Opportunity Information: Apply for CDC RFA GH 24 0071
This grant opportunity, titled "Clinical and Public Health Curriculum Development, Training, Mentoring, and Implementation of Continuous Quality Improvement for the Haitian Healthcare System under PEPFAR," is a CDC-led cooperative agreement focused on strengthening Haiti's capacity to deliver high-quality HIV prevention and treatment services. It is issued under Funding Opportunity Number CDC RFA GH 24 0071 and is categorized as a discretionary health award (CFDA 93.067). The program is designed to support both frontline service improvement and the national leadership role of Haiti's Ministry of Public Health and Population (MSPP), especially around standard-setting and system-wide quality improvement.
For funding, CDC indicates an approximate total of $4,500,000 available for Year 1, depending on the availability of funds, and expects to make one award. Notably, the notice lists an "Award Ceiling for Year 1" as $0 (none), which typically signals that the agency is not setting a maximum cap per applicant in the usual way, rather than implying that no funds will be awarded. The original application closing date was February 22, 2024. Eligibility is listed as unrestricted, meaning the competition is open and not limited to a narrow class of applicants, though applicants would still need to demonstrate the technical capacity to operate in Haiti and implement PEPFAR-aligned HIV program strengthening activities.
The overall purpose of the award is twofold. First, it aims to build and enhance the capacity of Haiti's public health workforce so that HIV care, treatment, and prevention services improve in quality and consistency. This includes specific attention to prevention of mother-to-child transmission of HIV (PMTCT), a core PEPFAR priority area because it requires reliable clinical follow-up, strong antenatal and maternal services linkages, and high adherence to evidence-based protocols. Second, the award supports MSPP in its normative role, meaning its responsibility to set standards, develop national guidance, and provide stewardship so that health services are delivered according to consistent, approved policies across the country.
The opportunity emphasizes improving service delivery through hands-on technical assistance delivered at the facility level. A central strategy described is clinical mentoring for health facilities that provide HIV services. In practice, this usually involves experienced clinicians and program mentors working directly with facility teams to strengthen clinical decision-making, improve patient flow and follow-up, reinforce adherence counseling and retention strategies, support correct use of antiretroviral therapy protocols, and address practical bottlenecks that cause gaps in testing, treatment initiation, viral load monitoring, and PMTCT service continuity. The intent is not just one-time training but ongoing, on-the-job support that helps providers apply standards consistently in real settings.
Another major component is health workforce development, presented as both in-service and pre-service investments. On the in-service side, the NOFO calls for high-quality, tailored learning experiences that combine training and coaching for a range of audiences, including site-level providers, staff from partner organizations, and MSPP representatives at the departmental level. The emphasis on tailoring suggests that activities should be adapted to different provider roles (for example nurses, physicians, pharmacists, lab personnel, community health staff, and program managers) and to the needs of specific departments or facilities. On the pre-service side, the NOFO highlights specialized nurse training to promote task-sharing in HIV management, which generally means expanding the responsibilities of trained nurses so they can safely take on clinical tasks that might otherwise be limited to physicians, helping address workforce shortages and improving service coverage without compromising quality.
The NOFO also targets national standards for HIV health services delivery (SHSD) by working closely with MSPP to create, revise, and routinely update core normative tools. These tools include national guidelines, Standard Operating Procedures (SOPs), and job aids. This part of the grant is essentially about ensuring that the clinical and programmatic rules of the road are current, evidence-based, aligned with international recommendations and PEPFAR priorities, and translated into practical materials that providers can actually use in busy clinical settings. Regular updates matter because HIV guidance evolves, and national documents often need revision to incorporate new testing algorithms, treatment regimens, differentiated service delivery models, PMTCT improvements, and monitoring approaches.
