Opportunity Information: Apply for CDC RFA GH22 2230
The Centers for Disease Control and Prevention (CDC), under the U.S. Department of Health and Human Services, released this funding opportunity to strengthen public health laboratory systems in Cameroon as part of the President's Emergency Plan for AIDS Relief (PEPFAR). The program is designed to improve the quality, reach, and sustainability of HIV-related diagnostic and laboratory services, recognizing that reliable testing and lab networks are essential for diagnosing HIV, initiating and monitoring treatment, and managing HIV-related infections. By strengthening these systems, the work directly supports progress toward the UNAIDS 95-95-95 targets, which depend heavily on accurate and accessible testing and dependable laboratory follow-through.
A major driver behind the opportunity is a gap that emerged after PEPFAR expanded in 2019 from historically supported areas to all ten regions of Cameroon. While the geographic footprint grew, laboratory program funding did not increase to match the added workload. Even with efforts to stretch limited funding and human resources, the overall impact of lab strengthening across the newly included regions was described as sub-optimal. This notice of funding opportunity (NOFO) is meant to address that mismatch by focusing on targeted technical assistance and support that can sustain and build indigenous (locally owned and operated) laboratory capacity across the country, rather than concentrating improvements only where earlier investments were made.
The program priorities center on practical system-building actions that improve both quality and coverage of diagnostics. Key activities include expanding access to quality laboratory diagnostics; strengthening HIV proficiency testing (PT) capacity so that testing sites can routinely verify and improve their accuracy; improving referral networks so specimens and results can move efficiently between facilities and tiers of the health system; and scaling up rapid HIV testing continuous quality improvement (RTCQI) activities to ensure rapid testing is performed consistently and correctly. Another major emphasis is human resources development through training and mentorship for laboratorians, along with support for Quality Corps (Q-Corps), described as science college graduates who volunteer to help expand workforce capacity and reinforce quality practices. The NOFO also highlights the development and implementation of Laboratory Information Systems, which are critical for tracking specimens, managing results, improving turnaround times, reducing errors, and strengthening data use for quality management and decision-making.
This is a discretionary funding opportunity offered through a cooperative agreement, meaning CDC expects substantial involvement and collaboration during implementation rather than simply providing funds and stepping back. The opportunity is identified as CDC RFA GH22-2230 under CFDA 93.067, and eligibility is listed as unrestricted (open to any entity type), subject to any additional eligibility clarifications in the full announcement. The work is intended to be carried out in close collaboration with Cameroon's National Public Health Laboratory (NPHL) and the Department of Pharmacy, Drugs and Laboratories, with an explicit goal of institutionalizing policies and routine activities that protect and sustain diagnostic quality over time.
In terms of funding, CDC anticipated approximately $5,000,000 in total fiscal year funding for Year 1, contingent on the availability of funds, and expected to make two awards. The listing also notes that the "award ceiling" for Year 1 is shown as $0 (none), which typically indicates that a maximum award amount was not set in the public summary even though an overall estimated Year 1 funding level was provided. The original posting date was December 22, 2021, and the original application deadline was February 22, 2022, with electronic submissions due by 11:59 pm Eastern Time on the due date.Apply for CDC RFA GH22 2230
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening Public Health Laboratory Systems in the Republic of Cameroon 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 Dec 22, 2021.
- Applicants must submit their applications by Feb 22, 2022 Electronically submitted applications must be submitted no later than 1159 pm 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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Frequently Asked Questions (FAQs)
1. What is this funding opportunity about?
This CDC funding opportunity supports efforts to strengthen public health laboratory systems in Cameroon, with a focus on HIV-related diagnostic and laboratory services under the President's Emergency Plan for AIDS Relief (PEPFAR).
2. Which U.S. agency is offering this opportunity?
The opportunity is offered by the Centers for Disease Control and Prevention (CDC) under the U.S. Department of Health and Human Services (HHS).
3. What is the main public health goal of the program?
The program aims to improve the quality, reach, and sustainability of HIV-related diagnostic and laboratory services so that testing and laboratory networks reliably support HIV diagnosis, treatment initiation, treatment monitoring, and management of HIV-related infections.
4. How does this work connect to the UNAIDS 95-95-95 targets?
The work is intended to directly support progress toward UNAIDS 95-95-95 targets by strengthening accurate and accessible HIV testing and ensuring dependable laboratory follow-through for results and monitoring.
