Opportunity Information: Apply for CDC RFA GH20 2051
This funding opportunity, titled "Achieving Voluntary Medical Male Circumcision (VMMC) Saturation in Malawi under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a CDC cooperative agreement (Funding Opportunity Number CDC RFA GH20 2051; CFDA 93.067) focused on scaling up VMMC as a core HIV prevention intervention in Malawi. It was issued by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Center for Global Health, with an original application deadline of February 27, 2020 (11:59 p.m. ET for electronic submissions). The opportunity is listed as discretionary funding and is structured to support a single anticipated award.
The public health rationale behind the award is based on strong evidence that medical male circumcision reduces female-to-male HIV transmission risk, which led WHO and UNAIDS in 2007 to recommend VMMC as part of a comprehensive HIV prevention package in countries where HIV prevalence is high and baseline circumcision prevalence is low. Malawi fits that profile: the Demographic and Health Survey (2015/16) estimated male circumcision prevalence at about 28 percent, while national HIV prevalence is about 10.6 percent. Malawi adopted a national VMMC policy in 2012, and the program has been expanding, but the country still has substantial unmet need, particularly in high-priority districts.
The core program goal in this notice is to accelerate progress toward epidemic control by driving VMMC coverage up to an 80 percent saturation target, with a practical emphasis on maximizing near-term HIV prevention impact. To do that, the recipient is expected to continue and strengthen direct VMMC service delivery and pair those services with evidence-based demand creation strategies. The program specifically prioritizes males ages 15 and above, reflecting the intent to generate immediate prevention benefit by focusing on age groups with higher or imminent sexual activity and therefore more immediate HIV acquisition risk.
Geographically, the work builds on CDC Malawi support that has been ongoing since 2012 in partnership with the Malawi Ministry of Health. The notice highlights Lilongwe district as a key focus area because it has one of the highest unmet needs for VMMC in the country, while also noting that implementation should extend to other VMMC priority districts. In practice, this implies a combination of service delivery platforms (such as facility-based services and outreach where appropriate) and targeted demand creation approaches designed to overcome barriers like low risk perception, cultural concerns, misinformation, fear of pain or complications, and opportunity costs (time away from work or school).
From a funding standpoint, the notice contains two points that can look contradictory at first glance but are common in federal postings: it lists an "Award Ceiling for Year 1" as 0 (meaning no formal cap is being set in the posting), while also stating that CDC anticipates approximately $8.5 million in total fiscal year funding for Year 1, contingent on the availability of funds. In other words, applicants should treat $8.5 million as the expected scale of first-year support, with final amounts dependent on appropriations and CDC decisions. The opportunity is open to unrestricted eligibility (any type of entity), unless further clarified elsewhere in the full announcement, and it anticipates one awardee, which suggests CDC is seeking a single primary implementing partner to manage and deliver results at district and program scale.
Overall, the opportunity is designed to keep Malawi's VMMC scale-up moving from expansion into saturation, using proven demand creation and high-quality clinical delivery to reach large numbers of men (especially 15+) in Lilongwe and other priority areas, thereby contributing directly to PEPFAR's HIV prevention and epidemic control targets.Apply for CDC RFA GH20 2051
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Achieving Voluntary Medical Male Circumcision (VMMC) Saturation in Malawi 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 Dec 27, 2019.
- Applicants must submit their applications by Feb 27, 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 the title of this funding opportunity?
The funding opportunity is titled "Achieving Voluntary Medical Male Circumcision (VMMC) Saturation in Malawi under the President's Emergency Plan for AIDS Relief (PEPFAR)."
Which agency is offering this grant?
This is a U.S. Department of Health and Human Services opportunity offered through the Centers for Disease Control and Prevention (CDC), Center for Global Health.
What type of funding mechanism is this?
The opportunity is a CDC cooperative agreement and is listed as discretionary funding.
What is the Funding Opportunity Number (FON) and CFDA number?
The Funding Opportunity Number is CDC RFA GH20 2051, and the CFDA number is 93.067.
What is the main purpose of this award?
The purpose is to scale up voluntary medical male circumcision (VMMC) in Malawi as a core HIV prevention intervention, with the goal of accelerating progress toward epidemic control.
