Health Systems Strengthening and HIV/AIDS Prevention, Care and Treatment under the President's Emergency Plan for AIDS Relief

 

Fund human resources for health, quality improvement and other health system strengthening activities in countries hit hardest by HIV/AIDS through the Presidents Emergency Plan for AIDS Relief (PEPFAR).

General information about this opportunity
Last Known Status
Active
Program Number
93.266
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2020 Recent program accomplishments include the following: • Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). • Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine. • Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region. • Introduced Family Medicine Training Program in a rural community in Liberia. • Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development.
Fiscal Year 2021 • Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). • Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine. • Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region. • Introduced Family Medicine Training Program in a rural community in Liberia. • Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development.
Fiscal Year 2022 Recent program accomplishments include the following: Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine. Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region. Introduced Family Medicine Training Program in a rural community in Liberia. Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development. FY 2022: First harm reduction program implemented in Mozambique; new integrated mental health screenings for people living with HIV in Uganda, Zambia and Jamaica; first cohort of adolescent girls and young women as community health workers placed in 3 rural districts in Malawi; new HRSA-funded program in Philippines for national policies on healthcare workforce and quality improvement of HIV services.
Authorization
22 USC 7631, Assistance to combat HIV/AIDS, Public Law 115-305 (The PEPFAR Extension Act of 2018)
PEPFAR Stewardship and Oversight Act of 2013 (P. L. 113-56)
United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003 (P. L. 108-25) as amended by the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (P. L. 110-293);
115th Congress (2017-2018): H.R. 6651 115-305 (12/11/2018) This bill amends the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 to extend certain provisions related to the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), a government initiative addressing the global HIV/AIDS epidemic through FY2024.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligibility varies depending on the specific program. Applicants should review the individual HRSA NOFO issued under this assistance listing for specific eligibility requirements. Individual/Family, Specialized group (e.g. health professionals, students, veterans), Public nonprofit institution/organization, Other public institution/organization. Beneficiaries are foreign governments, foreign public or private institutions or organizations, or foreign individuals.
Beneficiary Eligibility
Beneficiaries are foreign governments, foreign public or private institutions or organizations, or foreign individuals.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity (NOFO) issued under this assistance listing for any required proof or certifications which must be submitted prior to or simultaneously with submission of an application package. 45 CFR 75, Subpart E - Cost Principles applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Notice of Funding Opportunities (NOFO) for this listing will be posted on Grants.gov. 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Refer to the instructions included in any notice of funding opportunity. 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov
Award Procedure
All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing (electronic) by a Notice of Award (NoA).
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 90 to 120 days. 3-6 months.
Appeals
Not applicable.
Renewals
Cooperative agreements are typically awarded for up to a three- or five-year project period. Competitive awards are made every 3 to 5 years.
How are proposals selected?
Refer to the evaluation criteria included in the NOFO.
How may assistance be used?
Cooperative Agreements will be awarded to organizations that execute one or more of the objectives above. See the notice of funding opportunity for restricted uses of funds.
What are the requirements after being awarded this opportunity?
Reporting
Performance Reports: As required by Department of State, Global Health Security and Diplomacy/PEPFAR requirements for quarterly performance reporting through DATIM to be displayed on PEPFAR Panaroma, and semi-annual reporting through HRSA Electronic Handbooks (EHB).
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of 45 CFR 75, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 45 CFR 75.
Records
Recipients are required to maintain financial records 3 years after the date they submit the final Federal Financial Review (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Cooperative agreements are typically awarded for up to a three- or five-year project period composed of 12-month budget periods as funds from Department of State via Department of Health and Human Services are available after congressional notification. Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Carla Haddad
Office of Global Health Director
Rockville, MD 20857 US
CHaddad@hrsa.gov
Phone: 301-443-4551

