Opportunity Information: Apply for CDC RFA GH16 16320301SUPP19

This funding opportunity, titled "Supporting Implementation of HIV and TB Services for Epidemic Control in the Republic of Mozambique under PEPFAR," is a CDC cooperative agreement (Funding Opportunity Number CDC RFA GH16 16320301SUPP19; CFDA 93.067) designed to strengthen Mozambique's HIV and TB response mainly through targeted technical assistance rather than direct service delivery. The core intent is to help PEPFAR- and Global Fund-supported partners improve the quality, effectiveness, and sustainability of HIV and TB programs by building local capacity and providing specialized expertise that can be absorbed by national and subnational systems over time. In practice, the award is meant to reinforce the Government of Mozambique and implementing partners so they can increasingly assume responsibility for planning, delivering, and managing services that are essential to achieving epidemic control.

The opportunity is grounded in Mozambique's significant HIV burden and persistent gaps in testing, treatment coverage, and TB control. Mozambique is largely rural, with an estimated population of around 26 million, and HIV prevalence has shown strong regional variation, with particularly high prevalence reported in southern provinces. National survey and UNAIDS estimates cited in the announcement reflect a large population of people living with HIV, with disproportionate impact on women and especially young women ages 15 to 24. Testing coverage has historically been low, and while progress has been made, the announcement highlights that only a portion of people living with HIV were in care and on antiretroviral therapy based on figures referenced for 2014. TB is also emphasized as a major public health concern, including low TB case detection and a high TB/HIV co-infection rate, underscoring the need for stronger integrated approaches. The notice also points out that data on key populations are limited, but available IBBS findings show very high HIV prevalence among female sex workers in several urban areas, signaling the importance of targeted, evidence-based prevention and service delivery strategies.

Although the text includes language about "implementing interventions" across the HIV and TB continuum, the announcement makes an important distinction: it does not fund direct program implementation in the sense of running routine service delivery at scale. Instead, it funds the technical assistance, capacity building, and strategic support that enable PEPFAR and Global Fund implementers to strengthen and expand their work. A major component is also support to Global Fund implementing partners specifically, including assessing HIV service delivery, identifying performance and quality gaps, and developing practical technical assistance plans and strategies that can be executed with partners on the ground.

Programmatically, applicants are expected to address one or more of five core PEPFAR-supported technical areas. These areas are: prevention of mother-to-child transmission of HIV (PMTCT); HIV care and treatment clinical services for adults and children; pediatric HIV care and treatment; surveillance and strategic information; and laboratory systems. The expectation is that awardees will bring deep technical expertise in these domains and translate it into operational improvements, such as better clinical quality, more reliable and timely data, stronger laboratory networks, and improved linkage across prevention, testing, treatment initiation, retention, and viral suppression, as well as more effective TB/HIV integration where relevant.

In addition to those core areas, the opportunity highlights a broad set of cross-cutting supports considered necessary for epidemic control in Mozambique. These include human resources for health (HRH), gender-based violence (GBV) considerations, health systems strengthening (HSS), surveillance and surveys, sexual prevention, health communication, health economics, performance-based financing, epidemiologic assistance, data quality assessments (DQA), monitoring and evaluation, information systems, and program and impact evaluation. The inclusion of these cross-cutting areas signals that the CDC is looking for partners who can operate beyond narrow technical silos and help improve the full system that HIV and TB programs depend on, from workforce capacity and service quality to data integrity and decision-making.

The cooperative agreement structure also implies substantial involvement by CDC in planning and oversight, with awardees expected to work closely with governmental institutions and a wide range of stakeholders, including Global Fund recipients and other partners delivering HIV and TB services. The stated purpose is to help Mozambique move toward epidemic control by supporting sustainable community- and facility-based service models that cover the full continuum of response, meaning prevention, testing, linkage to care, treatment, adherence and retention support, and monitoring of outcomes. Sustainability is a central theme, with an emphasis on building durable local capability so that improvements in service delivery and program performance can be maintained and expanded beyond the period of external support.

From an administrative standpoint, this was posted by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CGH), as a discretionary funding opportunity using a cooperative agreement mechanism. The posting date was May 20, 2019, with an original application deadline of July 1, 2019 (11:59 p.m. ET for electronic submissions). The opportunity anticipated a single award, with an award ceiling of $1,037,398. Eligibility is listed broadly as "Others," with clarification to be found in the additional eligibility information referenced in the full notice. Overall, the opportunity can be read as a focused investment in high-impact technical assistance to improve HIV and TB program quality, integration, and data-driven management in Mozambique, aligned with PEPFAR and Global Fund priorities and framed explicitly around the path to epidemic control.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supporting Implementation of HIV and TB Services for Epidemic Control in the Republic of Mozambique 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 May 20, 2019.
  • Applicants must submit their applications by Jul 01, 2019 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 $1,037,398.00 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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