Opportunity Information: Apply for 72012123RFA00001
The Re-envisioning Excellence and Accessibility in Clinic-based HIV Services (REACH 95) Activity is a five-year USAID-funded program designed to help Ukraine reach HIV epidemic control by 2030 by strengthening how HIV services are delivered in public health facilities. The core intent is to expand equitable access to consistently high-quality, clinic-based HIV prevention and treatment services, with a practical emphasis on finding people who are currently undiagnosed, rapidly linking them to appropriate prevention or clinical care, and ensuring they can start and stay on effective HIV treatment through more decentralized service models. The activity is explicitly aligned with the UNAIDS 95-95-95 targets, meaning it aims to increase the share of people living with HIV who know their status, are connected to care, and are on sustained treatment (with the downstream expectation of viral suppression as systems and clinical quality improve).
The opportunity is funded under the President's Emergency Plan for AIDS Relief (PEPFAR) and is structured as a cooperative agreement, which typically means the funder (USAID) expects to have substantial involvement during implementation rather than simply providing funds and stepping back. The program is administered by the U.S. Agency for International Development, Ukraine Mission (USAID-Kiev), and it falls under the health funding activity category with CFDA/Assistance Listing number 98.001.
From an implementation standpoint, the program description highlights several priority levers for impact. One is optimized case-finding, which generally refers to improving how health facilities identify people with HIV who do not yet know their status, often by sharpening testing strategies, targeting higher-yield testing approaches, and ensuring testing is integrated into routine clinical workflows where appropriate. A second lever is stronger linkage to prevention and care, which focuses on minimizing the drop-off between diagnosis and the next steps, whether that is immediate initiation of antiretroviral therapy for people diagnosed with HIV or connection to prevention services for those who test negative but are at elevated risk. A third lever is support for decentralized treatment services, signaling an effort to make HIV care more accessible beyond centralized or specialized sites, reduce barriers such as travel and wait times, and improve continuity of treatment by bringing services closer to communities while maintaining clinical quality standards.
In terms of who could apply, eligibility is listed as unrestricted, meaning any type of entity could apply as long as it meets any additional eligibility conditions described in the full announcement. USAID anticipated making a single award under this opportunity, with an award ceiling of $19,000,000. The opportunity was posted on January 9, 2023, with an original closing date of March 6, 2023. Overall, REACH 95 is framed as a system-strengthening, clinic-centered HIV service delivery effort intended to help Ukraine move measurably toward the 95-95-95 benchmarks by improving identification of people living with HIV, speeding their entry into care, and expanding access to sustained, decentralized treatment through public sector facilities.Apply for 72012123RFA00001
- The Agency for International Development, Ukraine USAID-Kiev in the health sector is offering a public funding opportunity titled "Re-envisioning Excellence and Accessibility in Clinic-based HIV Services (“REACH 95”) Activity" 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 Jan 09, 2023.
- Applicants must submit their applications by Mar 06, 2023. (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 $19,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 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.
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Frequently Asked Questions (FAQs): REACH 95 (Ukraine) - Clinic-based HIV Services
1. What is the REACH 95 Activity?
Re-envisioning Excellence and Accessibility in Clinic-based HIV Services (REACH 95) is a five-year, USAID-funded program designed to help Ukraine reach HIV epidemic control by 2030 by strengthening how HIV services are delivered in public health facilities.
2. What is the overall goal of this program?
The overall goal is to expand equitable access to consistently high-quality, clinic-based HIV prevention and treatment services in Ukraine, with a strong focus on improving service delivery systems within public sector health facilities.
3. How does REACH 95 align with the UNAIDS 95-95-95 targets?
REACH 95 is explicitly aligned with the UNAIDS 95-95-95 targets. It aims to increase the share of people living with HIV who (1) know their HIV status, (2) are connected to care, and (3) are on sustained treatment, with the downstream expectation of improved viral suppression as systems and clinical quality improve.
4. What does "95-95-95" mean in the context of this opportunity?
In this opportunity, "95-95-95" refers to improving the proportion of people living with HIV who know their status, are linked to and engaged in care, and remain on effective antiretroviral treatment over time.
5. What country is the program focused on?
The program is focused on Ukraine and strengthening HIV services in Ukrainian public health facilities.
