Opportunity Information: Apply for CDC RFA GH21 2115

This funding opportunity (CDC RFA GH21 2115) is a CDC cooperative agreement under PEPFAR focused on supporting Nairobi County, Kenya to implement and expand high quality, comprehensive HIV prevention, care, and treatment services while strengthening local systems for a more sustainable, Kenya-owned response. Although the listed award ceiling for Year 1 is shown as 0 (meaning no fixed cap is specified in the notice), CDC indicates an anticipated total funding amount of about USD 20.8 million for Year 1, dependent on available funds, with an expectation of making two awards. The opportunity was created January 8, 2021, with applications originally due March 9, 2021 (11:59 p.m. ET). Eligibility is described as unrestricted, meaning a wide range of entity types may apply, subject to any additional eligibility instructions in the full announcement.

Programmatically, the grant is designed to support an integrated HIV service delivery model in Nairobi County that embeds HIV services into routine health care rather than treating them as stand-alone activities. A core theme is sustainability and efficiency: strengthening county health systems and the National Teaching and Referral Hospital (NTRH) so the response becomes increasingly led, managed, and financed locally by Kenyan institutions. The model emphasizes strong linkages between facilities and communities to improve continuity of care, reach people earlier, and reduce drop-off along prevention and treatment pathways.

The activities described cover the full HIV cascade and key related services. This includes HIV testing services (HTS) to identify people living with HIV and link them to care; comprehensive pediatric and adult HIV treatment services; and integrated TB/HIV prevention and treatment to address the high burden of co-infection and its impact on illness and deaths. It also includes prevention of mother-to-child transmission (PMTCT) to protect infants and support maternal health, as well as voluntary medical male circumcision (VMMC) as an evidence-based prevention intervention. The opportunity explicitly incorporates services for orphans and vulnerable children (OVC), recognizing the social and economic impacts of HIV on households and the importance of protective services for children affected by HIV.

A significant portion of the scope targets populations with elevated HIV risk and structural barriers to care. The NOFO calls for HIV prevention and treatment for key populations (KP), specifically female sex workers, men who have sex with men, transgender people, and people who inject drugs, groups that often face stigma, criminalization, and access challenges that require tailored approaches. It also includes HIV prevention efforts for adolescent girls and young women (AGYW), reflecting the disproportionate incidence and vulnerability among young women in many settings and the need for targeted combination prevention. Supporting components include laboratory services (critical for diagnosis, treatment monitoring such as viral load testing, and quality assurance) and strategic information systems to strengthen data collection, analysis, reporting, and use for decision-making and performance improvement.

The overall intent is to align with global and Kenyan goals to end AIDS as a public health threat by 2030. The expected outcomes are framed around measurable improvements in both service delivery and system capacity: increased coverage and higher quality HIV services; reduced morbidity and mortality among people living with HIV, including those co-infected with TB; reduced HIV incidence through stronger prevention and earlier treatment; progress toward elimination of mother-to-child transmission; and stronger county health system performance. System strengthening is expected to be visible through increased local resource allocation, improved leadership, and greater county government ownership of HIV program implementation, signaling movement away from dependence on external support toward a durable, locally sustained response.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supporting the Implementation and Expansion of High Quality, Sustainable and Comprehensive HIV Prevention, Care and Treatment Programs in Nairobi County in the Republic of Kenya 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 Jan 08, 2021.
  • Applicants must submit their applications by Mar 09, 2021 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 2 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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