Opportunity Information: Apply for CDC RFA GH 24 0092

This CDC funding opportunity (CDC RFA GH 24 0092) is a PEPFAR-supported cooperative agreement focused on strengthening and sustaining high-quality, comprehensive HIV services in Cameroon, spanning both facility-based and community-based delivery. The overall aim is to accelerate progress toward the UNAIDS 95-95-95 targets across the full HIV care continuum (diagnose, treat, and achieve viral suppression) for infants, children, adolescents, and adults, while also reinforcing health systems so gains can be maintained long-term with increasing leadership and ownership by the Government of the Republic of Cameroon.

The program is designed to build directly on existing HIV case-finding and clinical service platforms and expand implementation of direct service delivery and technical assistance across 10 regions of Cameroon. Rather than focusing narrowly on one step of the cascade, it supports a complete package of interventions from prevention and testing through treatment initiation and durable viral suppression. Key expectations include improving HIV prevention approaches, boosting case identification using more targeted and effective strategies, ensuring strong linkage to care after diagnosis, and promoting same-day antiretroviral therapy initiation when clinically appropriate to reduce delays that often lead to loss to follow-up.

A major emphasis is placed on treatment continuity and outcomes, including improving adherence support, retention in care, and routine viral load testing to confirm suppression and guide clinical action. The opportunity also highlights services for pregnant and breastfeeding women, prevention of mother-to-child transmission, and early infant diagnosis to reduce pediatric infections and ensure exposed infants are tested quickly and linked to treatment without delays. Integration is another core theme, especially TB/HIV collaborative activities, recognizing TB as a leading cause of illness and death among people living with HIV and the need for coordinated screening, prevention, diagnosis, and treatment services across both conditions.

The NOFO additionally calls for capacity to address more complex clinical needs and long-term comorbidities. This includes strengthened management of advanced HIV disease, improved access to and use of HIV drug resistance testing where indicated, and attention to other HIV-related comorbidities, including non-communicable diseases. On the public health side, the award supports HIV surveillance activities and the stronger use of patient-level data to drive clinical decisions and program improvement. In practice, this means building systems where individual patient data are consistently captured, reviewed, and used to identify care gaps (missed visits, unsuppressed viral load, delayed infant testing, treatment interruptions) and to trigger timely follow-up and corrective actions.

Implementation is expected to rely on differentiated and innovative models that fit the realities of diverse subpopulations and settings. The NOFO explicitly points to tailored approaches across the HIV and HIV/TB cascades for infants, children, adolescents, men, pregnant and breastfeeding women, and key and priority populations. This includes not only delivering services, but also providing technical assistance and capacity building so local facilities, district teams, and national counterparts can sustain quality improvements. A related requirement is the use of district-based programming to coordinate service delivery and strengthen health systems, aligning partners and resources at the district level to reduce fragmentation and improve performance across facilities and community platforms.

From a funding and administrative standpoint, the opportunity is run by the Centers for Disease Control and Prevention (CDC), Center for Global Health, as a discretionary cooperative agreement under CFDA 93.067. Eligible applicants are unrestricted, and CDC anticipated making about four awards. For Year 1, CDC projected an approximate total funding amount of $60,000,000, contingent on available funds. The listing notes an award ceiling of $0 for Year 1, which typically reflects that a maximum per-award cap is not specified in the announcement rather than indicating no funding will be provided. The original closing date for applications was February 21, 2024, and the opportunity was created December 5, 2023.

Overall, the grant is structured to push measurable improvements in diagnosis, rapid treatment initiation, retention, and viral suppression while strengthening integrated TB/HIV services, pediatric and maternal HIV programming, drug resistance and advanced disease management, data-driven clinical practice, and district-level coordination. Just as importantly, it signals that success is not only higher cascade performance in the near term, but also the transfer of skills, systems, and leadership so the Government of Cameroon can maintain and expand progress over time.

  • The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Develop, Implement, and Sustain High-Quality Comprehensive Facility and Community-Based HIV 95-95-95 Cascade Activities for Children, Adolescents, and Adults in Cameroon 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 2023-12-05.
  • Applicants must submit their applications by 2024-02-21. (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 4 candidate(s).
  • Eligible applicants include: Unrestricted.
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