Opportunity Information: Apply for RFA 663 17 000002
The USAID Community HIV Care and Treatment Activity is a USAID/Ethiopia funding opportunity focused on expanding access to comprehensive HIV prevention, care, and treatment services through a stronger, more organized role for communities in service delivery. The central idea is to reinforce community-led and community-based approaches so that people living with HIV, people at higher risk, and other priority groups can access the right mix of clinical and nonclinical support in ways that are practical, targeted, and responsive to local needs. A major emphasis is on differentiated care, meaning services are adapted to different populations and circumstances rather than relying on a one-size-fits-all model. This includes helping communities contribute to both prevention efforts and the long-term continuity of care and treatment.
A key part of the activity is technical assistance to local government authorities so the Government of Ethiopia and its local institutions are better equipped to work hand-in-hand with community-based organizations. The opportunity highlights partnership building and coordination: strengthening the ability of public-sector structures to plan with, contract or collaborate with, and support civil society and other community groups that are closest to clients and best positioned to deliver high-impact, community-level interventions. In practice, this signals a program that is not only about delivering services, but also about improving how the overall system functions at community level, including how government and community actors align priorities, share responsibilities, and improve performance over time.
The project is expected to work collaboratively with the host government, civil society organizations, and other community-based organizations to plan, deliver, and optimize interventions across the HIV response continuum. That continuum typically includes prevention (reducing new infections and reaching vulnerable groups), linkage to testing and care, initiation and continuation of antiretroviral treatment, adherence and retention support, and broader wraparound services that address barriers like stigma, discrimination, and other social or practical obstacles that keep people from accessing or staying in care. By emphasizing optimization, the solicitation indicates an expectation that implementers will use data and local feedback to improve targeting, quality, and efficiency rather than simply maintaining routine activities.
From an award and administrative standpoint, this opportunity is a discretionary funding action issued as a Cooperative Agreement, which usually means substantial involvement by USAID in program design, monitoring, learning, and key implementation decisions compared to a standard grant. The opportunity was released by the Agency for International Development, Ethiopia USAID-Addis Ababa, under Funding Opportunity Number RFA 663 17 000002, with a CFDA number of 98.001 and a health funding activity category. The total potential funding listed has an award ceiling of $40,000,000, with USAID expecting to make one award, indicating a single, large implementer (or a prime recipient managing a consortium) would likely be responsible for leading the activity. Eligibility is described as unrestricted, meaning it is open to any type of applicant entity, subject to any additional eligibility clarifications that may have been included in the full announcement.
The timeline included a creation date of December 14, 2016 and an original closing date of February 7, 2017. Overall, the opportunity is best understood as a large-scale, community-centered HIV program in Ethiopia designed to deepen community involvement in differentiated HIV service delivery while strengthening local government capacity to coordinate and partner effectively with community organizations to achieve higher-impact prevention, care, and treatment outcomes.Apply for RFA 663 17 000002
- The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "USAID Community HIV Care and Treatment Activity" 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 Dec 14, 2016.
- Applicants must submit their applications by Feb 07, 2017. (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 $40,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 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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FAQs: USAID Community HIV Care and Treatment Activity (USAID/Ethiopia)
What is the USAID Community HIV Care and Treatment Activity?
It is a USAID/Ethiopia funding opportunity focused on expanding access to comprehensive HIV prevention, care, and treatment services by strengthening a more organized, community-led role in service delivery. The activity prioritizes approaches that are practical, targeted, and responsive to local needs in Ethiopia.
What is the main goal of this opportunity?
The main goal is to reinforce community-led and community-based approaches so people living with HIV, people at higher risk, and other priority groups can access an appropriate mix of clinical and nonclinical support. The program also aims to improve continuity of care and treatment over the long term.
What does "community-led" and "community-based" service delivery mean in this context?
In this context, it means communities and community organizations play a stronger, more structured role in delivering or supporting HIV services. The intent is that services are organized closer to clients and shaped by local realities, rather than relying only on facility-centered or centrally designed approaches.
What is "differentiated care" and why is it emphasized?
Differentiated care refers to adapting HIV services to different populations and circumstances instead of using a one-size-fits-all model. It is emphasized to make service delivery more practical and responsive, so different groups receive the right type and intensity of support based on their needs.
Which populations are intended to benefit from this activity?
