Opportunity Information: Apply for CDC RFA GH 24 0098

This grant opportunity, titled "Implementing Evidence-Based Prevention Interventions for Key and Priority Populations in the Republic of Rwanda under PEPFAR," is a CDC cooperative agreement (Funding Opportunity Number: CDC RFA GH 24 0098) focused on strengthening HIV prevention and related services for populations at higher risk of HIV in Rwanda. It sits within PEPFAR programming and aligns with Rwanda's national strategic direction, specifically the country goal of reducing new HIV infections by 15% by 2027. The CDC plans for an approximate total of $1.9 million in funding for the first year, contingent on funds being available. The notice also states that the "Award Ceiling for Year 1 is 0 (none)," meaning applicants should not treat the listing as establishing a maximum award amount for the first year, even though CDC has communicated an estimated year-one funding level. The opportunity anticipates making one award. Eligibility is listed as unrestricted, meaning there are no special categorical limits on who may apply beyond standard federal eligibility rules.

The core purpose of the program is to expand and improve evidence-based HIV prevention interventions for key populations (KP) in Rwanda, including female and male sex workers, men who have sex with men, transgender people, and other emerging key populations. A major emphasis is also placed on priority populations (PP) that are closely connected to key populations and may be reached effectively through key population programming. Examples called out include sexual partners of female and male sex workers, the social networks of key populations, and adolescent girls and young women. The framing recognizes that reaching people at highest risk often requires community-based strategies that reflect how people actually form relationships and access services, rather than relying only on facility-based care.

Programmatically, the notice highlights a combination of outreach and community-led approaches coupled with strong clinical linkages. The expected activities include outreach services for KP and PP, peer education delivered in community settings, and intentional linkage to a comprehensive package of biomedical HIV prevention services. The biomedical package explicitly includes HIV testing services, pre-exposure prophylaxis (PrEP), condoms, and voluntary medical male circumcision. In addition to primary prevention, the program is designed to ensure rapid and effective HIV treatment for those who test positive, including linkage to HIV care with same-day initiation of treatment where appropriate, follow-up for KP living with HIV, and support to achieve and maintain viral load suppression, consistent with Rwanda's HIV guidelines. Taken together, the program is aimed at reducing HIV acquisition while also improving outcomes for those already living with HIV, since viral suppression is a key driver of lowered transmission at the population level.

Another major pillar is ensuring services are tailored, competent, and acceptable for key populations. The notice indicates that the award is expected to support "KP-competent services" using a mix of service delivery models, which typically implies flexible ways of reaching people such as community-based points, peer-led navigation, differentiated service delivery, and other approaches that reduce barriers like fear of disclosure, long travel times, or poor experiences in traditional settings. Beyond clinical services, the opportunity is also meant to tackle structural and social barriers that undermine prevention and care. Specifically, it aims to reduce stigma and discrimination affecting KP and PP, and to address gender-based violence issues faced by these groups. This reflects the reality that even when services exist, stigma, discrimination, and violence can prevent people from seeking testing, PrEP, condoms, or ongoing HIV treatment.

Monitoring and evaluation is positioned as a required backbone of the project rather than an add-on. The notice calls for routine program monitoring to track progress toward outcomes across the project period, which generally means implementing systems that can consistently measure outreach reach, testing uptake, PrEP initiation and continuation, linkage to treatment, retention in care, and viral load suppression, with enough data quality to guide course correction during implementation. Overall, the opportunity is structured to support an integrated prevention-to-treatment continuum for key and closely connected priority populations, pairing community engagement and peer-led strategies with biomedical prevention and rapid treatment linkage, while also confronting stigma and gender-based violence as persistent drivers of HIV risk and disengagement from care.

Key administrative details from the listing include the agency (Centers for Disease Control and Prevention, Center for Global Health), funding instrument (cooperative agreement, implying substantial federal involvement and collaboration during implementation), activity category (health), CFDA number (93.067), original closing date (February 5, 2024), and a planned single award.

  • The Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Implementing Evidence-Based Prevention Interventions for Key and Priority Populations in the Republic of Rwanda 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 2023-11-21.
  • Applicants must submit their applications by 2024-02-05. (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: Unrestricted.
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