Why is VMMC being funded as an HIV prevention strategy?
The public health rationale is based on strong evidence that medical male circumcision reduces the risk of female-to-male HIV transmission. WHO and UNAIDS recommended VMMC in 2007 as part of a comprehensive HIV prevention package in settings with high HIV prevalence and low baseline circumcision prevalence.
Why is Malawi a focus country for VMMC scale-up?
Malawi fits the profile described in global guidance: male circumcision prevalence was estimated at about 28 percent (Demographic and Health Survey 2015/16), while national HIV prevalence is about 10.6 percent. Malawi also adopted a national VMMC policy in 2012 and has been expanding services, but unmet need remains, especially in priority districts.
What coverage level is CDC trying to achieve through this award?
The notice emphasizes driving VMMC coverage toward an 80 percent saturation target, with practical emphasis on maximizing near-term HIV prevention impact.
Who is the priority population for VMMC services under this opportunity?
The program specifically prioritizes males ages 15 and above, reflecting the intent to generate more immediate HIV prevention benefit by focusing on age groups with higher or imminent sexual activity and thus more immediate risk of HIV acquisition.
What are the main program activities expected from the recipient?
The recipient is expected to continue and strengthen direct VMMC service delivery and pair those clinical services with evidence-based demand creation strategies to increase uptake and move from expansion to saturation.
What does "demand creation" mean in this context?
In this notice, demand creation refers to strategies designed to increase acceptance and uptake of VMMC by addressing barriers such as low risk perception, cultural concerns, misinformation, fear of pain or complications, and opportunity costs like time away from work or school.
Where will the program be implemented in Malawi?
The work builds on CDC Malawi support ongoing since 2012 in partnership with the Malawi Ministry of Health. Lilongwe district is highlighted as a key focus area due to one of the highest unmet needs for VMMC, and implementation is also expected to extend to other VMMC priority districts.
Does the opportunity specify service delivery platforms?
The notice implies a combination of service delivery platforms, such as facility-based services and outreach where appropriate, alongside targeted demand creation approaches.
How many awards does CDC anticipate making?
The opportunity is structured to support a single anticipated award, suggesting CDC intends to fund one primary implementing partner for delivery and results at district and program scale.
Who is eligible to apply?
The opportunity is described as open to unrestricted eligibility (any type of entity), unless further clarified elsewhere in the full announcement.
What was the original application deadline?
The original application deadline was February 27, 2020, with electronic submissions due by 11:59 p.m. Eastern Time.
How much funding is expected for Year 1?
CDC anticipates approximately $8.5 million in total fiscal year funding for Year 1, contingent on the availability of funds.
Why does the posting list an "Award Ceiling for Year 1" as 0?
The notice lists an "Award Ceiling for Year 1" as 0 to indicate that no formal funding cap is being set in the posting, while separately stating an expected first-year funding level (approximately $8.5 million). Final award amounts remain dependent on appropriations and CDC decisions.
How does this opportunity connect to PEPFAR?
The work is framed under PEPFAR and is designed to contribute directly to HIV prevention and epidemic control targets by increasing VMMC coverage in priority areas and among priority age groups.
How does this opportunity relate to Malawi's national VMMC program?
Malawi adopted a national VMMC policy in 2012, and the program has been expanding. This opportunity is designed to push the national scale-up from expansion into saturation, particularly in high-need districts such as Lilongwe and other priority districts.
What is the expected near-term public health impact of focusing on males 15 and older?
The notice indicates the practical intent is to maximize near-term HIV prevention impact by emphasizing age groups with higher or imminent sexual activity and therefore more immediate HIV acquisition risk.
Is this opportunity limited to clinical service delivery only?
No. The notice describes a combined approach: strengthening direct VMMC service delivery while also implementing evidence-based demand creation to improve uptake and reach saturation targets.
What is the broader public health context described in the notice?
The notice references global guidance (WHO/UNAIDS 2007) and Malawi-specific epidemiology, including relatively low circumcision prevalence (about 28 percent) alongside substantial HIV prevalence (about 10.6 percent), as the basis for prioritizing VMMC scale-up as a core prevention intervention.
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