Opportunity Information: Apply for CDC RFA PS23 2302
The grant opportunity titled "Accelerating the Prevention and Control of HIV, Viral Hepatitis, STDs, and TB in the U.S. Affiliated Pacific Islands" is a CDC cooperative agreement designed to strengthen public health systems across the U.S. Affiliated Pacific Islands (USAPI). The USAPI includes three U.S. territories (American Samoa, the Commonwealth of the Northern Mariana Islands, and Guam) and three sovereign nations in free association with the United States (the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). The overall purpose is to help these island jurisdictions build the infrastructure, workforce, and operational capacity needed to prevent and control HIV, viral hepatitis, sexually transmitted diseases, and tuberculosis, particularly given the unique challenges of remoteness, limited resources, and populations spread across wide geographic distances.
A central theme of the opportunity is integration. Rather than treating HIV, viral hepatitis, STDs, and TB as separate program silos, the NOFO emphasizes program collaboration and service integration so jurisdictions can better capitalize on overlapping prevention and care opportunities. In practical terms, this means encouraging coordinated strategies that make it easier to prevent infection, identify cases earlier through testing and screening, connect people to treatment efficiently, and improve long-term follow-up across these conditions. The intent is to achieve better health outcomes by aligning efforts that often share the same communities, risk factors, clinical settings, and public health infrastructure.
Another major focus is improving surveillance and data use. The NOFO highlights that surveillance systems in these jurisdictions are often fragmented and that better collection, sharing, reporting, analysis, interpretation, and use of data is needed. This includes strengthening the ability to track disease trends, identify outbreaks or transmission hotspots, monitor the cascade from testing to treatment, and use findings to guide program decisions. By improving data quality and making information more actionable, jurisdictions can target resources more effectively and respond more quickly to emerging public health issues.
The opportunity also prioritizes policy and planning improvements that support smarter resource use. The CDC is looking for jurisdictions to implement policies and plans that help maximize limited funding, staffing, and service delivery capacity. In settings where care is costly and logistically difficult due to distance and dispersed populations, having clear, coordinated plans can reduce duplication, improve continuity of care, and ensure that prevention and treatment services reach people who need them most. This planning element aligns with the broader goal of making public health systems more resilient and efficient over time.
Workforce development is explicitly called out as a key need. The NOFO aims to build local expertise through training and education so that public health and clinical staff in the islands are better prepared to carry out prevention programs, manage cases, conduct investigations, analyze surveillance data, and deliver culturally appropriate services. Developing a skilled local workforce is especially important in remote areas where recruiting and retaining specialized staff can be difficult, and where reliance on outside support is not always sustainable.
Laboratory capacity strengthening is another core objective. The NOFO notes that laboratory capacity is limited in the USAPI, which can slow diagnosis, complicate outbreak response, and create delays in linking people to appropriate treatment. Funding under this cooperative agreement is intended to support improvements that help laboratories perform needed testing for HIV, viral hepatitis, STDs, and TB, and to strengthen related systems that support specimen handling, quality assurance, timely reporting, and integration with surveillance programs. In island settings where shipping specimens and obtaining supplies can be complicated and expensive, lab system improvements can have a direct impact on speed and quality of public health response.
In addition to system-level improvements, the grant supports enhancing prevention, care, follow-up, and treatment activities specific to each disease area. While the NOFO stresses integration, it also recognizes that HIV, viral hepatitis, STDs, and TB each require targeted interventions. The goal is to strengthen the full continuum of services, from prevention and early detection to clinical management and long-term follow-up, while reducing gaps caused by geography, limited staffing, and inconsistent service availability across islands.
Finally, the NOFO is designed to reduce administrative burden for recipients. Instead of managing multiple separate cooperative agreements for different disease programs, this integrated funding structure consolidates the application and award process and streamlines reporting requirements. The idea is to free up time and capacity so jurisdictions can focus more on implementation and less on administrative tasks, which is especially important for smaller health departments and programs operating with limited staff.
Administratively, the opportunity is offered by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, through the National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). It is a discretionary funding opportunity using a cooperative agreement mechanism, meaning recipients can expect substantial involvement and technical support from CDC as part of carrying out the work. The funding opportunity number is CDC-RFA-PS23-2302, with an expected six awards. The eligibility category is broad and includes various government entities, higher education institutions, nonprofits (with or without 501(c)(3) status), for-profit organizations, small businesses, and other entities as permitted by the NOFO. The original posting lists a creation date of May 24, 2022, and an original closing date of July 31, 2022, with electronic applications due by 11:59 pm ET on the deadline date.Apply for CDC RFA PS23 2302
- The Department of Health and Human Services, Centers for Disease Control - NCHHSTP in the health sector is offering a public funding opportunity titled "Accelerating the Prevention and Control of HIV, Viral Hepatitis, STDs, and TB in the U.S. Affiliated Pacific Islands" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.116.
- This funding opportunity was created on May 24, 2022.
- Applicants must submit their applications by Jul 31, 2022 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 6 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification), 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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