Department of Defense HIV/AIDS Prevention Program

DHAPP Full Program Announcement

PROGRAM ANNOUNCEMENT
DEPARTMENT OF DEFENSE (DoD)
Defense Health Agency
Title: Department of Defense HIV/AIDS Prevention Program
Announcement Type: Initial Announcement
Funding Opportunity Number: W81XWH-22-DHAPP
Assistance Listing Number: 12.350 -- Department of Defense HIV/AIDS Prevention Program
Key Dates: This announcement will be open to receive applications continuously until 5:00
p.m. Eastern Time (ET), 18 September 2027, at which point all applications must be received.
Issued: September 2022
Revised: April 2026

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Table of Contents
A. Program Description… ....................................................................................................... 3
• Background… ......................................................................................................... 3
• Program Objective ................................................................................................... 4
B. Federal Award Information… ............................................................................................. 5
C. Eligibility Information… ..................................................................................................... 5
D. Application and Submission Information… ........................................................................ 6
• Submitting a Proposal .............................................................................................. 6
• Proposal Narrative ................................................................................................... 8
• Formatting Requirements ........................................................................................ 8
• Required Documents ............................................................................................... 8
• Submission Dates and Times ................................................................................. 13
• Application Receipt Notices .................................................................................. 14
• Funding Restrictions .............................................................................................. 14
• Other Submission Information ............................................................................... 14
E. Application Review Information… ................................................................................... 15
• Review Criteria ...................................................................................................... 15
• Review and Selection Process ............................................................................... 16
• Anticipated Announcement and Federal Award Dates........................................... 17
• Recipient Qualification .......................................................................................... 17
F. Federal Award Administration Information… .................................................................. 17
• Federal Award Notices .......................................................................................... 18
• Administrative and National Policy Requirements ................................................ 18
• Reporting… ........................................................................................................... 20
G. Federal Award Agency Contacts ....................................................................................... 22
H. Other Information… .......................................................................................................... 22
Attachment 1: Country Specific Narratives ............................................................................. 24

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A. Program Description
Background: The United States Government has a long history and extensive network of
international collaboration and partnerships in the fight against HIV/AIDS, providing funding,
technical assistance, and program support. These collaborations increase the fundamental
understanding of HIV transmission and provide an evaluative basis for prevention and
intervention success. The HIV/AIDS epidemic is devastating and Militaries, in particular, have
been identified as a high-risk population.
DoD HIV/AIDS Prevention Program (DHAPP) works as part of the U.S. Government’s effort to
save lives, prevent HIV infections, and accelerate progress toward achieving HIV/AIDS
epidemic control in more than 50 countries around the world. DHAPP is positioned within the
Defense Health Agency (DHA) and located at the Naval Health Research Center (NHRC) in San
Diego, California.
DHAPP has successfully engaged over 80 countries in efforts to combat HIV/AIDS among its
respective military services. DHAPP is the Department of Defense’s (DOD, herein referred to
using the secondary title Department of War, DOW – unless specifically referenced to the
DHAPP program or active Department of Defense labeled directives) military to military
implementing arm of the President’s Emergency Plan for AIDS Relief (PEPFAR) collaborating
with the U.S. State Department (DoS), U.S. Department of Health and Human Services (HHS),
the Centers for Disease Control and Prevention (CDC), the U.S. Agency for International
Development (USAID), the Peace Corps, and other federal agencies. Working closely with U.S.
Department of War, U.S. Unified Combatant Commanders, Joint United Nations Program on
HIV/AIDS (UNAIDS), university collaborators, and other non-governmental organizations,
DHAPP assists countries in establishing HIV/AIDS prevention, care and treatment programs in
strengthening their capabilities to combat HIV.
DHAPP continues to rely upon the vital support of various partners such as local and
international non-governmental organizations (NGOs) including faith-based organizations to
implement HIV prevention, care and treatment programs across the globe. A customized plan is
needed to assist militaries as they implement HIV/AIDS programs capable of reaching our
shared goals for HIV epidemic control.
