Opportunity Information: Apply for 72049218RFA00001
The TB Platforms for Sustainable Detection, Care and Treatment Activity is a USAID Philippines cooperative agreement designed to strengthen decentralized tuberculosis (TB) services across the country, with a strong emphasis on improving how TB care is delivered at subnational levels. The activity targets the regional and local health system layers where day-to-day TB work actually happens, including local government units, provinces, cities, municipalities, and communities. Its central purpose is to raise TB and drug-resistant TB case detection and improve treatment success rates, while also reducing the number of patients who stop treatment early (default rates). In practice, this means reinforcing the operational building blocks that allow local programs to find more cases, start people on appropriate treatment faster, and keep them engaged through completion.
A core feature of the opportunity is its focus on building broad, practical partnerships that expand beyond government health facilities. The activity is meant to bring in civil society organizations, non-governmental partners, private health care providers, and TB patient groups to work alongside the Department of Health and local government units. These partners are expected to contribute to case finding (identifying and diagnosing people with TB), case holding (supporting patients so they complete treatment), and outreach (connecting services to communities, including populations that may not routinely access public facilities). This approach reflects the reality that TB detection and treatment adherence improve when communities, private providers, and patient networks are actively engaged rather than treated as peripheral actors.
Another major thrust is sustainability through financing and longer-term engagement. The activity is expected to develop, test, and apply innovative and sustainable financing mechanisms and principles that help civil society and new partners build capacity and remain involved over time. The intent is not only to deliver short-term technical assistance, but also to strengthen the conditions that keep community and partner participation active after external support declines. This sustainability aim is explicitly linked to national priorities: the activity is designed to help reduce the TB epidemic and contribute to achieving the targets in the Philippine Strategic Tuberculosis Elimination Plan Phase 1 (PhilSTEP1), a five-year plan guiding TB elimination efforts.
Coordination is built into the design. The opportunity specifies close collaboration with another related effort, the TB Innovations and Health Systems Strengthening activity. The goal of this coordination is to make sure activities complement one another, support a smooth transition from national-level support to provincial implementation, and avoid duplication of technical assistance. This signals that the TB Platforms activity is intended to fit into a larger USAID and Department of Health portfolio where different projects cover different parts of the TB response, and where alignment across national and local levels is essential.
The activity defines three high-level results it aims to achieve. First, it seeks to help families and communities adopt and improve health behaviors, recognizing that knowledge, stigma reduction, care-seeking behavior, and treatment adherence are heavily influenced by household and community dynamics. Second, it aims to ensure high-impact TB interventions are implemented at scale in regions with the highest TB burden, indicating a deliberate prioritization of places where improvements can produce the largest public health gains. Third, it plans to bolster key local health systems so they can deliver quality TB services efficiently and optimally, which points to strengthening local capacity, processes, and program components that affect service quality, coverage, and continuity of care.
Administratively, this was a discretionary funding opportunity issued by the U.S. Agency for International Development (USAID) Mission in the Philippines (USAID-Manila). The funding instrument type is a cooperative agreement, which typically indicates substantial involvement by the funding agency during implementation compared with a standard grant. The opportunity number is 72049218RFA00001, and it was posted on November 7, 2017, with an original closing date of January 3, 2018. The ceiling amount was set at up to USD 20,000,000, with USAID expecting to make one award. The listed CFDA number is 98.001, and eligibility is described as "Others" with additional clarification referenced in the full eligibility section of the original notice.Apply for 72049218RFA00001
- The Agency for International Development, Philippines USAID-Manila in the health sector is offering a public funding opportunity titled "TB Platforms for Sustainable Detection, Care and Treatment Activity" 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 Nov 07, 2017.
- Applicants must submit their applications by Jan 03, 2018. (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 $20,000,000.00 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)
1. What is the TB Platforms for Sustainable Detection, Care and Treatment Activity?
The TB Platforms for Sustainable Detection, Care and Treatment Activity is a USAID Philippines cooperative agreement intended to strengthen decentralized tuberculosis (TB) services across the Philippines. It focuses on improving how TB care is delivered at subnational levels where day-to-day TB work happens, including provinces, cities, municipalities, local government units, and communities.
2. What is the main purpose of this activity?
The central purpose is to increase TB and drug-resistant TB case detection, improve treatment success rates, and reduce the number of patients who stop treatment early (default rates). In practical terms, it emphasizes strengthening the operational building blocks that help local programs find more cases, start appropriate treatment faster, and support patients through treatment completion.
3. Which levels of the health system does the activity focus on?
The activity targets regional and local layers of the health system, especially where routine TB services are carried out. This includes local government units and subnational structures such as provinces, cities, municipalities, and community-level actors involved in TB detection, care, and treatment support.
4. What does “decentralized TB services” mean in the context of this opportunity?
Based on the description provided, “decentralized TB services” refers to strengthening TB detection, treatment initiation, and treatment support at subnational and community levels (rather than being driven mainly from the national level). The intent is to improve performance where services are actually delivered and where patient follow-up occurs.
5. What outcomes does the activity aim to improve for TB patients?
The activity aims to improve outcomes by (1) finding and diagnosing more TB and drug-resistant TB cases, (2) improving treatment success rates, and (3) reducing default rates, meaning fewer patients discontinue treatment before completion.
