Opportunity Information: Apply for 72066322RFA00008

USAID//Ethiopia - Quality Healthcare Activity is a five-year USAID assistance program designed to improve the quality of reproductive, maternal, newborn, child, and adolescent health (RMNCAH) services in Ethiopia, with the ultimate aim of improving health outcomes for women, adolescent girls, and children. The opportunity seeks one or more implementing organizations (either a single applicant or a consortium) that can strengthen urban and peri-urban primary health care units (PHCUs) and referral facilities so they can plan for and deliver client-centered, high-quality RMNCAH care. Because the funding comes from maternal and child health and family planning accounts, proposed interventions are expected to clearly and directly improve RMNCAH service quality and uptake, and contribute to measurable improvements in RMNCAH outcomes.

The activity is structured around three closely linked objectives. First, it focuses on improving facility readiness to provide client-centered, quality RMNCAH services, which typically involves ensuring that facilities have the practical capacity to deliver care consistently and safely. Second, it aims to strengthen management and accountability for quality RMNCAH services, emphasizing better leadership, performance management, and systems that help facilities track, maintain, and continuously improve quality. Third, it includes restoration of essential health services in conflict-affected areas, recognizing that disruption to routine RMNCAH services can rapidly increase preventable illness and death and that recovery requires targeted support to resume service delivery and rebuild functionality.

The program is explicitly aligned with the Government of Ethiopia's national quality and health sector priorities, including the Health Sector Transformation Plan II (HSTP II 2020-2025), the revised National Healthcare Quality and Safety Strategy, and national RMNCAH strategies and guidelines. Implementation will occur in selected woredas (districts) across five regions: Amhara, Oromia, Sidama, Southern Nations, Nationalities and Peoples (SNNP), and Southwest Ethiopia (SWE). The activity is meant to build on USAID/Ethiopia's prior investments over roughly two decades, including the Integrated Family Health Program (IFHP), Maternal and Child Survival Program (MCSP), and Transform/Primary Health Care, using lessons learned and existing platforms rather than starting from scratch.

A key feature of the opportunity is its intended integration with other USAID/Ethiopia health systems strengthening investments, especially in human resources for health (HRH), supply chain management (SCM), and health information systems. The logic is that improvements in clinical quality are difficult to sustain without parallel improvements in staffing, commodities and logistics, and data systems that support decision-making and accountability. In addition, the activity is expected to connect with demand-side efforts funded through other awards, such as behavior change communication and community empowerment, engagement, and voice, to help ensure that services are not only technically strong but also responsive to client needs and that communities can seek care and provide feedback on the quality of care they receive.

From a grant-making standpoint, this is a discretionary funding opportunity issued by USAID/Ethiopia (USAID-Addis Ababa) as a cooperative agreement, indicating substantial involvement by USAID during implementation compared with a standard grant. The opportunity number is 72066322RFA00008 under CFDA 98.001 (health). Eligibility is listed as unrestricted, meaning it is broadly open to different entity types, subject to any additional eligibility notes in the full notice. The posted award ceiling is $49,820,000, and USAID anticipated making up to eight awards. The opportunity was posted on September 16, 2022, with an original closing date of October 31, 2022.

  • The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "USAID//Ethiopia - Quality Healthcare 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 Sep 16, 2022.
  • Applicants must submit their applications by Oct 31, 2022. (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 $49,820,000.00 in funding.
  • The number of recipients for this funding is limited to 8 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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