Opportunity Information: Apply for CDC RFA GH18 1834
This funding opportunity, titled "Clinical and Public Health Curriculum Development, Training, and Information Systems Support for the Haitian Health Care System under PEPFAR," is a CDC cooperative agreement focused on strengthening Haiti's HIV response in close partnership with the Haitian Ministry of Public Health and Population (MSPP). The core purpose is to build on existing PEPFAR-supported progress in expanding access to high-quality HIV clinical services, preventing mother-to-child transmission of HIV, and improving laboratory and strategic information capacity across the country. It specifically reflects CDC Haiti's ongoing role in supporting national systems rather than running parallel programs, with an emphasis on technical assistance that helps MSPP deliver sustainable improvements in patient care and program performance.
A major backdrop for the opportunity is Haiti's implementation of the World Health Organization "Test and Start" strategy in 2016, which made antiretroviral treatment available to anyone who tests HIV positive. Under this approach, CDC-supported programming helped reach roughly 80,000 people, representing more than half of all people living with HIV in Haiti at the time. The opportunity also highlights program innovations that improved outcomes and accountability, including biometric coding to support unique patient identification and tools to improve patient linkage and retention in care. These kinds of interventions are meant to reduce loss to follow-up, improve continuity of treatment, and strengthen the reliability of monitoring and reporting across facilities and regions.
The NOFO lays out three main areas of work. First is service delivery strengthening through technical assistance within the MSPP health network, with a strong focus on clinical mentoring to improve the quality and consistency of HIV/AIDS-related services. This implies hands-on support to clinicians and facilities, reinforcing best practices in HIV diagnosis, treatment initiation, retention, viral load monitoring, and prevention of mother-to-child transmission, while helping standardize care across different sites.
Second is health workforce development, covering both pre-service and in-service training. On the pre-service side, the intent is to influence the education pipeline by supporting curriculum development and training systems that prepare new health workers to deliver HIV-related services competently. On the in-service side, it emphasizes continuing professional development for staff already working in the health system, ensuring that providers, nurses, lab personnel, and other cadres stay current as guidance and tools evolve. A key part of this component is supporting MSPP in maintaining and updating national clinical guidelines so that training, mentoring, and facility practice align with national standards and the latest evidence.
Third is health information systems support, centered on enhancing the iSante Plus platform, Haiti's major electronic health information system for patient-level and program-level HIV data. The opportunity describes iSante Plus capabilities that include patient care summaries, population-level dashboards, automated program reports, epidemiologic monitoring functions, and indicator reporting, with connectivity to computerized laboratory results. Strengthening this system is meant to improve data quality, timeliness, and usefulness for decision-making, allowing managers and clinicians to track outcomes like treatment coverage, retention, and viral suppression, while improving reporting to meet PEPFAR monitoring requirements and supporting public health surveillance.
Administratively, the opportunity is a discretionary CDC award using a cooperative agreement mechanism, meaning CDC would be substantially involved in guiding or collaborating on the work rather than simply providing funds with minimal engagement. It is listed under CFDA 93.067, with an award ceiling of $2,425,500 and an expectation of a single award. Eligibility is described as unrestricted. The original funding opportunity number is CDC RFA GH18 1834, with a creation date of August 24, 2017, and an original closing date of October 30, 2019. The notice also makes clear that it is provided for informational purposes only and that no new applications are being accepted now, indicating the competition is closed and the summary is primarily meant to document the scope and intent of the initiative.Apply for CDC RFA GH18 1834
- The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Clinical and Public Health Curriculum Development, Training, and Information Systems Support for the Haitian Health Care 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 2017-08-24.
- Applicants must submit their applications by 2019-10-30. (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 $2,425,500.00 in funding.
- 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 funding opportunity?
The opportunity is titled "Clinical and Public Health Curriculum Development, Training, and Information Systems Support for the Haitian Health Care System under PEPFAR."
Which agency is offering this opportunity?
This is a CDC funding opportunity offered as a cooperative agreement.
What is the main purpose of the cooperative agreement?
The main purpose is to strengthen Haiti's HIV response in close partnership with the Haitian Ministry of Public Health and Population (MSPP). The work is intended to build on existing PEPFAR-supported progress by expanding access to high-quality HIV clinical services, preventing mother-to-child transmission of HIV, and improving laboratory and strategic information capacity across Haiti.
How does this opportunity relate to PEPFAR?
The opportunity is explicitly framed as support "under PEPFAR" and focuses on sustaining and strengthening progress achieved through PEPFAR-supported HIV programming in Haiti.
Who is the primary Haitian partner referenced in the opportunity?
The primary partner is the Haitian Ministry of Public Health and Population (MSPP). The opportunity emphasizes supporting national systems through MSPP rather than operating parallel programs.
What does it mean that CDC is supporting national systems rather than running parallel programs?
Based on the description, the intent is for CDC-supported work to strengthen MSPP-delivered systems and services (for sustainability and national ownership) instead of creating separate, stand-alone service delivery structures outside the MSPP health network.