Applicants for an award should be aware of the country specific military’s HIV control activities
and propose a plan that builds on the country specific military’s activities without duplicating
efforts, creating parallel systems, or conflicting activities. The overall program manager for
PEPFAR is the Department of State’s Office of the U.S. Global AIDS Coordinator (OGAC).
DHAPP provides support for military-specific programs. Country HIV programs supported by
PEPFAR funds can be found on the OGAC website: https://www.state.gov/where-we-work-
pepfar
DHAPP provides technical assistance, management, and administrative support to the HIV/AIDS
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prevention, care, and treatment for foreign militaries through support to implementing partners.
In addition, DHAPP provides HIV program execution and monitors outcomes with staff that
include country specific active duty military, civil service, and contractor personnel.
Program Objective: DHAPP's objective, through the PEPFAR program, is to save lives,
prevent HIV infections, and accelerate progress toward achieving HIV/AIDS epidemic control
and to support the development of interventions and programs in military health systems that
address these issues. DHAPP works with militaries of foreign countries to devise plans based on
the following process:
• Meet with key partners in country to determine provisional major program areas and other
technical assistance needs.
• Adapt DHAPP support to a country’s need for prevention, care and/or treatment of its
HIV/AIDS situation based on an assessment of the country’s epidemic, and more
specifically, in that country’s military.
• Strengthen the military capacity for ownership and behavioral changes over the long term.
• Consider program design by leveraging assets with other country partners who have/had
successful prevention, care, and/or treatment efforts.
• Focus on prevention, care and/or treatment impact aligned with national implementation
plans.
• Implement and monitor programs to ensure accountability and sustainability.
Countries and their militaries need strong evidenced based HIV programs with measurable courses
of action that demonstrate the following specific attributes. Priorities for DHAPP include the
following but are subject to change.
• Support and ownership from the military sector.
• Development of plans of action and support for military policies that further HIV epidemic
control.
• Alignment with PEPFAR and national strategies and priorities.
• Testing and treatment expansion to meet 2020 goals of 90-90-90 and 2030 goals of 95-95-
95 for people living with HIV. (The first goal is identifying 90/95 percent of all HIV-
positive individuals in the population; the second goal is linking 90/95 percent of all those
identified HIV positive people to consistent antiretroviral treatment; and the last goal is
reaching 90/95 percent of all those on antiretroviral treatment to attain viral suppression.)
• Care and treatment plans should use the “Treat All” approach with differentiated models of
care including tuberculosis (TB), hepatitis, cervical cancer in HIV positive women, other
sexually transmitted infections (STI), other opportunistic infections, and care for those with
advanced HIV disease.
• Reduction of mother-to-child transmission of HIV.
• Combination prevention using biomedical, behavioral and structural support for sexual
transmission of HIV and other STI.
• Prevention packages for specific populations including a comprehensive package for Key
Populations (KP), Priority Populations, and prevention interventions for young people.
• Stigma and discrimination reduction associated with HIV infection.
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• Program monitoring to collect and report on PEPFAR indicators, ensure quality of service
delivery using clinical and laboratory monitoring tools and to take rapid corrective action
based on results.
• Strengthen HIV data collection systems for improved clinical decision making and program
management.
• Promoting sustainability through capacity building of the military partner.
Transition to Local Partners: Local partners are encouraged to apply to this announcement.
• To sustain epidemic control, it is critical that the full range of HIV prevention and
treatment services are owned and operated by local institutions, governments, and
community-based and community-led organizations – regardless of current
antiretroviral (ARV) coverage levels. The intent of the transitioning to local partners
is to increase the delivery of direct HIV services, along with non-direct services
provided at the site, and establish sufficient capacity, capability, and durability of
these local partners to ensure successful, long-term, local partner engagement and
impact.
