Opportunity Information: Apply for CDC RFA GH19 1915
This funding opportunity (CDC RFA GH19 1915) is a PEPFAR-supported cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), focused on strengthening Cameroon's National Tuberculosis Control Program (NTCP) to reduce the combined burden of tuberculosis (TB) and HIV and to help Cameroon build the systems needed to reach and sustain TB/HIV epidemic control. The application window opened in September 2018 and closed in November 2018, with an anticipated single award and an award ceiling of up to $1,000,000. The opportunity is categorized as discretionary funding and uses a cooperative agreement mechanism, which typically means the CDC expects to have substantial involvement in implementation and technical direction rather than acting only as a funder.
The public health problem driving this award is Cameroon's place among the 30 highest-burden countries globally for TB/HIV co-infection. The notice highlights several performance gaps that illustrate why added support is being sought: in 2016, only about 54 percent of TB cases were notified, a relatively small share of reported TB cases were children (about 5.5 percent), TB treatment coverage was around 55 percent, and treatment success was 84 percent. Even with national TB and HIV strategic plans in place, the country continues to face weak TB case finding, suboptimal diagnosis, and gaps in clinical management. Co-infection rates remain high, implementation of isoniazid preventive therapy (IPT) for TB prevention among people living with HIV is limited, and antiretroviral therapy (ART) services are not consistently integrated into TB clinic settings. The notice also points to broader system constraints, including limited human resource capacity and persistent challenges with stock management, which can contribute to interruptions in medicines, diagnostics, and essential supplies.
The core intent of the award is to support practical, scalable service delivery models that improve the full continuum of TB/HIV programming, with particular emphasis on TB services for people living with HIV (PLHIV) and HIV services for people diagnosed with TB. On the TB side, the NOFO seeks approaches that strengthen screening and early identification, improve case detection, and enhance prevention, diagnosis, and treatment of TB among PLHIV. This implies moving beyond passive detection and strengthening the ability of HIV programs and clinics to consistently screen for TB symptoms, rapidly investigate presumptive TB, and ensure confirmed TB cases start effective treatment promptly and complete it successfully.
On the HIV side, the opportunity prioritizes stronger HIV testing services for TB clients, faster ART initiation, improved clinical monitoring, and stronger ongoing care for people with TB, especially those co-infected with HIV. A major theme is better integration: rather than treating TB and HIV as separate vertical services, the notice calls out the need to embed HIV services within TB clinics more effectively so that patients are tested, started on ART, and monitored without avoidable referral delays or loss to follow-up. This integration focus is directly tied to the goal of lowering illness and death among co-infected patients and reducing ongoing transmission.
Beyond direct service improvements, the NOFO is explicit that sustainable impact depends on stronger health system functions. Two system areas are highlighted as priorities: monitoring and evaluation (M and E) capacity and infection control (IC) capacity. Strengthening M and E typically means improving data quality, reporting completeness, and the routine use of data for program decision-making, including tracking the TB/HIV cascade (screening, diagnosis, treatment initiation, treatment outcomes, HIV testing coverage among TB patients, ART uptake, and preventive therapy uptake). Strengthening infection control capacity signals an emphasis on reducing TB transmission in health facilities through better policies, staff practices, and facility-level measures, which is especially important in clinics serving large numbers of immunocompromised patients.
Overall, this opportunity is framed as a targeted investment aligned with Cameroon's commitments to the Sustainable Development Goals and the WHO End TB Strategy. The grant is meant to help Cameroon close persistent gaps in TB case notification and treatment coverage, reduce the burden of TB/HIV co-infection, expand preventive therapy, and improve how TB and HIV services work together in real clinical settings. By pairing programmatic improvements (screening, diagnosis, treatment, ART integration) with health system strengthening (M and E, infection control, and attention to operational constraints like human resources and stock management), the NOFO aims to build a more effective and resilient national response capable of achieving and sustaining TB/HIV epidemic control.Apply for CDC RFA GH19 1915
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthen Cameroon's National Tuberculosis Control Program (NTCP) to Decrease the TB/HIV Burden and Develop Systems to Achieve and Sustain TB/HIV Epidemic Control in Cameroon 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 Sep 19, 2018.
- Applicants must submit their applications by Nov 18, 2018 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.)
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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