Opportunity Information: Apply for CDC RFA GH20 2053
The Human Resources for Health (HRH) to Achieve and Sustain HIV/TB Epidemic Control in Malawi opportunity (CDC RFA GH20-2053) is a CDC Center for Global Health funding announcement under PEPFAR designed to address a persistent constraint in Malawi's HIV and TB response: a shortage of highly skilled health professionals able to support national-level planning, oversight, and continuous improvement. The award mechanism is a cooperative agreement, which typically means the recipient is expected to work closely with CDC throughout implementation, with CDC providing substantial involvement such as technical direction, coordination support, and ongoing collaboration on priorities and deliverables. The program is tied to CFDA 93.067 and, at the time of posting, anticipated supporting a single award.
From a funding standpoint, the notice is somewhat unusual in that it lists an Award Ceiling for Year 1 as 0 (none), while simultaneously stating CDC anticipates approximately $5,000,000 in total fiscal year funding for Year 1, dependent on available funds. In practical terms, this signals that the agency expects to fund work at that level but is not committing to a fixed maximum per award in the typical way within the public synopsis. The original application window opened December 19, 2019, with an original closing date of February 19, 2020, and electronic submissions required by 11:59 p.m. Eastern Time on the due date. Eligibility was listed as unrestricted, meaning any entity type could apply unless further limited by additional eligibility text in the full announcement.
The central strategy of the program is to provide high-level technical assistance directly to the Government of Malawi to help the country achieve and then sustain HIV epidemic control while also strengthening tuberculosis and multidrug-resistant TB monitoring and response. Rather than funding direct service delivery as the primary approach, the opportunity focuses on placing specialized Technical Advisors (TAs) into key government and local institutions. These advisors are recruited and employed by the recipient organization, then seconded mainly to the Ministry of Health, with some positions placed in other important national or local institutions involved in the HIV/TB response. A core expectation is that each advisor is paired with Ministry of Health staff and that the advisor's responsibilities progressively transition to government counterparts over the life of the award, emphasizing mentorship, skills transfer, and institutionalization rather than long-term dependence on externally placed experts.
The technical scope described for these advisors covers several critical functions needed to maintain epidemic control once it is achieved. On the HIV side, advisors support national systems to monitor epidemic control indicators, strengthen and assure HIV service quality, and help the government detect and respond rapidly to HIV outbreaks or resurgence after control milestones have been reached. On the TB side, advisors support monitoring of TB and multidrug-resistant TB trends and response efforts aimed at achieving TB epidemic control as well. Across both HIV and TB, the advisors are expected to provide evidence-based guidance and technical input into national guidelines, standard operating procedures, and program innovations, with an emphasis on introducing efficiencies and sharing lessons learned to keep the response effective and sustainable. Another explicit area of responsibility is commodity security: ensuring availability of HIV/TB commodities so that clinical and public health services are not disrupted in ways that could jeopardize epidemic control.
A specific additional placement noted in the announcement is for advisors seconded to the Public Health Institute of Malawi (PHIM). Their role centers on strengthening field epidemiology capacity by supporting training for health care workers, which helps build a pipeline of personnel capable of outbreak investigation, surveillance strengthening, data interpretation, and evidence-based decision-making. This is directly aligned with the broader goal of sustaining control over HIV and TB through strong public health intelligence and responsive systems.
Finally, the award is also intended to act as a monitoring and learning platform for HRH investments more broadly. Beyond the work of the seconded advisors themselves, the recipient is expected to monitor other CDC/PEPFAR HRH investments at the site level, documenting effects on HIV/TB services and helping demonstrate and disseminate the impact of these workforce-strengthening approaches. In other words, the program is not only meant to fill immediate technical gaps but also to generate credible evidence and practical lessons that can guide future workforce planning and improve how HIV/TB services are delivered and sustained across Malawi.Apply for CDC RFA GH20 2053
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Human Resources for Health (HRH) to Achieve and Sustain HIV/TB 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 Dec 19, 2019.
- Applicants must submit their applications by Feb 19, 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: 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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FAQs: Human Resources for Health (HRH) to Achieve and Sustain HIV/TB Epidemic Control in Malawi (CDC RFA GH20-2053)
What is the purpose of this funding opportunity?
This CDC Center for Global Health funding announcement under PEPFAR is designed to address a key constraint in Malawi's HIV and TB response: a shortage of highly skilled health professionals who can support national-level planning, oversight, and continuous improvement. The goal is to help Malawi achieve HIV epidemic control and then sustain it, while also strengthening tuberculosis (TB) and multidrug-resistant TB (MDR-TB) monitoring and response.
Which agency is offering this opportunity and under what program?
The opportunity is offered by the U.S. Centers for Disease Control and Prevention (CDC), Center for Global Health, and is aligned with PEPFAR priorities for HIV/TB epidemic control in Malawi.
What is the funding mechanism?
