Opportunity Information: Apply for 72067423RFA00017
USAID/Southern Africa announced a funding opportunity (NOFO 72067423RFA00017) for a program in Botswana called the Comprehensive Community Prevention and Continuum of Care Program. The overall aim is to help Botswana sustain HIV epidemic control while also improving broader health outcomes by reinforcing primary health care and strengthening the social service systems that support people affected by HIV and related vulnerabilities. The program is designed to fit within USAID's Vision for Health System Strengthening 2030, emphasizing three system-wide goals: equity (making sure services reach the people who need them most), quality (improving how well services are delivered), and resource optimization (using limited resources more efficiently). To do that, the activity concentrates on core health system functions such as health financing, leadership, management and governance, and the health workforce.
Strategically, the opportunity aligns with USAID/Southern Africa's Regional Development Cooperation Strategy, particularly Regional Development Objective 3, "Resilience of people and systems strengthened," and Intermediate Result 3.2, "Equitable Provision of Quality Health and Other Services Improved." In practical terms, that means the program is not only about delivering HIV services, but also about making community and government systems more capable of continuing those services effectively over time, especially for populations that are often missed or underserved.
USAID expects to make three cooperative agreement awards tied to three program components. Components A and B focus on direct service delivery and will be funded through two separate awards divided by geographic district groupings. These components aim to strengthen community engagement and make primary health care platforms more responsive to local needs across the lifespan and across different levels of care. They also emphasize improving social services so they better address the needs of children, adolescents, and youth. Within HIV programming, applicants are expected to deliver a comprehensive package that spans prevention through treatment and long-term care. This includes combination HIV prevention (explicitly including pre-exposure prophylaxis, or PrEP), HIV testing services, antiretroviral therapy, adherence support, and viral load monitoring to help clients achieve and maintain viral suppression.
Components A and B also require robust social service support alongside clinical HIV services. The social service side is meant to address real-world factors that affect HIV risk and treatment outcomes, including parenting support, social asset building, access to education, economic strengthening, and prevention and response to gender-based violence (GBV). The program specifically calls for prioritizing orphans and vulnerable children, adolescent girls and young women, key populations, and men in particular age groups, reflecting USAID's intent to target groups with elevated vulnerability or gaps in prevention and care outcomes.
Geographically, Component A covers service delivery in the districts of Gaborone, Mahalapye, Kgatleng, Serowe, Palapye, Selibe Phikwe, South East, Ngamiland, and Ghanzi. Component B covers Kweneng East, Southern, Bobirwa, North East, Francistown, Goodhope, Lobatse, Moshupa, and Tutume. In effect, an applicant would propose and operate direct services in one of these two district groupings, depending on which component they compete for.
Component C is different in that it focuses on technical assistance rather than broad direct service delivery. The purpose is to strengthen health and social protection services for prioritized populations and to build the ability of civil society organizations to provide high-quality HIV and social services. A major emphasis is improving how CSOs and NGOs partner and coordinate with Government of Botswana departments and with the private sector, with sustainability as a central theme, particularly for HIV prevention and GBV services. While the technical assistance under Component C is intended to have a national scope, there is a geographic limitation on capacity building for local NGOs: it should be directed to organizations that support direct service delivery in the specified districts (Gaborone, Mahalapye, Kgatleng, Serowe, Palapye, Selibe-Phikwe, South East, Kweneng East, Southern, Bobirwa, North East, Francistown, Goodhope, Lobatse, Moshupa, and Tutume). This framing signals that USAID wants national-level strengthening, especially with ministries and government systems, while keeping district-level NGO capacity building tightly connected to the places where the direct service delivery awards are operating.
From an administrative standpoint, this is a USAID cooperative agreement opportunity in the health sector (CFDA 98.001), meaning USAID expects substantial involvement during implementation compared with a standard grant. The opportunity category is listed as "Other," eligibility is described broadly as "Others" with additional details expected in the full eligibility section of the notice. USAID anticipated up to three awards, with an overall award ceiling listed at $58,280,672. The solicitation was created on September 22, 2023, and an amendment (Amendment No. 1) extended the closing date to October 12, 2023 while also publishing responses to submitted questions.Apply for 72067423RFA00017
- The Agency for International Development, South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Sustained HIV epidemic control and improved health outcomes through strengthened primary health care and social service platforms in Botswana" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on Sep 22, 2023.
- Applicants must submit their applications by Oct 12, 2023 Amendment no 1 Question and Answer - Notice of Funding Opportunity No. 72067423RFA00017 This is an Amendment no 1 for the Question-and-Answer section of Notice of Funding Opportunity No. 72067423RFA00017. This amendment includes an extension of the closing date to October 12, 2023 and also provides answers to some of the questions that were posed..
- Each selected applicant is eligible to receive up to $58,280,672.00 in funding.
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: USAID Botswana - Comprehensive Community Prevention and Continuum of Care Program (NOFO 72067423RFA00017)
1) What is this funding opportunity?
This is a USAID/Southern Africa Notice of Funding Opportunity (NOFO) for Botswana titled the Comprehensive Community Prevention and Continuum of Care Program. The NOFO number is 72067423RFA00017.
2) What is the overall goal of the program?
The program aims to help Botswana sustain HIV epidemic control while also improving broader health outcomes. It does this by reinforcing primary health care and strengthening the social service systems that support people affected by HIV and related vulnerabilities.
3) How does this program fit into USAID's broader priorities?
The activity is designed to align with USAID's Vision for Health System Strengthening 2030, emphasizing three system-wide goals: equity (reaching people who need services most), quality (improving how services are delivered), and resource optimization (using limited resources more efficiently).
