Opportunity Information: Apply for CDC RFA GH20 2127
This funding opportunity, titled "Strengthen the Capacity of Republican Narcology Center of Kyrgyzstan on Practical Applications of Medication Assisted Treatment (MAT) Programs under the President's Emergency Plan for AIDS Relief (PEPFAR)," is a CDC cooperative agreement (Funding Opportunity Number: CDC RFA GH20 2127) focused on improving HIV-related outcomes among people who inject drugs (PWID) in Kyrgyzstan by expanding and strengthening Medication Assisted Treatment (MAT) services. It sits under the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (specifically CGH), and is categorized as discretionary health funding under CFDA 93.067. The program is designed as a single award (Expected Awards: 1), indicating CDC planned to fund one primary recipient to lead or coordinate the work described.
The core purpose of the NOFO is to build the capacity of Kyrgyzstan's Republican Narcology Center (RNC) to deliver practical, higher-quality MAT programming and to connect MAT more directly to HIV treatment and tuberculosis (TB) services. In practical terms, the CDC is aiming for MAT to function not just as a standalone substance use intervention, but as a key entry point and retention tool for HIV care among PWID, a population that often faces barriers to consistent treatment due to stigma, legal issues, unstable living situations, and co-occurring health needs. The overarching health goals are threefold: increase access to and quality of MAT for PWID; increase enrollment and retention in antiretroviral therapy (ART) for people living with HIV (PLHIV) within PWID communities; and ultimately raise viral suppression rates among these patients. The emphasis on viral suppression reflects the broader HIV strategy of reducing illness and deaths while also lowering onward HIV transmission.
A major component of the opportunity is improving how services connect across the health system. The NOFO highlights strengthening promotion and active linkage pathways so that PWID who are already seen at ART and TB sites are proactively referred and connected to MAT services rather than left to navigate the system on their own. Beyond referral, the opportunity also stresses expanding integrated service delivery, meaning more coordinated or co-located MAT and ART services where patients can more easily receive addiction treatment and HIV care together. This integration is intended to reduce drop-off between programs, improve adherence to ART, and stabilize patients through evidence-based treatment for opioid dependence, which in turn supports better HIV outcomes.
The opportunity explicitly includes expansion of MAT for PWID in prison settings, recognizing that incarceration is a frequent touchpoint for PWID and a setting where continuity of care is often disrupted. Supporting MAT in prisons can reduce withdrawal and relapse, lower overdose risk after release, and create a pathway into sustained treatment and HIV care in the community. In addition, the NOFO calls for targeted demand creation for MAT, which generally refers to outreach, education, and other strategies to increase acceptance and uptake of MAT among PWID, families, providers, and communities. This demand-side focus matters in contexts where misinformation about MAT, fear of registration or surveillance, stigma, and concerns about law enforcement can reduce willingness to enroll even when services exist.
Funding details reflect a somewhat unusual presentation in the posted fields: the "Award Ceiling for Year 1" is listed as 0 (none), while CDC simultaneously anticipated an approximate total fiscal year funding amount of $500,000 for Year 1, contingent on funds being available. Read plainly, the listing suggests CDC planned to make about one award at roughly that level in the first year, but did not set a formal per-award cap in the ceiling field. The instrument type is a cooperative agreement, which typically means CDC expected to have substantial involvement beyond simply issuing funds, such as providing technical guidance, collaboration on implementation approaches, and ongoing performance monitoring.
Key administrative details include a creation date of February 21, 2020, and an original closing date of April 21, 2020. Applications were required to be submitted electronically by 11:59 p.m. Eastern Time on the due date. Eligibility is broadly labeled as "Others," with the specific eligibility criteria referenced as being described in the opportunity's additional eligibility text (not included in the excerpt). Overall, the opportunity is best understood as a targeted PEPFAR-supported effort to strengthen national MAT leadership and implementation through the Republican Narcology Center, while simultaneously improving HIV treatment uptake, retention, and viral suppression among PWID by integrating addiction treatment with ART and TB services and extending coverage to prison populations.Apply for CDC RFA GH20 2127
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthen the Capacity of Republican Narcology Center of Kyrgyzstan on Practical Applications of Medication Assisted Treatment (MAT) Programs 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 Feb 21, 2020.
- Applicants must submit their applications by Apr 21, 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: 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 funding opportunity?
The opportunity is titled "Strengthen the Capacity of Republican Narcology Center of Kyrgyzstan on Practical Applications of Medication Assisted Treatment (MAT) Programs under the President's Emergency Plan for AIDS Relief (PEPFAR)."
What is the Funding Opportunity Number (NOFO number)?
The Funding Opportunity Number is CDC RFA GH20 2127.
Which U.S. agency is offering this opportunity?
