Opportunity Information: Apply for CDC RFA GH 23 0040
The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services, offered a discretionary cooperative agreement opportunity titled "Technical Assistance Services and Programmatic Support to Address National TB Program Needs and Priorities Towards Their Efforts to End TB" (Funding Opportunity Number: CDC RFA GH 23 0040; CFDA 93.494). The purpose of the award is to provide technical assistance and programmatic support to national tuberculosis (TB) programs in high TB-burden countries and other priority settings, with the broader aim of accelerating progress toward global TB elimination. The work is explicitly aligned with major global TB commitments and roadmaps, including the World Health Organization End TB Strategy, the Stop TB Partnership Global Plan to End TB (2023-2030), and the commitments made through the 2018 United Nations High-Level Meeting on TB and its Political Declaration.
The program is structured around practical, evidence-based interventions that strengthen how TB services are delivered and how quickly people with TB are found and linked to care. Key activity areas include improving TB screening and case finding (so cases are identified earlier and missed cases are reduced), strengthening TB treatment delivery (supporting quality, adherence, and continuity of care), expanding and improving TB infection prevention and control measures (particularly in health facilities and other high-risk environments), and increasing access to TB preventive treatment for people at elevated risk of progressing from TB infection to TB disease. A notable emphasis is placed on addressing real-world barriers that often keep people from seeking or completing care, especially stigma and discrimination, using approaches that are grounded in evidence and centered on the needs and experiences of people affected by TB.
Health equity is a central expectation throughout the work. Rather than applying a one-size-fits-all model, the opportunity calls for focusing efforts on populations that carry higher TB risk or face heightened barriers to services. These priority groups include household contacts of people with TB, children and adolescents, people living with HIV, health care workers, migrants, and mobile or displaced populations. The opportunity also highlights people who live or work in crowded or congregate settings where transmission risk is higher, such as criminal justice facilities and mines. In practice, this means the recipient(s) should help design and support TB programs that intentionally reach these groups, tailor service delivery to local realities, and reduce gaps in access and outcomes.
Beyond direct service strengthening, the NOFO stresses improving how national TB programs plan, manage, and monitor their response. Recipient(s) are expected to strengthen data-informed decision making so that program strategies are driven by timely, high-quality information (for example, using surveillance, screening yield data, treatment outcomes, and cascade analyses to identify bottlenecks). The work also calls for better harmonization among partner organizations, which typically means reducing duplication, aligning technical guidance, coordinating implementation support, and ensuring that investments complement national priorities. A final core objective is building partner government capacity to implement and oversee TB program delivery, reinforcing sustainable leadership and management so progress continues beyond the period of external assistance.
In terms of funding and logistics, CDC anticipated approximately $1,000,000 in total funding for Fiscal Year 1, contingent on the availability of funds, and expected to make about two awards. The listing notes an Award Ceiling for Year 1 of $0 (none), which can indicate that a specific per-award cap was not set in the public summary even though an overall estimated total amount for the year was provided. Eligibility was listed as unrestricted (open to any type of entity, subject to any additional eligibility clarifications in the full announcement). Applications were due April 4, 2023, by 11:59 pm Eastern Time, and the opportunity was created on February 3, 2023. As a cooperative agreement, the award mechanism typically implies substantial federal involvement, meaning CDC would be expected to collaborate with recipients through technical input, coordination, and ongoing program engagement rather than acting only as a pass-through funder.Apply for CDC RFA GH 23 0040
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Assistance Services and Programmatic Support to Address National TB Program Needs and Priorities Towards Their Efforts to End TB" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.494.
- This funding opportunity was created on Feb 03, 2023.
- Applicants must submit their applications by Apr 04, 2023 Electronically submitted applications must be submitted no later than 1159 pm 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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Frequently Asked Questions (FAQs)
What is the title of this CDC funding opportunity?
The opportunity is titled "Technical Assistance Services and Programmatic Support to Address National TB Program Needs and Priorities Towards Their Efforts to End TB."
Who is offering this opportunity?
The opportunity was offered by the Centers for Disease Control and Prevention (CDC) within the U.S. Department of Health and Human Services (HHS).
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CDC RFA GH 23 0040.
What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.494.
What is the main purpose of this cooperative agreement?
The purpose is to provide technical assistance services and programmatic support to national tuberculosis (TB) programs in high TB-burden countries and other priority settings, with the broader goal of accelerating progress toward global TB elimination.
Which global TB strategies or commitments does this work align with?
