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).Apply for CDC RFA GH20 2009
- 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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Frequently Asked Questions (FAQs)
What is CDC RFA GH20-2009 about?
This CDC cooperative agreement opportunity (CDC RFA GH20-2009) under PEPFAR focuses on strengthening Botswana's cervical cancer prevention efforts for women living with HIV (WLHIV) who are on antiretroviral therapy (ART). The core aim 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.
Which country and health system does this opportunity support?
The work is designed to support Botswana, specifically the Botswana Ministry of Health and Wellness (MOHW) and its National Cervical Cancer Prevention Programme (NCCPP), across national leadership, districts, health facilities, and communities.
Who is the primary population targeted by this program?
The primary target population is women living with HIV who are on ART in Botswana.
What is the main service delivery emphasis?
The main service delivery emphasis is to routinize cervical cancer screening every other year (biannual, meaning every two years) for HIV-positive WLHIV on ART, starting in a subset of MOHW high-volume ART sites.
How often should screening occur under this program?
Screening is intended to occur every other year for eligible HIV-positive women on ART.
Where will implementation start?
Implementation is expected to begin in a subset of MOHW high-volume ART sites, with the intention of embedding screening within routine HIV care at those sites.
How is cervical cancer screening expected to fit into HIV care?
The program is designed to build cervical cancer screening into the normal flow of HIV care so eligible women are regularly identified, screened on schedule, and linked quickly to treatment when pre-cancer is found.
Does the opportunity include treatment, or only screening?
It includes support for treatment of pre-cancerous lesions in line with World Health Organization (WHO) and PEPFAR guidance, emphasizing that screening should be part of a complete prevention pathway that includes follow-up and appropriate care.
What does "prompt treatment of pre-cancerous lesions" mean in this context?
Based on the description provided, it refers to ensuring women who screen positive for pre-cancer are linked quickly to appropriate treatment, so screening is not a standalone activity and delays in care are minimized.
What role does quality improvement play in the grant?
Capacity building and quality improvement are major components. The recipient is expected to strengthen national and district leadership to manage, supervise, and improve cervical cancer prevention services over time, and to improve consistency and quality through stronger oversight, clearer processes, and better use of data.
What monitoring and evaluation (M&E) expectations are mentioned?
The opportunity emphasizes reinforcing systems for monitoring and evaluation 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.
What kinds of service gaps is the program meant to identify and address?
Examples specifically mentioned include missed screenings and delays in treatment, which data systems and routine data use should help identify so corrective actions can be taken.
Is the program limited to service delivery, or does it also strengthen leadership and systems?
It is intended to do both. In addition to supporting screening and treatment pathways, it explicitly focuses on strengthening leadership, supervision, monitoring and evaluation, and ongoing quality improvement capacity at national and district levels.
What is the sustainability focus of this opportunity?
The opportunity places clear weight on long-term sustainability and national scale-up. Beyond selected sites, the recipient will help MOHW develop a sustainability strategy to enable nationwide expansion of secondary cervical cancer prevention services.
Does the opportunity mention national scale-up beyond the initial sites?
Yes. It describes supporting implementation in selected high-volume sites while also helping MOHW plan for national expansion through sustainability planning and national strategy and guideline development.
What national strategies or guidance documents are expected outputs?
The recipient will support development of a national cervical cancer control strategy and associated guidelines, intended to guide future expansion with standardized technical direction.
What community-level activities are included?
The community component includes strengthening awareness and demand for screening, with emphasis on communicating the importance of screening every other year among WLHIV. The intent is to reduce barriers such as low awareness, stigma, or misconceptions and encourage acceptance of screening and follow-up as part of routine HIV care.
What barriers to screening does the opportunity aim to reduce?
Barriers explicitly referenced include low awareness, stigma, and misconceptions that may prevent eligible women from accepting screening and follow-up services.
What type of funding mechanism is used?
This is a discretionary funding opportunity using a cooperative agreement mechanism.
What does a cooperative agreement imply for implementation?
The posting indicates that CDC expects substantial involvement during implementation, which is characteristic of the cooperative agreement mechanism.
What program and federal identifiers are associated with this opportunity?
The opportunity is associated with PEPFAR and is listed under CFDA 93.067. It is administered by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CGH).
Who is eligible to apply?
Eligibility is described as unrestricted, meaning it is open to any type of entity, subject to any additional eligibility clarifications in the full notice.
How much funding was anticipated for Year 1?
CDC anticipated approximately $2,000,000 in total funding for Year 1, contingent on available funds.
How many awards were expected?
One award was expected.
Is there an award ceiling for Year 1?
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 that no funding is available.
When was the opportunity originally posted?
The original posting date was January 7, 2020.
What was the original application deadline?
The original application deadline was March 7, 2020, with electronic submissions due by 11:59 p.m. ET.
What is the overarching goal of the program?
The overarching 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 for the target population.
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