Opportunity Information: Apply for 2022 PECO 002
The PEPFAR Ethiopia Community-Led Monitoring (CLM) Activities opportunity is a U.S. Department of State grant competition run through the U.S. Embassy in Addis Ababa and the PEPFAR Ethiopia Coordination Office (PECO). It seeks proposals that will carry out community-led monitoring of HIV services as part of PEPFAR-supported HIV/AIDS programming in Ethiopia. The core purpose is to help Ethiopia move closer to HIV epidemic control by strengthening how HIV prevention, care, and treatment services are experienced at the facility and community level, and by turning community feedback into practical service improvements that protect health and save lives.
At the center of this opportunity is the idea that communities, especially people most affected by HIV, should have a structured way to assess the quality, accessibility, and responsiveness of HIV services. CLM is positioned as a mechanism to improve the availability of services, ensure people can access them, and raise the standard of service delivery. The grant envisions community members gathering information directly from clients and communities, using standardized monitoring tools, and then using that evidence to identify gaps in service delivery, barriers to care, and realistic solutions. The program is not framed as one-off feedback; it is meant to create an ongoing accountability loop where communities can push for better services, and health providers and managers can respond with concrete fixes.
Applicants are expected to collect both quantitative and qualitative data. Quantitative data might capture measurable service indicators (for example, wait times, stockouts, uptake of specific services, or completion of steps along the care continuum), while qualitative data can capture client experiences and the reasons behind barriers (such as stigma, confidentiality concerns, discrimination, or clinic processes that discourage follow-up). The opportunity highlights that the collected data should not just be compiled, but also synthesized and analyzed to generate useful insights about what is going wrong, why it is happening, and what changes are likely to work. Findings are expected to inform improvements at multiple levels, including the facility level, the broader community level, sub-national systems, and even national-level discussions about HIV service delivery.
A major design requirement is that CLM activities must explicitly focus on key populations (KP) or other affected populations. The funding notice clarifies that this focus has to be visible in three ways: who is leading and conducting the monitoring (for instance, whether KP leaders or affected-population representatives are part of the design and implementation), where monitoring is happening (ensuring inclusion of government, NGO, KP-specific, and private facilities that serve key populations), and what is being measured (including KP-specific indicators tied to respectful and competent services, availability of KP commodities, and whether services are available, accessible, acceptable, and affordable). In other words, proposals need to demonstrate that monitoring will reach the places and populations where HIV-related inequities and service barriers are often most pronounced, and that the indicators will actually reflect KP realities rather than generic measures alone.
The opportunity also emphasizes that CLM results should be shared and reviewed collaboratively rather than remaining within a single organization. Findings are meant to be presented and analyzed with community representatives, service providers, facility managers, and relevant implementing partners. This is intended to support honest dialogue, help all sides pinpoint service delivery gaps, and encourage joint problem-solving. The end goal is improved quality of care, stronger continuity of treatment, and better retention in care, reflecting PEPFAR priorities around keeping people on effective treatment and ensuring services are dependable and patient-centered.
For the planning cycle referenced (COP22), the notice signals additional priority attention to pediatric HIV, specifically the pediatric clinical cascade and treatment continuity. This points to interest in identifying and closing programmatic gaps affecting children and adolescents, such as delays in diagnosis, challenges initiating treatment, missed follow-up, and barriers that lead to treatment interruptions. Proposals that can credibly incorporate monitoring approaches that capture pediatric service quality and continuity issues, while still meeting the KP/affected-population focus requirement, would align with that stated priority.
In terms of logistics and eligibility, this is a discretionary grant (not a contract) under a health funding activity category, CFDA 19.029, offered by the Department of State, U.S. Mission to Ethiopia. It is aimed primarily at registered local community-based organizations and civil society entities, including networks of key populations, groups of people living with HIV (PLHIV), women-led civil society organizations, and other community entities with demonstrated expertise in collecting and working with quantitative and qualitative data related to HIV services. The funding opportunity number is 2022 PECO 002. The posted award ceiling is $24,999 per award, with an anticipated total of about 12 awards. The opportunity was created May 25, 2022, with an original closing date of June 24, 2022.Apply for 2022 PECO 002
- The Department of State, U.S. Mission to Ethiopia in the health sector is offering a public funding opportunity titled "PEPFAR Ethiopia Community-Led Monitoring (CLM) Activities" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 19.029.