Finally, the grant prioritizes measurable improvement in the quality of services by supporting MSPP to implement a defined, tailored Continuous Quality Improvement (CQI) model at both national and sub-national levels. CQI typically involves setting clear performance aims, measuring key indicators, identifying root causes of performance gaps, testing changes through structured cycles, and scaling what works. By emphasizing implementation at multiple levels, the NOFO signals that quality improvement should not be limited to individual facilities, but should be institutionalized through departmental and national structures so that improvement methods, data use, coaching, and accountability become part of how the system operates.
Because the funding instrument is a cooperative agreement, CDC is likely to have substantial involvement beyond simply providing funds, such as collaborative planning, technical direction, and performance monitoring. Taken together, the opportunity is aimed at building a stronger and more self-sustaining Haitian HIV response by improving day-to-day clinical practice through mentoring, developing the workforce through training and task-sharing, strengthening national guidance through updated standards and tools, and embedding CQI practices so service quality improves consistently over time.Apply for CDC RFA GH 24 0071
- The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Clinical and Public Health Curriculum Development, Training, Mentoring, and Implementation of Continuous Quality Improvement for the Haitian Healthcare System 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 2023-12-06.
- Applicants must submit their applications by 2024-02-22. (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.
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Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Clinical and Public Health Curriculum Development, Training, Mentoring, and Implementation of Continuous Quality Improvement for the Haitian Healthcare System under PEPFAR."
Which agency is offering this opportunity?
This is a CDC-led cooperative agreement.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CDC RFA GH 24 0071.
What type of award is this?
It is a discretionary health award issued as a cooperative agreement, meaning CDC is expected to have substantial involvement in the program beyond providing funding.
What is the CFDA number for this program?
The program is categorized under CFDA 93.067.
What is the overall purpose of the award?
The award has a two-part purpose: (1) strengthen Haiti's public health workforce capacity to improve the quality and consistency of HIV prevention, care, and treatment services, and (2) support Haiti's Ministry of Public Health and Population (MSPP) in its national leadership (normative) role to set standards and drive system-wide quality improvement.
Who is the program designed to support in Haiti?
The program is designed to support both frontline HIV service improvement at facilities and the national leadership role of MSPP, especially around standard-setting and system-wide quality improvement.
How much funding is available?
CDC indicates approximately $4,500,000 is available for Year 1, depending on the availability of funds.
How many awards does CDC expect to make?
CDC expects to make one award.
The notice lists an "Award Ceiling for Year 1" as $0. Does that mean there is no funding?
No. The notice also states an approximate total of $4,500,000 is available for Year 1. The "$0" ceiling is presented as "none," which typically indicates the agency is not setting a maximum cap per applicant in the usual way, rather than indicating that no funds will be awarded.
What was the original application closing date?
The original application closing date was February 22, 2024.
Who is eligible to apply?
Eligibility is listed as unrestricted, meaning the competition is open and not limited to a narrow class of applicants. Applicants would still be expected to demonstrate the technical capacity to operate in Haiti and implement PEPFAR-aligned HIV program strengthening activities.
What does it mean that eligibility is "unrestricted"?
"Unrestricted" indicates the opportunity is open to a broad range of applicants rather than being limited to a specific category. It does not remove expectations around capability, such as the ability to work in Haiti and deliver PEPFAR-aligned HIV program support.
What major HIV service areas are emphasized?
The opportunity focuses on strengthening HIV prevention and treatment services, with specific attention to prevention of mother-to-child transmission of HIV (PMTCT) due to its need for reliable follow-up, strong antenatal and maternal services linkages, and adherence to evidence-based protocols.
Why is PMTCT specifically highlighted?
PMTCT is described as a core PEPFAR priority area because it requires dependable clinical follow-up, strong linkages between antenatal and maternal services, and consistent use of evidence-based protocols to maintain service continuity.
What are the main approaches described for improving service quality?
The opportunity emphasizes hands-on technical assistance at the facility level, clinical mentoring to reinforce consistent practice, workforce development through in-service and pre-service training, strengthening national guidance through updated standards and tools, and implementing Continuous Quality Improvement (CQI) at national and sub-national levels.
What is meant by "hands-on technical assistance" at the facility level?
