Opportunity Information: Apply for CDC RFA GH21 2111

The Centers for Disease Control and Prevention (CDC), under the U.S. Department of Health and Human Services and the President's Emergency Plan for AIDS Relief (PEPFAR), released a discretionary Notice of Funding Opportunity (NOFO) titled "Comprehensive Access to HIV/AIDS Care and Treatment, and Prevention Services for Key Populations in Haiti." This funding is offered as a cooperative agreement, meaning the CDC expects to have substantial involvement with the recipient in implementing and monitoring the work. The opportunity is listed under CFDA 93.067 and was opened on January 8, 2021, with applications originally due by March 9, 2021 (11:59 p.m. Eastern Time for electronic submission). Eligibility is broadly open (unrestricted) to any type of entity, with the caveat that applicants should still review any additional eligibility details referenced in the full announcement.

Financially, the notice is unusual in that it lists an award ceiling for Year 1 as "0 (none)," which typically indicates there is no stated maximum cap for a single award amount in the first year rather than implying no funding will be provided. At the same time, CDC states it anticipates approximately $4,000,000 in total Fiscal Year funding for Year 1, contingent on the availability of funds. The CDC expects to make one award, suggesting the agency intends to fund a single implementing partner to lead and coordinate activities at scale.

Programmatically, the NOFO is designed to strengthen Haiti's ability to deliver comprehensive, high-impact HIV prevention, care, and treatment services for key populations and other priority groups. The named key populations include commercial sex workers, transgender people, and men who have sex with men, alongside a specific emphasis on adolescent girls and young women. The intent is to support interventions that reduce new HIV infections and improve health outcomes by expanding access to prevention tools and by improving performance along the HIV service delivery continuum from identification to viral suppression.

The stated goals focus on several concrete outcomes. On the prevention side, the program aims to increase consistent condom use and expand uptake of pre-exposure prophylaxis (PrEP) among key populations, recognizing that these approaches are central to reducing HIV acquisition risk when delivered in a manner that is accessible and acceptable to communities. On the care and treatment side, the opportunity emphasizes improved case identification (finding people living with HIV who are not yet diagnosed), stronger linkage to care for those newly diagnosed, and better retention in ongoing care. It also prioritizes adherence to antiretroviral therapy (ART) and achieving viral suppression, which is critical both for individual health and for reducing onward transmission.

A major implementation component involves building workforce and system capacity through quality assurance (QA) and quality improvement (QI). The recipient is expected to strengthen the skills of health care workers and community outreach workers so that services are delivered more consistently, gaps are identified and addressed quickly, and program performance improves over time. This implies an operational focus on monitoring service quality, improving client follow-up, and using data and routine review processes to refine implementation.

The NOFO also explicitly requires stigma-free, client-centered service delivery, to be carried out in collaboration with local key population associations. That language signals an expectation that programming will be designed with community input and delivered in ways that reduce discrimination and barriers to care, which is especially relevant for groups that often face legal, social, or interpersonal stigma. The approach anticipates that trust-building, confidentiality, and respectful engagement will be essential to increasing service uptake and sustaining participation in prevention and treatment services.

Geographically, services are intended to be implemented in selected communes across all 10 of Haiti's administrative departments, indicating a nationwide footprint with targeted prioritization within departments. The notice also makes clear that these geographic priorities may shift during the project period based on changes in disease burden, reflecting an expectation that the recipient can adapt operations to evolving epidemiology and program data. Overall, the opportunity is aimed at delivering coordinated, evidence-based HIV services for key populations and adolescent girls and young women, with an emphasis on prevention access, stronger clinical outcomes, continuous quality improvement, and community partnership to ensure services are safe, effective, and equitable.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Comprehensive Access to HIV/AIDS Care and Treatment, and Prevention Services for Key Populations in Haiti 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 08, 2021.
  • Applicants must submit their applications by Mar 09, 2021 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: 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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