4) Which parts of the health system does the program focus on strengthening?
The program concentrates on core health system functions, including health financing, leadership, management and governance, and the health workforce.
5) How does this opportunity align with USAID/Southern Africa's regional strategy?
It aligns with the Regional Development Cooperation Strategy, particularly Regional Development Objective 3, "Resilience of people and systems strengthened," and Intermediate Result 3.2, "Equitable Provision of Quality Health and Other Services Improved."
6) Is the program only about delivering HIV services?
No. While HIV prevention, treatment, and long-term care are central, the program also emphasizes strengthening community and government systems so that services can be sustained over time, especially for populations that are often missed or underserved. It also reinforces primary health care and social services connected to HIV outcomes.
7) How many awards does USAID expect to make under this NOFO?
USAID expects to make up to three cooperative agreement awards tied to three program components (Components A, B, and C).
8) What type of award is this?
This is a USAID cooperative agreement in the health sector (CFDA 98.001). A cooperative agreement indicates USAID expects substantial involvement during implementation compared with a standard grant.
9) What are the three components (A, B, and C)?
Components A and B focus on direct service delivery and are funded through two separate awards divided by geographic district groupings. Component C focuses on technical assistance, strengthening health and social protection services for prioritized populations and building the capacity of civil society organizations (CSOs) to deliver high-quality HIV and social services.
10) What is the difference between Components A and B?
The main difference is geographic coverage. Both components emphasize direct service delivery, stronger community engagement, more responsive primary health care platforms, and improved social services for children, adolescents, and youth, but they operate in different groups of districts.
11) What districts are included in Component A?
Component A covers service delivery in: Gaborone, Mahalapye, Kgatleng, Serowe, Palapye, Selibe Phikwe, South East, Ngamiland, and Ghanzi.
12) What districts are included in Component B?
Component B covers: Kweneng East, Southern, Bobirwa, North East, Francistown, Goodhope, Lobatse, Moshupa, and Tutume.
13) Can one applicant propose to operate in both Component A and Component B districts?
Based on the description provided, Components A and B are two separate awards divided by district groupings, and an applicant would propose and operate direct services in one of the two groupings depending on which component they compete for.
14) What HIV services are expected under Components A and B?
Applicants are expected to deliver a comprehensive HIV package spanning prevention through treatment and long-term care, including combination HIV prevention (explicitly including pre-exposure prophylaxis/PrEP), HIV testing services, antiretroviral therapy, adherence support, and viral load monitoring to help clients achieve and maintain viral suppression.
15) Is PrEP specifically included as an expectation?
Yes. Combination HIV prevention is described as explicitly including pre-exposure prophylaxis (PrEP).
16) Besides clinical HIV services, what else is required under Components A and B?
Components A and B require robust social service support alongside clinical HIV services to address real-world factors that affect HIV risk and treatment outcomes.
17) What kinds of social services are mentioned in the program description?
The program description includes parenting support, social asset building, access to education, economic strengthening, and prevention and response to gender-based violence (GBV).
18) Which populations are prioritized for services?
The program calls for prioritizing orphans and vulnerable children, adolescent girls and young women, key populations, and men in particular age groups.
19) What is Component C and how is it different from Components A and B?
Component C focuses on technical assistance rather than broad direct service delivery. Its purpose is to strengthen health and social protection services for prioritized populations and to build the ability of CSOs and NGOs to provide high-quality HIV and social services.
20) What is a major emphasis of Component C?
A major emphasis is improving how CSOs and NGOs partner and coordinate with Government of Botswana departments and with the private sector, with sustainability as a central theme, particularly for HIV prevention and GBV services.
21) Is Component C national in scope?
Yes. The technical assistance under Component C is intended to have a national scope.
22) Are there geographic limits on capacity building for local NGOs under Component C?
Yes. Capacity building for local NGOs should be directed to organizations that support direct service delivery in specified districts. The districts listed are: Gaborone, Mahalapye, Kgatleng, Serowe, Palapye, Selibe-Phikwe, South East, Kweneng East, Southern, Bobirwa, North East, Francistown, Goodhope, Lobatse, Moshupa, and Tutume.
23) Why does Component C limit district-level NGO capacity building to certain districts?
The framing indicates USAID wants national-level strengthening (especially with ministries and government systems) while keeping district-level NGO capacity building closely connected to the places where the direct service delivery awards (Components A and B) are operating.
24) What is the opportunity category and sector?
The opportunity is listed in the health sector, with the opportunity category described as "Other."
25) What is the assistance listing / CFDA number?
The CFDA (assistance listing) is 98.001.
26) Who is eligible to apply?
Eligibility is described broadly as "Others," with additional details expected in the full eligibility section of the notice.
27) What is the total funding ceiling listed for this solicitation?
The overall award ceiling listed is $58,280,672.
28) When was the solicitation created and what changed in the amendment?
The solicitation was created on September 22, 2023. Amendment No. 1 extended the closing date to October 12, 2023 and published responses to submitted questions.
29) How many components are tied to direct service delivery versus technical assistance?
Two components (A and B) are tied to direct service delivery through two separate awards, and one component (C) is focused on technical assistance.
30) What does "equity" mean in the context of this program?
Equity is described as ensuring services reach the people who need them most, including populations that are often missed or underserved.
31) What does "quality" mean in the context of this program?
Quality refers to improving how well services are delivered across the system and within community and primary health care platforms.
32) What does "resource optimization" mean in the context of this program?
Resource optimization refers to using limited resources more efficiently while strengthening key system functions such as financing, governance, and the health workforce.
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