B. Federal Award Information
The following information applies to awards issued under this announcement:
• Funding Amount: For each country where funding is available, Attachment 1 (Country
Specific Narrative) will contain a description of the work that is needed, along with
the program areas and an approximation of the available funding. It should be noted
that while dollar amounts are listed, this should be taken as an estimate of the funding
for an effort whether a single amount or range is listed. Changes to Attachment 1 will
be provided in the form of amendments to this announcement.
• Anticipated number of Federal awards: The anticipated number of awards for this
program in FY23 will range from approximately 10 to 20, with the number of awards
being determined based on the rigor and transformative potential of the proposals
received, as well as the availability of funds. All funding decisions are final.
• The Period of Performance for these awards is 4 years.
• Information regarding program funding amounts as well as total cost limitations within
the application can be found in the country specific narrative outlined in Attachment 1.
• Investigators on collaborative projects should each write and submit separate, unique
proposals, and provide the name and title of their collaborator’s proposal within the
project narrative of the application.
• Awards will be made on an open continuous basis. Refer to your country specific
narrative in Attachment 1 for more details. Cooperative agreements will be awarded under
this announcement.
C. Eligibility Information
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Eligible Applicants: All responsible sources from academia, industry, and non-
governmental organizations may submit proposals under this announcement. No grants,
contracts or cooperative agreements may be awarded directly to foreign military
establishments. All respondents must demonstrate the active support of the in-country
military and the DoW representative in the corresponding U.S. Embassy in the
planning and submission of their proposals.
Other information:
• The Federal Assistance Certifications Report (completed as part of the SAM
registration) is a required attestation that the entity will abide by the requirements of the
U.S. laws and regulations; therefore, as applicable, you are still required to submit any
documentation, including the SF LLL Disclosure of Lobbying Activities (if applicable),
and informing DoW of unpaid delinquent tax liability or a felony conviction under any
Federal law. If applicable, the SF LLL should be submitted with the SF 424 form. See
Section F. Federal Award Information for additional information.
• DoW required certifications: By checking “I agree” in block 17 of the SF 424 (see below)
and signing the application as the authorizing official, you are certifying that your
institution will be in compliance with these additional requirements:
o Institutions of higher education must certify compliance with 10 U.S.C 983,
Institutions Of Higher Education That Prevent ROTC Access Or Military
Recruiting On Campus: Denial Of Grants And Contracts From Department Of
Defense, Department Of Education, And Certain Other Departments And
Agencies, and 32 C.F.R. 216 Military Recruiting And Reserve Officer Training
Corps Program Access To Institutions Of Higher Education.
o Recipient will not require any of its employees, contractors, or sub-
recipients seeking to report fraud, waste, or abuse to sign or comply with
internal confidentiality agreements or statements prohibiting or
otherwise restricting those employees, contractors, sub-recipients from
lawfully reporting that waste, fraud, or abuse to a designated
investigative or law enforcement representative of a Federal department
or agency authorized to receive such information.
D. Application and Submission Information
Submitting a Proposal: DoW will only accept proposals submitted through Grants.gov on or
before the date specified in the country specific narrative provided in Attachment 1. Read the
instructions below about registering to apply for DoW funds. Applicants should read the
registration instructions carefully and prepare the information requested before beginning the
registration process. Reviewing and assembling the required information before beginning the
registration process will alleviate last-minute searches for required information.
Organizations must have a Unique Entity Identifier (UEI) Number, active System for Award
Management (SAM) registration, and Grants.gov account to apply for grants. If individual
applicants are eligible to apply for this funding opportunity, then you may begin with step 3,
Create a Grants.gov Account, listed below.
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Creating a Grants.gov account can be completed online in minutes, but UEI and SAM
registrations may take several weeks. Therefore, an organization's registration should be done in
sufficient time to ensure it does not impact the entity's ability to meet required application
submission deadlines. Note: Failure to allow enough time for the systems to complete the
registration is not considered a valid explanation for why grants.gov did not accept the
proposals.