The work is explicitly aligned with major global TB commitments and roadmaps, including the World Health Organization End TB Strategy, the Stop TB Partnership Global Plan to End TB (2023-2030), and the commitments made through the 2018 United Nations High-Level Meeting on TB and its Political Declaration.
What types of activities does the program emphasize?
The program is structured around practical, evidence-based interventions focused on strengthening TB service delivery and speeding up identification and linkage to care. Key activity areas include:
- Improving TB screening and case finding (earlier identification and fewer missed cases)
- Strengthening TB treatment delivery (quality, adherence, and continuity of care)
- Expanding and improving TB infection prevention and control (especially in health facilities and other high-risk environments)
- Increasing access to TB preventive treatment for people at elevated risk of progressing from TB infection to TB disease
Does the opportunity address stigma and discrimination related to TB?
Yes. A notable emphasis is placed on addressing real-world barriers that prevent people from seeking or completing care, especially stigma and discrimination, using approaches grounded in evidence and centered on the needs and experiences of people affected by TB.
How is health equity incorporated into the expected work?
Health equity is described as a central expectation throughout the work. The opportunity calls for tailoring strategies to local realities and intentionally focusing efforts on populations that face higher TB risk and/or heightened barriers to TB services, rather than using a one-size-fits-all approach.
Which populations are specifically prioritized for TB services and support?
The opportunity highlights priority groups that should be intentionally reached through TB program design and service delivery, including:
- Household contacts of people with TB
- Children and adolescents
- People living with HIV
- Health care workers
- Migrants
- Mobile or displaced populations
Are any high-risk environments or settings specifically mentioned?
Yes. The opportunity notes the increased transmission risk in crowded or congregate settings and explicitly mentions criminal justice facilities and mines as examples.
What does the NOFO say about improving national TB program management and monitoring?
The NOFO stresses strengthening how national TB programs plan, manage, and monitor their response. This includes strengthening data-informed decision making so that program strategies are guided by timely, high-quality information.
What kinds of data are referenced for data-informed decision making?
Examples listed include surveillance data, screening yield data, treatment outcomes, and cascade analyses used to identify bottlenecks in TB program performance.
Is partner coordination and harmonization part of the expectations?
Yes. The work calls for better harmonization among partner organizations, including reducing duplication, aligning technical guidance, coordinating implementation support, and ensuring investments complement national priorities.
Does the opportunity include building government capacity?
Yes. A core objective is building partner government capacity to implement and oversee TB program delivery, reinforcing sustainable leadership and management so progress continues beyond the period of external assistance.
What type of award mechanism is used?
This opportunity uses a cooperative agreement mechanism.
What does it mean that this is a cooperative agreement?
In this opportunity summary, a cooperative agreement is described as typically implying substantial federal involvement. In practice, this means CDC would be expected to collaborate with recipients through technical input, coordination, and ongoing program engagement rather than acting only as a pass-through funder.
How much funding was anticipated for Fiscal Year 1?
CDC anticipated approximately $1,000,000 in total funding for Fiscal Year 1, contingent on the availability of funds.
How many awards did CDC expect to make?
CDC expected to make about two awards.
What was the Award Ceiling for Year 1?
The listing notes an Award Ceiling for Year 1 of $0 (none). The summary indicates this can mean a specific per-award cap was not set in the public summary even though an overall estimated total amount for the year was provided.
Who was eligible to apply?
Eligibility was listed as unrestricted (open to any type of entity), subject to any additional eligibility clarifications that may have appeared in the full announcement.
When was the application due?
Applications were due on April 4, 2023, by 11:59 pm Eastern Time.
When was the opportunity created?
The opportunity was created on February 3, 2023.
What countries or geographies were the focus of the work?
The purpose statement specifies support to national TB programs in high TB-burden countries and other priority settings.
What is the intended impact on TB case detection and linkage to care?
The activity areas emphasize improving TB screening and case finding so cases are identified earlier and missed cases are reduced, along with strengthening how quickly people with TB are found and linked to care.
What is the intended impact on TB treatment outcomes?
The opportunity emphasizes strengthening TB treatment delivery, including supporting quality, adherence, and continuity of care.
What is the intended impact on TB transmission in facilities and other high-risk environments?
The opportunity includes expanding and improving TB infection prevention and control measures, particularly in health facilities and other high-risk environments, to reduce the risk of transmission.
What is the intended impact on progression from TB infection to TB disease?
The program includes increasing access to TB preventive treatment for people at elevated risk of progressing from TB infection to TB disease.
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