppression, supported by stronger data systems and laboratory-clinic coordination.
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