5. Why was this NOFO issued (what gap is it addressing)?
The NOFO responds to a mismatch that emerged after PEPFAR expanded in 2019 from historically supported areas to all ten regions of Cameroon. While geographic coverage expanded, laboratory program funding did not increase to match the added workload, leading to sub-optimal overall lab strengthening impact in the newly included regions.
6. What is the overarching approach CDC is seeking?
The NOFO emphasizes targeted technical assistance and support to sustain and build indigenous (locally owned and operated) laboratory capacity across Cameroon, rather than concentrating improvements only in areas that received earlier investments.
7. What are the priority activities described in the opportunity?
Priority activities include expanding access to quality laboratory diagnostics, strengthening HIV proficiency testing (PT) capacity, improving referral networks for specimens and results, scaling up rapid HIV testing continuous quality improvement (RTCQI), developing human resources through training and mentorship, supporting Quality Corps (Q-Corps), and developing and implementing Laboratory Information Systems.
8. What does "expanding access to quality laboratory diagnostics" mean in this context?
Based on the opportunity summary, it refers to practical system-building actions that increase the availability and reliability of HIV-related diagnostic services and ensure testing quality is strengthened as coverage expands.
9. What is HIV proficiency testing (PT), and why is it included?
HIV proficiency testing (PT) is highlighted as a way for testing sites to routinely verify and improve testing accuracy. Strengthening PT capacity is included to help ensure consistent, high-quality results across the testing network.
10. What are "referral networks" in the laboratory context?
The NOFO describes referral networks as the systems that allow specimens and results to move efficiently between facilities and tiers of the health system, supporting timely testing and reporting.
11. What is RTCQI?
RTCQI stands for rapid HIV testing continuous quality improvement. The opportunity calls for scaling up RTCQI activities so that rapid HIV testing is performed consistently and correctly.
12. What types of workforce activities are emphasized?
The NOFO emphasizes human resources development through training and mentorship for laboratorians, along with support for Quality Corps (Q-Corps) to expand workforce capacity and reinforce quality practices.
13. What are Quality Corps (Q-Corps) in this program?
Q-Corps are described as science college graduates who volunteer to help expand workforce capacity and reinforce quality practices within laboratory systems.
14. Why are Laboratory Information Systems (LIS) a major emphasis?
The NOFO describes Laboratory Information Systems as critical tools for tracking specimens, managing results, improving turnaround times, reducing errors, and strengthening data use for quality management and decision-making.
15. What type of award mechanism is being used?
This is a discretionary funding opportunity offered through a cooperative agreement.
16. What does a "cooperative agreement" mean for implementation?
The opportunity notes that CDC expects substantial involvement and collaboration during implementation, rather than simply providing funds without ongoing engagement.
17. What is the opportunity number and CFDA listing?
The opportunity is identified as CDC RFA GH22-2230 under CFDA 93.067.
18. Who is eligible to apply?
Eligibility is listed as unrestricted (open to any entity type), subject to any additional eligibility clarifications in the full announcement.
19. Who are the key in-country collaborators mentioned?
The work is intended to be carried out in close collaboration with Cameroon's National Public Health Laboratory (NPHL) and the Department of Pharmacy, Drugs and Laboratories.
20. Is there an explicit sustainability or institutionalization goal?
Yes. The NOFO explicitly aims to institutionalize policies and routine activities that protect and sustain diagnostic quality over time.
21. How much funding was anticipated for Year 1?
CDC anticipated approximately $5,000,000 in total fiscal year funding for Year 1, contingent on the availability of funds.
22. How many awards did CDC expect to make?
CDC expected to make two awards.
23. Was there an award ceiling (maximum) for Year 1?
The public summary lists the Year 1 "award ceiling" as $0 (none). This typically indicates that a maximum award amount was not set in the public summary, even though an overall estimated Year 1 funding level was provided.
24. When was the opportunity originally posted?
The original posting date was December 22, 2021.
25. What was the original application deadline?
The original application deadline was February 22, 2022.
26. What time were electronic submissions due on the deadline date?
Electronic submissions were due by 11:59 pm Eastern Time on the due date.
27. Does the summary indicate that funding is guaranteed?
No. The summary indicates the Year 1 total fiscal year funding was anticipated and contingent on the availability of funds.
28. Is the work limited to certain regions of Cameroon?
The summary frames the need as national, noting PEPFAR expansion to all ten regions of Cameroon and emphasizing building indigenous laboratory capacity across the country.
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