Tola Life
Senior Advisor
Rockville, MD 20857 USA
TLife@hrsa.gov
Phone: 301-443-1019
Website Address
https://www.hrsa.gov/office-global-health
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Cooperative Agreements) FY 22$1,750,000.00; FY 23 est $2,033,000.00; FY 24 est $750,000.00; FY 21$35,000,000.00; FY 20$30,000,000.00; FY 19$36,000,000.00; FY 18$39,961,000.00; FY 17$38,000,000.00; FY 16$30,000,000.00; - Cooperative Agreement: QISSEC(Cooperative Agreements) FY 22$12,697,356.00; FY 23 est $9,075,997.00; FY 24 est $10,371,535.00; - Cooperative Agreement: CBP(Cooperative Agreements) FY 22 FY 23 est $11,099,166.00; FY 24 - Cooperative Agreement: GRII(Cooperative Agreements) FY 22$100,000.00; FY 23 est $125,000.00; FY 24 est $150,000.00; - Cooperative Agreement: CLM-SL(Cooperative Agreements) FY 22 FY 23 est $750,000.00; FY 24 - Cooperative Agreement: RRHS(Cooperative Agreements) FY 22$1,500,000.00; FY 23 FY 24 - Cooperative Agreement: RRHO(Cooperative Agreements) FY 22$10,250,000.00; FY 23 est $500,000.00; FY 24 - Cooperative Agreement: HW21(Cooperative Agreements) FY 22$400,000.00; FY 23 FY 24 - Cooperative Agreement: OpCon(Cooperative Agreements) FY 22 FY 23 est $8,000,000.00; FY 24 est $8,000,000.00; - Cooperative Agreement: HHEA(Cooperative Agreements) FY 22 FY 23 FY 24 est $800,000.00; - Cooperative Agreement: CLM(Cooperative Agreements) FY 22 FY 23 FY 24 est $2,000,000.00; - Cooperative Agreement: SHSS
Range and Average of Financial Assistance
Quality Improvement Solutions for Sustained Epidemic Control Project (QISSEC) - $750,000 to $1,333,876. Capacity Building Project $1,000,000 to $12,697,356 Resilient and Responsive Health Systems Initiative - $1,500,000 to $2,000,000 Resilient and Responsive Health Organizations Initiative: Sustainability Communities of Practice Initiative - $750,000 -- $1,000,000 Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative - $10,000,000 to $30,000,000 Optimizing Momentum Toward Sustainable Epidemic Control - $100,000 to $10,000,000 Global Reach II - $1,000,000 to $20,000,000 Community Led Monitoring in Sierra Leone $10,000 - $125,000. Leveraging Health Equity Service Approaches for Sustainability $8,000,000 - $10,000,000
Regulations, Guidelines and Literature
All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Fiscal Year 2022 FY22 Health Systems Strengthening Programs: (1) Quality Improvement Solutions for Sustained Epidemic Control Project, QISSEC(CoAg) (2) Capacity Building for Sustainable HIV Services Project, CBP (CoAg) (3) Global Reach II, GRII (CoAg) (4) Community-Led Monitoring in Sierra Leone, CLM-SL (CoAg). (5) Resilient and Responsive Health Systems Initiative, RRHS (CoAg) (6) Resilient and Responsive Health Organizations Initiative: Sustainability Communities of Practice Initiative, RRHO (CoAg) (7) Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative, HW21 (CoAg) (8) Optimizing Momentum Toward Sustainable Epidemic Control, OpCon (CoAg) FY 22 Actual: $34,836,495.00 (Estimated: $49,913,331 includes ARPA and carryover) FY 22 Range: $125,000.00 - $12,697,356.00 FY 22 Average Award: $657,292.36
Fiscal Year 2023 FY23 Health Systems Strengthening Programs: (1) Quality Improvement Solutions for Sustained Epidemic Control Project, QISSEC(CoAg) (2) Capacity Building for Sustainable HIV Services Project, CBP (CoAg) (3) Global Reach II, GRII (CoAg) (4) Community-Led Monitoring in Sierra Leone, CLM-SL (CoAg) (5) Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative, HW21 (CoAg) (6) Leveraging HIV Health Equity Service Approaches for Sustainability HIV, HHEA (CoAg) FY 23 Estimate: $35,472,271.00 FY 23 Current Range: $8,974.00 - $11,099,166.00 FY 23 Current Average Award: $559,055.41

 


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