6. What types of partners are expected to be involved?
A core feature of the opportunity is building broad partnerships that extend beyond government facilities. The activity is meant to engage civil society organizations, non-governmental partners, private health care providers, and TB patient groups, working alongside the Department of Health and local government units.
7. How are partners expected to contribute to TB services?
Partners are expected to contribute to:
- Case finding: identifying and diagnosing people with TB
- Case holding: supporting patients so they complete treatment
- Outreach: connecting services to communities, including populations that may not routinely use public health facilities
8. Why does the activity emphasize engaging communities and private providers?
The opportunity reflects the idea that TB detection and treatment adherence improve when communities, private providers, and patient networks are actively engaged, rather than treated as peripheral. This approach is intended to make TB services more accessible and to strengthen treatment completion through community-connected support.
9. What does sustainability mean for this activity?
Sustainability is described as strengthening the conditions that keep community and partner participation active over time, especially after external support declines. The activity is expected to develop, test, and apply innovative and sustainable financing mechanisms and principles to help civil society and new partners build capacity and stay engaged longer term.
10. Is the activity limited to short-term technical assistance?
No. While technical assistance may be part of implementation, the description emphasizes that the intent is not only short-term support. It also aims to strengthen longer-term engagement and sustainable participation by civil society and other partners through financing approaches and capacity building.
11. How does this opportunity align with national TB priorities in the Philippines?
The activity is explicitly designed to help reduce the TB epidemic and contribute to achieving targets in the Philippine Strategic Tuberculosis Elimination Plan Phase 1 (PhilSTEP1), described as a five-year plan guiding TB elimination efforts.
12. What is PhilSTEP1 and how is it connected to this activity?
PhilSTEP1 is identified in the opportunity description as the Philippine Strategic Tuberculosis Elimination Plan Phase 1, a five-year plan guiding TB elimination efforts. The activity is intended to contribute to achieving PhilSTEP1 targets by improving detection, treatment success, and sustained engagement at subnational levels.
13. Does the activity prioritize certain geographic areas?
Yes. One of the stated results is implementing high-impact TB interventions at scale in regions with the highest TB burden. This indicates a prioritization of areas where improvements could produce the largest public health impact.
14. What are the three high-level results the activity aims to achieve?
The opportunity lists three high-level results:
- Help families and communities adopt and improve health behaviors.
- Ensure high-impact TB interventions are implemented at scale in regions with the highest TB burden.
- Bolster key local health systems to deliver quality TB services efficiently and optimally.
15. What does it mean to “help families and communities adopt and improve health behaviors”?
The description ties this result to household and community dynamics that influence TB outcomes, including knowledge, stigma reduction, care-seeking behavior, and treatment adherence. The activity recognizes these social and behavioral factors as important drivers of detection and successful treatment completion.
16. What does “bolstering key local health systems” refer to?
Based on the provided information, it refers to strengthening local capacity, processes, and program components that affect service quality, coverage, and continuity of care, so local systems can deliver TB services efficiently and optimally.
17. Is coordination with other USAID-funded TB work required?
Yes. The opportunity specifies close collaboration with the TB Innovations and Health Systems Strengthening activity. The intent is to ensure activities complement each other, support transition from national-level support to provincial implementation, and avoid duplication of technical assistance.
18. Why is coordination with the TB Innovations and Health Systems Strengthening activity important?
Coordination is meant to keep efforts aligned across national and local levels, reduce duplication of assistance, and support a smooth transition from national-level support to provincial implementation. This positions the TB Platforms activity as part of a broader USAID and Department of Health TB portfolio.
19. What type of funding instrument is used for this opportunity?
The funding instrument type is a cooperative agreement.
20. What is a cooperative agreement in this context?
The notice indicates that a cooperative agreement typically involves substantial involvement by the funding agency during implementation compared with a standard grant. In other words, USAID is expected to be more engaged throughout implementation than it would be under a more hands-off grant structure.
21. Which USAID office issued this opportunity?
This was issued by the U.S. Agency for International Development (USAID) Mission in the Philippines, also referred to as USAID-Manila.
22. What is the opportunity number?
The opportunity number is 72049218RFA00001.
23. When was the opportunity posted and when did it close?
It was posted on November 7, 2017, with an original closing date of January 3, 2018.
24. What is the maximum funding amount available?
The ceiling amount was set at up to USD 20,000,000.
25. How many awards did USAID expect to make?
USAID expected to make one award.
26. What is the CFDA number associated with this opportunity?
The listed CFDA number is 98.001.
27. Who is eligible to apply?
Eligibility is described as “Others,” with additional clarification referenced in the full eligibility section of the original notice. The provided summary does not include the detailed eligibility language.
28. Is this a discretionary funding opportunity?
Yes. The description states that this was a discretionary funding opportunity.
29. What TB populations does outreach aim to reach?
Outreach is described as connecting services to communities, including populations that may not routinely access public facilities. The summary does not list specific sub-populations beyond that description.
30. How does the activity address drug-resistant TB?
The activity explicitly includes drug-resistant TB in its goals by aiming to increase case detection for TB and drug-resistant TB and improve treatment success, while reducing default rates. The provided information does not specify particular drug-resistant TB treatment models, only the targeted outcomes.
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