Opportunity Information: Apply for CDC RFA GH 24 0090
This funding opportunity (CDC RFA GH 24 0090) is a PEPFAR-supported cooperative agreement from the Centers for Disease Control and Prevention (CDC), Center for Global Health, focused on strengthening how the Government of Lesotho plans, tracks, and improves HIV and TB programs using better health information systems and stronger strategic information capacity. The overall intent is to make routine program data more complete, timely, accurate, and usable so national and district teams can make evidence-based decisions that help Lesotho reach and sustain the HIV 95-95-95 targets: 95 percent of people living with HIV know their status, 95 percent of those diagnosed are on treatment, and 95 percent of those on treatment are virally suppressed. The opportunity also emphasizes using these improved systems and data practices to support HIV epidemic control and stronger TB-related reporting and monitoring.
Funding is anticipated at approximately $7,000,000 for Year 1, contingent on the availability of funds, with an expected single award. Although the notice lists an award ceiling of $0 for Year 1 (meaning no formal cap is set in the posting), CDC still signals its planned Year 1 funding level through the approximate total fiscal year amount. The instrument is a cooperative agreement, which generally indicates substantial programmatic involvement by CDC during implementation, including alignment with CDC and PEPFAR technical expectations and ongoing collaboration around work planning, monitoring, and performance improvement. Eligibility is listed as unrestricted, meaning there is no special applicant category limitation stated in the notice itself.
The work described centers on strengthening strategic information systems and monitoring and evaluation (M&E) capacity across both national and district levels. A major component is building the skills of M&E staff at all levels to analyze and use data from multiple sources, not just to report numbers but to interpret trends, identify performance gaps, and prioritize actions that improve service delivery. In practice, that implies training and mentorship for data analysis and visualization, routine data review meetings, supportive supervision, and standard approaches for data quality checks so that managers and implementers can trust the information they use to run HIV and TB programs.
A core technical focus is the District Health Information System, Version 2 (DHIS2), along with electronic register systems used at facilities and districts. The NOFO calls for strengthening DHIS2 and related electronic registers so they better support program monitoring and operational decision-making. This includes improving data flow from facilities to districts and national dashboards, strengthening configuration and maintenance of the platform, improving data completeness and timeliness, and ensuring that indicators and reporting structures align with national and PEPFAR requirements. The intention is to make DHIS2 not only a reporting repository, but a functional management tool that supports routine performance monitoring for priority HIV and TB program areas.
Interoperability is another central theme. The NOFO specifically highlights the need to enhance how DHIS2 connects with other important data systems, including PEPFAR DATIM (Data for Accountability, Transparency and Impact Monitoring) and the Laboratory Information System. This reflects a practical need to reduce manual data transfers, reconcile differences across systems, and ensure consistent reporting across national and donor platforms. Strong interoperability can support more reliable case tracking and help connect clinical data with lab results, which is critical for monitoring HIV viral load testing and suppression outcomes, as well as supporting TB diagnostics and treatment monitoring where relevant.
The opportunity also underscores case-based surveillance and improved case reporting to support epidemic control for HIV and TB. This points to strengthening the ability to track individuals and cases through the continuum of care in ways that support public health action, such as identifying missed appointments, detecting gaps in testing or treatment initiation, monitoring retention and outcomes, and improving follow-up for people with unsuppressed viral loads. By improving case-based approaches and the linkage between clinical services, laboratories, and reporting systems, the program aims to make it easier to detect problems early and target interventions where they will have the greatest impact.
Finally, the NOFO frames routine data use as a foundation for continuous quality improvement (CQI). The expectation is that high-quality data will be used regularly to monitor priority programs, evaluate public health impact, and drive iterative improvements in service delivery. In practical terms, this means setting up or strengthening CQI structures that use facility and district data to identify bottlenecks, test changes, measure whether changes work, and standardize effective practices. The overall result CDC is aiming for is a stronger, more integrated national and district health information environment in Lesotho where HIV and TB program decisions are guided by timely, accurate data and where clinical and laboratory systems support each other to improve outcomes and sustain epidemic control.
Key administrative details from the notice include: the funding opportunity title as listed above; opportunity category discretionary; funding instrument cooperative agreement; activity category health; CFDA number 93.067; one expected award; posting creation date December 11, 2023; and an original application closing date of February 26, 2024.Apply for CDC RFA GH 24 0090
- The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening the Government of Lesotho’s National and District HIV and TB Programming through Advancing Health Information Systems, Case-Based Surveillance, Monitoring, Evaluation and Quality Improvement Support under 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 2023-12-11.
- Applicants must submit their applications by 2024-02-26. (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)
1) What is CDC RFA GH 24 0090?
CDC RFA GH 24 0090 is a PEPFAR-supported funding opportunity from the Centers for Disease Control and Prevention (CDC), Center for Global Health. It is set up as a cooperative agreement focused on strengthening Lesotho's health information systems and strategic information capacity for HIV and TB programs.
2) What is the main goal of this cooperative agreement?
The main goal is to strengthen how the Government of Lesotho plans, tracks, and improves HIV and TB programs by improving routine program data quality and use. The intent is to make routine data more complete, timely, accurate, and useful for evidence-based decision-making at national and district levels.
3) How does this opportunity connect to the HIV 95-95-95 targets?
