Opportunity Information: Apply for 720 696 23 RFA 00001
USAID Rwanda is soliciting applications for a cooperative agreement to implement the THRIVE Health Systems Strengthening NEXT (HSS NEXT) activity. The central aim of this opportunity is to strengthen the resilience of Rwanda's health system so it can consistently deliver high-quality services and achieve equitable health outcomes for all Rwandans, even when facing shocks or constraints. The activity is framed around getting better results from available resources, improving how the system is led and managed, and ensuring the workforce and financing structures can sustain service quality over time.
HSS NEXT is designed to advance the USAID Vision for Health System Strengthening 2030, which emphasizes three system-wide goals: equity, quality, and resource optimization. In practice, this means the program is expected to help Rwanda reduce disparities in access and outcomes, raise and maintain standards of care, and improve efficiency and sustainability in how health services are financed and delivered. Rather than focusing on a single disease area, the opportunity targets the underlying functions that keep the entire health system performing well.
The technical focus areas highlighted in the notice center on core health system functions: health financing; leadership, management, and governance; and the health workforce. Applicants should expect that proposed activities will need to address how money flows through the health system and how it is used, strengthen decision-making and accountability structures, improve management capacity at different levels of the system, and support the development, deployment, and performance of health workers. The overall expectation is that these improvements will help Rwanda sustain quality services and protect gains in population health in a more efficient and equitable way.
This funding opportunity is issued as a discretionary award and will be implemented through a cooperative agreement, which typically indicates substantial involvement by USAID during implementation compared with a standard grant. USAID anticipates making one award, with an expected ceiling of $24,900,000. The opportunity is listed under CFDA 98.001 and is posted by the Agency for International Development, Rwanda (USAID-Kigali). The funding opportunity number is 720 696 23 RFA 00001.
Eligibility is described as unrestricted (open to any type of entity), with the important caveat that applicants still must meet the specific eligibility requirements and submit all required information as laid out in the Notice of Funding Opportunity (NOFO), particularly the standards described in Section C. Applicants are instructed to direct questions to the point of contact identified in Sections G and D.1 of the NOFO by the deadline stated on the NOFO cover page. For technical issues related to accessing the NOFO or registering through Grants.gov, the notice points applicants to the Grants.gov Helpdesk at 1-800-518-4726 or support@grants.gov. The opportunity was created on December 20, 2022, with an original closing date of February 17, 2023, and interested applicants are referred to the attached NOFO for complete details on requirements, submission instructions, and evaluation criteria.Apply for 720 696 23 RFA 00001
- The Agency for International Development, Rwanda USAID-Kigali in the health sector is offering a public funding opportunity titled "THRIVE Health Systems Strengthening NEXT (HSS NEXT)" 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 Dec 20, 2022.
- Applicants must submit their applications by Feb 17, 2023. (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 $24,900,000.00 in funding.
- The number of recipients for this funding is limited to 1 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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Frequently Asked Questions (FAQs): USAID Rwanda THRIVE Health Systems Strengthening NEXT (HSS NEXT)
1) What is the THRIVE Health Systems Strengthening NEXT (HSS NEXT) funding opportunity?
This is a USAID Rwanda solicitation for applications to implement the THRIVE Health Systems Strengthening NEXT (HSS NEXT) activity through a cooperative agreement. The activity focuses on strengthening Rwanda's health system so it can reliably deliver high-quality services and achieve equitable health outcomes, even during shocks or constraints.
2) What is the main aim of HSS NEXT?
The central aim is to strengthen the resilience of Rwanda's health system so it can consistently deliver high-quality services and achieve equitable health outcomes for all Rwandans, including when the system faces disruptions, resource constraints, or other shocks.
3) Is this opportunity focused on a specific disease area (e.g., HIV, malaria, TB)?
No. The notice emphasizes that the opportunity targets underlying health system functions rather than a single disease area. The intent is to improve system performance broadly by strengthening core functions that support the entire health system.
4) What major health system outcomes does the activity aim to improve?
