Opportunity Information: Apply for HRSA 21 099
This funding opportunity, titled "Community-Led Monitoring (CLM) of HIV Services in Sierra Leone" (Funding Opportunity Number HRSA 21 099), is a PEPFAR-supported cooperative agreement run through the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.266. The program is designed to fund one recipient to set up and run a structured, standardized community-led monitoring system across roughly 30 PEPFAR-supported service sites in Sierra Leone. The intent is not just to collect information, but to make sure what clients and communities report is analyzed, discussed with decision-makers, and then used to drive practical improvements in HIV services nationwide.
At the center of the grant is the idea that people who use HIV services should have a routine, organized way to give feedback about what is and is not working. The program relies on trained community members using standardized tools to gather both quantitative and qualitative information from clients. The monitoring focus spans the full continuum of HIV services, including prevention, HIV testing, and treatment-related services such as linkage to care, retention, and viral load testing. It also explicitly looks at service provider behavior and the service environment, including provider perceptions, attitudes, and practices, along with overall client satisfaction and experience while receiving care.
A major emphasis is on ensuring that feedback from key populations and other underserved groups is consistently captured and elevated, especially given Sierra Leone's relatively low overall HIV prevalence and PEPFAR's strategic focus on priority populations. While the program prioritizes the perspectives of those most at risk or most likely to face barriers, the CLM approach is meant to apply broadly at PEPFAR-supported sites, covering all people living with HIV and anyone seeking HIV prevention or testing services. In practice, this means the monitoring system should be able to reflect the experiences of a wide range of clients while still spotlighting the groups that are often least heard in traditional facility-based reporting channels.
The recipient is expected to do more than produce reports. A key requirement is close collaboration with community representatives, clients, healthcare providers, facility managers, and government and non-government stakeholders to review findings and create a feedback loop that leads to action. The grant frames CLM as an ongoing dialogue: data should be presented in ways that stakeholders can understand and use, and the process should support joint identification of service gaps, agreement on improvement steps, and follow-through to implement and track solutions. The overall aim is to strengthen the patient experience and ultimately improve health outcomes by addressing real-world barriers to access, quality, and continuity of HIV care.
The monitoring approach is also expected to align with PEPFAR expectations, including incorporating PEPFAR minimum program requirements (MPR) where relevant. At the same time, the grant is clear that CLM data should add value rather than duplicate existing PEPFAR data streams. In other words, the program should triangulate with routine program indicators but focus on information that typical reporting systems do not capture well, such as what beneficiaries say about the facility experience, stigma or discrimination concerns, wait times, privacy, provider interactions, practical obstacles to staying in care, and the local factors that either enable or prevent retention and adherence.
Operationally, the end product is an assessment and reporting system that regularly reflects clients' experiences and translates those experiences into actionable insights for stakeholders. The program is meant to produce a clear description of both challenges and strengths in service delivery across sites, using a mix of numbers and narratives to pinpoint what needs improvement and what is already working well. Sustainability is also part of the expectation: the recipient should actively engage in-country stakeholders at multiple levels to support solutions that can last, with ongoing discussions intended to promote lasting improvements in the quality and responsiveness of HIV services in Sierra Leone.
Key administrative details included in the notice are that it is a discretionary funding opportunity using a cooperative agreement mechanism, with an original application closing date of July 19, 2021, and an expectation of a single award. The award ceiling is listed as 0 in the source data, which typically signals that the ceiling is either not specified in that field or is defined elsewhere in the full announcement rather than implying no funding. Eligible applicants are listed broadly as "Others" with additional eligibility clarification referenced in the full notice.Apply for HRSA 21 099
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Community-Led Monitoring (CLM) of HIV Services in Sierra Leone" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.266.
- This funding opportunity was created on May 20, 2021.
- Applicants must submit their applications by Jul 19, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- 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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