It refers to practical, on-site support aimed at improving day-to-day service delivery in facilities providing HIV services, rather than relying only on one-time classroom training.
What is "clinical mentoring" in this context?
Clinical mentoring involves experienced clinicians and program mentors working directly with health facility teams to strengthen clinical decision-making and implementation. Examples described include improving patient flow and follow-up, reinforcing adherence counseling and retention strategies, supporting correct use of antiretroviral therapy protocols, and addressing bottlenecks that lead to gaps in testing, treatment initiation, viral load monitoring, and PMTCT continuity.
Is the focus on one-time training events or ongoing support?
The intent is not just one-time training. The opportunity emphasizes ongoing, on-the-job support so providers can apply standards consistently in real clinical settings over time.
What types of workforce development activities are included?
The NOFO describes both in-service and pre-service workforce development. In-service activities include tailored learning experiences that combine training and coaching for site-level providers, partner organization staff, and MSPP representatives at the departmental level. Pre-service activities include specialized nurse training to promote task-sharing in HIV management.
Who are the intended audiences for in-service training and coaching?
Audiences include site-level providers, staff from partner organizations, and MSPP representatives at the departmental level. The NOFO also suggests tailoring by provider role such as nurses, physicians, pharmacists, lab personnel, community health staff, and program managers.
What does "tailored" training imply for this opportunity?
It implies learning activities should be adapted to different roles and contexts, such as the needs of specific departments, facilities, and professional cadres (for example clinical, lab, pharmacy, community-facing, and management roles).
What is meant by "task-sharing" through specialized nurse training?
Task-sharing here refers to expanding responsibilities of trained nurses so they can safely take on HIV clinical tasks that might otherwise be limited to physicians, helping address workforce shortages while maintaining quality.
What is MSPP's "normative role" as described in this opportunity?
MSPP's normative role refers to its responsibility to set national standards, develop guidance, and provide stewardship so health services are delivered according to consistent, approved policies across Haiti.
What kinds of national tools and standards will the program support?
The program supports development, revision, and routine updating of core normative tools such as national guidelines, Standard Operating Procedures (SOPs), and job aids related to HIV health services delivery (SHSD).
Why does the opportunity emphasize routinely updating national guidance?
Because HIV guidance evolves over time. National documents may need updates to incorporate changes such as new testing algorithms, treatment regimens, differentiated service delivery models, PMTCT improvements, and monitoring approaches.
What is Continuous Quality Improvement (CQI) in this opportunity?
CQI is described as a defined, tailored model that includes setting clear performance aims, measuring key indicators, identifying root causes of performance gaps, testing changes through structured cycles, and scaling what works.
At what levels is CQI expected to be implemented?
The opportunity prioritizes CQI implementation at both national and sub-national levels, not only within individual facilities.
Why does the NOFO emphasize CQI beyond individual facilities?
It signals an intent to institutionalize quality improvement through departmental and national structures so improvement methods, data use, coaching, and accountability become part of routine system operations.
How does a cooperative agreement differ from a standard grant in this case?
Because it is a cooperative agreement, CDC is likely to be substantially involved through collaborative planning, technical direction, and performance monitoring, rather than only providing funding.
How does this opportunity align with PEPFAR?
It is explicitly framed under PEPFAR and focuses on PEPFAR-aligned HIV program strengthening, including improving HIV prevention and treatment quality, strengthening PMTCT, supporting standard-setting, and embedding quality improvement practices.
What kinds of service delivery gaps does the opportunity aim to reduce?
The description highlights practical bottlenecks that can cause gaps in HIV testing, treatment initiation, viral load monitoring, and PMTCT service continuity, and positions mentoring and CQI as key strategies to address these gaps.
What is the intended long-term impact of the program?
The opportunity aims to build a stronger and more self-sustaining Haitian HIV response by improving clinical practice through mentoring, developing the workforce through training and task-sharing, strengthening national guidance through updated standards and tools, and embedding CQI so service quality improves consistently over time.
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