Complete organization instructions can be found on Grants.gov at:
https://www.grants.gov/applicants/applicant-registration/
1) Register with SAM: The applicant organization must be registered as an entity in SAM
(https://www.sam.gov/SAM/) and receive confirmation of an “Active” status before
submitting an application through Grants.gov. As published in the Federal Register, July 10,
2019, (https://www.federalregister.gov/documents/2019/07/10/2019-14665/unique-entity-
id-standard-for-awards-management), the UEI for awards management generated through
SAM will be used instead of the Data Universal Numbering System (DUNS) number as of
April 2022. All federal awards including, but not limited to, contracts, grants, and
cooperative agreements will use the UEI. USAMRDC will transition to use of the UEI
beginning with FY22 announcements and utilize the latest SF424, which includes the UEI.
The DUNS will no longer be accepted. Applicant organizations will not go to a third-party
website to obtain an identifier. During the transition, your SAM registration will
automatically be assigned a new UEI displayed in SAM. Current SAM.gov registrants are
assigned their UEI and can view it within SAM.gov.
2) Create a Grants.gov Account: The next step is to register an account with Grants.gov.
Follow the on-screen instructions or refer to the detailed instructions at
https://www.grants.gov/applicants/applicant-registration/
3) Add a Profile to a Grants.gov Account: A profile in Grants.gov corresponds to a
single applicant organization the user represents (i.e., an applicant) or an individual
applicant. If you work for or consult with multiple organizations and have a profile for
each, you may log in to one Grants.gov account to access all your grant applications. To
add an organizational profile to your Grants.gov account, enter the UEI Number for the
organization in the UEI field while adding a profile. For more detailed instructions about
creating a profile on Grants.gov, refer
to: https://www.grants.gov/applicants/applicant-registration/
4) EBiz POC Authorized Profile Roles: After you register with Grants.gov and create an
Organization Applicant Profile, the organization applicant's request for Grants.gov roles
and access is sent to the EBiz POC. The EBiz POC will then log in to Grants.gov and
authorize the appropriate roles, which may include the Authorized Organization
Representative (AOR) role, thereby giving you permission to complete and submit
applications on behalf of the organization. You will be able to submit your application
online any time after you have been assigned the AOR role. For more detailed
instructions about creating a profile on Grants.gov, refer to:
https://www.grants.gov/web/grants/applicants/registration/authorize-roles.html
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5) Track Role Status: To track your role request, refer to:
https://www.grants.gov/applicants/applicant-registration/
Electronic Signature: When applications are submitted through Grants.gov, the name of the
organization applicant with the AOR role that submitted the application is inserted into the
signature line of the application, serving as the electronic signature. The EBiz
POC must authorize people who are able to make legally binding commitments on behalf of the
organization as a user with the AOR role; this step is often missed, and it is crucial for valid
and timely submissions.
Proposal Narrative: All proposals must be submitted in English or they will be rejected.
Formatting Requirements:
• Font: Times New Roman, 12 point
• Margins: 1 inch on all sides
• Paper size: 8 ½ by 11"
• Single-spaced
Required Documents: All elements and forms listed below are required, except as stated, for a
proposal to be determined complete and must be submitted in English.
Technical Narrative (Not to exceed 45 pages):
Cover Page - Should include the words “Technical Narrative” as well as the following:
1) Funding Opportunity number
2) Targeted Country
3) Title of Proposal
4) Identity of Prime Respondent and complete list of subcontractors, if applicable
5) Technical Contact (name, title, address, phone, fax and e-mail)
6) Administrative/Business Contact (name, title, address, phone, fax and e-mail)
7) Duration of effort
8) Table of Contents: Section, Title and page numbers are required
Project Abstract – Concise, single-spaced abstract, not to exceed 4000 characters, summarizing
the proposed program effort, including the name of the Offeror institution/organization,
anticipated public benefit, type of substantial involvement by the Government objectives, assessed
need, and anticipated impact and results. Applications with abstracts exceeding 4000 characters
will be withdrawn from consideration.
The project abstract must contain a summary of the proposed activity suitable for dissemination to
the public. It should be a self-contained description of the project and should contain a statement
of objectives and methods to be employed. It should be informative to other persons working in
the same or related fields and insofar as possible, understandable to the technically literate lay
reader. This abstract must not include any proprietary/confidential information.
