USAID Strengthening Local Health Systems | 72061724RFA00001

Opportunity Information: Apply for 72061724RFA00001

The USAID Strengthening Local Health Systems opportunity (Funding Opportunity Number 72061724RFA00001) is a Uganda-based health systems grant designed to improve how the national health system is financed, staffed, managed through data, and supported at the community level. Managed by USAID/Uganda in Kampala, the activity focuses on strengthening four core building blocks of the Ugandan health system: health care financing (HCF), human resources for health (HRH), health information systems (HIS), and community health systems. The overall intent is not to deliver a single disease-specific program, but to reinforce the underlying systems that allow government, districts, facilities, and communities to deliver better health services consistently and at scale.

A central feature of the activity is the provision of tailored technical assistance to Uganda's Ministry of Health. That support is meant to help the Ministry develop, update, test, and roll out practical policies and operational materials, including strategies, tools, models, standards, guidelines, implementation approaches, and evidence-based intervention packages. In plain terms, the awardee would help the Ministry take ideas and best practices and turn them into usable products that can be adopted across different levels of the health system, from national leadership down to district managers, health facilities, and community-level programs. The emphasis on testing and dissemination suggests USAID is looking for support that goes beyond writing documents, aiming instead for piloting, learning, refinement, and broad uptake.

The financing component (HCF) indicates work that can help Uganda improve how health services are paid for and sustained, such as developing or refining financing policies and tools, improving resource allocation approaches, and strengthening mechanisms that support equitable and efficient funding flows. The human resources for health component (HRH) points toward strengthening workforce planning, staffing norms, training and performance support systems, and management approaches that help ensure the right health workers are available, supported, and retained where they are needed most. The health information systems component (HIS) highlights strengthening data systems and the practical use of information for decision-making, including improving standards, guidelines, and tools that make health data more reliable, timely, and actionable. The community health systems component suggests support for structures and approaches that connect communities to formal health services, strengthen community-level service delivery, and improve coordination between community health workers, facilities, and district health teams.

From a funding and administrative standpoint, this opportunity is structured as a cooperative agreement, meaning USAID expects substantial involvement in shaping or collaborating on implementation as compared with a more hands-off grant. The opportunity category is listed as "Other," while the funding activity category is Health, and the CFDA/Assistance Listing number is 98.001. Eligibility is unrestricted, which generally signals that a wide range of organizations may apply (for example, nonprofits, universities, for-profits, or consortia), provided they meet the solicitation requirements. USAID anticipates making one award, with an award ceiling of $40,000,000, indicating a single large implementer (or a prime recipient leading a partnership) will likely be responsible for delivering the full scope of technical assistance and national-to-subnational support envisioned.

Key dates show the opportunity was created on March 14, 2024, with an original closing date of May 6, 2024. Overall, the grant is positioned as a major investment in the "how" of health service delivery in Uganda: strengthening policies, systems, tools, and operational capacity so that improvements can be implemented by the central government, districts, health facilities, and communities, ultimately improving health system performance across the country.

• The Uganda USAID-Kampala in the health sector is offering a public funding opportunity titled "USAID Strengthening Local Health Systems" 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 2024-03-14.
• Applicants must submit their applications by 2024-05-06. (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 $40,000,000.00 in funding.
• The number of recipients for this funding is limited to 1 candidate(s).
• Eligible applicants include: Unrestricted.

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