Opportunity Information: Apply for CDC RFA GH21 2107
This funding opportunity is a CDC cooperative agreement focused on strengthening the Bangkok Metropolitan Administration (BMA) so it can better detect, prevent, respond to, monitor, and reduce the impacts of public health threats across Bangkok and surrounding urban areas. The core idea is technical collaboration: CDC is looking to work through a partner to help BMA improve how it assesses health needs, standardizes high-quality services, and builds the skills of the workforce that delivers and oversees those services. The program is designed to complement BMA efforts already underway with national and international partners, and it leans heavily on the idea that stronger systems, better data use, and consistent quality standards make public health responses faster and more effective.
The work described is organized around three main tracks. First is a thorough assessment of current health behaviors and the existing health care services and systems in Bangkok, essentially creating a clear picture of what is happening on the ground and where the major gaps are. Second is the design, development, and rollout of standardized procedures and practices so that BMA health facilities and laboratories can deliver more consistent, high-quality services. Third is capacity building and mentorship for BMA personnel, including health care workers, lab staff, strategic information (SI) specialists, and program managers. That mentorship component is not just training for its own sake; it is aimed at helping staff implement the new procedures, measure whether they are working, and continuously improve them over time.
The opportunity is grounded in a long history of collaboration between CDC and BMA, described as more than 20 years of joint work to strengthen Bangkok's public health infrastructure. Past efforts are credited with progress in controlling HIV and other infectious diseases, improving access to diagnosis, care, and treatment for both communicable and non-communicable diseases, and strengthening surveillance and evidence-based decision-making, including how public health financing is guided in the Bangkok area. This grant positions itself as the next step in that evolution, responding to current and emerging threats while reinforcing the systems that support routine public health services.
A major driver behind the program is Thailand's changing risk landscape. Over recent decades, Thailand has experienced significant social, economic, and demographic shifts, including an aging population and increased exposure to non-communicable disease risk factors such as unhealthy diets, low physical activity, tobacco use, and harmful alcohol use. At the same time, infectious diseases and emerging infections remain major concerns in Thailand and the broader Mekong region, with global implications due to travel and cross-border movement. Another central concern is antimicrobial resistance (AMR), which is described as rapidly growing, fueled in part by rising gram-negative resistance and antibiotic overuse. Thailand has elevated AMR as a national priority and developed a National Strategic Plan to prevent and control it, and this cooperative agreement sits within that broader national urgency.
HIV is highlighted as a particularly important focus area in Bangkok. The notice cites an estimated 470,000 people living with HIV in Thailand in 2019, with about 78,866 in Bangkok. While national HIV incidence has declined, prevalence and incidence remain high among key populations in large urban centers, especially men who have sex with men (MSM), transgender women, and sex workers. The document points to progress among MSM in Bangkok, with HIV prevalence declining from 20 percent in 2014 to 10 percent in 2018, but it still emphasizes ongoing transmission. Using the Asian Epidemic Model, it estimates 1,063 new HIV infections in Bangkok in 2020, out of 4,855 nationwide, underscoring Bangkok's outsized role in the national epidemic.
One of the biggest barriers described is health system fragmentation. Bangkok has multiple public entities and private providers, and the current setup does not reliably deliver an integrated continuum that links prevention, HIV testing and counseling (HTC), clinical care, antiretroviral treatment, co-infection management (including tuberculosis, sexually transmitted infections, and hepatitis), and supportive services that meet the needs of people living with HIV and priority populations, including MSM, transgender women and their partners, and people who inject drugs. The grant emphasizes the need to implement standards for same-day, high-quality, patient-friendly HTC, including modern approaches such as online-to-offline testing pathways, index testing, and self-testing. It also stresses immediate linkage to care, same-day or rapid ART initiation, and stronger practices to retain clients in treatment and maintain continuity of care. Alongside service improvements, it calls for building the capacity of health care workers and laboratory staff to implement these approaches, monitor performance, and continuously improve quality.
Beyond individual services, the notice also calls for more systematic public health responses in areas where recent infections are being identified, implying more targeted, data-driven outbreak control and prevention activities in priority geographic areas or networks. The broader framing goes beyond HIV: the cooperative agreement is also positioned to improve BMA capacity to respond to influenza and other public health challenges, reinforcing preparedness and response capabilities across multiple threats. In doing so, the program highlights the importance of multi-sector and regional collaboration, aiming for sustainable improvements that matter for Thailand and align with CDC global health strategies and U.S. public health priorities.
Administratively, this is a discretionary CDC funding opportunity under a cooperative agreement mechanism, meaning CDC expects substantial involvement and partnership during implementation rather than a hands-off grant. The opportunity number is CDC-RFA-GH21-2107, housed within HHS/CDC (CGH). It lists CFDA numbers 93.067 and 93.318, anticipates a single award, and sets an award ceiling of $1,000,000. The original application deadline listed is July 6, 2021, with electronic submissions due by 11:59 pm Eastern Time. Eligibility is labeled broadly as "Others" with further clarification referenced in an additional eligibility field, indicating it may be aimed at specific organizational types capable of delivering technical assistance, training, quality improvement, and systems strengthening in close coordination with BMA and CDC.Apply for CDC RFA GH21 2107
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Collaboration to Strengthen Bangkok Metropolitan Administration Capacity to Detect, Prevent, Respond, Monitor, and Mitigate The Effects of Public Health Threats In The Kingdom of Thailand." and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.067, 93.318.
- This funding opportunity was created on May 05, 2021.
- Applicants must submit their applications by Jul 06, 2021 Electronically submitted applications must be submitted no later than 1159 pm ET on the listed application due date.. (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 $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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