Opportunity Information: Apply for 72067422RFA00009
The Accelerate TB Elimination and Program Resilience Activity (ACCELERATE 1) is a USAID/South Africa funding opportunity designed to strengthen South Africa's tuberculosis (TB) response by providing high-level technical support and targeted interventions where TB burden is most intense. It is positioned as part of USAID/SA's flagship TB effort called ACCELERATE, which is structured as two separate activities, with ACCELERATE 1 specifically focused on national-to-district technical assistance and practical program interventions that help push the country toward TB elimination while also improving the resilience of the broader health system.
This opportunity was released by the U.S. Agency for International Development (USAID), South Africa mission (USAID-Pretoria), under Funding Opportunity Number 72067422RFA00009. It falls under the discretionary funding category and uses a Cooperative Agreement as the funding instrument, which typically means USAID expects substantial involvement during implementation (for example, alignment on workplans, monitoring expectations, and iterative program adjustments). The activity is classified within the health funding category and is associated with CFDA number 98.001. The solicitation was created on September 21, 2022, with an original closing date of November 21, 2022. USAID anticipated making a single award, with an award ceiling of USD 47,000,000, indicating a large, centralized implementing partner model intended to operate across multiple levels of the health system and multiple geographies.
Programmatically, ACCELERATE 1 is built around two major aims. First, it seeks to deliver targeted technical support at the national level and tailored technical support at provincial and district levels, especially within communities and healthcare facilities located in high TB burden areas. The geographic focus is explicit and concentrated in three provinces and specific high-burden districts: Gauteng (Tshwane and Sedibeng), KwaZulu-Natal (Uthukela and Amajuba), and Eastern Cape (Nelson Mandela Bay, Joe Gqabi, and Sarah Baartman). This suggests the activity is meant to translate national TB policy, strategy, and best practices into operational improvements in priority districts, while also ensuring that lessons and data from districts inform national decision-making and refinement of TB approaches.
Second, the activity emphasizes strengthening health systems at national, provincial, and district levels while advancing TB elimination in a way that sustainably improves public health service delivery. In practical terms, this kind of framing usually points to strengthening core system functions that TB programs rely on, such as planning and coordination, surveillance and data quality, monitoring and evaluation, laboratory and diagnostic networks, referral systems, supply chain reliability for TB commodities, and quality improvement in clinical and community service delivery. The inclusion of "program resilience" and explicit mention of mitigating the negative impacts of acute infectious disease epidemics signals that the activity is also meant to help the TB program and underlying health services withstand shocks like outbreaks that disrupt routine care, staffing, budgets, and patient access. The overall intent is not only to improve TB outcomes in the short term, but to leave behind stronger, more adaptable systems that can maintain essential TB services and broader public health functions during periods of crisis.
Eligibility is listed as "Others," with additional eligibility details referenced in the full notice. That wording typically means eligibility may extend beyond standard categories (for example, potentially including nonprofit organizations, universities, consortia, or other qualified entities), but the definitive criteria would be in the full eligibility section of the solicitation. Overall, ACCELERATE 1 is a large-scale, single-award, cooperative agreement mechanism intended to accelerate progress toward South Africa's TB elimination goals by combining national-level technical leadership with hands-on, district-focused support in the highest-burden settings, while simultaneously reinforcing the resilience and continuity of the health system in the face of infectious disease threats.Apply for 72067422RFA00009
- The Agency for International Development, South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Accelerate TB Elimination & Program Resilience Activity (ACCELERATE 1)" 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 21, 2022.
- Applicants must submit their applications by Nov 21, 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 $47,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the ACCELERATE 1 funding opportunity?
The Accelerate TB Elimination and Program Resilience Activity (ACCELERATE 1) is a USAID/South Africa funding opportunity intended to strengthen South Africa's tuberculosis (TB) response. It focuses on providing high-level technical support and targeted interventions where the TB burden is most intense, with an emphasis on accelerating progress toward TB elimination and improving the resilience of the broader health system.
Who is issuing this opportunity?
This opportunity was released by the U.S. Agency for International Development (USAID), South Africa mission (USAID-Pretoria).
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is 72067422RFA00009.
What type of funding is this (discretionary or mandatory)?
It is listed under the discretionary funding category.
What is the funding instrument being used?
The funding instrument is a Cooperative Agreement. This typically indicates USAID expects substantial involvement during implementation, such as alignment on workplans, monitoring expectations, and iterative adjustments during the life of the activity.
What program area or sector does this opportunity fall under?