This is a U.S. Department of Health and Human Services opportunity administered by the Centers for Disease Control and Prevention (CDC), under CDC's Center for Global Health (CGH).
What type of funding mechanism is being used?
The award mechanism is a cooperative agreement, which typically indicates CDC expects substantial involvement such as technical guidance, collaboration on implementation approaches, and performance monitoring.
What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.067.
How is this opportunity categorized?
It is described as discretionary health funding.
What country and health system does the work focus on?
The work focuses on Kyrgyzstan, with an emphasis on strengthening the capacity of Kyrgyzstan's Republican Narcology Center (RNC).
Who is the primary population this program aims to serve?
The program targets people who inject drugs (PWID) in Kyrgyzstan, particularly in the context of HIV prevention and treatment outcomes.
What is the primary purpose of the NOFO?
The purpose is to build the capacity of the Republican Narcology Center (RNC) to deliver practical, higher-quality Medication Assisted Treatment (MAT) programming and to connect MAT more directly to HIV treatment and tuberculosis (TB) services.
What are the main health goals described in the opportunity?
The opportunity emphasizes three main goals: (1) increasing access to and quality of MAT for PWID; (2) increasing enrollment and retention in antiretroviral therapy (ART) for people living with HIV (PLHIV) within PWID communities; and (3) increasing viral suppression rates among these patients.
How is MAT positioned within the HIV response in this opportunity?
MAT is framed not only as a substance use intervention, but as a key entry point into HIV care and a tool to improve retention in HIV treatment for PWID who face barriers like stigma, legal issues, unstable living situations, and co-occurring health needs.
What service integration does the NOFO emphasize?
The NOFO highlights strengthening promotion and active linkage pathways between MAT and ART/TB services, and expanding integrated service delivery so patients can more easily access addiction treatment and HIV care in a coordinated or co-located way.
What does the opportunity say about referrals and linkage to MAT?
It specifically calls for proactive referral and connection to MAT for PWID who are already being seen at ART and TB sites, rather than leaving patients to navigate the system on their own.
Does the opportunity include activities related to tuberculosis (TB) services?
Yes. The NOFO stresses connecting MAT more directly to TB services, including strengthening linkage pathways for PWID engaged in TB-related care.
Does the opportunity include work in prison settings?
Yes. The NOFO explicitly includes expansion of MAT for PWID in prison settings and recognizes incarceration as a frequent touchpoint where continuity of care is often disrupted.
Why does the NOFO emphasize MAT in prisons?
Based on the description, prison-based MAT is highlighted as a way to support continuity of care, reduce withdrawal and relapse, lower overdose risk after release, and create pathways into sustained treatment and HIV care in the community.
What is meant by "demand creation" for MAT in this opportunity?
The NOFO calls for targeted demand creation for MAT, described as outreach, education, and other strategies to increase acceptance and uptake of MAT among PWID, families, providers, and communities.
What barriers to MAT uptake does the opportunity recognize?
The description notes barriers such as misinformation about MAT, fear of registration or surveillance, stigma, and concerns about law enforcement, all of which can reduce willingness to enroll even when services are available.
How many awards did CDC expect to make?
The opportunity is described as a single award program, with Expected Awards listed as 1.
What was the anticipated funding amount for Year 1?
CDC anticipated approximately $500,000 in total fiscal year funding for Year 1, contingent on funds being available.
Why does the listing show an Award Ceiling for Year 1 as 0 (none)?
The posted fields list the "Award Ceiling for Year 1" as 0 (none) while also stating an anticipated approximate total funding of $500,000 for Year 1. Read plainly, this suggests CDC did not set a formal per-award cap in the ceiling field but still anticipated funding at roughly that level for the single award, subject to available funds.
When was the opportunity created and when did it close?
The creation date is February 21, 2020, and the original closing date is April 21, 2020.
What was the application submission deadline time and time zone?
Applications were required to be submitted electronically by 11:59 p.m. Eastern Time on the due date.
How were applications required to be submitted?
Applications were required to be submitted electronically.
Who was eligible to apply?
Eligibility is labeled broadly as "Others," with the note that specific eligibility criteria were described in the opportunity's additional eligibility text (which is not included in the provided excerpt).
What is the role of the Republican Narcology Center (RNC) in this opportunity?
The RNC is the central capacity-building focus of the NOFO. The award is intended to strengthen RNC's ability to deliver practical, higher-quality MAT services and improve how MAT connects with HIV and TB services.
How does the opportunity align with PEPFAR?
The opportunity is described as a PEPFAR-supported effort aimed at improving HIV outcomes among PWID, including ART enrollment/retention and viral suppression, by strengthening and expanding MAT and integrating it with HIV and TB services.
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