The opportunity highlights people living with HIV, people at higher risk of HIV, and other priority groups. The emphasis on differentiated care indicates that services should be tailored for specific populations and local circumstances.
What types of services or support does the activity aim to strengthen?
The description points to both clinical and nonclinical support across the HIV response continuum, including prevention, linkage to testing and care, initiation and continuation of antiretroviral treatment, adherence and retention support, and wraparound services that address barriers such as stigma, discrimination, and other social or practical obstacles.
What is meant by the "HIV response continuum" in this opportunity?
The continuum typically includes prevention efforts to reduce new infections, linkage to testing and care, starting antiretroviral treatment, supporting ongoing treatment adherence, retaining clients in care over time, and addressing barriers that prevent people from accessing or staying in care.
How does the opportunity address barriers like stigma and discrimination?
It explicitly includes wraparound services intended to address stigma, discrimination, and other obstacles that can keep people from accessing services or remaining in care. These barriers are treated as part of what needs to be addressed to improve outcomes, not as side issues.
What role does the Government of Ethiopia play in this activity?
The activity is expected to work collaboratively with the host government. A key part of the program is technical assistance to local government authorities so government institutions are better equipped to coordinate and partner with community-based organizations.
What kind of technical assistance is highlighted for local government authorities?
The opportunity emphasizes strengthening public-sector structures so they can plan with, contract or collaborate with, and support civil society and community groups. The focus is on improving how government and community actors align priorities, share responsibilities, and improve performance over time at the community level.
How important are partnerships and coordination under this opportunity?
Partnership building and coordination are central themes. The solicitation highlights improving the ability of public-sector structures to work hand-in-hand with community-based organizations and civil society groups that are closest to clients and positioned to deliver high-impact, community-level interventions.
Is the activity only about delivering HIV services?
No. While service delivery is a major focus, the opportunity also stresses strengthening the overall system at the community level. This includes improving coordination between government and community actors, clarifying roles and responsibilities, and improving performance over time.
What does "optimization" mean in the context of this solicitation?
Optimization indicates an expectation that implementers will use data and local feedback to improve targeting, quality, and efficiency. It suggests the program should evolve based on learning rather than only maintaining routine activities.
What type of funding mechanism is being used?
This is a discretionary funding action issued as a Cooperative Agreement.
What does a Cooperative Agreement imply for the working relationship with USAID?
A Cooperative Agreement usually involves substantial involvement by USAID in program design, monitoring, learning, and key implementation decisions compared to a standard grant. This suggests active collaboration with USAID during implementation.
Who is the issuing agency and where is it based?
The opportunity was released by the Agency for International Development, Ethiopia USAID-Addis Ababa.
What is the Funding Opportunity Number (FON) for this solicitation?
The Funding Opportunity Number listed is RFA 663 17 000002.
What is the CFDA number associated with this opportunity?
The CFDA number provided is 98.001.
What is the funding category or sector for this award?
It is categorized as a health funding activity, focused specifically on HIV prevention, care, and treatment.
How much funding is available under this opportunity?
The total potential funding includes an award ceiling of $40,000,000.
How many awards does USAID expect to make?
USAID expected to make one award, which indicates a single prime implementer would likely lead the activity (potentially managing a consortium of partners).
Who is eligible to apply?
Eligibility is described as unrestricted, meaning it is open to any type of applicant entity, subject to any additional eligibility clarifications that may appear in the full announcement.
What is the timeline provided for this opportunity?
The timeline includes a creation date of December 14, 2016 and an original closing date of February 7, 2017.
What geographic focus does the opportunity target?
The opportunity is focused on Ethiopia and is issued under USAID/Ethiopia.
What kinds of organizations are expected to be involved beyond the prime recipient?
The activity is expected to work collaboratively with civil society organizations and other community-based organizations, alongside the host government. The emphasis on coordination and community proximity suggests engagement with organizations closest to clients.
What does this opportunity suggest about how services should be delivered at the community level?
It suggests services should be delivered in ways that are practical, targeted, and responsive to local needs, with communities taking a stronger role. It also suggests coordination mechanisms should enable community actors and government structures to plan and work together effectively.
How does this opportunity connect prevention with long-term treatment outcomes?
The description links community involvement to both prevention efforts and long-term continuity of care and treatment, implying that effective community engagement is expected to reduce new infections while also helping people start and remain on treatment.
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