What major policy change in Haiti is highlighted as context for this opportunity?
The opportunity highlights Haiti's implementation of the World Health Organization "Test and Start" strategy in 2016, which made antiretroviral treatment available to anyone who tests HIV positive.
What results are mentioned in connection with the "Test and Start" approach?
The summary states that CDC-supported programming helped reach roughly 80,000 people, representing more than half of all people living with HIV in Haiti at the time.
What kinds of program innovations are mentioned?
The opportunity notes innovations intended to improve outcomes and accountability, including biometric coding to support unique patient identification and tools to improve patient linkage and retention in care.
Why are biometric coding and unique patient identification important in this context?
As described, these interventions are meant to reduce loss to follow-up, improve continuity of treatment, and strengthen the reliability of monitoring and reporting across facilities and regions.
What are the three main areas of work described in the NOFO?
The NOFO outlines three main areas: (1) service delivery strengthening through technical assistance within the MSPP health network, (2) health workforce development through pre-service and in-service training, and (3) health information systems support focused on the iSante Plus platform.
What does "service delivery strengthening" include?
Service delivery strengthening is described as technical assistance delivered within the MSPP health network, with a strong emphasis on clinical mentoring to improve the quality and consistency of HIV/AIDS-related services.
What clinical topics are implied within the mentoring and service-quality focus?
The description indicates hands-on support to reinforce best practices in HIV diagnosis, treatment initiation, retention, viral load monitoring, and prevention of mother-to-child transmission of HIV, while helping standardize care across sites.
What does the opportunity say about standardizing care across sites?
It emphasizes improving the quality and consistency of services and helping standardize care across different sites in the MSPP network.
What is included under "health workforce development"?
Health workforce development includes both pre-service and in-service training. Pre-service efforts focus on curriculum development and training systems that prepare new health workers, while in-service efforts focus on continuing professional development for current staff.
What is the difference between pre-service and in-service training in this opportunity?
Pre-service training refers to influencing the education pipeline (curricula and training systems for new health workers). In-service training refers to ongoing professional development for staff already working in the health system, helping them stay current as guidance and tools evolve.
Does the opportunity mention national clinical guidelines?
Yes. A key part of the workforce component is supporting MSPP in maintaining and updating national clinical guidelines so that training, mentoring, and facility practices align with national standards and the latest evidence.
What is the health information system referenced in the opportunity?
The opportunity centers health information systems support on enhancing iSante Plus, described as Haiti's major electronic health information system for patient-level and program-level HIV data.
What capabilities of iSante Plus are specifically mentioned?
The description lists patient care summaries, population-level dashboards, automated program reports, epidemiologic monitoring functions, and indicator reporting, with connectivity to computerized laboratory results.
What is the intended benefit of strengthening iSante Plus?
Strengthening iSante Plus is intended to improve data quality, timeliness, and usefulness for decision-making. It is also described as supporting the ability to track outcomes such as treatment coverage, retention, and viral suppression, improve reporting to meet PEPFAR monitoring requirements, and support public health surveillance.
What type of award mechanism is used?
This is a CDC cooperative agreement, which is described as involving substantial CDC involvement in guiding or collaborating on the work rather than providing funds with minimal engagement.
What does "substantial CDC involvement" mean for this opportunity?
Within the description provided, it means CDC would be significantly involved in the project through guidance and collaboration, consistent with a cooperative agreement rather than a more hands-off funding arrangement.
Is this a discretionary award?
Yes. The opportunity is described as a discretionary CDC award.
What is the CFDA number associated with this opportunity?
The CFDA listing provided is 93.067.
What is the award ceiling listed for this opportunity?
The award ceiling is listed as $2,425,500.
How many awards were expected?
The opportunity indicates an expectation of a single award.
Who is eligible to apply?
Eligibility is described as unrestricted.
What is the original funding opportunity number?
The original funding opportunity number is CDC RFA GH18 1834.
When was the opportunity created?
The creation date is listed as August 24, 2017.
What was the original closing date?
The original closing date is listed as October 30, 2019.
Are new applications currently being accepted?
No. The notice states it is provided for informational purposes only and that no new applications are being accepted now, indicating the competition is closed.
Why is this opportunity being shown if it is closed?
Based on the description, the summary is meant to document the scope and intent of the initiative and is provided for informational purposes even though the competition is closed.
What geographic focus is specified in the opportunity?
The opportunity focuses on Haiti and strengthening the Haitian health care system's HIV response in partnership with MSPP.
Which health area does the opportunity focus on?
It focuses on HIV services and related public health systems, including prevention of mother-to-child transmission, laboratory and strategic information capacity, workforce development, and electronic health information systems for HIV data.
What outcomes are explicitly mentioned as important to track or improve?
The description emphasizes improving linkage and retention in care, reducing loss to follow-up, strengthening monitoring and reporting reliability, and tracking outcomes like treatment coverage, retention, and viral suppression.
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