Strengthening Local Capacity to Deliver Sustainable Quality-Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region, and Provide Central Level Technical Assistance to the Swaziland National AIDS Program (SNAP) in the Kingdom of Swaziland | CDC RFA GH15 158202CONT16

Opportunity Information: Apply for CDC RFA GH15 158202CONT16

This funding opportunity is a CDC cooperative agreement under PEPFAR focused on improving HIV and tuberculosis (TB) clinical service delivery in the Lubombo Region of the Kingdom of Swaziland (now commonly referred to as Eswatini), while also strengthening national-level technical capacity through the Swaziland National AIDS Program (SNAP). The central theme is sustainability and quality assurance: the award supports efforts that move HIV/TB services toward reliable, standardized, high-quality delivery at scale, with the longer-term aim of universal coverage for key clinical services. Because it is structured as a cooperative agreement, the CDC is not just providing funds but is also expected to remain substantially involved through technical collaboration, oversight, and joint planning to meet program targets and ensure adherence to evidence-based approaches.

A key feature of this announcement is that it is a continuation award, meaning it is not broadly open competition for new applicants. The notice specifies that the continuation funding is intended only for organizations that were previously funded under the original opportunity (CDC-RFA-GH15-1582). In practice, this kind of continuation action is used to extend, renew, or incrementally fund ongoing work that is already underway and aligned with PEPFAR and CDC priorities, rather than launching a new project with a new implementing partner. The opportunity category is explicitly labeled "Continuation," and eligibility is effectively limited to prior awardees, even though the general eligibility field is listed as "Others."

Programmatically, the opportunity targets two connected levels of work. First, at the regional and facility level in Lubombo, it emphasizes strengthening local capacity to deliver clinical HIV/TB services with quality assurance. That typically includes building and maintaining systems that ensure patients can consistently access the full package of HIV and TB care: HIV testing and linkage, antiretroviral therapy initiation and maintenance, management of opportunistic infections, TB screening and diagnosis, TB treatment integration for people living with HIV, infection prevention and control, clinical mentoring, and adherence/retention support. The wording "sustainable quality-assured universal coverage" signals that the goal is not just to increase service volume temporarily, but to embed processes, workforce skills, and performance monitoring that can be maintained over time and expanded to reach everyone who needs care in the region.

Second, the award includes a national component: providing central-level technical assistance to SNAP. This part is aimed at strengthening the national HIV program's ability to plan, coordinate, set standards, monitor performance, and guide implementation across the country. Central-level assistance commonly involves support for national guidelines and protocols, strategic information and data systems, quality improvement frameworks, supply chain and commodity management coordination (especially for antiretrovirals and TB medications), training standards, and supportive supervision models. It can also include assistance with program management functions such as partner coordination, performance review, and aligning national priorities with PEPFAR targets and reporting requirements.

The administrative details reinforce its public health orientation and governance structure. The funding instrument type is a cooperative agreement, and the activity category is Health, with CFDA number 93.067 (which corresponds to CDC's HIV-related assistance). The opportunity was issued by the Centers for Disease Control and Prevention, with an original closing date of November 30, 2015, and a creation date of September 28, 2015. The listing shows an award ceiling of 0, which often appears in continuation or incremental funding notices where a single ceiling is not posted in the public summary or where the amount is determined through internal allocations and approved budgets tied to the existing award rather than a new competitive cap. The number of expected awards is not specified in the source data, consistent with a continuation action that would typically apply to a small, predetermined set of existing grantees.

Overall, the opportunity is best understood as a mechanism for CDC and PEPFAR to maintain momentum in an ongoing HIV/TB service delivery and health systems strengthening program in Lubombo while simultaneously bolstering national leadership and technical capacity through SNAP. Its emphasis on local capacity, quality assurance, and universal coverage indicates a focus on durable improvements: strengthening clinics and regional systems so that high-quality HIV/TB care becomes routine, measurable, and scalable, while ensuring the national program has the technical tools and coordination ability to sustain and standardize those gains across the country.

• The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Strengthening Local Capacity to Deliver Sustainable Quality-Assured Universal Coverage of Clinical HIV/TB Services in Lubombo Region, and Provide Central Level Technical Assistance to the Swaziland National AIDS Program (SNAP) in the Kingdom of Swaziland" 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 2015-09-28.
• Applicants must submit their applications by 2015-11-30. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• Eligible applicants include: Others.

Apply for CDC RFA GH15 158202CONT16

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