Opportunity Information: Apply for RFA 663 17 000003
The grant opportunity titled "Strengthening Quality of Malaria Diagnosis and Treatment in Ethiopia" is a USAID/Ethiopia-funded cooperative agreement focused on improving the standard of malaria case management in health facilities supported by the project. The core, measurable aim is to raise the quality of malaria diagnosis and treatment services in these facilities to a level of 85 (from the baseline level measured at the start of the activity). In practical terms, the opportunity is designed to address both the technical side of malaria diagnosis and treatment and the system-level conditions that determine whether health workers can consistently deliver accurate testing, correct treatment, and appropriate follow-up.
The activity is organized around four main objectives. First, it seeks to strengthen partnerships and coordination at national and regional levels, which typically involves improving how government bodies, regional health bureaus, implementing partners, and other stakeholders align priorities, share data, and coordinate supervision and support. This objective emphasizes that quality improvement is not only a facility-level issue; it depends heavily on clear roles, consistent guidance, and coordinated planning across different layers of the health system.
Second, the opportunity prioritizes strengthening and scaling up quality assurance (QA) systems for malaria diagnosis and treatment. QA in this context generally includes standardizing and monitoring diagnostic practices (for example, microscopy and rapid diagnostic tests), ensuring adherence to national case management guidelines, improving supervision and mentorship, supporting proficiency testing and external quality assessment approaches, and reinforcing routine use of data to identify performance gaps. The intent is to move beyond one-time trainings or isolated improvements and instead build repeatable systems that reliably maintain high performance over time and across locations.
Third, the grant targets practical improvements in infrastructure and human resources to support malaria diagnosis and case management. The infrastructure component is described as minor renovation, which suggests modest facility upgrades that remove barriers to quality services, such as improving the physical setup of laboratories, patient flow areas, storage conditions for commodities, or other enabling environments needed for safe and accurate diagnosis and treatment. In parallel, it supports building human resource capacity, which can include developing the skills of clinicians, laboratory personnel, and supervisors; improving on-the-job performance through mentorship; and strengthening facility teams so they can apply guidelines correctly and consistently, even when staff turnover or workload pressures are present.
Fourth, the activity calls for enhanced program learning and operational research to influence policy and programming related to malaria case management. This indicates an expectation that the implementer will not only deliver services but also generate evidence about what works best in the Ethiopian context. Operational research and structured learning can help identify bottlenecks (such as diagnostic errors, stock management challenges, or adherence issues), test solutions, and translate findings into recommendations that inform national or regional guidance, training approaches, and resource allocation.
A key feature of the award is that it will be implemented using the principles of Collaborating, Learning, and Adapting (CLA). This means the project is expected to emphasize ongoing collaboration with stakeholders, routine learning from implementation experience and data, and active adaptation of strategies as conditions change or as evidence emerges. The award language also indicates flexibility: activities that align with CLA principles and contribute to the four objectives and related results can be included, as long as they fit within the agreement's planning requirements and provisions. In effect, the opportunity supports an iterative approach to quality improvement rather than a fixed, one-size-fits-all implementation plan.
From an administrative standpoint, this is a discretionary funding opportunity issued by the United States Agency for International Development (USAID), specifically USAID Addis Ababa under USAID/Ethiopia. The funding instrument is a cooperative agreement, which typically implies substantial involvement by the funding agency during implementation compared to a standard grant. The opportunity is listed under the health funding activity category with CFDA number 98.001. Eligibility is described as unrestricted (open to any type of entity), subject to any additional eligibility clarifications contained in the full announcement. The opportunity was created on July 18, 2017, with an original closing date of September 13, 2017. USAID anticipated making one award, with an award ceiling of $25,000,000, indicating a single, sizable project intended to operate at meaningful scale and potentially influence national practice through coordinated systems strengthening and evidence generation.Apply for RFA 663 17 000003
- The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "Strengthening Quality of Malaria Diagnosis and Treatment in Ethiopia" 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 Jul 18, 2017.
- Applicants must submit their applications by Sep 13, 2017. (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 $25,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 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)
1) What is the name of this grant opportunity?
The opportunity is titled "Strengthening Quality of Malaria Diagnosis and Treatment in Ethiopia."
2) Who is funding and issuing this opportunity?
This is a discretionary funding opportunity issued by the United States Agency for International Development (USAID), specifically USAID Addis Ababa under USAID/Ethiopia.
3) What type of funding instrument is being used?
The award is a cooperative agreement. This typically means USAID expects to have substantial involvement during implementation compared to a standard grant.
4) What is the main purpose of the activity?
The activity focuses on improving the standard of malaria case management in health facilities supported by the project, addressing both technical aspects of diagnosis and treatment and the system conditions that enable consistent, high-quality care.
5) What is the core, measurable aim of the project?
