Opportunity Information: Apply for CDC RFA GH12 12500501SUPP17
This grant opportunity, titled "Supplement: Improving Quality of Care and Health Impact through Innovative System Technologies in Malawi under PEPFAR," is a CDC-led cooperative agreement designed to strengthen Malawi's health system performance by improving how health data are captured, managed, shared, and used at the point of care. The overall intent is to provide comprehensive, cost-effective technical assistance and capacity building for PEPFAR- and Global Fund-supported health activities, with a strong emphasis on HIV but structured in a way that can support broader service delivery needs across a patient's lifespan. Rather than funding clinics or service delivery directly, the award is meant to help the organizations that are already implementing HIV programs scale and improve their work through targeted technical support, stronger systems, and better quality data.
A central feature of the opportunity is its focus on five PEPFAR-supported technical areas where applicants can propose support. These include: prevention of mother-to-child transmission of HIV (PMTCT); HIV care and treatment clinical services for adults and children; pediatric HIV care and treatment; surveillance and strategic information (often referred to as SI); and laboratory systems. Applicants are expected to address one or more of these areas, aligning their proposed assistance with country priorities and the practical needs of implementing partners. In addition to supporting PEPFAR priorities, the announcement explicitly includes support for Global Fund implementing partners, particularly to assess HIV service delivery and develop technical assistance plans and strategies that respond to identified gaps.
The program's practical purpose in Malawi is to strengthen facility-level health information systems so that service delivery becomes more integrated and effective across different care points. "Facility level" is defined broadly and includes the full range of places where patients interact with the health system and where clinical information is recorded: health posts, dispensaries, maternity units, health centers, community and rural hospitals, district hospitals, and central hospitals. The emphasis is on improving data collection where care happens, so that clinicians and health managers are working from reliable, timely information rather than fragmented paper records or incomplete reporting. By focusing on the point of care, the opportunity aims to improve the quality of care and patient outcomes, not just reporting metrics.
A major expected outcome is building a stronger national electronic health information system (HIS) foundation. The award supports development and reinforcement of reliable electronic data sources that feed Malawi's Health Management Information System for national reporting, while also strengthening a National Health Data Repository that can be used for surveillance and epidemiological analysis. Although HIV is the primary program driver under PEPFAR, the FOA signals that these systems should be designed around a continuum-of-care approach and structured to cover other acute and chronic illnesses as well. In other words, the investment is meant to create durable infrastructure that improves HIV outcomes while also leaving Malawi with stronger, more flexible national health data capabilities.
Another key theme is sustainability and country ownership. The FOA emphasizes integrated information systems that Malawi can maintain and govern over time, with innovations that make data systems more usable and reduce the workload on healthcare workers. That includes strengthening data collection, management, and use at facility, district, and national levels, so that frontline staff are not burdened by duplicative tools and parallel reporting requirements. The logic is that better-integrated systems and clearer data flows support better clinical decision-making, stronger program oversight, and faster identification of service delivery problems.
This is not a research funding opportunity. Funds cannot be used for research activities, but the announcement does allow certain non-research activities that may still trigger institutional human subjects review, depending on local requirements. Examples explicitly mentioned as potentially allowable include formative assessments, surveys, disease surveillance, program monitoring and evaluation, and field evaluation of diagnostic tests. The overall framing is public health practice: improving programs, services, and health outcomes through system strengthening and technical assistance rather than generating generalizable research findings.
Administratively, the opportunity is a discretionary cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under CFDA 93.067. The Funding Opportunity Number is CDC RFA GH12 12500501SUPP17. The award ceiling listed is $2,620,080, with an expectation of one award. The opportunity was created on December 4, 2017, with an original closing date of February 2, 2018, and applications were due electronically by 11:59 p.m. Eastern Time on the due date. Eligibility is listed as "Others" with additional eligibility details referenced in the full announcement, implying that applicants needed to check the FOA text for specific constraints or qualifying organization types.
In plain terms, this supplement is aimed at organizations capable of providing high-level technical assistance that helps Malawi and its partners deliver better HIV services by modernizing and integrating facility-level information systems, strengthening surveillance and laboratory data capacity, and ensuring that data systems support both day-to-day clinical care and national-level planning. The end goal is a more reliable, country-owned, and efficient digital health ecosystem that improves quality of care, strengthens accountability, and helps Malawi respond more effectively to its HIV epidemic while building capacity that also benefits broader health services.Apply for CDC RFA GH12 12500501SUPP17
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supplement: Improving Quality of Care and Health Impact through Innovative System Technologies in Malawi 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 Dec 04, 2017.
- Applicants must submit their applications by Feb 02, 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 $2,620,080.00 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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Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Supplement: Improving Quality of Care and Health Impact through Innovative System Technologies in Malawi under PEPFAR."
Which U.S. agency is leading this opportunity?
This is a CDC-led cooperative agreement under the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC).
What type of funding mechanism is this?
It is a discretionary cooperative agreement, meaning CDC is expected to have substantial involvement in the work beyond a standard grant.
What is the main purpose of the award?
