Opportunity Information: Apply for CDC RFA GH18 1833

This funding opportunity, titled "Comprehensive Community-Based HIV Services in Areas of High Prevalence to Key and Priority Populations in Zambia under PEPFAR" (CDC RFA GH18-1833), is a U.S. Centers for Disease Control and Prevention (CDC) cooperative agreement focused on expanding and strengthening community-based HIV services in Zambia. The overall intent is to reduce HIV transmission and improve health outcomes by delivering a full package of prevention, testing, treatment, and related support services in locations with high HIV burden, while ensuring those services are tightly connected to the formal health system at community health facilities.

The program is designed to reach both the general population in high-prevalence areas and specific priority and key groups that are often at higher risk or face greater barriers to care. The priority populations named in the notice include people living with HIV (PLHIV), adolescent girls and young women (AGYW), men, couples, pregnant women, and prisoners, along with key populations (KPs). By explicitly calling out these groups, the opportunity signals an emphasis on tailoring outreach and service delivery to different needs, risk profiles, and access challenges, rather than relying only on one-size-fits-all facility-based approaches.

The core service package includes community-based HIV testing services (HTS), HIV prevention services, tuberculosis (TB) prevention and treatment, and community-based antiretroviral therapy (ART). Prevention activities are described in practical terms, including risk-reduction counseling, work around gender norms, and building clear linkages to post gender-based violence (GBV) care. In other words, the program is not limited to biomedical services; it also supports behavioral and structural interventions that can influence HIV risk and improve uptake of services, particularly for people affected by violence or unequal power dynamics.

A major operational feature of the award is the required linkage between community services and community health care facilities. The notice emphasizes that community-based testing, prevention, TB activities, and ART delivery should connect back into the clinical system so clients can move smoothly from outreach to diagnosis, initiation of treatment, follow-up, and ongoing care. This kind of linkage is typically intended to reduce loss to follow-up, increase timely ART initiation, and strengthen continuity of care while decongesting facilities through community ART models where appropriate.

Implementation is expected to be closely coordinated with Zambian local health authorities. Recipients are required to work with District Medical Offices (DMOs) identified in consultation with CDC Zambia, which indicates that geographic focus areas will be selected to align with epidemiologic need and national and district priorities. The cooperative agreement structure also implies substantial CDC involvement in program guidance and oversight, rather than a purely hands-off grant.

The notice also highlights efficiency, coordination, and sustainability as key expectations. Activities supported under this award are intended to complement existing work funded by the Zambian government and other partners, avoiding duplication and strengthening overall district HIV/TB service delivery. A central long-term objective is transition: the program is expected to build district capacity and systems so that, by the end of year five, responsibility for delivering and sustaining these community-based services can be fully transferred to local districts.

From a funding and administrative perspective, this is a discretionary health funding opportunity (CFDA 93.067) administered by CDC's Center for Global Health. The opportunity was open to unrestricted applicants, anticipated up to two awards, and listed an award ceiling of $5,000,000. The original closing date was October 16, 2017, and the opportunity was created on August 16, 2017.

  • The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Comprehensive Community-Based HIV Services in Areas of High Prevalence to Key and Priority Populations in Zambia 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 2017-08-16.
  • Applicants must submit their applications by 2017-10-16. (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 $5,000,000.00 in funding.
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: Unrestricted.
Apply for CDC RFA GH18 1833

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