Strengthening comprehensive HIV and TB services and health systems in high-burden areas of Namibia under the President's Emergency Plan for AIDS Relief (PEPFAR) | CDC RFA JG 25 0092

Opportunity Information: Apply for CDC RFA JG 25 0092

This funding opportunity, titled "Strengthening comprehensive HIV and TB services and health systems in high-burden areas of Namibia under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a CDC cooperative agreement (Funding Opportunity Number: CDC RFA JG 25 0092; CFDA: 93.067) designed to reinforce Namibia's HIV and TB response in areas with the greatest disease burden. The central idea is to improve both service delivery and the underlying health system functions that make those services reliable over time. While the posted "Award Ceiling for Year 1" is listed as 0 (meaning no maximum is specified for individual awards in the notice), CDC indicates an anticipated total funding amount of about $15,000,000 for the first year, contingent on the availability of funds, with an expectation of up to three awards. The application deadline listed is February 19, 2025, and the opportunity was created on December 3, 2024. The eligible applicant pool is broad, covering various levels of government, higher education institutions (public and private), nonprofit organizations (including both 501(c)(3) and non-501(c)(3) entities), for-profit organizations (including small businesses), tribal governments and tribal organizations, public housing authorities, and other unrestricted applicants.

Programmatically, the NOFO focuses on strengthening comprehensive, integrated HIV and TB services through facility-based and community-based approaches, including attention to common comorbidities and conditions linked to HIV outcomes. A major emphasis is direct support to Namibia's Ministry of Health and Social Services (MOHSS), not as a parallel system, but as a way to improve government-led oversight, performance management, and the durability of national programs. The recipient is expected to help MOHSS improve how it supervises and monitors programs through quality management systems, mentorship and supportive supervision, monitoring and evaluation (M&E), routine data-driven surveillance, and timely public health response. In practical terms, the work is intended to help the ministry and implementing sites spot gaps earlier, correct them faster, and standardize good practices across high-burden regions.

The technical scope described is deliberately broad and "end-to-end." On HIV services, the award supports stronger care for both adults and children, which typically implies reinforcing testing and linkage, treatment initiation and retention, viral load monitoring and suppression, and targeted approaches for populations at higher risk or with poorer outcomes. On TB, the award calls for strengthened prevention, diagnosis, and treatment, which commonly includes improving screening and case finding, ensuring rapid and accurate diagnostics, supporting TB preventive treatment where appropriate, and strengthening treatment follow-up and completion. The NOFO also highlights elimination of mother-to-child transmission, signaling continued emphasis on the full continuum for pregnant and breastfeeding women and infants, from antenatal identification and treatment through infant testing and follow-up. In addition, it incorporates cervical cancer prevention, screening, and treatment, reflecting the increased priority of addressing HPV-related disease among women living with HIV through screening coverage and ensuring treatment access when lesions are found.

Health system strengthening elements are a core part of the package rather than an add-on. The NOFO explicitly calls for site-level supply chain monitoring to keep essential commodities consistently available where patients receive care, recognizing that stockouts can undo progress quickly. It also includes laboratory systems strengthening, which underpins both HIV viral load monitoring and TB diagnostics, and human resources for health (HRH), reflecting the need for adequate staffing, better workforce organization, mentoring structures, and practical capacity building. A further priority is expanding and improving differentiated service delivery (DSD) models, which are meant to tailor HIV services to patient needs and stability (for example, spacing out visits for stable patients, community pickup points for medicines, or targeted models for adolescents and other groups). The notice also emphasizes stronger routine surveillance for HIV, TB, and related comorbidities and better use of MOHSS health information systems (HIS), with the clear intent that decisions and responses are guided by timely, high-quality data rather than ad hoc reporting.

The expected results are framed at both population and system levels. On the public health side, CDC anticipates decreased HIV and TB incidence over time, which implies that the combination of improved prevention, earlier diagnosis, effective treatment, and stronger retention should reduce transmission and new infections. On the systems side, the outcomes include better quality, access, and use of government health data, suggesting improvements in completeness, accuracy, timeliness, and the ability of MOHSS and districts to act on what the data show. The NOFO also stresses more efficient resource mobilization and use, especially around financing, HRH deployment, and supply chain planning, with an "optimized workforce" as a specific target. Another concrete outcome is consistent site-level availability of critical commodities, paired with full implementation of DSD models, indicating that the award is meant to translate policy and guidance into routine, reliable practice at service delivery points. Finally, the opportunity underscores stronger host-government capacity to respond to HIV, TB, and related health threats and to sustain the response, which signals a long-term transition goal: building the managerial, technical, and operational capabilities inside government systems so progress continues beyond the life of the award.

• The Centers for Disease Control-GHC in the health sector is offering a public funding opportunity titled "Strengthening comprehensive HIV and TB services and health systems in high-burden areas of Namibia 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 2024-12-03.
• Applicants must submit their applications by 2025-02-19. (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 3 candidate(s).
• Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Unrestricted.

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