Supporting the Sustainable Implementation of Comprehensive High-Quality HIV Prevention, Care and Treatment Programs in the Western Region of the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR) | CDC RFA GH21 2119

Opportunity Information: Apply for CDC RFA GH21 2119

This funding opportunity is a CDC cooperative agreement under PEPFAR focused on supporting the sustainable delivery of comprehensive, high-quality HIV prevention, care, and treatment services in Kenya's western region. The project targets five high-burden counties: Homa Bay, Kisumu, Siaya, Migori, and Kisii. The central aim is to help these counties reach and maintain HIV epidemic control while strengthening county government capacity to plan, finance, manage, and implement integrated HIV services over the long term, so programs are not only effective but also durable and locally owned.

For funding, CDC indicates an approximate total of $48,500,000 available in Fiscal Year 1, contingent on funds being available. Although the notice lists a Year 1 award ceiling of $0 (meaning no per-award cap is specified rather than indicating no funding), CDC anticipates making up to five awards. The opportunity is labeled discretionary funding and uses a cooperative agreement mechanism, which typically means CDC will have substantial involvement in technical direction, monitoring, and collaboration during implementation rather than operating strictly as a hands-off funder.

Programmatically, the award supports an integrated service delivery model that spans prevention through treatment and includes both clinical and community-facing components. Core service areas include HIV Testing Services (HTS); pediatric and adult HIV treatment; and a strong TB/HIV package covering prevention, diagnosis, and treatment. The model also includes Prevention of Mother-to-Child Transmission (PMTCT) with the explicit objective of eliminating mother-to-child transmission (eMTCT), and Voluntary Medical Male Circumcision (VMMC) as a proven HIV prevention intervention in relevant populations.

A major emphasis is placed on reaching populations with elevated HIV risk or barriers to care. This includes HIV prevention and treatment services tailored for key populations such as female sex workers, men who have sex with men, people who inject drugs, and transgender people, as well as priority populations such as fisherfolk and prisoners. The program also prioritizes HIV prevention for adolescent girls and young women (AGYW), services for orphans and vulnerable children (OVC), and expanded access to HIV pre-exposure prophylaxis (PrEP). In addition, the model integrates gender-based violence (GBV) services, recognizing the close links between violence, vulnerability, and HIV outcomes.

To ensure quality and program accountability, the opportunity includes support for laboratory services and strategic information systems. This typically implies strengthening diagnostic capacity, monitoring viral load and treatment outcomes, improving data collection and reporting, and using data for continuous quality improvement and targeted resource allocation. The overarching intent is not just service expansion, but improved performance, better targeting of interventions, and measurable progress toward epidemic control.

The expected outcomes described in the notice include increased coverage and quality of HIV services for all populations; reduced HIV incidence; reduced illness and death among people living with HIV, including those co-infected with TB; and achievement of eMTCT. Another key outcome is stronger county health systems, evidenced by practical markers such as increased local resource allocation, improved leadership and governance, and a growing ability of county governments to directly implement and manage HIV programs. In other words, success is defined both by public health impact and by the transfer of operational ownership to county structures to support sustainability beyond external funding.

Administratively, the opportunity is issued by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Center for Global Health, under CFDA 93.067. The funding opportunity number is CDC RFA GH21 2119. Eligibility is described as unrestricted (open to a wide range of entity types, subject to any additional eligibility language in the full notice). The notice was created on January 8, 2021, with an original application deadline of March 9, 2021, and required electronic submission by 11:59 p.m. Eastern Time on the due date.

• The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supporting the Sustainable Implementation of Comprehensive High-Quality HIV Prevention, Care and Treatment Programs in the Western Region of the Republic of Kenya 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 08, 2021.
• Applicants must submit their applications by Mar 09, 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 5 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.

Apply for CDC RFA GH21 2119

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