Opportunity Information: Apply for CDC RFA GH21 2136
This funding opportunity (CDC RFA GH21-2136) is a PEPFAR-supported cooperative agreement focused on strengthening the Government of Tanzania's ability to plan, build, manage, and routinely use digital health systems to reach and sustain HIV and TB epidemic control. The core idea is that better health outcomes depend on better data: data that are timely, accurate, complete, consistent, and secure, and that can move across the health sector without getting trapped in separate, disconnected systems. CDC is positioning this as a technical assistance-oriented award where recipients work alongside the Government of Tanzania to improve national capacity rather than simply delivering a stand-alone technology product.
The program emphasizes developing and improving both client-level systems (patient-level records that support direct care) and aggregate health information systems (summary reporting used for program management and national monitoring). A major priority is interoperability, meaning the ability of different health information systems to exchange data using common standards. The opportunity highlights the need for digital infrastructure that can connect diverse systems across the health ecosystem, including community and facility service delivery, laboratories, routine reporting platforms, surveillance systems, commodity and supply chain systems, and mortality and other related registries. The goal is to create a digitally linked environment where information can be shared appropriately to support continuity of care, strengthen public health monitoring, and speed up decision-making to improve HIV and TB program performance.
Another central theme is governance and trust in the data environment. The announcement points to the importance of integrating unique identifiers so individuals can be reliably recognized across services and systems, reducing duplication and improving longitudinal tracking while still protecting confidentiality. It also stresses information security and privacy policies and enabling technologies, along with national enterprise architecture. Together, these elements are meant to make systems more scalable and sustainable, improve confidence in the data, and ensure the country can adapt as program priorities evolve. In practical terms, this includes setting rules and standards for how data are collected, stored, accessed, and exchanged, and building the architectural backbone that prevents digital health investments from turning into isolated, short-lived projects.
Workforce capacity is treated as a make-or-break requirement. The NOFO calls for building a data- and technology-competent workforce, recognizing that interoperable systems only function well when there are skilled people to design workflows, maintain platforms, enforce standards, analyze data, and translate findings into operational improvements. The intent is to strengthen Tanzania's long-term ability to operate and improve its health information systems without relying indefinitely on external implementers. Quality improvement is also embedded in the scope, tying the use of digital systems to continuous performance improvement in service delivery and program monitoring, not just data collection for its own sake.
From a funding and administrative standpoint, this is a discretionary cooperative agreement under CFDA 93.067, administered by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CGH). It was created on January 13, 2021, with an original application deadline of March 14, 2021 (11:59 p.m. ET for electronic submissions). Eligibility is listed as unrestricted, meaning applications were open broadly to various entity types unless further limited by additional eligibility notes in the full announcement. CDC anticipated making two awards. The notice lists an award ceiling for Year 1 as "0 (none)," which typically signals that no formal maximum was set for individual awards in the first year, while still noting that CDC anticipated approximately $8.5 million in total FY funding for Year 1 across the project(s), subject to availability of funds.
Overall, the opportunity is aimed at helping Tanzania institutionalize interoperable, standards-based, secure digital health systems and the governance and workforce needed to use them effectively. The expected result is a more connected national health information environment that improves patient care, strengthens HIV/TB surveillance and program management, supports supply and laboratory coordination, and enables more agile, data-driven public health action to achieve and sustain epidemic control.Apply for CDC RFA GH21 2136
- The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Strengthening the Government of Tanzania's Capacity to Develop, Implement and Use Digital Health to Achieve HIV/TB Epidemic Control through Interoperable Information Systems, Governance, Quality Improvement and Workforce Support under 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 Jan 13, 2021.
- Applicants must submit their applications by Mar 14, 2021 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 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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Frequently Asked Questions (FAQs)
What is CDC RFA GH21-2136?
CDC RFA GH21-2136 is a PEPFAR-supported funding opportunity in the form of a discretionary cooperative agreement. It focuses on strengthening the Government of Tanzania's ability to plan, build, manage, and routinely use digital health systems to help reach and sustain HIV and TB epidemic control.
What is the main purpose of this funding opportunity?
The opportunity is designed to improve health outcomes by improving the quality and usability of health data. The emphasis is on data that are timely, accurate, complete, consistent, and secure, and on ensuring data can move across the health sector rather than remaining trapped in separate, disconnected systems.
Is this award meant to fund a specific technology product or software build?
The award is positioned as technical assistance-oriented. Recipients are expected to work alongside the Government of Tanzania to strengthen national capacity and systems, rather than simply delivering a stand-alone technology product.
Who administers this funding opportunity?
The opportunity is administered by the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), specifically within the Center for Global Health (CGH).
What type of award mechanism is being used?
This is a discretionary cooperative agreement. In general, a cooperative agreement structure signals substantial involvement and collaboration between the funder (CDC) and the recipient in carrying out the work.
What program area does this opportunity support?
The work supports HIV and TB epidemic control in Tanzania by strengthening digital health systems, data use, and the connected national information environment needed for better program performance and decision-making.
What does "interoperability" mean in the context of this opportunity?
