Opportunity Information: Apply for 72067423RFA00002
USAID is offering a five-year cooperative agreement focused on achieving and sustaining HIV and TB epidemic control in South Africa's Eastern Cape Province through an integrated service delivery approach. The central aim is to help people in the province live longer, healthier lives by strengthening the full HIV/TB response across the care continuum, from prevention and diagnosis through treatment, retention, and long-term viral suppression, while also addressing TB alongside HIV given their close overlap and shared burden in the region.
The opportunity is designed around three main objectives. First, it seeks to close remaining gaps to HIV epidemic control, which typically means improving how effectively the system finds people who are not yet diagnosed, links them to care quickly, starts them on effective treatment, and keeps them engaged until they reach and maintain viral suppression. Second, it focuses on sustaining health gains by reinforcing the underlying health system, emphasizing stronger, better managed, and more resilient service platforms that can continue delivering results beyond the life of the award. Third, it prioritizes partnerships with communities, civil society organizations, and the private sector to strengthen service delivery and improve client outcomes, recognizing that durable epidemic control depends on more than clinics alone and requires coordinated support in the places where people live.
A defining feature of the activity is its emphasis on a continuum of care that intentionally connects health facilities with community- and household-level services. This includes a particular focus on orphans and other children vulnerable to HIV (often referred to as OVC), meaning the program is expected to support not only clinical HIV-related services, but also the surrounding community-based and household supports that help children and families stay safe, remain engaged in care, and overcome barriers that can lead to treatment interruption or poor outcomes.
Geographically, USAID intends to implement the work in five districts in the Eastern Cape that carry a high HIV/TB burden: Buffalo City Metro, Alfred Nzo District, Amathole District, Chris Hani District, and Oliver Tambo District. The announcement also notes that USAID may adjust the geographic coverage over time based on updated epidemiological information and shifting priorities agreed between the Government of South Africa and the U.S. Government, so applicants should expect an environment where targeting and resource allocation may evolve in response to the data.
From a funding and award structure standpoint, this is a USAID health opportunity (CFDA 98.001) released by USAID South Africa (USAID-Pretoria) under Funding Opportunity Number 72067423RFA00002. It is categorized as "Other" and will be funded through a cooperative agreement, which typically implies substantial involvement by USAID during implementation, such as ongoing technical direction, collaboration on work planning, and adaptive management expectations. USAID anticipates making one award, with an estimated total award amount and ceiling of about USD 75,000,000 for the full five-year period of performance. Eligible applicants are listed broadly as "Others," with details to be clarified in the opportunity's eligibility section, suggesting that a range of organizations may apply depending on the specific requirements in the full solicitation.
Overall, the opportunity funds a single, large-scale implementing partner to coordinate a province-focused HIV/TB response that is integrated across service delivery points, strengthens the health system for long-term durability, and relies on strong community and civil society engagement, with special attention to vulnerable children and households. The overarching expectation is measurable progress toward epidemic control in targeted districts, coupled with a stronger and more resilient platform capable of sustaining those gains over time.Apply for 72067423RFA00002
- The Agency for International Development, South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Achieving and Sustaining HIV/TB Epidemic Control in the Eastern Cape Province – Integrated Service Delivery Response" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on Oct 17, 2022.
- Applicants must submit their applications by Jan 04, 2023 N/A. (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 $75,000,000.00 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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Frequently Asked Questions (FAQs)
1) What is the main purpose of this USAID funding opportunity?
This opportunity supports a five-year cooperative agreement to achieve and sustain HIV and TB epidemic control in South Africa's Eastern Cape Province. The central aim is to help people live longer, healthier lives by strengthening the full HIV/TB response across the care continuum (prevention, diagnosis, treatment, retention, and long-term viral suppression), while addressing TB alongside HIV due to their close overlap and shared burden in the region.
2) What type of award is USAID planning to fund?
USAID intends to fund a cooperative agreement. This structure typically means USAID will have substantial involvement during implementation, such as collaboration on work planning, ongoing technical direction, and expectations for adaptive management.
3) How long is the period of performance?
The anticipated period of performance is five years.
4) How much funding is expected, and what is the ceiling?
USAID anticipates an estimated total award amount and ceiling of approximately USD 75,000,000 for the full five-year period.
5) How many awards does USAID expect to make?
USAID anticipates making one award under this opportunity.
6) What are the three main objectives of the activity?