Section I: Technical Approach. The following items shall be addressed:
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Executive Summary (Not to exceed two pages). Brief description of proposed activities, goals,
purposes, and anticipated results. Briefly describe technical and managerial resources of your
organization. Describe how the overall program will be managed. State the bottom line funding
request. The Executive Summary shall not copy the abstract.
Background Information (Not to exceed two pages). Provide contextual information relevant to
setting goals and technical approaches. Include general background information about the host
country and its military, including conditions and issues that have relevance to HIV transmission
and HIV prevention programs. This information should include data on HIV prevalence. Other
possible information to include: population size, economic conditions, political conditions,
conflicts and border disputes, country infrastructure, and host nation military HIV program
accomplishments or priorities to date and other donors, resources leveraged, etc. Information
provided in this section should demonstrate awareness of the conditions and needs within the
country and it’s military.
Goal and Objectives (Not to exceed five pages). Provide high level goals/aims of programming
to include outcomes and impacts in target populations (including sub-populations and sub-
national geographies), as well as strategies and approaches to achieve this (including theory of
change). Describe (a) the overall program goal of the project, and (b) the specific objectives that
are measurable and time phased, consistent with the objectives and numerical targets that are
described in the program narrative. See DHAPP current Priority activities in Section II. A.
Program Description for reference.
Work Plan (Not to exceed six pages). Provide expanded detail on activities contributing to
approach and sequencing. Clearly detail the scope and plan of the effort. Describe the specific
methods (e.g., surveys, interviews, surveillance, etc.) you will use to accomplish the proposed
objectives. All anticipated work must be aligned with the national guidelines of the host country.
If the plan includes a training/education program or other intervention, please describe these in
detail. Training should be aligned with national standards where possible. It is anticipated that the
proposed plan will be incorporated as an attachment to the resultant award instrument. To this
end, such proposals must include a severable self-standing plan without any proprietary
restrictions that can be attached to the agreement award.
Data Management Plan (Not to exceed two pages). Data Management Plan should include:
a) The types of data, guidance, physical data collections, software, training materials, and
other materials to be used or produced in the course of the project;
b) The standards to be used for data and metadata format and content (where existing
standards are absent or deemed inadequate, this should be documented along with any
proposed solutions or remedies);
c) Data governance policies for access and sharing including provisions for appropriate
protection of privacy, confidentiality, security, intellectual property, or other rights or
requirements; in cases where Personal Health Information is collected, identify appropriate
national/international standard to be used for data protection. Data is considered property
of the military partner.
d) Policies and provisions for re-use, re-distribution, and the production of derivatives; and
e) Plans for archiving data and other information products (reports), and for preservation of
access to them.
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f) A valid Data Management Plan may include only the statement that no detailed plan is
needed, as long as the statement is accompanied by a clear justification.
Monitoring and Evaluation (Not to exceed five pages, inclusive of table of indicators). State
how you will demonstrate that the proposed program will have an impact on military members
and/or their families and state the specific PEPFAR Monitoring, Evaluation, and Reporting
(MER) indicators of performance that will be used. Indicators of performance and associated
targets need to be specific and measurable (e.g., 100 military members will receive Voluntary
Counseling and Testing (VCT) counseling, 2 laboratories will be established). Also, state how you
will collect this information.
Schedule and milestones (Not to exceed two pages). Provide a schedule and description of
major milestones or tasks to be accomplished in the proposed program by quarter (e.g., by 3-
month period). No set number of milestones is required; the number and nature of the milestones
will depend on your program and objectives. This section should include the sequencing of key
activities.
In-Country Participation (Not to exceed four pages). Describe the involvement of the host
country’s military and its leadership in: (a) the development of the proposal (and/or the ideas
presented in the proposal), and in (b) the planned execution of the proposed program bearing in
mind the long term sustainability and host country military ownership of the program. Include
how local/national institutions and stakeholders contributed to the development of goals,
objectives and strategies proposed and what their roles will be in the program (*Letters of support
from all stakeholders mentioned should be included as addendums to the proposal).
