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.

  • 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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