- This funding opportunity was created on May 25, 2022.
- Applicants must submit their applications by Jun 24, 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 $24,999.00 in funding.
- The number of recipients for this funding is limited to 12 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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| Funding Opportunity |
|---|
| Public Health Emergency Management (PHEM) Activity Apply for 72066322RFA00004 Funding Number: 72066322RFA00004 Agency: Agency for International Development, Ethiopia USAID-Addis Ababa Category: Health Funding Amount: $12,000,000 |
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| Promoting Equitable Access to Language Services in Health and Human Services Apply for MP CPI 22 005 Funding Number: MP CPI 22 005 Agency: Department of Health and Human Services, Office of the Assistant Secretary for Health Category: Health Funding Amount: $375,000 |
| Rural Emergency Hospital Technical Assistance Center Apply for HRSA 22 167 Funding Number: HRSA 22 167 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $2,500,000 |
| Leveraging Health Service Equity Approaches for Sustainable HIV Epidemic Control Apply for HRSA 22 160 Funding Number: HRSA 22 160 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $10,000,000 |
| Community-Led Monitoring (CLM) Activity Apply for 72038622RFA00001 Funding Number: 72038622RFA00001 Agency: Agency for International Development, India USAID-New Delhi Category: Health Funding Amount: $2,500,000 |
| Strengthen the Evidence for Maternal and Child Health Programs Apply for HRSA 23 072 Funding Number: HRSA 23 072 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $700,000 |
| Rural Communities Opioid Response Program – Medication Assisted Treatment Access Apply for HRSA 22 165 Funding Number: HRSA 22 165 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $1,000,000 |
| Service Area Competition Apply for HRSA 23 020 Funding Number: HRSA 23 020 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems Apply for CDC RFA OE22 2203 Funding Number: CDC RFA OE22 2203 Agency: Department of Health and Human Services, Centers for Disease Control - CSELS Category: Health Funding Amount: $161,600,000 |
| MOMENTUM Yemen Round Apply for 7200AA19APS00002 YEMEN ROUND Funding Number: 7200AA19APS00002 YEMEN ROUND Agency: Agency for International Development, Kenya USAID-Nairobi Category: Health Funding Amount: $48,000,000 |
| Community Monitoring Activity (CLM) Apply for 72066822R00008 Funding Number: 72066822R00008 Agency: Agency for International Development, South Sudan (USAID)-Juba Category: Health Funding Amount: $2,000,000 |
| TB Centers of Excellence for Training, Education and Medical Consultation (COE) Apply for CDC RFA PS23 2301 Funding Number: CDC RFA PS23 2301 Agency: Department of Health and Human Services, Centers for Disease Control - NCHHSTP Category: Health Funding Amount: Case Dependent |
| Children’s Hospitals Graduate Medical Education (CHGME) Payment Program Apply for HRSA 23 012 Funding Number: HRSA 23 012 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| PEPFAR Community Led Monitoring (CLM)-Zambia Apply for PCLM 2023 Funding Number: PCLM 2023 Agency: Department of State, U.S. Mission to Zambia Category: Health Funding Amount: $120,000 |
| USAID/Ethiopia Empowering Community Activity Apply for 72066322RFI00008 Funding Number: 72066322RFI00008 Agency: Agency for International Development, Ethiopia USAID-Addis Ababa Category: Health Funding Amount: $30,000,000 |
| DEGRA Follow-on/Djibouti Basic Education Activity Apply for 72060322RFI00009 Funding Number: 72060322RFI00009 Agency: Agency for International Development, Ethiopia USAID-Addis Ababa Category: Health Funding Amount: $15,000,000 |
| Commercial Fishing Occupational Safety Research Cooperative Agreement (U01) Apply for RFA OH 22 005 Funding Number: RFA OH 22 005 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $975,000 |
| Tribal Self-Governance Negotiation Cooperative Agreement Program Apply for HHS 2022 IHS TSGN 0002 Funding Number: HHS 2022 IHS TSGN 0002 Agency: Department of Health and Human Services, Indian Health Service Category: Health Funding Amount: $84,000 |
| Tribal Self-Governance Planning Cooperative Agreement Program Apply for HHS 2022 IHS TSGP 0002 Funding Number: HHS 2022 IHS TSGP 0002 Agency: Department of Health and Human Services, Indian Health Service Category: Health Funding Amount: $180,000 |
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