Opportunity Information: Apply for CDC RFA GH16 16400201SUPP18

This funding opportunity is a CDC cooperative agreement under PEPFAR focused on helping Namibia reach HIV epidemic control by strengthening the Ministry of Health and Social Services (MOHSS) through targeted technical assistance and, in particular, by filling critical human resource gaps in high-burden regions. The program is designed to be comprehensive but cost-effective, emphasizing practical support that improves the capacity of national and regional health systems to manage and sustain HIV services. A key point is that the award is not meant to run HIV services directly at clinics as an implementing partner would; instead, it supports the people, skills, systems, and specialized expertise that enable PEPFAR- and Global Fund-supported implementers and MOHSS teams to deliver and scale quality services more effectively.

The announcement is framed around five priority technical areas where applicants can propose support (one or more areas, depending on organizational strengths). These areas include prevention of mother-to-child transmission of HIV (PMTCT), adult and pediatric HIV clinical care and treatment services, pediatric HIV care and treatment specifically, surveillance and strategic information (SI), and laboratory strengthening. In practice, these categories cover the full chain from identifying people living with HIV, initiating and maintaining effective treatment, ensuring services are safe and high quality, and using reliable data and laboratory systems to guide decisions and track progress toward targets like viral suppression.

A central feature of this supplemental FOA is providing human resource services that help MOHSS recruit, deploy, and retain qualified personnel in seven regions with high HIV burden: Oshana, Omusati, Ohangwena, Oshikoto, Kavango, Zambezi, and Khomas, covering an estimated population of about one million. The intent is to strengthen MOHSS systems, with a stated emphasis on improving the health information management system, which is essential for monitoring HIV testing coverage, treatment initiation, retention, and viral load outcomes. Rather than simply funding positions, the recipient is expected to deliver the operational HR functions needed to make staffing actually work day to day: advertising vacancies, recruiting candidates, contracting, deploying staff to the right locations, compensating them, running payroll, providing personnel support, and maintaining effective human resource management (HRM) processes. The FOA also anticipates the use of short-term contractors and consultants to rapidly bring in specialized expertise where gaps are acute.

The opportunity is grounded in Namibia's HIV context and its workforce challenges. HIV remains the top public health priority in the country, with an adult prevalence around 14 percent, and Namibia has pursued aggressive treatment goals aligned with (and in some cases more ambitious than) global targets. The narrative ties directly to the UNAIDS 90-90-90 goals and PEPFAR 3.0 priorities (impact, efficiency, sustainability, partnership, and human rights), while emphasizing Namibia's own National Strategic Framework (NSF) for HIV, including the push to reach 95 percent of eligible people living with HIV on antiretroviral therapy. The FOA argues that reaching epidemic control quickly requires a shift from routine programming to a sharper focus on finding people with HIV, linking them to treatment, and sustaining viral suppression, which cannot happen at scale without adequate staffing and strong data systems.

Workforce shortages and maldistribution are presented as major barriers. The text highlights that a large majority of physicians work in the private sector while most of the population relies on the public sector, creating structural inequities in access to care. It also cites findings from Namibia's Presidential Commission of Inquiry (2013) pointing to systemic HRH problems such as high vacancy rates, attrition, and outdated staffing norms that do not reflect current disease burdens and service delivery realities. Namibia's reliance on expatriate clinicians and pharmacists to fill essential roles is another indicator of the depth of the HRH gap. Against that backdrop, the grant is essentially trying to stabilize and strengthen the workforce pipeline and management systems in the regions where progress toward epidemic control is most at risk.

Alignment and coordination expectations are explicit. The recipient is expected to work within MOHSS priorities and follow national guidelines and standard operating procedures approved by the Directorate of Special Program (DSP). The FOA also stresses quality assurance and routine program monitoring and evaluation, carried out in close consultation with regional and district health management teams and relevant administrative authorities. Community engagement is also mentioned as a core expectation, reflecting PEPFAR's broader emphasis on partnership, accountability, and services that respond to local needs. The NSF itself is noted as acknowledging a critical capacity gap in human resources at the program and service delivery levels, reinforcing why the award is focused so heavily on staffing and capacity support.

Administratively, this is a discretionary award from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), categorized under CFDA 93.067 and issued as a cooperative agreement, meaning CDC would typically have substantial involvement in guiding and overseeing activities. The funding opportunity number is CDC RFA GH16-1640-0201SUPP18, originally posted April 11, 2018, with an original closing date of June 10, 2018. The award ceiling listed is $1,551,929, and the anticipated number of awards is one, suggesting a single partner would be selected to provide these HR and technical assistance functions at scale and in close coordination with MOHSS, PEPFAR, and Global Fund implementers.

Overall, the opportunity is best understood as a health systems and workforce acceleration effort tied directly to HIV epidemic control: strengthening the staffing, data, and technical backbone behind HIV programs in Namibia's highest-burden regions so that MOHSS and its implementing partners can deliver higher-quality services, reach treatment coverage targets, and sustain outcomes like viral suppression over time.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Assisting the Ministry of Health and Social Services (MOHSS) in Providing Critical Human Resources for Health to Achieve HIV Epidemic Control in Namibia 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 Apr 11, 2018.
  • Applicants must submit their applications by Jun 10, 2018 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.)
  • Each selected applicant is eligible to receive up to $1,551,929.00 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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