Achieving and Sustaining Epidemic Control Through Comprehensive HIV/AIDS Prevention, Care and Treatment Services in Machakos, Makueni and Kitui Counties in Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR) | CDC RFA GH21 2116

Opportunity Information: Apply for CDC RFA GH21 2116

This grant opportunity, titled "Achieving and Sustaining Epidemic Control Through Comprehensive HIV/AIDS Prevention, Care and Treatment Services in Machakos, Makueni and Kitui Counties in Kenya under PEPFAR," is a CDC cooperative agreement aimed at supporting large-scale, integrated HIV programming in Kenya's Eastern region. The work is designed to help sustain epidemic control by improving both the reach and quality of HIV services while strengthening county-level systems so that Machakos, Makueni, and Kitui counties can increasingly lead, manage, and ultimately finance their own HIV responses. The opportunity is administered by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under CFDA 93.067, and was posted as a discretionary funding opportunity using a cooperative agreement mechanism, meaning CDC would be expected to have substantial involvement in the program's implementation, monitoring, and strategic direction.

The funding profile indicates CDC anticipated approximately $8.8 million in total fiscal year funding for Year 1, subject to availability of funds, with an expected two awards. At the same time, the listing states an "Award Ceiling for Year 1" of $0, which typically signals that an upper per-award cap was not specified in the public synopsis even though an estimated total funding amount was provided. Eligibility is described as unrestricted, open to any type of entity, with the caveat that applicants would need to review any additional eligibility clarifications in the full notice. The opportunity number is CDC RFA GH21 2116, created January 8, 2021, with an original application deadline of March 9, 2021, by 11:59 p.m. Eastern Time for electronically submitted applications.

Programmatically, the NOFO emphasizes comprehensive HIV prevention, care, and treatment services delivered in partnership with the three county governments. A central theme is county capacity strengthening toward a Kenya-owned and Kenya-funded HIV program. The scope covers core HIV testing services (HTS) and treatment services for both adults and children, as well as integrated TB/HIV prevention, diagnosis, and treatment, recognizing the significant burden and clinical interaction between tuberculosis and HIV. It also prioritizes Prevention of Mother-to-Child Transmission (PMTCT) with the explicit goal of eliminating mother-to-child transmission of HIV (eMTCT), alongside services for orphans and vulnerable children (OVC) to address the broader social and health vulnerabilities that affect adherence, retention in care, and long-term outcomes.

The opportunity also specifically calls out differentiated prevention and treatment approaches for populations at increased risk of HIV acquisition and transmission. This includes key populations (KP) such as female sex workers (FSW), men who have sex with men (MSM), transgender (TG) people, and people who inject drugs (PWID). In addition, it highlights targeted HIV prevention for adolescent girls and young women (AGYW), reflecting the epidemiological reality that AGYW often face elevated risk driven by a mix of behavioral, biological, and structural factors. Supporting components include associated laboratory services, strategic information, and county systems strengthening, which together suggest a focus not only on service delivery but also on the data, surveillance, quality improvement, supply chain, and management infrastructure needed to run high-performing programs at scale.

The NOFO is framed as directly aligned with UNAIDS, PEPFAR, and Kenya's national ambition of ending AIDS as a public health threat by 2030. The expected outcomes are described in both systems and population health terms: stronger county health systems demonstrated by increased resource allocation and improved county leadership and implementation capacity; improved coverage and quality of HIV services for all populations; reduced HIV incidence; improved health outcomes; and reduced morbidity and mortality among people living with HIV, including those co-infected with TB. Taken together, the opportunity is oriented toward sustaining epidemic control through integrated, high-quality service delivery while shifting long-term ownership and accountability to county government structures and budgets.

• The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Achieving and Sustaining Epidemic Control Through Comprehensive HIV/AIDS Prevention, Care and Treatment Services in Machakos, Makueni and Kitui Counties in Kenya 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 Jan 08, 2021.
• Applicants must submit their applications by Mar 09, 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 2 candidate(s).
• Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.

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