Interoperability refers to the ability of different health information systems to exchange data using common standards. This is a major priority so information can be shared appropriately across services and platforms without fragmentation.
What kinds of health information systems are in scope?
The opportunity emphasizes improvements to both client-level systems and aggregate health information systems. Client-level systems are patient-level records that support direct care, while aggregate systems support summary reporting used for program management and national monitoring.
What is meant by "client-level systems"?
Client-level systems refer to patient-level records and tools that support direct service delivery and continuity of care by capturing and using information about an individual over time.
What is meant by "aggregate health information systems"?
Aggregate systems focus on summary reporting for program management and national monitoring, supporting oversight, performance tracking, and decision-making at facility, district, and national levels.
Which parts of the health ecosystem are expected to be digitally connected?
The opportunity highlights digital infrastructure that can connect diverse systems across the health ecosystem, including community and facility service delivery, laboratories, routine reporting platforms, surveillance systems, commodity and supply chain systems, and mortality and other related registries.
Why is connecting multiple systems across the health sector a priority?
The goal is to create a digitally linked environment where information can be shared appropriately to support continuity of care, strengthen public health monitoring, and speed up decision-making to improve HIV and TB program performance.
What does the opportunity say about data governance?
Governance is presented as central to building trust in the data environment. This includes establishing rules and standards for how data are collected, stored, accessed, and exchanged so systems can be scalable, sustainable, and credible.
How are unique identifiers addressed in this opportunity?
The announcement points to integrating unique identifiers so individuals can be reliably recognized across services and systems. The intent is to reduce duplication and improve longitudinal tracking while still protecting confidentiality.
What expectations are included regarding privacy and security?
The opportunity stresses information security and privacy policies and enabling technologies. These elements are intended to protect confidentiality and improve confidence in the data while supporting appropriate sharing across systems.
What is the role of national enterprise architecture in this opportunity?
National enterprise architecture is emphasized as part of building a scalable and sustainable digital health environment. The intent is to provide an architectural backbone that prevents digital health investments from becoming isolated, short-lived projects.
What does the opportunity mean by avoiding "disconnected systems"?
It refers to preventing data and functionality from being trapped in separate platforms that cannot exchange information. The opportunity prioritizes standards-based connections so data can move across the health sector as needed.
How does this opportunity link digital health investments to quality improvement?
Quality improvement is embedded in the scope by tying digital systems to continuous performance improvement in service delivery and program monitoring, rather than treating data collection as an end in itself.
What does the opportunity say about workforce capacity?
Workforce capacity is described as a make-or-break requirement. The NOFO calls for building a data- and technology-competent workforce capable of designing workflows, maintaining platforms, enforcing standards, analyzing data, and translating findings into operational improvements.
What is the long-term capacity goal for Tanzania?
The intent is to strengthen Tanzania's long-term ability to operate and improve its health information systems without relying indefinitely on external implementers.
How does this opportunity support HIV and TB surveillance and program management?
By strengthening interoperable digital systems and routine data use, the opportunity aims to improve national monitoring, public health surveillance, and program management, enabling faster and more data-driven decisions to improve performance.
How does the opportunity relate to laboratories and supply chains?
The opportunity explicitly includes connecting laboratories and commodity/supply chain systems as part of the broader interoperable digital infrastructure needed to coordinate care and improve program effectiveness.
What is the CFDA number for this opportunity?
The CFDA listing provided is 93.067.
When was this opportunity created and what was the application deadline?
The notice indicates it was created on January 13, 2021, with an original application deadline of March 14, 2021 at 11:59 p.m. ET for electronic submissions.
Who was eligible to apply?
Eligibility is listed as unrestricted, meaning applications were open broadly to various entity types unless further limited by additional eligibility notes in the full announcement.
How many awards did CDC anticipate making?
CDC anticipated making two awards.
How much funding was anticipated for Year 1?
The notice states CDC anticipated approximately $8.5 million in total FY funding for Year 1 across the project(s), subject to availability of funds.
Was there an award ceiling for Year 1?
The notice lists an award ceiling for Year 1 as "0 (none)," which typically indicates no formal maximum was set for individual awards in the first year, even though a total Year 1 funding amount was anticipated across projects.
What are the expected results of this opportunity?
The expected result is a more connected national health information environment that improves patient care, strengthens HIV/TB surveillance and program management, supports supply and laboratory coordination, and enables more agile, data-driven public health action to achieve and sustain epidemic control.
What does "standards-based" mean here?
In this context, "standards-based" refers to using common standards that allow different systems to exchange and use information consistently, supporting interoperability and reducing fragmentation across the digital health landscape.
Why does the opportunity emphasize routine use of digital health systems?
The focus is not only on building systems, but on ensuring they are routinely used to inform decisions and improve performance. Routine use supports continuous improvement, stronger monitoring, and more responsive program management.
How does this opportunity address sustainability?
Sustainability is supported through governance, enterprise architecture, interoperability, privacy and security, and workforce capacity-building, with the aim of institutionalizing capabilities within Tanzania rather than relying on short-term or isolated solutions.
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