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.Apply for 72066322RFA00008
- 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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FAQs: USAID/Ethiopia - Quality Healthcare Activity (72066322RFA00008)
1) What is the USAID/Ethiopia - Quality Healthcare Activity?
It 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 goal of improving health outcomes for women, adolescent girls, and children.
2) What type of funding mechanism is this opportunity?
This opportunity is a discretionary funding opportunity from USAID/Ethiopia issued as a cooperative agreement, which typically involves substantial USAID involvement during implementation compared with a standard grant.
3) Who is the issuing agency for this opportunity?
The issuing agency is USAID/Ethiopia (USAID-Addis Ababa).
4) What is the opportunity number and CFDA listing?
The opportunity number is 72066322RFA00008, under CFDA 98.001 (health).
5) How long is the program expected to last?
The activity is described as a five-year USAID assistance program.
6) What is the maximum funding amount available under this opportunity?
The posted award ceiling is $49,820,000.
7) How many awards does USAID anticipate making?
USAID anticipated making up to eight awards.
8) Who is eligible to apply?
Eligibility is listed as unrestricted, meaning the opportunity is broadly open to different entity types, subject to any additional eligibility notes that may be included in the full notice.
9) Can a consortium apply, or must it be a single organization?
The opportunity seeks one or more implementing organizations and allows either a single applicant or a consortium.
10) What health areas must proposed interventions focus on?
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.
11) What does RMNCAH stand for in this opportunity?
RMNCAH refers to reproductive, maternal, newborn, child, and adolescent health.
12) What is the main goal of the activity?
The main goal is to improve the quality of RMNCAH services in Ethiopia in ways that ultimately improve health outcomes for women, adolescent girls, and children.
13) What kinds of facilities are intended to be strengthened?
The activity is intended to 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.
14) What does "client-centered" care mean in the context of this opportunity?
Based on the description, the program emphasizes care that is responsive to client needs and supports mechanisms for community engagement and feedback on the quality of care received, alongside technically strong clinical services.
15) What are the three main objectives of the activity?
The activity is structured around three closely linked objectives: (1) improving facility readiness to provide client-centered, quality RMNCAH services; (2) strengthening management and accountability for quality RMNCAH services; and (3) restoring essential health services in conflict-affected areas.
16) What is meant by improving "facility readiness" for RMNCAH services?
The opportunity describes facility readiness as ensuring facilities have the practical capacity to deliver RMNCAH care consistently and safely.
17) What does the opportunity mean by strengthening management and accountability?
It emphasizes better leadership, performance management, and systems that help facilities track, maintain, and continuously improve quality of RMNCAH services.
18) How does the opportunity address conflict-affected areas?
One objective focuses on restoring essential health services in conflict-affected areas, acknowledging that disruptions to routine RMNCAH services can quickly increase preventable illness and death, and that recovery requires targeted support to resume service delivery and rebuild functionality.
19) Where in Ethiopia will implementation take place?
Implementation will occur in selected woredas (districts) across five regions: Amhara, Oromia, Sidama, Southern Nations, Nationalities and Peoples (SNNP), and Southwest Ethiopia (SWE).
20) Is the activity aligned with Government of Ethiopia priorities?
Yes. The program is explicitly aligned with the Government of Ethiopia's national quality and health sector priorities, including HSTP II (2020-2025), the revised National Healthcare Quality and Safety Strategy, and national RMNCAH strategies and guidelines.
21) Which national strategies and plans are referenced?
The opportunity references the Health Sector Transformation Plan II (HSTP II 2020-2025), the revised National Healthcare Quality and Safety Strategy, and national RMNCAH strategies and guidelines.
22) Does the activity build on prior USAID investments in Ethiopia?
Yes. The activity is intended to build on roughly two decades of USAID/Ethiopia investments, including IFHP, MCSP, and Transform/Primary Health Care, using lessons learned and existing platforms rather than starting from scratch.
23) Which prior USAID programs are specifically mentioned?
The opportunity mentions the Integrated Family Health Program (IFHP), the Maternal and Child Survival Program (MCSP), and Transform/Primary Health Care.
24) How is this activity expected to integrate with broader health systems strengthening?
A key feature is 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.
25) Why is integration with HRH, supply chain, and health information systems emphasized?
The opportunity states 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.
26) Is the activity expected to connect with demand-side efforts?
Yes. It is expected to connect with demand-side efforts funded through other awards, such as behavior change communication and community empowerment, engagement, and voice.
27) What is the purpose of linking with demand-side efforts?
The description indicates the intent is to ensure 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.
28) What does "cooperative agreement" imply for implementation?
The opportunity notes that a cooperative agreement indicates substantial involvement by USAID during implementation compared with a standard grant.
29) When was the opportunity posted and when did it close?
The opportunity was posted on September 16, 2022, with an original closing date of October 31, 2022.
30) What is the overall emphasis of the proposed work under this funding?
The overall emphasis is on strengthening urban and peri-urban PHCUs and referral facilities to deliver client-centered, high-quality RMNCAH services, supported by stronger facility readiness, management and accountability systems, and restoration of essential services in conflict-affected settings.
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