Relevance of the Program (Not to exceed two pages). (a) Describe the relevance of the
proposed program to the needs, priorities and circumstances of the host country’s military; (b)
describe how the proposed program fits into the overall HIV strategy for the country and/or the
country's military. If the respondent has previously performed and accomplished HIV prevention,
treatment, or system strengthening efforts involving the host country’s military, it should describe
its past and current efforts.
Section II: Management and Qualifications Approach
Management Approach (Not to exceed fifteen pages). The Management Plan will provide a
clear description of how the cooperative agreement will be managed, including the approach to
addressing potential problems. The plan shall outline, where applicable, which organization/sub-
awardee will carry out the various tasks specified in the technical approach. The prime partner
will be responsible for all technical activities regardless of the activities implemented by the sub-
partner or other member of the team. The application team (including home office support and
other sub-partners) needs to describe the role of each staff member named under key personnel,
technical experience and expertise, and estimated amount of time he or she will devote to the
program. Given the funding limit of the award and the broad scope, applicants may want to
propose innovative ways to reduce managerial costs of sub-partners such as sharing office space,
vehicles, etc. It is expected that sub-partners will not set up separate offices and separate
managerial units, but instead offer specialized technical support under the prime partner.
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The application shall discuss proposed technical, managerial and other personnel as deemed
appropriate to implement the tasks described above, inclusive of a coordination plan for other
partners working in the district or sub-district. Such staff should have played important technical
and country-level support roles in the past and current health and HIV and AIDS programs. The
staffing plan shall elaborate what and how long-term and short-term technical and management
assistance will be provided to the program to accomplish tasks and objectives.
The application shall provide summary role descriptions, responsibilities and qualifications of all
key personnel relevant to successful implementation of the proposed technical approach. The
application may include CVs of key personnel as addendums to the proposal package.
In proposing the overall staffing plan, the applicant should ensure that experience in implementing
similar programs of focus and scale in the country is represented. In particular, the application
should consider:
g) Program Director: The applicant is required to appoint a Program Director. The Program
Director should have demonstrated capabilities in management, institutional capacity
building, high-level strategic visioning and leadership, and experience in working
effectively with district, provincial and national government authorities. Prior experience
in senior level management of similar programs is required. Demonstrated experience is
required in coordination and collaboration with broad set of stakeholders, including multi-
lateral and international donors and local and international Non-Governmental
Organizations (NGO). The Program Director must have background and experience in
more than one technical area of the program and experience or familiarity in management
in an integrated, comprehensive, clinic-based program environment. Written and oral
communications skills in English must be demonstrated.
h) Other Personnel: Applicant has the discretion to determine the proper number and mix of
additional key personnel, short-term technical staff, and others to meet award
requirements.
i) Consultants: Applicant may propose a mix of international and local advisors and
specialists to cover the full range of objectives and activities. The management plan shall
also demonstrate how the applicant will use in-country experts and resources. All
personnel must demonstrate written and oral communications skills in English. Familiarity
and demonstrated experience with the political, social, economic and cultural context of
the country is required.
The application should support the organization’s effectiveness and provide partnership
arrangements. The applicant should propose how they will coordinate with the host country
military as well as with other district partners and/or PEPFAR partners working across program
areas. If the applicant intends to develop institutional partnerships/teaming arrangements for
implementation of the cooperative agreement (sub-recipients or alliances), the application must
specify the nature of organizational linkages. This includes their relationships between each other,
lines of authority and accountability, and patterns for utilizing and sharing resources. Applicants
that intend to utilize sub-awards should indicate the extent intended, the method of identifying
sub-awardees, and the tasks/functions they will be performing. Applicants that plan to team up
with other organizations, or government agencies for the implementation of the agreement should
outline the services to be provided by each agency or organization and should discuss how the
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collaboration with these partners fits into the Applicant’s proposed management plan. Applicant
should state whether or not they have any existing relationships with the proposed partners and, if
so, should include the Memoranda of Understanding (MOUs) in the Attachment/Annex. It is not
expected at this time that offerors should include host country military letters of support or MOUs
as these will be negotiated after award once district and sub-district allocation are finalized.