The activity is organized around three main objectives:
- Close remaining gaps to HIV epidemic control (improving identification of people not yet diagnosed, rapid linkage to care, timely treatment initiation, retention, and sustained viral suppression).
- Sustain health gains by strengthening the health system (building stronger, better managed, and more resilient service platforms that can continue delivering results beyond the award).
- Strengthen partnerships with communities, civil society, and the private sector to improve service delivery and client outcomes.
7) What does "closing remaining gaps to HIV epidemic control" mean in this announcement?
In the context provided, it refers to improving performance across the HIV care continuum: finding people who are not yet diagnosed, linking them to care quickly, starting effective treatment, keeping them engaged in care, and supporting them to reach and maintain viral suppression.
8) Why does the opportunity address TB alongside HIV?
The opportunity explicitly includes TB because HIV and TB are closely linked and share a significant burden in the Eastern Cape. The program is designed to strengthen an integrated response that addresses both conditions.
9) What is meant by an "integrated service delivery approach"?
Based on the description, integrated service delivery means strengthening HIV and TB services across the full continuum of care and intentionally connecting facility-based services with community- and household-level support. It also implies coordination across different service delivery points rather than operating in isolated program silos.
10) What is the "continuum of care" emphasis in this activity?
The activity emphasizes a continuum of care that connects prevention and diagnosis to treatment, retention, and long-term viral suppression, while also linking health facilities to community- and household-level services so clients can stay engaged and achieve better outcomes.
11) How does this activity involve communities and civil society?
One objective is to prioritize partnerships with communities, civil society organizations, and the private sector to strengthen service delivery and improve client outcomes. The announcement notes that durable epidemic control depends on coordinated support in the places where people live, not only in clinics.
12) What role does the private sector play in the activity?
The opportunity highlights partnerships with the private sector as part of strengthening service delivery and improving outcomes. The specifics of what private-sector engagement looks like are not detailed in the summary, but it is clearly identified as a priority partnership area.
13) What is the focus on orphans and vulnerable children (OVC)?
A defining feature of the activity is its focus on orphans and other children vulnerable to HIV (OVC). The program is expected to support not only clinical HIV-related services, but also the surrounding community-based and household supports that help children and families remain safe, stay engaged in care, and overcome barriers that could lead to treatment interruption or poor outcomes.
14) Does the activity include household-level support, or is it only clinical services?
It includes both. The announcement describes an intentional connection between health facilities and community- and household-level services, including supports that address barriers to sustained engagement in care, especially for vulnerable children and households.
15) Where will the program be implemented?
USAID intends to implement the work in five high HIV/TB burden districts in South Africa's Eastern Cape Province:
- Buffalo City Metro
- Alfred Nzo District
- Amathole District
- Chris Hani District
- Oliver Tambo District
16) Can the geographic coverage change during the project?
Yes. The announcement notes that USAID may adjust the geographic coverage over time based on updated epidemiological information and shifting priorities agreed between the Government of South Africa and the U.S. Government. Applicants should plan for an environment where targeting and resource allocation may evolve in response to data.
17) Who is issuing the opportunity?
The opportunity is issued by USAID South Africa (USAID-Pretoria).
18) What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is 72067423RFA00002.
19) What is the CFDA/Assistance Listing number associated with this opportunity?
The opportunity is identified as CFDA 98.001.
20) What is the expected implementation model (single partner vs. multiple partners)?
USAID anticipates making one award, indicating a single, large-scale implementing partner is expected to coordinate a province-focused HIV/TB response integrated across service delivery points.
21) What is the program ultimately expected to achieve?
The announcement emphasizes measurable progress toward epidemic control in the targeted districts, alongside a stronger and more resilient health service platform capable of sustaining gains over time.
22) What does "sustaining health gains" mean in this opportunity?
It means reinforcing the underlying health system so service platforms are stronger, better managed, and resilient, enabling continued delivery of results beyond the life of the award.
23) What is the award category?
The opportunity is categorized as "Other" in the information provided.
24) Who is eligible to apply?
Eligible applicants are broadly listed as "Others," with details to be clarified in the opportunity's eligibility section. This suggests multiple organization types may be eligible, depending on the specific requirements stated in the full solicitation.
25) What should applicants assume about USAID involvement during implementation?
Because the instrument is a cooperative agreement, applicants should expect substantial USAID involvement such as technical collaboration, joint work planning, and an emphasis on adaptive management during implementation.
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Previous opportunity: Notice of Intent to Issue Funding Opportunity Announcement No. DE-FOA-0002823
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