The core measurable aim is to raise the quality of malaria diagnosis and treatment services in supported health facilities to a level of 85, from the baseline level measured at the start of the activity.
6) Where will the project take place?
The activity is USAID/Ethiopia-funded and is focused on Ethiopia, targeting health facilities supported by the project.
7) What kinds of facilities are expected to benefit?
The opportunity targets health facilities supported by the project, with an emphasis on improving malaria diagnosis and treatment services delivered in those facilities.
8) What are the main objectives of the activity?
The activity is organized around four objectives: (1) strengthen partnerships and coordination at national and regional levels, (2) strengthen and scale up quality assurance (QA) systems for malaria diagnosis and treatment, (3) improve minor infrastructure and human resource capacity supporting diagnosis and case management, and (4) enhance program learning and operational research to influence policy and programming.
9) What does "strengthening partnerships and coordination" involve?
This objective emphasizes alignment across government bodies, regional health bureaus, implementing partners, and other stakeholders, including coordinated planning, data sharing, and supervision and support across different levels of the health system.
10) What does quality assurance (QA) mean in this opportunity?
QA is described as strengthening and scaling repeatable systems that maintain high performance over time. It generally includes standardizing and monitoring diagnostic practices (such as microscopy and rapid diagnostic tests), supporting adherence to national case management guidelines, improving supervision and mentorship, supporting proficiency testing and external quality assessment approaches, and reinforcing routine data use to identify performance gaps.
11) Does the opportunity focus only on training health workers?
No. The intent is to move beyond one-time trainings or isolated improvements by building ongoing systems (such as QA, supervision, mentorship, and routine data use) that can sustain quality over time and across locations.
12) What kinds of diagnostic approaches are referenced?
The description references microscopy and rapid diagnostic tests (RDTs) as examples of diagnostic practices that may be standardized and monitored within QA systems.
13) What is meant by "minor renovation" under infrastructure improvements?
Minor renovation suggests modest facility upgrades intended to remove barriers to quality services, such as improving laboratory setups, patient flow areas, storage conditions for commodities, or other enabling environments needed for safe and accurate diagnosis and treatment.
14) What human resource improvements are expected?
The activity supports building human resource capacity, which can include strengthening skills of clinicians, laboratory personnel, and supervisors; improving on-the-job performance through mentorship; and strengthening facility teams to apply guidelines correctly and consistently despite turnover or workload pressures.
15) What is the role of supervision and mentorship in this project?
Supervision and mentorship are highlighted as mechanisms to improve adherence to guidelines, reinforce correct diagnostic and treatment practices, and support continuous performance improvement as part of a broader QA and systems-strengthening approach.
16) What is meant by program learning and operational research in this activity?
The activity expects the implementer to generate evidence about what works in the Ethiopian context. Operational research and structured learning are described as ways to identify bottlenecks (such as diagnostic errors, stock management challenges, or adherence issues), test solutions, and translate findings into recommendations that influence policy, guidance, training approaches, and resource allocation.
17) How is evidence expected to influence national or regional programs?
Findings from learning and operational research are intended to be translated into recommendations that inform national or regional guidance and programming related to malaria case management.
18) What is Collaborating, Learning, and Adapting (CLA), and how does it apply here?
CLA is a key feature of the award. The project is expected to emphasize collaboration with stakeholders, routine learning from implementation experience and data, and active adaptation of strategies as conditions change or as evidence emerges.
19) Does the opportunity allow flexibility in activity design?
Yes. The description indicates flexibility: activities aligned with CLA principles that contribute to the four objectives and related results can be included, as long as they fit within the cooperative agreement's planning requirements and provisions.
20) What funding category and CFDA number are associated with this opportunity?
The opportunity is listed under the health funding activity category with CFDA number 98.001.
21) Who is eligible to apply?
Eligibility is described as unrestricted (open to any type of entity), subject to any additional eligibility clarifications contained in the full announcement.
22) How many awards did USAID anticipate making?
USAID anticipated making one award.
23) What is the award ceiling?
The award ceiling is $25,000,000.
24) When was the opportunity created and when was it originally due?
The opportunity was created on July 18, 2017, with an original closing date of September 13, 2017.
25) What is the baseline mentioned in the quality target?
The baseline refers to the initial measurement of the quality of malaria diagnosis and treatment services taken at the start of the activity, which is used as the reference point for improvement toward the target level of 85.
26) What types of system-level issues does the opportunity aim to address?
It aims to address system-level conditions that affect consistent case management, including coordination across stakeholders, standardized QA approaches, supportive supervision and mentorship, data use to identify gaps, enabling facility environments, and capacity strengthening for facility teams.
27) What kinds of performance problems or bottlenecks does the opportunity recognize?
Examples mentioned include diagnostic errors, stock management challenges, and adherence issues related to malaria case management guidelines.
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