Opportunity Information: Apply for CDC RFA GH19 1964
This grant opportunity, titled "Provision of Expanded High Quality HIV/STIs Prevention, Care, and Treatment Services in Trinidad and Tobago under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a U.S. Centers for Disease Control and Prevention (CDC) cooperative agreement aimed at strengthening and expanding HIV and sexually transmitted infection (STI) services in Trinidad and Tobago. The public health need driving the award is that Trinidad and Tobago faces both a generalized epidemic and a concentrated epidemic in key populations, with HIV prevalence reported at over 25 percent among men who have sex with men (MSM). That level is described as among the highest globally, and the funding is framed as urgent because failing to address it adequately could continue to fuel a broader national public health problem.
A central feature of the opportunity is its focus on the Medical Research Foundation (MRF), an organization that has effectively become the backbone of HIV clinical care in the country. Beginning in 2002, the Government of Trinidad and Tobago commissioned MRF to deliver HIV prevention, care, and treatment services for people diagnosed with HIV. Over time, MRF has grown into the largest HIV treatment and care site not only in Trinidad and Tobago, but in the Southern Caribbean more broadly. The notice highlights MRF's scale and national importance by stating that patients enrolled at MRF account for more than 73 percent of all people living with HIV (PLHIV) who are known to be in care nationally. The opportunity also underscores MRF's uniqueness in the local health system, describing it as the only non-governmental organization (NGO) with the capacity and infrastructure required to consistently deliver high-quality HIV care and treatment services in Trinidad and Tobago.
The grant also points to measurable clinical performance as a reason for investing in MRF. Specifically, MRF has demonstrated strong treatment outcomes, with over 85 percent of patients on antiretroviral therapy (ART) achieving viral suppression. Because viral suppression is one of the most important indicators for both individual health and reduced onward transmission, the funder positions MRF as a proven platform worth expanding. In practical terms, the purpose of the award is not simply to sustain current operations, but to provide the support and capacity building needed for MRF to scale successful interventions more broadly and help Trinidad and Tobago move closer to controlling its HIV epidemic. The notice further suggests that, if strengthened and expanded effectively, the model could serve as an example for other Caribbean settings and potentially inform global approaches, especially in contexts where NGOs play a major service-delivery role alongside government.
From an administrative standpoint, this is a discretionary funding opportunity issued by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Center for Global Health, under CFDA 93.067. The funding instrument is a cooperative agreement, which typically means the CDC expects substantial involvement in the project beyond standard grant oversight, such as collaboration on implementation approaches, monitoring, and performance improvement. The opportunity is listed under Funding Opportunity Number CDC RFA GH19 1964, with an award ceiling of $1,000,000 and an expectation of one award. The opportunity was created on September 30, 2019, and the original application closing date was November 29, 2019, with electronic submissions due by 11:59 p.m. Eastern Time. Eligibility is listed as "Others," with additional eligibility details referenced as being in a separate section of the full notice.
Overall, the opportunity is designed to reinforce a high-performing, high-volume HIV treatment and care system anchored by MRF, while expanding prevention and STI-related service capacity in a country facing a particularly severe HIV burden among MSM. The emphasis is on maintaining quality, building institutional capacity, and scaling interventions that already show strong outcomes, so that national epidemic control becomes more achievable and replicable across the region.Apply for CDC RFA GH19 1964
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Provision of Expanded High Quality HIV/STIs Prevention, Care, and Treatment Services in Trinidad and Tobago 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 Sep 30, 2019.
- Applicants must submit their applications by Nov 29, 2019 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.)
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Provision of Expanded High Quality HIV/STIs Prevention, Care, and Treatment Services in Trinidad and Tobago under the President's Emergency Plan for AIDS Relief (PEPFAR)."
Who is issuing this funding opportunity?
This is a discretionary funding opportunity issued by the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), Center for Global Health.
What type of funding instrument is being used?
The funding instrument is a cooperative agreement.
What does it mean that this is a cooperative agreement?
Based on the notice description, a cooperative agreement typically means CDC expects substantial involvement beyond standard grant oversight, such as collaboration on implementation approaches, monitoring, and performance improvement.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CDC RFA GH19 1964.
What is the CFDA number for this opportunity?
The CFDA number listed is 93.067.
What is the main public health issue this funding is trying to address?
The funding is aimed at strengthening and expanding HIV and sexually transmitted infection (STI) prevention, care, and treatment services in Trinidad and Tobago, where the country faces both a generalized epidemic and a concentrated epidemic in key populations.
Why is the opportunity described as urgent?
The notice frames the funding as urgent because inadequate response could continue fueling a broader national public health problem, particularly given the severe burden in key populations.
Which key population is specifically highlighted in the notice?
Men who have sex with men (MSM) are specifically highlighted.
What HIV prevalence among MSM is reported in the notice?
The notice reports HIV prevalence at over 25 percent among MSM, described as among the highest globally.
Which organization is central to this funding opportunity?
The Medical Research Foundation (MRF) is a central focus of the opportunity.
What role does MRF play in Trinidad and Tobago's HIV response?
MRF is described as having effectively become the backbone of HIV clinical care in the country. The Government of Trinidad and Tobago commissioned MRF in 2002 to deliver HIV prevention, care, and treatment services for people diagnosed with HIV.
How large is MRF's HIV treatment and care program?
MRF is described as the largest HIV treatment and care site in Trinidad and Tobago and in the Southern Caribbean. Patients enrolled at MRF account for more than 73 percent of all people living with HIV (PLHIV) who are known to be in care nationally.
Why does the notice describe MRF as unique within the local health system?
The notice describes MRF as the only non-governmental organization (NGO) with the capacity and infrastructure required to consistently deliver high-quality HIV care and treatment services in Trinidad and Tobago.
What treatment outcome at MRF is mentioned as a key strength?
The notice states that over 85 percent of patients on antiretroviral therapy (ART) at MRF have achieved viral suppression.
Why is viral suppression emphasized in the opportunity description?
Viral suppression is described as one of the most important indicators for both individual health and reduced onward transmission, so strong viral suppression outcomes support the case for expanding MRF as a proven platform.
Is the goal simply to maintain MRF's current operations?
No. The notice indicates the purpose is not just to sustain current operations, but to provide support and capacity building so MRF can scale successful interventions more broadly and help Trinidad and Tobago move closer to controlling its HIV epidemic.
What types of services are expected to be strengthened or expanded under this award?
Based on the title and summary provided, the focus includes expanded high-quality HIV and STI prevention, care, and treatment services in Trinidad and Tobago.
How many awards does CDC expect to make under this opportunity?
The opportunity indicates an expectation of one award.
What is the award ceiling (maximum funding amount) for this opportunity?
The award ceiling is $1,000,000.
When was this funding opportunity created?
The opportunity was created on September 30, 2019.
What was the original application closing date?
The original application closing date was November 29, 2019.
What time were electronic submissions due on the closing date?
Electronic submissions were due by 11:59 p.m. Eastern Time.
Who is eligible to apply?
Eligibility is listed as "Others," and the notice states that additional eligibility details are referenced as being in a separate section of the full notice.
Does the opportunity suggest any broader impact beyond Trinidad and Tobago?
Yes. The notice suggests that if the model is strengthened and expanded effectively, it could serve as an example for other Caribbean settings and potentially inform global approaches, especially where NGOs play a major service-delivery role alongside government.
What overall approach does the opportunity emphasize?
The opportunity emphasizes maintaining quality, building institutional capacity, and scaling interventions that already show strong outcomes, with the aim of making national epidemic control more achievable and potentially replicable across the region.
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