The work is intended to support Lesotho in reaching and sustaining the HIV 95-95-95 targets: 95 percent of people living with HIV know their status, 95 percent of those diagnosed are on treatment, and 95 percent of those on treatment are virally suppressed. Improved routine data and stronger systems are meant to help teams monitor progress, find gaps, and prioritize actions that improve outcomes.
4) Does the opportunity include tuberculosis (TB) work?
Yes. In addition to HIV, the opportunity emphasizes stronger TB-related reporting and monitoring, and highlights improved systems and data practices to support both HIV epidemic control and TB program monitoring.
5) What type of funding instrument is used?
The funding instrument is a cooperative agreement. This generally means CDC is expected to have substantial programmatic involvement during implementation, including alignment with CDC and PEPFAR technical expectations and ongoing collaboration on work planning, monitoring, and performance improvement.
6) How much funding is anticipated for Year 1?
Funding is anticipated at approximately $7,000,000 for Year 1, contingent on the availability of funds.
7) Is there an award ceiling (cap) listed for Year 1?
The notice lists an award ceiling of $0 for Year 1, which is described as meaning no formal cap is set in the posting. Even so, CDC signals its planned Year 1 funding level through the approximate total fiscal year amount (approximately $7,000,000).
8) How many awards does CDC expect to make?
The notice indicates an expected single award (one expected award).
9) Who is eligible to apply?
Eligibility is listed as unrestricted, meaning the notice does not state a special applicant category limitation.
10) What is the overall program focus: service delivery or information systems?
The focus is on strengthening strategic information systems and monitoring and evaluation (M&E) capacity. The emphasis is on improving data systems and strengthening routine data analysis and use so that program decisions for HIV and TB are guided by timely, accurate information.
11) What kinds of capacity strengthening are emphasized for M&E staff?
The opportunity emphasizes building skills for M&E staff at national and district levels to analyze and use data from multiple sources. The intent is to move beyond reporting counts to interpreting trends, identifying performance gaps, and prioritizing actions that improve service delivery.
12) What practical activities are implied for improving routine data use?
Examples described or implied include training and mentorship for data analysis and visualization, routine data review meetings, supportive supervision, and standard approaches for data quality checks to improve trust in the information used to manage HIV and TB programs.
13) What is DHIS2 and why is it central to this NOFO?
The District Health Information System, Version 2 (DHIS2), is identified as a core technical focus. The NOFO calls for strengthening DHIS2 and related electronic register systems so they better support program monitoring and operational decision-making, not just reporting.
14) What improvements to DHIS2 are highlighted?
Key improvements include strengthening configuration and maintenance of the platform, improving data flow from facilities to districts and national dashboards, improving data completeness and timeliness, and ensuring indicators and reporting structures align with national and PEPFAR requirements.
15) Does the opportunity address electronic registers in addition to DHIS2?
Yes. The notice references DHIS2 along with electronic register systems used at facilities and districts, and calls for strengthening both DHIS2 and related electronic registers to support monitoring and decision-making.
16) What does interoperability mean in the context of this opportunity?
Interoperability refers to improving how DHIS2 connects with other important data systems so data can be shared and reconciled more efficiently. The NOFO highlights this to reduce manual data transfers, address differences across systems, and improve consistency in reporting across national and donor platforms.
17) Which systems are specifically mentioned for interoperability work?
The NOFO specifically mentions enhancing connections between DHIS2 and PEPFAR DATIM (Data for Accountability, Transparency and Impact Monitoring), as well as the Laboratory Information System.
18) Why is linking to laboratory information important for HIV and TB programs?
Linking clinical data with laboratory results supports better monitoring of HIV viral load testing and viral suppression outcomes. It can also support TB diagnostics and treatment monitoring where relevant, by improving the reliability and timeliness of lab-linked reporting.
19) Does the NOFO include case-based surveillance and case reporting?
Yes. The opportunity underscores case-based surveillance and improved case reporting to support epidemic control for HIV and TB, with an emphasis on strengthening the ability to track individuals and cases through the continuum of care.
20) What kinds of public health actions are supported by stronger case-based approaches?
Examples described include identifying missed appointments, detecting gaps in testing or treatment initiation, monitoring retention and outcomes, and improving follow-up for people with unsuppressed viral loads. The overall intent is earlier detection of problems and more targeted interventions.
21) How does continuous quality improvement (CQI) fit into this work?
The NOFO frames routine data use as a foundation for continuous quality improvement (CQI). The expectation is that high-quality data will be used regularly to monitor priority programs, evaluate public health impact, and drive iterative improvements in service delivery.
22) What does CQI look like in practical terms under this opportunity?
In practical terms, the NOFO describes or implies strengthening CQI structures that use facility and district data to identify bottlenecks, test changes, measure whether changes work, and standardize effective practices.
23) What is CDC aiming for as the overall result in Lesotho?
CDC is aiming for a stronger, more integrated national and district health information environment in Lesotho where HIV and TB program decisions are guided by timely, accurate data, and where clinical and laboratory systems support each other to improve outcomes and sustain epidemic control.
24) What is the opportunity category and activity category?
The opportunity category is discretionary, and the activity category is health.
25) What CFDA number is associated with this opportunity?
The CFDA number listed for this opportunity is 93.067.
26) When was the funding opportunity posted?
The posting creation date listed is December 11, 2023.
27) What was the original application closing date?
The original application closing date listed is February 26, 2024.
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