The main purpose is to strengthen Malawi's health system performance by improving how health data are captured, managed, shared, and used at the point of care. The focus is on providing technical assistance and capacity building that helps PEPFAR- and Global Fund-supported health activities perform better, especially for HIV programs.
Is this funding intended to pay for direct clinic service delivery?
No. The funding is not designed to directly fund clinics or service delivery. Instead, it is intended to help organizations already implementing HIV programs scale and improve their work through targeted technical support, stronger systems, and better quality data.
What are the priority technical areas applicants can propose to support?
Applicants are expected to address one or more of the following five PEPFAR-supported technical areas:
- Prevention of mother-to-child transmission of HIV (PMTCT)
- HIV care and treatment clinical services for adults and children
- Pediatric HIV care and treatment
- Surveillance and strategic information (SI)
- Laboratory systems
Does the opportunity require applicants to cover all five technical areas?
No. Applicants are expected to address one or more of the five listed PEPFAR-supported technical areas, aligned with country priorities and implementing partner needs.
How does this opportunity relate to PEPFAR?
The opportunity is structured around PEPFAR priorities and aims to improve HIV program performance in Malawi by strengthening facility-level information systems, data use, surveillance/strategic information, and laboratory-related data capacity.
How does this opportunity relate to the Global Fund?
In addition to PEPFAR priorities, the announcement explicitly includes support for Global Fund implementing partners, particularly to assess HIV service delivery and develop technical assistance plans and strategies that respond to identified gaps.
What does "facility-level" mean in this announcement?
"Facility level" is defined broadly as the full range of places where patients interact with the health system and where clinical information is recorded. This includes health posts, dispensaries, maternity units, health centers, community and rural hospitals, district hospitals, and central hospitals.
What is the focus on "point of care" data use?
The emphasis is on improving data collection and data use where care happens, so clinicians and health managers can rely on timely, accurate information rather than fragmented paper records or incomplete reporting. The intent is to improve quality of care and patient outcomes, not only reporting metrics.
What kinds of systems are expected to be strengthened?
The program is intended to strengthen facility-level health information systems and build a stronger national electronic health information system (HIS) foundation, including reliable electronic data sources that feed Malawi's Health Management Information System for national reporting and a stronger National Health Data Repository for surveillance and epidemiological analysis.
Is the work limited to HIV services only?
HIV is the primary driver under PEPFAR, but the announcement signals that systems should be designed around a continuum-of-care approach and structured to cover other acute and chronic illnesses as well, supporting broader service delivery needs across a patient's lifespan.
What is meant by a "continuum-of-care" approach in this FOA?
It means the systems are expected to support integrated service delivery across different care points and over time, rather than focusing narrowly on a single program area or a single visit. While HIV outcomes are central, the systems are intended to be flexible enough to support wider health needs.
What sustainability expectations are highlighted?
The FOA emphasizes sustainability and country ownership, including integrated information systems that Malawi can maintain and govern over time. It also emphasizes innovations that make data systems more usable and reduce workload on healthcare workers by avoiding duplicative tools and parallel reporting requirements.
At what levels should data capacity be strengthened?
The opportunity emphasizes strengthening data collection, management, and use at facility, district, and national levels so that data flows support clinical decision-making, program oversight, and faster identification of service delivery problems.
Is this a research funding opportunity?
No. The announcement states this is not a research funding opportunity, and funds cannot be used for research activities.
Are any non-research assessment or evaluation activities allowed?
Yes. The announcement allows certain non-research activities that may still trigger institutional human subjects review depending on local requirements. Examples include formative assessments, surveys, disease surveillance, program monitoring and evaluation, and field evaluation of diagnostic tests.
Could the project still require human subjects review even though it is not research?
Yes. The FOA notes that some allowable non-research activities may still trigger institutional human subjects review depending on local requirements.
What is the CFDA number for this opportunity?
The CFDA number is 93.067.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CDC RFA GH12 12500501SUPP17.
What is the maximum award amount (ceiling) listed?
The award ceiling listed is $2,620,080.
How many awards are expected?
The announcement indicates an expectation of one award.
When was this opportunity created and when did it close?
The opportunity was created on December 4, 2017. The original closing date was February 2, 2018.
How were applications required to be submitted, and what was the submission deadline time?
Applications were due electronically by 11:59 p.m. Eastern Time on the due date.
Who is eligible to apply?
Eligibility is listed as "Others," with additional eligibility details referenced in the full announcement. Applicants would need to review the FOA text for specific constraints or qualifying organization types.
What kind of applicant is this supplement aimed at in practical terms?
In plain terms, it is aimed at organizations capable of providing high-level technical assistance and capacity building to strengthen Malawi's facility-level information systems, improve surveillance and laboratory data capacity, and help implementing partners use better data to improve HIV service quality and outcomes.
What is the intended end goal of the supplement?
The end goal is a more reliable, country-owned, and efficient digital health ecosystem in Malawi that improves quality of care, strengthens accountability, and helps Malawi respond more effectively to its HIV epidemic while building capacity that also benefits broader health services.
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