Opportunity Information: Apply for CDC RFA GH19 1912
The grant opportunity "Improving Quality of Care and Health Impact through Innovative Electronic Medical System Technologies in Malawi under the President's Emergency Plan for AIDS Relief (PEPFAR)" is a CDC cooperative agreement focused on strengthening and rapidly expanding Malawi's electronic medical record system (EMRS) to improve HIV service delivery and health outcomes. It builds on long-running CDC/PEPFAR support that began in 2004, working with the Malawi Ministry of Health to develop a sustainable, point-of-care EMRS that helps clinicians manage antiretroviral therapy (ART) services more effectively. A central idea behind this funding is that having real-time patient information and automated reminders available during clinical encounters improves decision-making, continuity of care, and the overall quality of HIV treatment services.
The opportunity recognizes that Malawi has already made major progress installing the EMRS in high-volume, PEPFAR-supported health facilities, but that coverage across service areas and sites is uneven. At the time described, the EMRS had been implemented in 121 high-volume sites mainly for ART clinic functions, while other important modules such as HIV testing services (HTS), prevention of mother-to-child transmission (PMTCT), pharmacy stock management, and laboratory ordering and results reporting were present in fewer locations. An additional priority highlighted is strengthening "real-time reporting" so the system can reliably support PEPFAR reporting requirements, including disaggregation by age and gender, which is essential for program monitoring, accountability, and targeting services to populations most in need.
A major milestone embedded in the description is the planned scale-up to 261 PEPFAR-supported sites by the end of September 2019, indicating that the program was already in an expansion phase. The NOFO then sets the direction for the next five years: sustain what has been built, expand the EMRS to additional sites, test new technologies that can improve performance and usability, build the capacity of health workers and program teams to use data for decision-making, and improve connectivity so the EMRS functions efficiently and reliably. In practice, this signals funding not just for software and hardware deployment, but also for the less visible essentials that determine whether digital health systems actually work day-to-day in clinical settings, such as stable networks, routine maintenance, user support, and continuous quality improvement of data workflows.
The stated aim of the NOFO is to rapidly scale up the expanded EMRS to all PEPFAR-supported sites by the end of the funding period, while also maintaining the EMRS at existing sites. Maintenance is treated as a core deliverable rather than an afterthought, reflecting the reality that EMR systems require ongoing technical support, replacement of failing equipment, upgrades, and troubleshooting to avoid downtime that would disrupt patient care. Alongside scale and maintenance, the NOFO emphasizes timely and regular software updates so that the EMRS remains aligned with evolving national clinical guidelines, Malawi Ministry of Health policies, and changing PEPFAR priorities. This matters because HIV treatment protocols, reporting indicators, and data elements can change over time, and an EMRS that is not updated quickly becomes inaccurate, burdensome for providers, and less useful for program management.
Administratively, this is a discretionary funding opportunity issued by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under the Center for Global Health. The funding instrument is a cooperative agreement, which generally means CDC expects substantial involvement in the program's implementation, such as collaboration on technical direction, monitoring, and alignment with PEPFAR and country priorities. The opportunity is listed under CFDA 93.067 (a CDC global health assistance category) and is open eligibility ("unrestricted"), meaning a wide range of organizations may apply as long as they meet any additional eligibility clarifications in the full announcement. The funding opportunity number is CDC RFA GH19-1912, it was created on August 29, 2018, and the original application closing date was October 28, 2018 (with electronic submissions due by 11:59 p.m. Eastern Time). The announcement anticipates up to two awards, with an award ceiling of $10,000,000.
Overall, the grant is designed to move Malawi's EMRS from a strong but unevenly distributed platform into a fully scaled, consistently maintained national program across PEPFAR-supported sites, with better module coverage beyond ART clinics, stronger real-time reporting and disaggregation, improved infrastructure and connectivity, and a structured process for ongoing software modernization. The expected result is a more reliable digital foundation for HIV care that supports clinicians at the point of care, improves data quality and use, and strengthens the ability of both Malawi's MOH and PEPFAR to monitor performance and health impact.Apply for CDC RFA GH19 1912
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Improving Quality of Care and Health Impact through Innovative Electronic Medical System Technologies in Malawi 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 Aug 29, 2018.
- Applicants must submit their applications by Oct 28, 2018 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.)
- Each selected applicant is eligible to receive up to $10,000,000.00 in funding.
- 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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