The activity is classified within the health funding category, with a focus on tuberculosis (TB) elimination and strengthening health system resilience.
Is there a CFDA number associated with this opportunity?
Yes. The CFDA number associated with this opportunity is 98.001.
When was the solicitation created and when did it close?
The solicitation was created on September 21, 2022, and the original closing date was November 21, 2022.
How many awards did USAID anticipate making?
USAID anticipated making a single award.
What is the maximum award amount (award ceiling)?
The award ceiling is USD 47,000,000.
What is ACCELERATE, and how does ACCELERATE 1 fit into it?
ACCELERATE is described as USAID/South Africa's flagship TB effort structured as two separate activities. ACCELERATE 1 is one of those activities and is specifically focused on national-to-district technical assistance and practical program interventions intended to push South Africa toward TB elimination while improving broader health system resilience.
What are the main aims of ACCELERATE 1?
ACCELERATE 1 is built around two major aims:
- Deliver targeted technical support at the national level and tailored technical support at provincial and district levels, particularly in high TB burden communities and healthcare facilities.
- Strengthen health systems at national, provincial, and district levels while advancing TB elimination in a way that sustainably improves public health service delivery and program resilience.
What does "national-to-district technical assistance" mean in this context?
Based on the description, it refers to providing technical leadership and support at the national level while also translating national TB policy, strategy, and best practices into operational improvements at provincial and district levels. It also implies that lessons learned and data generated at district level should inform national decision-making and refinement of TB approaches.
Which provinces and districts are the geographic focus for ACCELERATE 1?
The activity has an explicit geographic focus on three provinces and specific high-burden districts:
- Gauteng: Tshwane and Sedibeng
- KwaZulu-Natal: Uthukela and Amajuba
- Eastern Cape: Nelson Mandela Bay, Joe Gqabi, and Sarah Baartman
Why does the opportunity focus on specific high-burden districts?
The description indicates the intent is to concentrate support and interventions where TB burden is most intense, improving implementation in priority communities and facilities and accelerating progress toward TB elimination. The focus also suggests an approach where district-level performance and learning help shape national TB decision-making.
What kinds of activities might be included under the "health systems strengthening" and "program resilience" emphasis?
The notice frames health systems strengthening in practical terms that often include core functions TB programs rely on, such as planning and coordination, surveillance and data quality, monitoring and evaluation, laboratory and diagnostic networks, referral systems, supply chain reliability for TB commodities, and quality improvement in clinical and community service delivery. The resilience emphasis also signals support for maintaining essential services during disruptions from acute infectious disease epidemics.
What does "program resilience" mean in this opportunity?
Program resilience is described as the ability of the TB program and underlying health services to withstand shocks that disrupt routine care, staffing, budgets, and patient access. The activity specifically mentions mitigating negative impacts of acute infectious disease epidemics, indicating an intent to protect continuity of TB services during outbreaks and other disruptions.
Is this opportunity only about short-term TB outcomes?
No. The stated intent is both to improve TB outcomes and to leave behind stronger, more adaptable systems that can sustain essential TB services and broader public health functions during periods of crisis.
Who is eligible to apply?
Eligibility is listed as "Others," with additional eligibility details referenced in the full notice. This suggests eligibility may extend beyond standard categories, but the definitive criteria are contained in the solicitation's eligibility section.
Does the opportunity specify the exact eligible organization types?
Not in the information provided here. It notes that eligibility is "Others" and points to additional eligibility details in the full notice.
What does it mean that USAID expects "substantial involvement" under a cooperative agreement?
In this context, it means USAID is likely to be actively engaged during implementation through elements such as aligning on workplans, setting monitoring expectations, and supporting iterative program adjustments as activities progress.
What kind of implementing model does a single, large award suggest?
The description indicates a large, centralized implementing partner model intended to operate across multiple levels of the health system and multiple geographies, rather than many smaller awards split among different implementers.
Is ACCELERATE 1 intended to connect district learning back to national decision-making?
Yes. The description explicitly suggests that lessons and data from districts should inform national decision-making and refinement of TB approaches, alongside translating national strategy into district-level operational improvements.
Does the opportunity specify that support should happen in communities and healthcare facilities?
Yes. The technical support focus is described as including communities and healthcare facilities located in high TB burden areas, particularly within the named priority provinces and districts.
What is the overall purpose of ACCELERATE 1 in one sentence?
ACCELERATE 1 is designed to accelerate progress toward TB elimination in South Africa by combining national-level technical leadership with hands-on support in the highest-burden districts, while strengthening health system resilience to sustain services during epidemics and other disruptions.
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