Opportunity Information: Apply for CDC RFA OT16 16010101SUPP17

This grant opportunity is a CDC supplemental cooperative agreement focused on strengthening public health capacity across the U.S.-Affiliated Pacific Islands (USAPI), a region that includes the U.S. territories of American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands, as well as the Freely Associated States of the Republic of the Marshall Islands, the Republic of Palau, and the Federated States of Micronesia. Together these jurisdictions are home to more than 500,000 people spread across millions of square miles of ocean and five time zones, which creates major logistical hurdles for consistent public health service delivery. The opportunity is rooted in the reality that the USAPI face a dual burden of disease: persistent and sometimes high rates of communicable diseases alongside some of the worlds highest rates of obesity and related non-communicable diseases. These pressures are compounded by frequent and severe environmental disasters and escalating climate-related health threats, all of which strain health systems that already struggle with limited resources, fragmented service delivery, and infrastructure instability.

The CDC frames the underlying challenge as a system capacity problem, not just a need for short-term programming. Public health practice in the USAPI is affected by dispersed populations, workforce shortages, and unreliable supporting systems such as power grids, transportation networks, and government financing. Past assessments and published analyses cited in the announcement highlight gaps such as insufficient numbers of fully trained health workers, weak or inconsistent data systems, and structural fragmentation that disrupts continuity of care. Regional priority needs identified through prior reviews include building practical national health plans supported by viable resources and technical assistance, establishing stronger data systems and registries with staff training to maintain and use them, improving collaboration with community partners to deliver prevention services where people live, reducing fragmentation across healthcare and public health functions, and expanding continuing education opportunities for physicians, nurses, and other public health professionals.

This specific announcement is a supplemental funding opportunity tied to an earlier CDC FOA (CDC-RFA-OT16-1601, originally funded July 1, 2016). Rather than opening competition broadly, it allows the original awardee to submit a new project plan aimed at infectious disease preparedness and response capacity, with a particular emphasis on outbreak support and vector control. The funded work is designed to strengthen the USAPI ability to prevent, detect, and respond to infectious disease threats such as Zika by combining direct technical assistance with structured learning and improvement activities that can be applied across future events.

The supported activities are clearly laid out. First, the awardee is expected to provide on-site and remote technical assistance during outbreaks to strengthen local vector control and prevention systems, operational capabilities, and response effectiveness. Second, the project must systematically gather lessons learned from relevant stakeholders, which can include health departments and broader community leadership involved in response efforts. Third, the announcement calls for convening workgroup sessions to conduct After Action Reports and to translate those findings into Improvement Plans, ensuring that response gaps are documented and addressed rather than forgotten once an emergency subsides. Fourth, the awardee is expected to develop practical tools, resources, and trainings that directly target the weaknesses identified in Improvement Plans, helping jurisdictions standardize better practices and build repeatable response capacity.

The CDC describes capacity building in broad, practical terms: strengthening the people, organizations, and systems needed to perform essential public health functions, solve problems, and meet objectives at individual, institutional, and societal levels. The grant emphasizes three main capacity-building pathways. Workforce development focuses on improving knowledge, skills, and competencies while creating resources that staff can use in real time. Organizational development focuses on strengthening management structures, processes, and procedures within and across organizations, including coordination across public, private, and community sectors. Partnership development focuses on building relationships that improve how community needs are identified and met, how resources are coordinated, and how public communication is handled during routine operations and emergencies. The CDCs theory of change is that sustained investments in these areas will improve the quality, quantity, efficiency, and effectiveness of public health services, ultimately leading to better health outcomes across the USAPI.

Administratively, this is a discretionary CDC funding opportunity issued through OSTLTS, using a cooperative agreement mechanism, which typically means substantial CDC involvement in guiding or supporting implementation. The CFDA number listed is 93.874. The award ceiling is $150,000, with one expected award. Eligibility is effectively restricted to a single applicant: the Pacific Island Health Officers Association (PIHOA), the nonprofit 501(c)(3) that was the original awardee under the earlier FOA. The original closing date shown is March 24, 2017, and the opportunity number is CDC RFA OT16 16010101SUPP17.

  • The Centers for Disease Control - OSTLTS in the health sector is offering a public funding opportunity titled "Strengthening the Public Health System in the U.S.-Affiliated Pacific Islands" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.874.
  • This funding opportunity was created on 2017-02-23.
  • Applicants must submit their applications by 2017-03-24. (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 $150,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education.
Apply for CDC RFA OT16 16010101SUPP17

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Frequently Asked Questions (FAQs)

What is this grant opportunity about?

This is a CDC supplemental cooperative agreement designed to strengthen public health capacity in the U.S.-Affiliated Pacific Islands (USAPI), with a specific focus on infectious disease preparedness and response capacity. The announcement emphasizes outbreak support and vector control, and it supports activities that help jurisdictions prevent, detect, and respond to infectious disease threats (including threats such as Zika) in a way that can be applied to future events.

Which CDC office is issuing this opportunity?

The funding opportunity is issued by CDC through OSTLTS (the Office for State, Tribal, Local and Territorial Support).

What funding mechanism is being used?

The award uses a cooperative agreement mechanism. This typically indicates substantial CDC involvement in guiding or supporting implementation compared to a standard grant.

Is this an open, competitive funding opportunity?

No. This is a supplemental funding opportunity tied to an earlier CDC funding opportunity announcement (CDC-RFA-OT16-1601, originally funded July 1, 2016). Rather than opening competition broadly, it allows the original awardee to submit a new project plan under the existing award framework.

