Opportunity Information: Apply for CDC RFA GH21 2106

This CDC funding opportunity (CDC RFA GH21-2106) is a discretionary cooperative agreement designed to deepen technical collaboration with the Ministry of Public Health (MoPH) in the Kingdom of Thailand to strengthen the country and the region's ability to detect, prevent, respond to, and reduce the impact of public health threats that matter both nationally and globally. The core idea is that Thailand is a strategic public health partner in Southeast Asia, and that stronger systems, better data, and more effective programs in Thailand can help prevent outbreaks and reduce disease burden locally while also lowering cross-border and international risks. The award is structured as an "umbrella" agreement over roughly five years, meant to coordinate work across CDC teams and MoPH counterparts so efforts are aligned, evaluated, and shared in ways that can be applied in other settings.

The opportunity reflects the reality that Thailand has made real progress over the years through joint CDC-MoPH approaches, including preventing new infections, improving care and treatment for ongoing health problems, and improving the capacity to collect, analyze, and use surveillance data. At the same time, it emphasizes that major challenges remain and are evolving quickly. Thailand's rapid social and economic development over the past four decades has brought major demographic changes, including an aging population and greater exposure to non-communicable disease (NCD) risk factors such as unhealthy diets, sedentary lifestyles, tobacco use, and harmful alcohol consumption. As a result, the grant description highlights that Thailand's leading causes of death include cardiovascular disease, cancer, and injury, all categorized as NCDs, meaning the public health system needs stronger prevention, monitoring, and response capabilities that go beyond traditional infectious disease control.

Infectious diseases remain a central focus because of their continued burden in Thailand and the broader Mekong region, and because modern travel allows outbreaks to spread quickly. The description calls attention to HIV as a persistent challenge: overall incidence has dropped, but transmission and prevalence remain high among key populations, especially men who have sex with men (MSM), transgender women, and sex workers in large urban areas. The opportunity also underscores the role of migration and mobility in disease dynamics. With an estimated 2.4 million migrants living in Thailand, migrants and other mobile populations often have less consistent access to healthcare and carry higher burdens of diseases like tuberculosis and malaria. This not only affects individual health outcomes but also strains health systems and complicates prevention and surveillance strategies, especially in border areas and among hard-to-reach communities.

A major theme is preparedness for emerging infectious diseases, using COVID-19 as a clear example of how easily threats cross borders. The grant frames early detection, surveillance, and effective control measures as ongoing needs to prevent localized outbreaks from becoming regional or global emergencies. In practice, that points toward strengthening core public health capacities: better event-based and indicator-based surveillance, more timely data sharing, improved laboratory and diagnostic readiness, and stronger workforce capacity to act quickly when signals of an outbreak appear.

The HIV section is especially detailed about what is not working well enough and what kinds of improvements are expected. It argues that achieving HIV epidemic control in Thailand is limited by a health system that does not yet deliver a fully integrated continuum across prevention, HIV testing and counseling (HTC), treatment, management of co-infections (including TB, sexually transmitted infections, and hepatitis), and supportive services that match the needs of people living with HIV and priority populations such as MSM, transgender people, and people who inject drugs (PWID). To address this, the opportunity describes implementation of standards and innovations such as same-day, high-quality, patient-friendly testing and counseling; offline-to-online HTC models; index testing; HIV self-testing; rapid linkage to care; and same-day or rapid initiation of antiretroviral therapy (ART). It also highlights the importance of retention in treatment and continuity of care, focusing efforts in priority provinces where the burden is highest and where targeted strategies can have outsized impact. Alongside service delivery improvements, there is an explicit emphasis on building capacity among healthcare workers and laboratory staff to implement, monitor, and continuously improve HIV services.

Another important element is the idea of building more "systemic" public health responses, particularly to stop new infections in priority areas where recent infections are being detected. That implies improving the feedback loop between surveillance and action: identifying hotspots or clusters, rapidly deploying prevention and testing resources, strengthening partner services and targeted interventions, and using data to guide decisions rather than relying on broad, less efficient approaches. The broader goal is not only to deliver programs, but to institutionalize the ability to detect problems early, respond quickly, measure what works, and sustain improvements.

From an administrative standpoint, this is a CDC cooperative agreement rather than a traditional grant, meaning CDC expects substantial involvement in planning, technical assistance, coordination, and evaluation. The opportunity was issued by the Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), under CFDA numbers 93.067 and 93.318. It anticipated a single award (ExpectedAwards: 1) with an award ceiling of $9,500,000. Eligibility is listed broadly as "Others" with clarification in the full notice, suggesting this was intended for a specific category of partner organizations able to operate at high technical level and in close coordination with MoPH and CDC priorities.

Overall, the opportunity is aimed at building durable, multi-sector public health capacity in Thailand across NCDs, infectious diseases, HIV, migrant health challenges, and outbreak preparedness, while ensuring different actors are coordinated to avoid duplication and to generate sustainable, measurable gains. The explicit framing is that stronger Thai public health systems and regional collaboration protect health in Thailand and contribute to global health security, aligning the interests of Thailand, the United States, and the broader international community.

  • The Department of Health and Human Services, Centers for Disease Control - CGH in the health sector is offering a public funding opportunity titled "Technical Collaboration to Strengthen and Expand Capacity to Detect, Prevent, Respond and Mitigate the Effects of Public Health Threats of National and Global Importance with the Ministry of Public Health (MoPH) in the Kingdom of Thailand" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.067, 93.318.
  • This funding opportunity was created on May 05, 2021.
  • Applicants must submit their applications by Jul 05, 2021 Electronically submitted applications must be submitted no later than 1159 pm ET on the listed application due date.. (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 $9,500,000.00 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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