Achieving and Sustaining HIV/TB Epidemic Control in the Mpumalanga Province | 72067424RFA00009

Opportunity Information: Apply for 72067424RFA00009

The USAID-Pretoria funding opportunity titled "Achieving and Sustaining HIV/TB Epidemic Control in the Mpumalanga Province" (NOFO 72067424RFA00009) is a discretionary health award that aims to help people in Mpumalanga Province live longer, healthier lives by achieving and maintaining HIV and TB epidemic control. The activity is designed around the idea that reaching epidemic control is not only about increasing coverage of core services, but also about finding and closing the remaining gaps, improving the strength and resilience of the health system that delivers those services, and ensuring communities and local partners are actively involved so gains are sustained over time.

The program is organized around three main strategic objectives. First, it seeks to close the gaps to HIV/TB epidemic control, which generally means focusing on the people, locations, and service delivery points where outcomes still fall short (for example, populations not being reached by testing, prevention, treatment initiation, retention, viral load monitoring, TB screening, or TB preventive services). Second, it emphasizes sustaining health gains through strengthened, improved, and resilient health systems. This points to investments and technical approaches that help the provincial and facility-level system perform reliably, including service quality, data use, supply chain and commodity availability, workforce capacity, and routine management processes that allow performance to hold steady even when conditions change. Third, it intends to leverage community, civil society, traditional structures, and private sector partnerships to improve and sustain service delivery and client outcomes. In practical terms, this objective is about building stronger linkages between the formal health sector and community-based supports, engaging trusted local structures that influence health behaviors and care-seeking, and using partnerships to extend reach and improve continuity of care.

The award will be made as a Cooperative Agreement, which typically means the implementer should expect substantial involvement from USAID during implementation, such as collaboration on work planning, monitoring, and technical direction. The opportunity anticipates a single award (ExpectedAwards: 1) with an award ceiling of USD 190,000,000, indicating a large, multi-year scale intervention intended to cover significant provincial needs and deliver measurable population-level outcomes.

The application process is structured in two phases. Phase 1 requires submission of a Concept Paper, and only applicants who are both eligible and successful at this stage will be invited to submit a Full Application in Phase 2. This kind of down-select process is meant to reduce burden on applicants and the funder by narrowing to the most competitive concepts before requiring full technical and cost proposals. The original closing date listed for submissions is 2024-04-15, and applicants are directed to review the specific instructions and requirements in the Notice of Funding Opportunity carefully to ensure compliance with format, content, and submission rules.

Eligibility is restricted to local entities, and the NOFO provides a specific definition to avoid ambiguity. A local entity must be legally organized under South African law, have its principal place of business or operations in South Africa, be majority owned by South African citizens or lawful permanent residents, and be governed by a body whose majority members are also South African citizens or lawful permanent residents. This eligibility requirement makes clear that USAID intends the lead implementer to be South Africa-based and locally controlled, consistent with broader goals around local leadership and sustainability.

In summary, this opportunity funds a major provincial-level HIV/TB effort in Mpumalanga that is meant to push remaining performance gaps toward epidemic control while simultaneously strengthening the underlying health system and deepening community and private-sector engagement so improvements last. It is a two-step competitive process beginning with a concept paper, culminating in one large cooperative agreement award to an eligible South African local entity.

• The South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Achieving and Sustaining HIV/TB Epidemic Control in the Mpumalanga Province" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
• This funding opportunity was created on 2024-02-22.
• Applicants must submit their applications by 2024-04-15. (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 $190,000,000.00 in funding.
• The number of recipients for this funding is limited to 1 candidate(s).
• Eligible applicants include: Others.

Apply for 72067424RFA00009

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