Who is eligible to apply?

Eligibility is effectively restricted to a single applicant: the Pacific Island Health Officers Association (PIHOA), a nonprofit 501(c)(3) organization and the original awardee under the earlier FOA.

How many awards does CDC expect to make?

CDC expects to make one award.

What is the maximum award amount?

The award ceiling is $150,000.

What is the CFDA number for this opportunity?

The CFDA number listed is 93.874.

What is the opportunity number?

The opportunity number is CDC RFA OT16 16010101SUPP17.

What was the original closing date listed in the announcement?

The original closing date shown is March 24, 2017.

What geographic region does this funding focus on?

The focus is the U.S.-Affiliated Pacific Islands (USAPI), which include the U.S. territories of American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands, as well as the Freely Associated States of the Republic of the Marshall Islands, the Republic of Palau, and the Federated States of Micronesia.

Why does CDC highlight the USAPI as a priority for capacity strengthening?

The announcement describes major logistical hurdles for consistent public health service delivery across the USAPI, including dispersed populations across millions of square miles of ocean and five time zones. It also highlights system constraints such as workforce shortages and unreliable supporting systems (for example, power grids, transportation networks, and government financing).

What health challenges in the USAPI does the announcement point to?

The announcement describes a dual burden of disease: persistent and sometimes high rates of communicable diseases alongside some of the worlds highest rates of obesity and related non-communicable diseases. It also notes frequent and severe environmental disasters and escalating climate-related health threats that place added strain on already resource-limited health systems.

Is the grant mainly about short-term programming, or about longer-term systems?

The CDC frames the underlying challenge as a system capacity problem, not simply a need for short-term programming. The emphasis is on strengthening people, organizations, and systems so jurisdictions can perform essential public health functions more consistently over time.

What types of system gaps does the announcement mention?

Past assessments and analyses cited in the announcement identify gaps such as insufficient numbers of fully trained health workers, weak or inconsistent data systems, and structural fragmentation that disrupts continuity of care. It also describes instability in infrastructure and supporting systems that complicate reliable service delivery.

What regional priority needs are mentioned in the announcement?

Regional priority needs identified through prior reviews include: building practical national health plans supported by viable resources and technical assistance; establishing stronger data systems and registries with staff training to maintain and use them; improving collaboration with community partners to deliver prevention services where people live; reducing fragmentation across healthcare and public health functions; and expanding continuing education opportunities for physicians, nurses, and other public health professionals.

What specific capacity area does this supplemental funding emphasize?

This specific supplemental opportunity emphasizes infectious disease preparedness and response capacity, with particular emphasis on outbreak support and vector control.

What are the main activities the awardee is expected to carry out?

The announcement lays out four core activity areas: (1) provide on-site and remote technical assistance during outbreaks to strengthen vector control and prevention systems, operational capabilities, and response effectiveness; (2) systematically gather lessons learned from stakeholders involved in response efforts; (3) convene workgroup sessions to conduct After Action Reports and translate findings into Improvement Plans; and (4) develop practical tools, resources, and trainings that target weaknesses identified in Improvement Plans.

What does CDC mean by "capacity building" in this opportunity?

CDC describes capacity building as strengthening the people, organizations, and systems needed to perform essential public health functions, solve problems, and meet objectives at individual, institutional, and societal levels.

What are the three main capacity-building pathways described?

The opportunity emphasizes three pathways: workforce development (improving knowledge, skills, and competencies and creating usable resources for real-time work); organizational development (strengthening management structures, processes, and procedures within and across organizations, including cross-sector coordination); and partnership development (building relationships to better identify and meet community needs, coordinate resources, and handle public communication during routine operations and emergencies).

How are After Action Reports and Improvement Plans used under this award?

The awardee is expected to convene workgroup sessions to conduct After Action Reports and translate the findings into Improvement Plans. The purpose is to ensure response gaps are documented and addressed, rather than being lost once an emergency subsides.

Who can be involved as stakeholders when gathering lessons learned?

The announcement notes that stakeholders can include health departments and broader community leadership involved in response efforts.

What kinds of deliverables are expected beyond technical assistance?

Beyond on-site and remote technical assistance, the awardee is expected to produce practical tools, resources, and trainings that directly address weaknesses identified in Improvement Plans, supporting jurisdictions in standardizing better practices and building repeatable response capacity.

What is CDCs overall theory of change for this work?

CDC indicates that sustained investments in workforce development, organizational development, and partnership development will improve the quality, quantity, efficiency, and effectiveness of public health services, ultimately leading to better health outcomes across the USAPI.

What kinds of constraints does the announcement say affect public health practice in the USAPI?

The announcement cites dispersed populations, workforce shortages, and unreliable supporting systems such as power grids, transportation networks, and government financing. It also points to fragmented service delivery and infrastructure instability as factors that can undermine continuity and reliability.

How does the announcement describe the USAPI context in terms of population and geography?

Together, the USAPI jurisdictions are described as home to more than 500,000 people spread across millions of square miles of ocean and five time zones, which creates logistical challenges for consistent public health service delivery.

What is the relationship between this supplemental award and the earlier FOA?

This announcement is specifically a supplemental funding opportunity linked to CDC-RFA-OT16-1601 (originally funded July 1, 2016). It is intended to allow the original awardee to submit an additional project plan aimed at strengthening infectious disease preparedness and response, rather than starting a brand-new, broadly competed program.

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