The award mechanism is a cooperative agreement. This typically means the recipient is expected to work closely with CDC during implementation, and CDC is expected to have substantial involvement such as technical direction, coordination support, and ongoing collaboration on priorities and deliverables.
What is the CFDA number associated with this opportunity?
The opportunity is tied to CFDA 93.067.
How many awards were anticipated?
At the time of posting, CDC anticipated supporting a single award.
What funding amount is expected for Year 1?
The announcement indicates CDC anticipated approximately $5,000,000 in total fiscal year funding for Year 1, dependent on available funds.
Why does the notice show an Award Ceiling for Year 1 as 0 if funding is anticipated?
The synopsis lists an Award Ceiling for Year 1 as 0 (none) while also stating an anticipated total fiscal year funding amount for Year 1. In practical terms, this suggests CDC expected to fund work at about that level but did not commit to a fixed maximum per award in the usual way within the public synopsis.
When did the application period open and close?
The original application window opened on December 19, 2019, and the original closing date was February 19, 2020.
What was the submission deadline time and time zone?
Electronic submissions were required by 11:59 p.m. Eastern Time on the due date.
Who was eligible to apply?
Eligibility was listed as unrestricted, meaning any entity type could apply unless further limited by additional eligibility text in the full announcement.
What is the main approach or strategy funded by this program?
The program focuses on providing high-level technical assistance to the Government of Malawi by placing specialized Technical Advisors (TAs) into key government and local institutions. Rather than primarily funding direct service delivery, the emphasis is on national and institutional capacity to plan, oversee, improve, and sustain HIV/TB epidemic control.
What are Technical Advisors (TAs) in the context of this award?
Technical Advisors are specialized professionals recruited and employed by the recipient organization and then seconded mainly to Malawi's Ministry of Health, with some positions placed in other key national or local institutions involved in the HIV/TB response. Their role is to provide targeted expertise, mentorship, and systems strengthening support.
Where are the advisors expected to be placed?
Advisors are expected to be seconded primarily to the Ministry of Health, with some positions in other important national or local institutions involved in the HIV/TB response. The announcement also specifically notes placements seconded to the Public Health Institute of Malawi (PHIM).
How does the program prevent long-term dependence on externally placed experts?
A core expectation is that each advisor is paired with Ministry of Health staff and that responsibilities progressively transition to government counterparts over the life of the award. The emphasis is on mentorship, skills transfer, and institutionalization of functions within government systems.
Does this opportunity focus on direct service delivery?
No. The description emphasizes high-level technical assistance and systems strengthening through seconded advisors rather than funding direct service delivery as the primary approach.
What are the main HIV-related functions the advisors support?
On the HIV side, advisors support national systems to monitor epidemic control indicators, strengthen and assure HIV service quality, and help the government detect and respond rapidly to HIV outbreaks or resurgence after control milestones have been reached.
What are the main TB and MDR-TB functions the advisors support?
On the TB side, advisors support monitoring of TB and multidrug-resistant TB trends and response efforts aimed at achieving TB epidemic control as well.
What kinds of systems and documents might advisors influence?
Advisors are expected to provide evidence-based guidance and technical input into national guidelines, standard operating procedures, and program innovations. The emphasis includes introducing efficiencies and sharing lessons learned to keep the response effective and sustainable.
Is commodity security part of the technical scope?
Yes. Commodity security is explicitly included, with a focus on ensuring the availability of HIV/TB commodities so that clinical and public health services are not disrupted in ways that could jeopardize epidemic control.
What is PHIM's role in this opportunity?
The announcement specifically notes advisors seconded to the Public Health Institute of Malawi (PHIM). Their role centers on strengthening field epidemiology capacity by supporting training for health care workers.
What is meant by strengthening field epidemiology capacity?
Within this opportunity, it refers to supporting training for health care workers to build a pipeline of personnel capable of outbreak investigation, surveillance strengthening, data interpretation, and evidence-based decision-making.
Is monitoring and learning part of the award's responsibilities?
Yes. The award is also intended to function as a monitoring and learning platform for HRH investments. Beyond supporting the seconded advisors, the recipient is expected to monitor other CDC/PEPFAR HRH investments at the site level, document effects on HIV/TB services, and help demonstrate and disseminate the impact of workforce-strengthening approaches.
What does "monitor other CDC/PEPFAR HRH investments at the site level" mean in this context?
Based on the announcement language, it means the recipient is expected to track and document how other workforce-focused investments supported by CDC/PEPFAR are affecting HIV/TB service delivery and outcomes at the facility or site level, and to capture lessons that can guide future workforce planning and service improvement.
What is the overall outcome the program is trying to achieve?
The program aims to help Malawi achieve HIV epidemic control and sustain it over time, while strengthening TB and MDR-TB monitoring and response, improving the quality and resilience of national systems, and generating credible evidence about the impact of HRH investments.
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