Opportunity Information: Apply for CDC RFA GH19 1933
This funding opportunity, issued by the U.S. Department of Health and Human Services through the Centers for Disease Control and Prevention (CDC), supports a PEPFAR-backed effort to speed up and strengthen comprehensive HIV prevention, care, and treatment services in the Democratic Republic of Congo, with a specific focus on selected Health Zones in Haut-Katanga province. The overall intent is to push the local HIV response toward epidemic control by expanding access to high-impact, evidence-based services and by improving how quickly people move through the full HIV service delivery cascade, from testing and diagnosis to treatment initiation and long-term retention in care. The program is designed to be implemented in close coordination with the Government of the DRC, particularly the Ministry of Health, so that improvements are not only rapid but also sustainable and embedded within provincial and Health Zone systems.
A major emphasis of the program is identifying people living with HIV who do not yet know their status, using targeted approaches rather than relying only on broad, untargeted testing. The opportunity highlights index testing and contact elicitation as a key strategy, meaning that when someone tests positive, eligible contacts (such as sexual partners or others at risk, as appropriate and safe) are proactively offered testing services. This approach is intended to increase case-finding efficiency and reach individuals who are more likely to be HIV-positive but may not otherwise present for testing. Alongside testing, the funded work is expected to strengthen linkage to care so that newly diagnosed individuals are promptly connected to treatment services, reducing loss between diagnosis and enrollment in HIV care.
The NOFO also calls for a comprehensive package that goes beyond testing and antiretroviral therapy. It explicitly includes community outreach and support services delivered through Orphans and Vulnerable Children (OVC) platforms, recognizing that household vulnerability, poverty, and social instability can directly affect HIV risk and a person’s ability to stay engaged in care. By integrating OVC-related outreach with HIV services, the program aims to improve prevention, facilitate earlier testing, and support adherence and retention for affected children, adolescents, and caregivers. In addition, prevention services are meant to be implemented in a way that is responsive to local patterns of transmission and barriers to service access.
Integration with tuberculosis (TB) services is another core component. The opportunity includes TB/HIV prevention, diagnosis, and treatment services, reflecting the high burden and clinical importance of TB as a leading cause of illness and death among people living with HIV. In practice, this means strengthening screening for TB among people with HIV, ensuring timely diagnosis, and linking patients to appropriate TB treatment while also providing HIV-related prevention and treatment. The goal is to reduce missed TB cases, improve clinical outcomes, and deliver more coordinated, patient-centered care.
Prevention of Mother-to-Child Transmission (PMTCT) is also prioritized, with attention to both the general population and key populations (KP). The PMTCT focus signals an expectation that maternal HIV testing and treatment, infant testing, and follow-up services will be strengthened so that pregnant and breastfeeding women living with HIV are identified early, started or maintained on effective therapy, and supported through the perinatal period to prevent infant infections. Mentioning key populations alongside PMTCT suggests the program should be prepared to address gaps in access and stigma-related barriers that may affect pregnant women from marginalized groups, and to ensure services are respectful, confidential, and accessible.
To make the clinical and outreach components effective at scale, the NOFO includes associated laboratory and strategic information (SI) services. Laboratory support typically involves ensuring that essential diagnostics and monitoring tools are available and functioning, and that results are used in clinical decision-making in a timely manner. Strategic information refers to the systems and practices used to collect, validate, analyze, and use data to guide program decisions. The notice places strong weight on improving data quality and data use, implying that the recipient is expected to strengthen routine reporting, improve the accuracy and completeness of program data, and help teams use information for real-time problem solving, such as identifying drop-offs in linkage or retention and responding quickly.
A defining feature of the opportunity is its explicit stigma-free approach. This reflects an understanding that fear of discrimination, breaches of confidentiality, and negative treatment in health facilities or communities can keep people from seeking testing, disclosing risk, initiating treatment, or staying in care. The recipient is expected to implement services in ways that reduce stigma and make care more welcoming and safe, which is especially important for key populations and for anyone who may be socially vulnerable. This stigma-free orientation is closely tied to the program’s reliance on community engagement and the role of capable community organizations in improving uptake of services, strengthening linkage, and supporting retention.
The cooperative agreement mechanism indicates that this award is not intended to be a hands-off grant; instead, CDC is expected to be substantially involved in supporting, guiding, and collaborating on implementation. The recipient will provide both direct support and technical assistance to accelerate service delivery in the selected Health Zones and to build local capacity. A key expectation is close work with the Ministry of Health to strengthen provincial and Health Zone team capabilities, which often includes coaching, mentorship, planning support, and improvements in management practices and service quality. The idea is to improve performance now while also leaving behind stronger local systems that can maintain progress over time.
From an administrative standpoint, this is a discretionary funding opportunity with a single expected award. The funding instrument type is a cooperative agreement, the activity category is health, and it falls under CFDA 93.067. Eligible applicants are listed as unrestricted, meaning the opportunity is broadly open to different types of entities, as long as they meet any additional eligibility conditions described in the full announcement. The opportunity number is CDC RFA GH19 1933, with an award ceiling of $3,500,000 and one anticipated recipient. The NOFO was created on August 21, 2018, with an original application closing date of October 22, 2018, and electronic submissions due by 11:59 p.m. Eastern Time on the deadline.
Taken together, the opportunity is structured around a clear public health endpoint: moving Haut-Katanga’s targeted Health Zones toward HIV epidemic control and contributing to the broader ambition of eliminating HIV as a public health threat by 2030. It does this by combining targeted case-finding, stronger linkage and retention, integrated TB/HIV services, robust PMTCT programming for both general and key populations, community-based support through OVC and other community partners, and a strong focus on laboratory capacity and data-driven management. The underlying logic is that epidemic control depends not just on offering services, but on making sure the right people are reached, services are delivered consistently and respectfully, and local teams have the skills and information needed to continuously improve performance.Apply for CDC RFA GH19 1933
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Enhance Population Access to Comprehensive HIV/AIDS Services in order to Achieve HIV/AIDS Epidemic Control in the Democratic Republic of Congo (DRC), Specifically in Haut - Katanga 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.
- This funding opportunity was created on Aug 21, 2018.
- Applicants must submit their applications by Oct 22, 2018 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 $3,500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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