Opportunity Information: Apply for CDC RFA GH21 2127

This funding opportunity (CDC RFA GH21-2127) is a PEPFAR-supported cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), aimed at strengthening HIV prevention, care, and treatment services for key populations in South Africa. The program is structured as a multi-year effort, planned over five years, and is designed to support targeted, comprehensive service delivery for groups that face disproportionately high HIV risk and significant barriers to accessing health services. The key populations specifically named are sex workers (SWs), men who have sex with men (MSM), transgender people (TG), and people who inject drugs (PWID). The overall emphasis is on practical, on-the-ground service delivery that combines HIV prevention, testing, and treatment with integrated care for common co-infections and related conditions.

For funding, the notice states that the Year 1 award ceiling is listed as 0 (meaning there is no fixed upper limit specified per award for that first year), while CDC anticipates approximately $11,000,000 total available in Fiscal Year 1, contingent on the availability of funds. The opportunity anticipates making around three awards. Because this is a cooperative agreement, recipients should expect substantial CDC involvement in planning, implementation support, monitoring, and alignment with PEPFAR priorities, rather than a hands-off grant model. Eligibility is described as unrestricted, meaning a wide range of organizations can apply, subject to any additional eligibility clarifications included in the full announcement.

Programmatically, the NOFO calls for a comprehensive and targeted package of services that spans the HIV prevention-to-treatment continuum. That includes prevention interventions, HIV testing or screening, rapid linkage to care, and sustained antiretroviral treatment support. It also explicitly requires attention to related diseases and co-morbidities that commonly intersect with HIV risk and outcomes, including tuberculosis (TB), sexually transmitted infections (STIs), and viral hepatitis. In practice, the intent is to avoid siloed services and instead provide integrated, client-centered care that meets key populations where they are, reduces drop-off between steps (testing to treatment, treatment to viral suppression), and addresses the clinical realities of co-infection and syndemics.

In addition to core HIV and related-disease services, the NOFO highlights complementary services that should be included as needed based on client circumstances. Examples named include sexual and reproductive health services and opioid substitution therapy (OST), which is particularly relevant for PWID programming and harm reduction approaches. This framing signals that CDC and PEPFAR are looking for implementers that can deliver a complete package rather than isolated activities, with service models capable of addressing structural and behavioral drivers of risk, supporting retention in care, and improving health outcomes in stigmatized and often hard-to-reach communities.

Geographically, the opportunity specifies distinct district footprints for each key population-focused program. The sex worker program is expected to operate in 5 to 9 districts, specifically including eThekwini and uMgungundlovu in KwaZulu-Natal; OR Tambo in the Eastern Cape; Dr. Kenneth Kaunda and Ngaka Modiri Molema in North West; and Nkangala, Gert Sibande, and Ehlanzeni in Mpumalanga. The MSM and transgender program is planned for five districts: eThekwini and uMgungundlovu in KwaZulu-Natal; Tshwane and Ekurhuleni in Gauteng; and Ehlanzeni in Mpumalanga. The PWID program is more geographically concentrated, operating in two districts: Tshwane in Gauteng and Ehlanzeni in Mpumalanga. The notice also leaves room for later geographic expansion, depending on changing epidemic needs and PEPFAR prioritization, which indicates the program is intended to remain adaptable as data and policy direction evolve.

Key administrative details include the opportunity category (discretionary), activity category (health), and CFDA number 93.067. The original posting date is January 11, 2021, with an original application deadline of March 12, 2021, and an electronic submission cutoff of 11:59 p.m. Eastern Time on the due date. Overall, the NOFO is centered on scaling effective, evidence-informed HIV service delivery for key populations in specified high-priority districts, with integrated clinical and supportive services intended to improve prevention coverage, case finding, linkage, treatment continuity, and outcomes such as viral suppression, while also addressing TB, STIs, and viral hepatitis in a coordinated way.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Provide Comprehensive Packages of HIV Prevention, Care, and Treatment Services for Key Populations in South Africa 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 11, 2021.
  • Applicants must submit their applications by Mar 12, 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 3 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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