Opportunity Information: Apply for W81XWH 21 DHAPP
The Military Specific HIV/AIDS Prevention, Care, and Treatment Program for PEPFAR is a Department of Defense funding opportunity (administered by the U.S. Army Medical Research Acquisition Activity, USAMRAA) that supports the DoD HIV/AIDS Prevention Program (DHAPP) in helping foreign-country militaries strengthen and sustain HIV prevention, care, and treatment services. The core aim, consistent with PEPFAR, is to save lives, prevent new HIV infections, and accelerate progress toward HIV epidemic control by improving how military health systems plan, deliver, measure, and sustain HIV-related services. The announcement notes that it will be revised periodically to add or update country-specific guidance (provided in an attachment), and applicants are encouraged to subscribe for updates because those narratives can materially affect what a competitive application should include.
Programmatically, DHAPP describes a structured approach to working with partner militaries. It begins with in-country engagement to identify major program areas and technical assistance needs, followed by tailoring support based on the country’s epidemic profile and the specific context within that country’s military. A strong emphasis is placed on building long-term capacity and ownership within the military health system, encouraging lasting behavioral change and institutional commitment rather than short-term, externally driven activity. Applicants are expected to design programs that leverage existing assets and lessons learned from other successful partners in-country, align with national implementation plans and PEPFAR strategies, and include monitoring and accountability mechanisms that support sustainability.
The opportunity prioritizes evidence-based HIV programming with clear, measurable actions. Key expectations include demonstrated buy-in and leadership from the military sector, plus concrete plans and policy support that contribute to epidemic control. Proposed activities should align with both PEPFAR and national priorities, and they should contribute to expanding HIV testing and antiretroviral therapy access in line with global targets: 90-90-90 for 2020 and 95-95-95 for 2030. These targets focus on diagnosing most people living with HIV, linking those diagnosed to consistent treatment, and achieving viral suppression for most of those on treatment. In care and treatment, DHAPP emphasizes a “Treat All” approach and the use of differentiated service delivery models, including attention to common co-morbidities and complications such as tuberculosis, hepatitis, cervical cancer screening and management for women living with HIV, sexually transmitted infections, other opportunistic infections, and enhanced care for individuals with advanced HIV disease.
On the prevention side, the program promotes combination prevention that integrates biomedical, behavioral, and structural interventions to reduce sexual transmission of HIV and other STIs. It highlights tailored prevention packages for specific populations, including comprehensive approaches for key populations, priority populations, and interventions focused on young people. The announcement also elevates cross-cutting priorities like reducing HIV-related stigma and discrimination, which can be a major barrier to testing, disclosure, retention in care, and adherence.
A major operational requirement is robust monitoring and evaluation. Applicants are expected to collect and report PEPFAR indicators, use clinical and laboratory monitoring tools to assure quality, and take rapid corrective actions when results indicate gaps. Strengthening HIV data systems is framed as essential not only for reporting but also for day-to-day clinical decision-making and program management within military health services. Sustainability is treated as a central outcome, with capacity building positioned as the pathway to durable military-led HIV programs.
Finally, the opportunity strongly encourages a transition to local partners. While eligibility is described as unrestricted (open to many entity types, subject to any eligibility clarifications in the full announcement), DHAPP explicitly signals that local institutions, governments, and community-based or community-led organizations are encouraged to apply. The rationale is that sustained epidemic control depends on services being owned and operated locally, regardless of current antiretroviral coverage levels. The transition goal is not only increased delivery of direct HIV services, but also stronger local capability and organizational durability so local partners can maintain long-term engagement and impact.
From an administrative standpoint, this is a discretionary cooperative agreement (CFDA 19.029) under Funding Opportunity Number W81XWH 21 DHAPP. The listing notes an expected 15 awards and shows an award ceiling of 0 (often meaning the ceiling is not specified in the summary and applicants must consult the full announcement for country- or activity-specific funding ranges). The opportunity was created on September 24, 2020, with an original closing date of September 23, 2022, and the announcement warns that content may be updated over time through revisions, particularly to reflect country-specific requirements.Apply for W81XWH 21 DHAPP
- The Department of Defense, Dept. of the Army -- USAMRAA in the health sector is offering a public funding opportunity titled "Military Specific HIV/AIDS Prevention, Care, and Treatment Program for PEPFAR (President’s Emergency Plan for AIDS Relief)" 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 Sep 24, 2020.
- Applicants must submit their applications by Sep 23, 2022. (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 15 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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FAQs: Military Specific HIV/AIDS Prevention, Care, and Treatment Program for PEPFAR (DoD / USAMRAA)
What is this funding opportunity?
This is a Department of Defense (DoD) funding opportunity, administered by the U.S. Army Medical Research Acquisition Activity (USAMRAA), to support the DoD HIV/AIDS Prevention Program (DHAPP) in strengthening HIV prevention, care, and treatment services within foreign-country military health systems, consistent with PEPFAR goals.
What is the main purpose of the program?