6. Who is funding this opportunity?
This opportunity is funded by the U.S. Agency for International Development (USAID) under the President's Emergency Plan for AIDS Relief (PEPFAR).
7. Which USAID office administers the award?
The award is administered by the U.S. Agency for International Development, Ukraine Mission (USAID-Kiev).
8. What type of award is REACH 95?
The opportunity is structured as a cooperative agreement. This typically indicates USAID expects substantial involvement during implementation, rather than providing funds with minimal ongoing engagement.
9. What does "substantial involvement" mean for a cooperative agreement?
Based on the description provided, it means USAID is expected to be actively involved during implementation (not simply issuing funding and stepping back), which may influence planning, coordination, and ongoing program execution.
10. What is the activity category for this opportunity?
The opportunity falls under the health funding activity category.
11. What is the CFDA/Assistance Listing number for this program?
The CFDA/Assistance Listing number listed for this opportunity is 98.001.
12. How long is the REACH 95 Activity?
REACH 95 is described as a five-year program.
13. What is the program trying to improve within HIV services?
The program is designed to strengthen how HIV services are delivered in public health facilities, focusing on equitable access, consistent quality, and practical service delivery improvements that move people from diagnosis to sustained treatment.
14. What are the priority levers for impact mentioned in the description?
The description highlights three primary levers: optimized case-finding; stronger linkage to prevention and care; and support for decentralized treatment services.
15. What is meant by "optimized case-finding" in this opportunity?
Optimized case-finding refers to improving how health facilities identify people with HIV who do not yet know their status. The description notes approaches such as sharpening testing strategies, targeting higher-yield testing, and integrating testing into routine clinical workflows where appropriate.
16. Why is finding undiagnosed people a central emphasis of REACH 95?
The program places a practical emphasis on finding people who are currently undiagnosed because knowing HIV status is the first step toward linking people to prevention or treatment services and progressing toward the 95-95-95 benchmarks.
17. What does "stronger linkage to prevention and care" mean?
It refers to minimizing drop-off between diagnosis and next steps. For people diagnosed with HIV, it includes rapid linkage and immediate initiation of antiretroviral therapy. For those who test negative but are at elevated risk, it includes connection to prevention services.
18. Does the opportunity emphasize rapid linkage after diagnosis?
Yes. The description emphasizes rapidly linking people to appropriate prevention or clinical care after testing and diagnosis.
19. What is meant by "decentralized treatment services"?
Decentralized treatment services signal an effort to make HIV care more accessible beyond centralized or specialized sites, reduce barriers such as travel and wait times, and improve continuity of treatment by bringing services closer to communities while maintaining clinical quality standards.
20. How does decentralization improve HIV service access according to the description?
The description suggests decentralization can reduce access barriers like travel time and long waits and can support better continuity of treatment by providing services closer to where people live.
21. Is this activity focused on clinics or community-based settings?
It is framed as a clinic-centered and public-facility-focused effort, aimed at strengthening clinic-based HIV prevention and treatment services delivered through public health facilities.
22. What is the intended impact timeline mentioned in the opportunity?
The activity is designed to help Ukraine reach HIV epidemic control by 2030.
23. Who is eligible to apply?
Eligibility is listed as unrestricted, meaning any type of entity could apply as long as it meets any additional eligibility conditions described in the full announcement.
24. Does "unrestricted eligibility" mean anyone can apply automatically?
It means any type of entity could apply, but applicants still need to meet any additional eligibility conditions that may be included in the full announcement.
25. How many awards did USAID anticipate making?
USAID anticipated making a single award under this opportunity.
26. What is the maximum funding amount available?
The award ceiling listed for this opportunity is $19,000,000.
27. Is $19,000,000 a guaranteed amount?
It is described as an award ceiling, meaning it represents the maximum anticipated award amount under the opportunity as presented.
28. When was the opportunity posted?
The opportunity was posted on January 9, 2023.
29. What was the original closing date for applications?
The original closing date was March 6, 2023.
30. What kinds of outcomes is REACH 95 trying to drive through service delivery improvements?
Based on the description, the program aims to improve identification of people living with HIV, speed entry into appropriate care or prevention services, and expand access to sustained treatment through decentralized models while improving systems and clinical quality.
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