Deadline: 20-Apr-21
Applications are now open for Sustaining HIV/TB Epidemic Control in South Africa under the President’s Emergency Plan for AIDS Relief (PEPFAR).
The goal of this NOFO is to identify partners to support the SAG in providing quality HIV and TB treatment services and targeted prevention services to persons living with or at risk for HIV and/or TB. Key interventions will be those that directly impact the Joint United Nations Program on HIV/AIDS (UNAIDS) 95-95-95 cascade for people living with HIV (PLHIV) and support achievement of the targets for TB elimination described in the World Health Organization (WHO) End TB Strategy. Additional health system strengthening activities will be included to enable the government to provide better HIV/TB services or support the process of transitioning key HIV/TB response activities to the SA National Department of Health (NDOH).
The purpose of this NOFO is to support the SAG to reach and maintain epidemic control of HIV and TB by implementing sustainable and long-lasting interventions in CDC- and PEPFAR supported districts. Specifically, this NOFO will cover HIV case finding, adult and child HIV care and treatment services, laboratory strengthening services, PMTCT, health system strengthening activities, and TB/HIV, health communications, as well as broad technical support to districts and provinces.
Outcomes
CDC may require or allow applicants to propose additional related project period outcomes other than those identified in the NOFO.
- Short-Term Outcomes
- Improved case identification using targeted testing strategies
- Improved quality of HIV-rapid testing
- Improved linkage to treatment amongst identified PLHIV
- Increased early ART initiation in facilities and communities
- Improved VL monitoring
- Increased adherence among PLHIV on ART
- Improved management of patients with VL failure
- Increased patient initiation and completion of TB treatment or TPT
- Increased EID coverage
- Expanded HIV and TB treatment in targeted populations with a high burden of unmet need
- Increased availability and use of high-quality HIV and TB data for clinical management and program improvements
- Increased NIMART certification of Professional Nurses
- Improved leadership and management skills of facility managers
- Increased responsiveness to more quickly resolve challenges identified by communities/patients receiving services
- Intermediate Outcomes
- Improved retention of HIV and TB patients
- Increased VL completion and suppression
- Improved TB case detection and TPT coverage
- Decreased mother-to-child HIV transmission
- Increased ART coverage and VL suppression across all age/sex disaggregation
- Improved quality of HIV and TB services provided in the public sector facilities and communities
- Increased productivity of site-level DOH staff in regard to HIV/TB service provision
- Improved patients and community satisfaction about quality of HIV and TB services
- Long-Term Outcome
- Sustained availability of reliable and accurate HIV and TB data for programmatic, policy, and other decisions
Strategies
- Strategy 1: Strengthen HIV and TB case identification, treatment coverage, and retention through Direct Service Delivery and Technical Assistance support to the DOH to promote quality HIV and TB services
- Strategy 2: Expand provision of population-specific services for pregnant women, children, adolescents, men, older patients with co-morbidities, and other target populations as identified
- Strategy 3: Strengthen data quality monitoring and data driven responses for programmatic improvement
- Strategy 4: Build capacity of HRH to deliver HIV/AIDS and TB services and strengthen district and provincial DOH management structures
- Strategy 5: Engage stakeholders/civil society in the development, implementation, and monitoring of HIV and TB services
Funding Information
- Approximate Total Fiscal Year Funding: $ 200,000,000
- Total Period of Performance Funding: $ 0
- This amount is subject to the availability of funds.
- Total Period of Performance Length: 5 year(s)
- Expected Number of Awards: 6
- The expected number of awards is 3-6.
- Approximate Average Award: $ 50,000,000 Per Budget Period
- Budget Period Length: 12 month(s)
Eligible Applicants
- Government Organizations
- State governments or their bona fide agents (includes the District of Columbia)
- Local governments or their bona fide agents
- Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau
- State controlled institutions of higher education
- American Indian or Alaska Native tribal governments (federally recognized or state-recognized)
- Non-government Organizations
- American Indian or Alaska native tribally designated organizations
- Other Ministries of Health
For more information, visit https://www.grants.gov/web/grants/view-opportunity.html?oppId=329101