Opportunity Information: Apply for CDC RFA GH21 2109
This funding opportunity, titled "Strengthening Public Health Responses and Accelerating HIV/AIDS Program for the Sustainable Provision of Comprehensive HIV/AIDS Services in Oromia Regional State of the Federal Democratic Republic of Ethiopia under PEPFAR" (NOFO number CDC RFA GH21 2109), is a CDC cooperative agreement designed to continue and deepen support for the Oromia Regional Health Bureau (ORHB) to deliver comprehensive HIV services across Ethiopia's Oromia region. The overall intent is to accelerate progress toward the UNAIDS 95-95-95 targets by strengthening the public health system and improving the reach, quality, and sustainability of HIV prevention, testing, treatment, and monitoring services.
The core public health problem the NOFO is responding to is the large gap in HIV diagnosis and treatment coverage in Oromia relative to epidemic control goals. The announcement notes that only 66 percent of people living with HIV in Oromia know their HIV status, which represents a major bottleneck because diagnosis is the entry point to treatment and viral suppression. Oromia is also described as having a substantial share of Ethiopia's HIV burden, with an estimated 178,986 people living with HIV in the region. Of these, 113,475 people are on antiretroviral therapy, described as 64 percent ART coverage. These figures underscore the need to both find undiagnosed people living with HIV and to strengthen and expand treatment services so that more patients initiate and stay on ART and ultimately achieve viral suppression.
The approach emphasized in the opportunity is capacity building and system strengthening led by ORHB at every level of the health system, rather than short-term, stand-alone activities. The CDC indicates that ORHB will further strengthen program management, technical capacity, and monitoring capacity across regional, zonal, woreda (district), and facility levels. In practical terms, this typically means improving planning and coordination, sharpening technical implementation quality, ensuring consistent use of data for decision-making, and strengthening oversight of service delivery so that performance improves over time and remains resilient even as external support changes.
Programmatically, the NOFO prioritizes focusing resources where they will have the greatest impact and operational efficiency. That includes concentrating on geographic areas and population groups that are more heavily affected by HIV and where targeted interventions can yield larger gains. The announcement highlights priority activities with a direct effect on epidemic control, particularly targeted HIV testing services (HTS) and antiretroviral therapy (ART) programming. Targeted HTS generally implies shifting away from broad, low-yield testing strategies toward approaches that identify people most likely to be living with HIV but undiagnosed, linking them rapidly to confirmatory testing and immediate treatment initiation. ART strengthening commonly encompasses improving linkage to care, rapid initiation, retention and adherence support, continuity of medication supply, and clinical quality so that patients remain in care and progress toward viral suppression.
From a funding and administrative perspective, this is a discretionary grant mechanism using a cooperative agreement, which usually signals substantial involvement by CDC in technical collaboration, performance monitoring, and ongoing program guidance. The notice lists an expected single award (ExpectedAwards: 1), reinforcing that it is structured as a consolidated award to support ORHB as the primary implementing body for the region-wide public sector response. The eligible applicants category is listed as "Others" with additional eligibility details referenced elsewhere in the full announcement, but the narrative makes clear that the intended recipient and implementer is the Oromia Regional Health Bureau.
In terms of budget framing, the announcement notes that the award ceiling for Year 1 is listed as 0 (none), which generally means CDC did not set a strict upper cap per applicant in the posting, rather than implying no funding. At the same time, CDC states it anticipates approximately $20,000,000 in total fiscal year funding for Year 1, contingent on availability of funds. This indicates a sizable investment intended to support comprehensive programming at scale across Oromia. The funding activity category is Health, and the CFDA number is 93.067, aligning it with CDC global HIV and related public health funding under PEPFAR.
Key dates in the posting show it was created February 23, 2021, with an original closing date of April 24, 2021, and electronically submitted applications due by 11:59 p.m. Eastern Time on the due date. The funding agency is the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), specifically listed under CDC - CGH, reflecting CDC's global health involvement.
Overall, the opportunity is structured around a clear epidemiological rationale and a practical delivery strategy: diagnose more people living with HIV through higher-yield testing, put more people on effective treatment, and strengthen management and monitoring systems so performance improves consistently across the region. By focusing on high-burden geographies and populations and reinforcing ORHB's capacity to manage and track results, the NOFO aims to speed progress toward 95-95-95 and move Oromia closer to HIV epidemic control through sustainable, public sector-led comprehensive services.Apply for CDC RFA GH21 2109
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening Public Health Responses and Accelerating HIV/AIDS Program for the Sustainable Provision of Comprehensive HIV/AIDS Services in Oromia Regional State of the Federal Democratic Republic of Ethiopia under 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 Feb 23, 2021.
- Applicants must submit their applications by Apr 24, 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 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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