Opportunity Information: Apply for 72066323RFA00007
USAID/Ethiopia's Lowlands Health Activity (Funding Opportunity Number 72066323RFA00007) is a discretionary health funding opportunity to be implemented through a Cooperative Agreement. It targets pastoral and lowland geographies in Ethiopia with the overall goal of improving health and nutrition outcomes by expanding access to, improving the quality of, and increasing the actual use of RMNCAH-N services, meaning reproductive, maternal, newborn, child, and adolescent health and nutrition. The activity is positioned as a practical, context-driven effort designed for areas where mobility, remoteness, climate shocks, and social and cultural dynamics can make standard health programming less effective unless it is adapted to local realities.
The solicitation asks applicants to design interventions that are evidence-based but also tailored for pastoral settings, with explicit expectations that approaches be gender- and youth-sensitive. Rather than prescribing a single package of activities, USAID is looking for an "ideal mix" of interventions that jointly improve service access, service quality, and service utilization. This implies proposals should think across the continuum: community-level demand and norms, the availability and readiness of services, the competence and support of health workers, referral and outreach strategies suitable for mobile populations, and the kinds of service delivery models that actually work in sparsely populated or hard-to-reach areas.
A major theme of the opportunity is cost-effectiveness and long-term sustainability beyond donor funding. Applicants are expected to submit a comprehensive plan that not only explains what will be done, but also measures the cost of each proposed intervention down to the district or health facility level. In addition, the selected recipient must plan to conduct ongoing cost-effectiveness analysis during implementation, using those findings to adjust and retool interventions over time so resources are continually redirected toward what produces the strongest results. This makes the activity as much about learning and optimization as it is about delivering services.
The award is also designed to remain operational during crises common to lowland pastoral areas. USAID will set aside a USD 1 million crisis modifier, allowing the activity to flexibly identify, assess, and support emergency responses to man-made or natural disasters such as disease outbreaks, drought, or conflict. The intent is to fund rapid actions that save lives, restore or sustain health service delivery, and protect essential community health interventions while preserving longer-term development gains rather than letting emergencies erase progress.
The opportunity sits within USAID's New Partnerships Initiative (NPI), which is meant to broaden and diversify the partner base by encouraging new and underutilized organizations to work with USAID. Consistent with NPI goals, USAID emphasizes local leadership and local capacity development, and it encourages structured capacity strengthening with clear milestones that document progress. Applicants are also encouraged to build ownership through co-financing agreements where appropriate and to identify new or local sources of support that can sustain results and allow successful approaches to scale after USAID funding ends. The solicitation strongly signals openness to "out-of-the-box" approaches, as long as they are realistic, grounded in evidence, and well-matched to the pastoral context.
Community acceptance and cultural alignment are treated as non-negotiable design principles. Proposed solutions should be verified as acceptable to and adopted by the community, maximize local assets, knowledge, and values, and respect existing culture, religion, leadership, and decision-making structures. Proposals should also identify appropriate technologies that communities can maintain locally, reinforcing the overall push for sustainability and local ownership rather than dependence on specialized external support.
Administratively, the opportunity was posted by the Agency for International Development, Ethiopia USAID-Addis Ababa, with a creation date of April 10, 2023 and an original closing date of May 24, 2023. Eligibility is listed as unrestricted, meaning it is open to a wide range of entity types subject to any additional eligibility clarifications in the full notice. USAID anticipates making one award, with an award ceiling of up to USD 35,000,000 under CFDA 98.001.Apply for 72066323RFA00007
- The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "Lowlands Health Activity" 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 Apr 10, 2023.
- Applicants must submit their applications by May 24, 2023. (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 $35,000,000.00 in funding.
- 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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