Opportunity Information: Apply for CDC RFA GH20 2059
The Namibia Mechanism for Public Health Assistance, Capacity, and Technical Support II (NAM-PHACTS II) is a PEPFAR-supported funding opportunity from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), designed to help Namibia move from strong HIV performance into sustained, locally led epidemic control. Although Namibia had already reached 94-96-95 against the global 95-95-95 targets by the end of 2018, CDC frames this opportunity around closing the remaining gaps and making progress durable over time, particularly by strengthening the health system and expanding the ability of Namibian institutions to lead and manage core HIV program functions.
This opportunity was issued as a discretionary cooperative agreement (CDC RFA GH20-2059) under CFDA numbers 93.067 and 93.947, with unrestricted eligibility (open to any entity type, with any limits only as clarified in the full notice). CDC anticipated approximately $16,000,000 in total funding for the first year, subject to availability of funds, and expected to make two awards. A notable detail in the notice is that the stated award ceiling for Year 1 is listed as 0 (none), which typically signals that CDC did not set a per-award cap in the public listing rather than indicating no funding; the same notice still states a substantial projected Year 1 total funding amount. Applications were originally due March 8, 2020, with electronic submissions required by 11:59 p.m. Eastern Time on the due date.
The core problem NAM-PHACTS II aims to address is that Namibia faces a shortage of qualified health workers and health system managers, which CDC identifies as a major barrier to sustaining epidemic control. In practical terms, the award is meant to provide both technical assistance and service delivery support to the Ministry of Health and Social Services (MoHSS) and other Namibian public health institutions so that the national response can increasingly be led locally, supported by stronger systems, better program management capacity, and more resilient service delivery.
Programmatically, the NOFO emphasizes several linked areas along the HIV care continuum. On case finding, it calls for scaling up more targeted testing strategies that are designed to identify undiagnosed people living with HIV efficiently, including index testing (testing contacts of known positives), refined provider-initiated testing approaches, and recency testing to help characterize newer infections and sharpen prevention targeting. Once individuals are diagnosed, the opportunity prioritizes faster and more reliable linkage to care, including same-day antiretroviral therapy initiation where appropriate, to reduce loss between testing and treatment and to accelerate viral suppression at the population level.
Beyond initiation, the NOFO places heavy weight on retention, adherence, and viral load suppression, recognizing that sustained epidemic control depends on keeping people on effective treatment long term. It highlights differentiated service delivery approaches and operational improvements such as community adherence groups, multi-month dispensing/scripting to reduce visit burden, patient tracing to bring back those who disengage, and optimization of antiretroviral regimens to improve tolerability and effectiveness. These interventions are geared toward maintaining high treatment coverage while improving the quality and durability of outcomes, especially viral suppression.
Prevention is another central pillar. The NOFO calls for preventing new infections through targeted outreach and medical interventions focused on those most at risk, reflecting a push to concentrate resources where incidence is highest and where transmission networks can be disrupted most effectively. While the notice does not list every prevention modality in the excerpt provided, the intent is clear: pair data-informed outreach with proven interventions to reduce forward transmission and maintain low incidence as treatment coverage remains high.
Given the close relationship between HIV and tuberculosis in southern Africa, NAM-PHACTS II also includes explicit TB components. It prioritizes expansion of TB preventive therapy (TPT) as well as stronger TB diagnostic and treatment capacity, aligning with the reality that TB remains a leading cause of morbidity and mortality among people living with HIV. Strengthening TB services alongside HIV treatment helps protect gains in survival and reduces health system strain from preventable TB disease.
The NOFO additionally includes cervical cancer screening, treatment, and referral for women living with HIV, reflecting the elevated cervical cancer risk in this population and the importance of integrated chronic care. By embedding screening and referral pathways into HIV services, the program aims to reduce late diagnosis and improve continuity across HIV and non-HIV health needs, which is increasingly important in maturing HIV programs where clients live longer.
A cross-cutting objective throughout the opportunity is building indigenous partner capacity and investing in systems that support sustainability. That includes strengthening local expertise, management capacity, and institutional systems so that Namibia can increasingly plan, implement, monitor, and improve HIV and related services with less reliance on external implementers. Overall, NAM-PHACTS II is positioned less as an emergency scale-up and more as a consolidation and sustainability effort: closing remaining gaps in diagnosis and suppression, improving service quality and continuity, integrating TB and cervical cancer priorities, and strengthening the workforce and institutions needed to sustain epidemic control over the long term.Apply for CDC RFA GH20 2059
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Namibia Mechanism for Public Health Assistance, Capacity, and Technical Support II (NAM-PHACTS II) 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, 93.947.
- This funding opportunity was created on Jan 08, 2020.
- Applicants must submit their applications by Mar 08, 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 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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