Opportunity Information: Apply for CDC RFA GH20 2009

This CDC cooperative agreement opportunity (CDC RFA GH20-2009) under PEPFAR focuses on strengthening Botswana's cervical cancer prevention efforts specifically for women living with HIV (WLHIV) who are on antiretroviral therapy (ART). The core goal is to reduce illness and deaths from cervical cancer by making screening and prompt treatment of pre-cancerous lesions routine, consistent, and high quality across the health system. The program is designed to support the Botswana Ministry of Health and Wellness (MOHW) and its National Cervical Cancer Prevention Programme (NCCPP) at multiple levels, including national leadership, districts, health facilities, and communities.

The main service delivery emphasis is to routinize cervical cancer screening every other year for HIV-positive WLHIV on ART, starting in a subset of MOHW high-volume ART sites. In practice, that means building cervical cancer screening into the normal flow of HIV care so that eligible women are regularly identified, screened on schedule, and linked quickly to treatment when pre-cancer is found. The funded partner would also support treatment of pre-cancerous lesions in line with World Health Organization (WHO) and PEPFAR guidance, ensuring that screening is not a standalone activity but part of a complete prevention pathway that includes appropriate follow-up and care.

A major component of the work is capacity building and quality improvement. The recipient is expected to help strengthen national and district leadership so they can manage, supervise, and improve cervical cancer prevention services over time. This includes reinforcing systems for monitoring and evaluation (M&E) and promoting routine data use so program managers and facility teams can track performance, identify gaps (such as missed screenings or delays in treatment), and make practical improvements. The intent is not only to provide services, but to improve the consistency and quality of those services through better oversight, clearer processes, and stronger use of data for decision-making.

The opportunity also places clear weight on long-term sustainability and national scale-up. Beyond supporting implementation in selected high-volume sites, the recipient will help MOHW develop a sustainability strategy that enables Botswana to expand secondary cervical cancer prevention services nationwide. Related to that, the recipient will support the development of a national cervical cancer control strategy and associated guidelines, helping ensure that future expansion is driven by a coherent national plan and standardized technical direction.

At the community level, the work includes strengthening awareness and demand for screening, with an emphasis on communicating the importance of biannual (every other year) cervical cancer screening among WLHIV. This community-facing element is meant to reduce barriers such as low awareness, stigma, or misconceptions, and to encourage women who are eligible to accept screening and follow-up services as part of routine HIV care.

From a funding and administrative standpoint, this is a discretionary funding opportunity using a cooperative agreement mechanism (meaning CDC expects substantial involvement during implementation). It is listed under CFDA 93.067, administered by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CGH). Eligibility is described as unrestricted (open to any type of entity, subject to any additional eligibility clarifications in the full notice). CDC anticipated approximately $2,000,000 in total funding for Year 1, contingent on available funds, with one expected award. Notably, the notice lists an award ceiling for Year 1 as "0 (none)," which typically indicates that no formal cap was specified in the posting rather than implying no funding. The original posting date was January 7, 2020, with an original application deadline of March 7, 2020 (11:59 p.m. ET for electronic submissions).

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Supporting the Provision of Quality Cervical Cancer Screening and Pre-Cancer Treatment Services for Women Living with HIV in Botswana 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 Jan 07, 2020.
  • Applicants must submit their applications by Mar 07, 2020 Electronically submitted applications must be submitted no later than 1159 p.m., 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 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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