The Organization’s Qualifications (Not to exceed five pages) - In this section, the applicant
should describe its organizational knowledge, capability and experience in managing similar
programs. Include the organization’s history, mission and structure of organization. This includes
activities in institutional capacity building, HIV and AIDS policy development and
implementation, delivery of integrated, comprehensive district-based HIV-related services for care
and treatment and collaborations with donors, host country governments, and NGOs to strengthen
health and HIV and AIDS systems. Offeror shall also describe its organizational capability in
collaborating with the host country military, donors, and NGOs to strengthen health and
HIV/AIDS systems, and to improve the quality and use of data for decision making and advance
organizational capacity building. The Applicant should also describe the organizational
knowledge, capability, and experience of the other proposed team members (sub-contractors
and/or grantees) in successfully managing similar programs.
Current and Pending Support (Not to exceed five pages) – The applicant must provide
information on all current and pending projects, including subsequent funding in the case of
continuing contracts, grants and other assistance agreements and proposals that involve the
proposed Technical Program Manager. All current project support from whatever source (e.g.,
Federal, State, local or foreign government agencies, public or private foundations, industrial or
other commercial organizations) must be listed.
The information must also be provided for all pending proposals already submitted concurrently
to other possible sponsors, including DHA. Concurrent submission of a proposal to other
organizations will not prejudice its review by DHA. Provide a chart relaying the following
information for all current and pending support:
• Title of award or project title;
• Source and amount of funding (annual direct costs; provide award numbers for all current
awards);
• Percentage effort devoted to each project;
• Technical contact (name, address, phone, e-mail);
• Administrative/Business contact (name, address, phone, e-mail);
• Period of performance;
• The proposed project and all other projects or activities requiring a portion of time of the
proposed Technical Program Manager and other proposed senior personnel must be
included, even if they receive no salary support from the project(s); The total award
amount for the entire award period covered (including indirect costs) must be shown as
well as the number of person-months or labor hours per year to be devoted to the project,
regardless of the source of support;
• Commitment proposed for the Technical Program Manager in terms of person-months per
year for each year.
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All submissions will be protected from unauthorized disclosure in accordance with applicable
law and DoW regulations. You are expected to appropriately mark each page of the
submission that contains proprietary information.
Statement of Work (SOW) File: Proposals must include a supplementary document for
Statement of Work. In the Excel workbook provided by the program office, provide a summary of
the planned activities for each program area or intervention requirement indicated in the Program
Announcement for each year. A sample Statement of Work template for Year 1 and Years 2-4 is
available on Grants.gov with this Program Announcement.
The following SF 424 forms and attachments, as applicable are required for all
applications:
SF-424 Research and Related, Application for Federal Assistance - (included in the application
package available on grants.gov posted with this Program Announcement). This form must be sent
as the cover page for all proposals. Complete all required fields in accordance with the “pop-up”
instructions on the form and the following instructions for specific fields. Please complete the SF-
424 first, as some fields on the SF-424 are used to auto-populate fields on other forms.
SF-424 Research and Related Budget - included in the application package available on
grants.gov posted with this Program Announcement. Please ensure there is a submission for each
budget year.
Budget Narrative Attachment Form – Attach the Budget justification the SF424 R&R as
required under Section L of the SF424 (R&R) form.
SF-424B, Assurances - Nonconstruction Programs - (included in the application package available
on grants.gov posted with this Program Announcement).
The program described in Section I above includes non-construction elements. Therefore, the
mandatory forms for non-construction programs must be completed. Non-construction activity
costs should be included on the SF-424A.
Project Abstract Form – The project abstract must identify the problem and objectives, technical
approaches, anticipated outcome of the effort, if successful, and impact on the DoW capabilities.
