Opportunity Information: Apply for 72067423RFA00004
The USAID grant opportunity titled Achieving and Sustaining HIV/TB Epidemic Control in the Limpopo Province is a large, five-year cooperative agreement aimed at helping people in South Africa's Limpopo Province live longer and healthier lives by reaching and maintaining HIV and tuberculosis (TB) epidemic control. The activity is designed to strengthen HIV and TB outcomes not just through direct service support, but by making the broader health system more capable of sustaining progress over time. The award is expected to fund one main recipient, with an estimated total value of about USD 80 million, reflecting a substantial, province-focused investment.
The work is organized around three strategic objectives. First, the activity seeks to close remaining gaps to HIV epidemic control. In practical terms, that typically means improving the performance of prevention, testing, treatment initiation, and long-term retention so that fewer people acquire HIV, more people know their status, more people start antiretroviral therapy quickly, and more people achieve and maintain viral suppression. While the opportunity summary does not list specific programmatic interventions, the stated intent is clear: focus on the weak points that still prevent the province from reaching and holding epidemic control benchmarks, and prioritize approaches that measurably improve client outcomes across the HIV care cascade.
Second, the activity emphasizes sustaining health gains by strengthening and improving the resilience of health systems. This objective signals that USAID is looking beyond short-term, campaign-style improvements and instead wants durable capacity within the local health sector. Health systems strengthening commonly includes improving clinical quality, workforce capacity, supply chain reliability, laboratory and diagnostic networks, data systems for monitoring patient care and program performance, and management and governance practices that help services continue effectively even during disruptions. The language around "strengthened, improved, and resilient" systems suggests an interest in institutionalizing best practices so that gains in HIV and TB control can be maintained after external support is reduced.
Third, the activity aims to leverage partnerships with community groups, civil society, traditional structures, and the private sector to improve and sustain service delivery and client outcomes. This recognizes that HIV and TB control depends heavily on what happens outside formal clinics: community demand for testing and care, stigma reduction, treatment literacy, adherence support, tracking and re-engagement of clients who miss appointments, and social support that helps people remain in care. Including traditional structures and the private sector points to a broad partnership model tailored to the local context, where community leadership and non-government actors can influence health behaviors and help extend the reach and continuity of services.
Geographically, USAID intends to concentrate the activity in two districts within Limpopo Province: Capricorn and Mopani. However, the opportunity notes that the geographic coverage may be adjusted based on epidemiological data and/or shifting priorities of the Government of South Africa and the U.S. Government. This is a signal that applicants should be prepared for adaptive management, where resources and interventions could be redirected as the HIV/TB burden changes or as national and bilateral priorities evolve.
Administratively, this funding was posted by USAID South Africa (USAID-Pretoria) under Funding Opportunity Number 72067423RFA00004, categorized as "Other," and will be implemented through a cooperative agreement, which typically implies substantial involvement by the funding agency in program direction, oversight, and collaboration during implementation. The opportunity was created on October 28, 2022, with an original closing date of January 23, 2023 (09:00 AM Pretoria local time). Eligibility is listed broadly as "Others" with additional details referenced in the full eligibility section of the announcement, indicating that a range of organizations may be able to apply depending on the specific criteria in the complete solicitation.
Overall, this opportunity is framed as a comprehensive district-focused effort to push HIV and TB outcomes to epidemic control levels and keep them there by pairing targeted epidemic-control activities with longer-term health system strengthening and strong community and private-sector partnerships, all supported by a sizable five-year funding commitment of up to USD 80 million.Apply for 72067423RFA00004
- The Agency for International Development, South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Achieving and Sustaining HIV/TB Epidemic Control in the Limpopo Province" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on Oct 28, 2022.
- Applicants must submit their applications by Jan 23, 2023 January 23, 2023, 0900AM Pretoria Local Time. (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 $80,000,000.00 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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