Opportunity Information: Apply for CDC RFA GH19 1939
The grant opportunity, titled "Strengthening HIV Clinical Services in the Republic of Rwanda under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a U.S. government-funded initiative designed to reinforce Rwanda's national response to HIV through stronger clinical services and more resilient health systems. It is administered by the U.S. Department of Health and Human Services through the Centers for Disease Control and Prevention (CDC), and it is offered as a discretionary cooperative agreement, meaning the CDC expects to have substantial involvement in how the work is planned, carried out, and monitored. The opportunity was released under Funding Opportunity Number CDC RFA GH19 1939 and falls under CFDA 93.067.
The underlying context for the award is that Rwanda has already made major progress in expanding HIV services and treatment access, while still facing important gaps that must be closed to reach epidemic control. At the time described in the notice, national antiretroviral therapy (ART) coverage was reported as 94 percent for adults but only 50 percent for children, highlighting a key equity and service-delivery challenge in pediatric HIV. Service availability was broad and nationwide: as of July 2017, 577 sites provided voluntary counseling and testing, 542 sites provided prevention of mother-to-child transmission (PMTCT) services, and 554 sites provided ART services. These figures suggest a mature service platform that now needs continued quality improvement, integration, and system strengthening to ensure that coverage translates into consistent retention in care and durable viral suppression.
The core purpose of the notice of funding opportunity (NOFO) is to support a sustainable, affordable, integrated, and country-led HIV/AIDS clinical and public health program in Rwanda. In practical terms, the award is intended to help the Rwandan Ministry of Health (MOH) strengthen national health systems by improving how integrated health services are planned, implemented, and monitored. Rather than focusing only on expanding the number of service sites, the NOFO emphasizes strengthening the performance of the system: ensuring that HIV prevention, care, and treatment services are high quality, coordinated with the broader health sector, and capable of being maintained over time with country leadership.
Programmatically, the funding is geared toward the full HIV clinical cascade, with explicit emphasis on the steps that most strongly drive epidemic control. That includes identifying people living with HIV who have not yet been diagnosed, strengthening linkage to ART once someone tests positive, improving retention so patients stay engaged in care over time, and supporting adherence to treatment so that viral load suppression is achieved and sustained. Viral load suppression is critical both for individual health outcomes and for population-level prevention, since suppression dramatically reduces onward transmission risk. The NOFO also aligns the Rwanda program with global and PEPFAR priorities, particularly the 95-95-95 targets: 95 percent of people living with HIV knowing their status, 95 percent of those diagnosed receiving sustained ART, and 95 percent of those on treatment achieving viral suppression.
The scope and scale of the award are substantial. The maximum award amount (award ceiling) is listed at $20,000,000, and the CDC anticipated making one award, indicating a single, large implementing partner or consortium would likely coordinate activities at national scale in close collaboration with the MOH. While the eligibility section is summarized as "Others" with clarification referenced elsewhere in the full announcement, the structure and size suggest the applicant would need strong technical capacity in HIV clinical programming, monitoring and evaluation, health systems strengthening, and partnership with government and service delivery platforms.
Key administrative details include an opportunity creation date of October 25, 2018, with an original application closing date of December 26, 2018. Applications were required to be submitted electronically by 11:59 p.m. Eastern Time on the due date. Overall, the opportunity reflects a shift from basic service expansion toward consolidation of gains: improving service quality, strengthening systems for integrated delivery and monitoring, addressing gaps such as pediatric treatment coverage, and accelerating progress toward epidemic control in Rwanda under PEPFAR support.Apply for CDC RFA GH19 1939
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening HIV Clinical Services in the Republic of Rwanda 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 Oct 25, 2018.
- Applicants must submit their applications by Dec 26, 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 $20,000,000.00 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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