Opportunity Information: Apply for CDC RFA GH20 2049
This funding opportunity, titled "Optimizing Human Resources for Health to Sustain Epidemic Control in Malawi under the President's Emergency Plan for AIDS Relief (PEPFAR)" (Funding Opportunity Number: CDC RFA GH20-2049), is a CDC cooperative agreement designed to strengthen Malawi's health workforce and HIV service delivery, particularly through the Christian Health Association of Malawi (CHAM). The overall intent is to help sustain HIV and TB epidemic control by increasing the number of trained health care workers placed in high-volume facilities, improving the quality of preservice training, and boosting HIV service performance in faith-based facilities that often serve remote communities where government health services may be limited or absent.
On funding, the notice specifies that the Year 1 award ceiling is listed as $0 (none), while also stating CDC anticipates approximately $3,000,000 in total fiscal year funding for Year 1, contingent on funds being available. The opportunity anticipates making a single award. As a cooperative agreement, the project would typically involve substantial CDC engagement during implementation, meaning the recipient is expected to coordinate closely with CDC on planning, monitoring, and performance improvements rather than operating in a fully independent grant model.
A central component of the award is expanding and optimizing the health workforce pipeline by providing tuition support through CHAM training institutions. The goal is to increase the supply of health care workers and improve staffing levels in high-volume service settings that carry a large share of HIV and TB workload. Alongside tuition support, the opportunity emphasizes improving the quality of training itself, including strengthening faculty support at CHAM institutions. In practical terms, this points to investments in teaching capacity, instructional quality, supervision, and other elements that affect whether new graduates are competent, confident, and ready to deliver priority HIV/TB services immediately upon placement.
The opportunity also targets HIV service delivery improvements at CHAM faith-based health facilities, with special attention to hard-to-reach areas. These facilities are positioned as critical access points for sustaining epidemic control in communities that might otherwise be underserved. The NOFO aligns with CDC priority districts and is framed as supporting and strengthening existing programming rather than creating an entirely separate service platform, which signals a focus on scaling proven interventions and tightening implementation quality where gaps remain.
On HIV case finding and diagnosis, the NOFO prioritizes increasing uptake of HIV index testing through more active index testing approaches, expanded provider-initiated testing and counseling (PITC) to the point of saturation, and use of HIV self-testing. This mix is intended to raise testing coverage, identify undiagnosed people living with HIV more efficiently, and reach individuals who may not test through routine facility pathways. By emphasizing saturation of PITC, the opportunity implies a push for consistent, systematic offers of HIV testing across clinical entry points, reducing missed opportunities for diagnosis.
Retention and treatment continuity are addressed through support for the "back to care" program within CHAM facilities. The explicit objective is to ensure clients who are lost to follow-up (LTFU) are identified, contacted, returned to services, and then maintained in ongoing care. This focus reflects the reality that epidemic control depends not only on diagnosing people but also on sustained antiretroviral therapy adherence and long-term retention, which drive viral suppression and reduce onward transmission.
Viral load (VL) testing is another major area, especially in light of Malawi's annual VL policy, which is expected to increase VL testing volume and workload. The NOFO highlights the need to improve VL testing quality and shorten turnaround times in CHAM facilities so results are returned to clients promptly. Faster, reliable VL results support timely clinical decision-making, including adherence counseling and regimen changes when needed, and they strengthen the overall performance of the treatment cascade by ensuring that viral suppression is measured and acted on rather than delayed by logistics or quality issues.
Finally, the NOFO includes a client education and community-literacy component around viral suppression and the Undetectable = Untransmittable concept, referenced as the UU/TT initiative (including the local phrasing "Tizolombo Tochepa Thanzi Labwino"). By educating people living with HIV about viral load and viral suppression, the program aims to increase understanding, reduce stigma, improve motivation to stay on treatment, and reinforce the prevention benefits of sustained suppression. Taken together, the workforce investments, targeted facility support, intensified testing strategies, LTFU tracing and return-to-care activities, VL quality improvements, and UU/TT literacy efforts are positioned to reinforce one another in a single package focused on sustaining HIV/TB epidemic control in Malawi through CHAM-linked training institutions and service delivery sites.
Administrative details included in the source information indicate the opportunity is categorized as discretionary funding, with CFDA number 93.067, administered by the U.S. Department of Health and Human Services through CDC (Center for Global Health). The original posting date was January 15, 2020, with an original application due date of March 15, 2020, and electronic submissions due by 11:59 p.m. ET on the deadline. Eligibility is listed broadly as "Others" with clarification referenced in the full eligibility text of the NOFO.Apply for CDC RFA GH20 2049
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Optimizing Human Resources for Health to Sustain Epidemic Control in Malawi 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 Jan 15, 2020.
- Applicants must submit their applications by Mar 15, 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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