The core aim is to save lives, prevent new HIV infections, and accelerate progress toward HIV epidemic control by improving how partner military health systems plan, deliver, measure, and sustain HIV-related services.
Who is running or administering the program?
The opportunity is a DoD funding opportunity administered by USAMRAA, and it supports DHAPP.
What type of award is this?
This is described as a discretionary cooperative agreement.
What is the CFDA number for this opportunity?
The CFDA number listed is 19.029.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is W81XWH 21 DHAPP.
How many awards are expected?
The listing indicates an expected 15 awards.
Is there a maximum (ceiling) award amount?
The summary shows an award ceiling of 0. In many listings, this means the ceiling is not specified in the summary and applicants must consult the full announcement (and any country-specific guidance) for applicable funding ranges.
What populations or settings does this program focus on?
The focus is on foreign-country militaries and their military health systems, with the intent of building sustained, military-led HIV prevention, care, and treatment capacity.
What is DHAPP's general approach to working with partner militaries?
DHAPP describes a structured approach that starts with in-country engagement to identify major program areas and technical assistance needs, followed by tailored support based on the country's epidemic profile and the context within the partner military.
What does the opportunity mean by "sustainability"?
Sustainability is treated as a central outcome. The program emphasizes building long-term capacity and ownership within military health systems so services can be maintained over time with strong institutional commitment, not just short-term external activity.
What is expected regarding alignment with national and PEPFAR strategies?
Applicants are expected to align proposed activities with national implementation plans and PEPFAR strategies, and to leverage existing assets and lessons learned from other successful partners in-country.
What does the opportunity prioritize in terms of HIV programming quality?
It prioritizes evidence-based HIV programming with clear, measurable actions, including monitoring and accountability mechanisms that support sustainability.
Is military leadership or buy-in important for a competitive application?
Yes. The opportunity explicitly calls for demonstrated buy-in and leadership from the military sector, along with concrete plans and policy support that contribute to epidemic control.
What HIV testing and treatment targets should proposed activities support?
Activities should contribute to expanding HIV testing and antiretroviral therapy (ART) access in line with global targets: 90-90-90 for 2020 and 95-95-95 for 2030 (diagnosis, treatment, and viral suppression goals).
What does "Treat All" mean in this program context?
In care and treatment, DHAPP emphasizes a "Treat All" approach, meaning treatment services are designed around treating all people diagnosed with HIV, consistent with the program's focus on expanding ART access and achieving viral suppression.
What service delivery models are emphasized for HIV care and treatment?
The program highlights differentiated service delivery models and strengthening clinical and laboratory monitoring to support quality care, retention, and viral suppression.
Are co-morbidities and complications addressed in the scope of work?
Yes. The opportunity specifically notes attention to tuberculosis, hepatitis, cervical cancer screening and management for women living with HIV, sexually transmitted infections (STIs), other opportunistic infections, and enhanced care for individuals with advanced HIV disease.
What prevention approach is encouraged?
The program promotes combination prevention integrating biomedical, behavioral, and structural interventions to reduce sexual transmission of HIV and other STIs.
Does the opportunity call for tailored prevention packages?
Yes. It highlights tailored prevention packages for specific populations, including comprehensive approaches for key populations, priority populations, and interventions focused on young people.
How important is addressing stigma and discrimination?
Reducing HIV-related stigma and discrimination is elevated as a cross-cutting priority because it can block testing, disclosure, retention in care, and adherence.
What are the monitoring and evaluation (M&E) expectations?
Applicants are expected to collect and report PEPFAR indicators, use clinical and laboratory monitoring tools to assure quality, and take rapid corrective actions when results show gaps.
Why does the opportunity emphasize strengthening data systems?
Strengthening HIV data systems is framed as essential for both PEPFAR reporting and for day-to-day clinical decision-making and program management within military health services.
What does the opportunity say about eligibility?
Eligibility is described as unrestricted (open to many entity types), subject to any eligibility clarifications in the full announcement.
Are local organizations encouraged to apply?
Yes. DHAPP strongly encourages a transition to local partners and explicitly encourages local institutions, governments, and community-based or community-led organizations to apply.
What is the rationale for encouraging local partners?
The opportunity states that sustained epidemic control depends on services being owned and operated locally, and it emphasizes building local capability and organizational durability for long-term engagement and impact.
Does the opportunity focus only on direct service delivery?
No. While direct HIV services are part of the transition goal, the opportunity also emphasizes building stronger local capability and durable organizations, along with strengthening planning, measurement, and sustained operations within military health systems.
Will the announcement change over time?
Yes. The announcement notes it will be revised periodically, including to add or update country-specific guidance provided in an attachment.
How can updates affect an application?
Country-specific narratives can materially affect what a competitive application should include, so applicants are encouraged to subscribe for updates.
When was this opportunity created and when did it originally close?
The listing indicates it was created on September 24, 2020, with an original closing date of September 23, 2022, and it warns that content may be updated over time through revisions.
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