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 President?s Emergency Plan for AIDS Relief (PEPFAR). Objectives include: (1) Training and technical assistance to build and strengthen care programs and health systems, so that affected countries can maintain programs over time and deliver quality HIV/AIDS care; build infrastructures such as clinic monitoring, health information systems, and medical and nursing education. (2) Enhance models of medical, nursing and midwifery education. (3) Develop partnerships between experts in the U.S. and people and institutions overseas to build skills and prepare host countries so that they may better manage their own programs over the long term. Health Systems Strengthening Programs: (1) International Twinning Center (CoAg) (2) Quality Improvement Capacity for Impact Project (CoAg) (3) International AIDS Education and Training Center (CoAg) (4) Resilient and Responsive Health Systems Initiative (CoAg) (5) Resilient and Responsive Health Organizations Initiative: Sustainability Communities of Practice Initiative (CoAg) (6) Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative (CoAg) (7) Optimizing Momentum Toward Sustainable Epidemic Control (CoAg)
General information about this opportunity
Last Known Status
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Public Law 108-25 (the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003) [22 U.S.C. 7601, et seq.]; and Public Law 110-293 (the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008), as reauthorized and amended by Public Law 113-56 (the PEPFAR Stewardship and Oversight Act of 2013) and Public Law 115-305 (the PEPFAR Extension Act of 2018).
Who is eligible to apply/benefit from this assistance?
Eligibility varies depending on the specific program. Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA for specific eligibility requirements.
Beneficiaries are foreign governments, foreign public or private institutions or organizations, or foreign individuals.
Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 45 CFR 75, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Preapplication coordination is not applicable.
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 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
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.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
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 notice of funding opportunity.
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?
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.
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. 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
5600 Fishers Lane,
Rockville, MD 20857 US
(Cooperative Agreements) FY 18$39,961,000.00; FY 19 est $36,000,000.00; FY 20 est $34,000,000.00; FY 17$38,000,000.00; FY 16$30,000,000.00; -
Range and Average of Financial Assistance
International Twinning Center - $500,000 to $10,000,000; Average $10,000,000 Quality Improvement Capacity for Impact Project - $6,000,000 to $20,000,000; Average $10,000,000 International AIDS Education & Training Center $1,000,000 to $60,000,000; Average $55,000,000 Resilient and Responsive Health Systems Initiative - $1,500,000 to $2,000,000; Average $1,500,000 Resilient and Responsive Health Organizations Initiative: Sustainability Communities of Practice Initiative - $750,000 Health Workforce for HIV and Chronic Disease Service Delivery Global Initiative - $30,000,000 Optimizing Momentum Toward Sustainable Epidemic Control - $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 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