Based on the notice, the activity is framed around: getting better results from available resources (resource optimization), improving how the system is led and managed (leadership/management/governance), and ensuring the workforce and financing structures can sustain service quality over time (workforce and financing sustainability).
5) How does this activity align with USAID's Vision for Health System Strengthening 2030?
HSS NEXT is designed to advance the USAID Vision for Health System Strengthening 2030, which emphasizes three system-wide goals: equity, quality, and resource optimization. The activity is expected to help reduce disparities, raise and maintain standards of care, and improve efficiency and sustainability in financing and service delivery.
6) What are the technical focus areas highlighted in the notice?
The notice highlights three core health system functions as technical focus areas: health financing; leadership, management, and governance; and the health workforce.
7) What kinds of issues in health financing are applicants expected to address?
The notice indicates proposed activities will need to address how money flows through the health system and how it is used. This implies attention to the movement and use of funds in ways that support efficiency, sustainability, equity, and quality.
8) What does the notice say about leadership, management, and governance priorities?
Applicants should expect to propose activities that strengthen decision-making and accountability structures and improve management capacity at different levels of the health system.
9) What does the notice say about the health workforce focus?
The notice states that applicants should expect to support the development, deployment, and performance of health workers, with the overall goal of sustaining quality services over time.
10) What type of award is USAID planning to make?
The opportunity is a discretionary award to be implemented through a cooperative agreement.
11) What is a cooperative agreement in this context?
The notice explains that a cooperative agreement typically indicates substantial involvement by USAID during implementation compared with a standard grant.
12) How many awards does USAID anticipate making?
USAID anticipates making one award.
13) What is the expected maximum funding amount (ceiling) for this opportunity?
The expected ceiling is $24,900,000.
14) Who is the funding agency and where is it posted?
The opportunity is posted by the Agency for International Development, Rwanda (USAID-Kigali).
15) What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 98.001.
16) What is the funding opportunity number?
The funding opportunity number is 720 696 23 RFA 00001.
17) Who is eligible to apply?
Eligibility is described as unrestricted (open to any type of entity). However, applicants must still meet the specific eligibility requirements and submit all required information as laid out in the Notice of Funding Opportunity (NOFO), particularly the standards described in Section C.
18) Does "unrestricted eligibility" mean there are no application requirements?
No. The notice explicitly states that even though eligibility is unrestricted, applicants must meet the specific eligibility requirements and provide all required information according to the NOFO (including standards described in Section C).
19) Where can applicants find the complete requirements, submission instructions, and evaluation criteria?
Applicants are referred to the attached Notice of Funding Opportunity (NOFO) for complete details, including requirements, submission instructions, and evaluation criteria.
20) How should applicants submit questions about the opportunity?
Applicants are instructed to direct questions to the point of contact identified in Sections G and D.1 of the NOFO, and to do so by the deadline stated on the NOFO cover page.
21) What if an applicant needs help accessing the NOFO or registering through Grants.gov?
For technical issues related to accessing the NOFO or registering through Grants.gov, the notice directs applicants to the Grants.gov Helpdesk at 1-800-518-4726 or support@grants.gov.
22) When was this opportunity created and what was the original closing date?
The opportunity was created on December 20, 2022, and had an original closing date of February 17, 2023.
23) What is the overall expectation of how these system improvements will affect health outcomes?
The notice states the expectation that improvements in financing, leadership/management/governance, and workforce will help Rwanda sustain quality services and protect gains in population health in a more efficient and equitable way.
24) What does the notice emphasize about equity?
Equity is one of the three system-wide goals referenced from the USAID Vision for Health System Strengthening 2030. In practice, the activity is expected to help Rwanda reduce disparities in access and outcomes.
25) What does the notice emphasize about quality?
Quality is another system-wide goal referenced in the notice. The activity is expected to raise and maintain standards of care so the system can consistently deliver high-quality services.
26) What does the notice emphasize about resource optimization?
Resource optimization is the third system-wide goal highlighted. The activity is framed around getting better results from available resources and improving efficiency and sustainability in how health services are financed and delivered.
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