Use only characters available on a standard QWERTY keyboard. Spell out all Greek letters, other
non-English letters, and symbols. Graphics are not allowed and there is a 4,000-character limit
including spaces.
Do not include proprietary or confidential information. The project abstract must be marked by
the applicant as “Approved for Public Release”. Abstracts of all funded projects will be posted on
the public DTIC website: https://discover.dtic.mil/grant/
Any modifications to the Project Narrative or Budget Form require submission of a changed/
corrected Grants.gov application package to Grants.gov prior to the application submission
deadline.
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Submission Dates and Times: Applications must be received by 5:00 p.m. Eastern Time (ET),
on the date specified in the country specific narrative in Attachment 1.
Applicants are responsible for submitting their applications in sufficient time to allow them to
reach Grants.gov by the time specified in this announcement. If the application is received by
Grants.gov after the exact time and date specified as the deadline for receipt, it will be
considered “late” and will not be considered for review. Acceptable evidence to establish the
time of receipt by Grants.gov includes documentary evidence of receipt maintained by
Grants.gov.
To avoid the possibility of late receipt, which will render the application ineligible for
consideration, it is strongly recommended that applications be uploaded at least 24-48 hours
days before the deadline. This will help avoid problems caused by high system usage or any
potential technical and/or input problems involving the applicant’s own equipment.
DHAPP cannot make allowances/exceptions to its policies for submission problems
encountered by the applicant organization using system-to-system interfaces with Grants.gov.
If an emergency or unanticipated event interrupts normal federal government processes so that
applications cannot be received by Grants.gov by the exact time specified in this announcement,
and the situation precludes amendment of the announcement closing date, the time specified for
receipt of applications will be deemed to be extended to the same time of day specified in this
announcement on the first work day on which normal federal government processes resume.
Application Receipt Notices: After an application is submitted to Grants.gov, the Authorized
Representative (listed in Block #19 of the SF-424) will receive a series of three e-mails from
Grants.gov. The first e-mail will confirm receipt of the application by the Grants.gov system.
The second e-mail will indicate that the application has either been successfully validated by the
system prior to transmission to DoW or has been rejected due to errors. This second email will
also determine if the proposal is late based on the aforementioned receipt time. The third e-mail
should be received once DoW has confirmed receipt of the application usually within 10 days
from the application due date. The last e-mail will indicate that the application has been
received and provide the assigned tracking number. Applicants can track the status of their
applications at https://grants.gov/applicants/grant-applications/track-my-application.
Funding Restrictions:
Information regarding funding restrictions can be found in the country specific narrative in
Attachment 1.
Other Submission Information:
Applicant Support: Grants.gov provides applicants 24/7 support via the toll-free number 1-
800- 518-4726 and email at support@grants.gov. For questions related to the specific grant
opportunity, contact the number listed in the application package of the grant you are applying
for.
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If you are experiencing difficulties with your submission, it is best to call the Grants.gov Support
Center and get a ticket number. The Support Center ticket number will assist the DoW with
tracking your issue and understanding background information on the issue.
Timely Receipt Requirements and Proof of Timely Submission:
The AOR who submitted the application will receive an acknowledgement of receipt and a
tracking number (GRANTXXXXXXXX) from Grants.gov with the successful transmission of
their application. This AOR will also receive the official date/time stamp and Grants.gov
tracking number in an email serving as proof of their timely submission.
When DoW successfully retrieves the application from Grants.gov, and acknowledges the
download of submissions, Grants.gov will provide an electronic acknowledgment of receipt of
the application to the email address of the AOR who submitted the application. Again, proof of
timely submission shall be the official date and time that Grants.gov receives your application.
Applicants using slow internet, such as dial-up connections, should be aware that transmission
can take some time before Grants.gov receives your application. Again, Grants.gov will provide
either an error or a successfully received transmission in the form of an email sent the AOR
attempting to submit the application. The Grants.gov Support Center reports that some
applicants end the transmission because they think that nothing is occurring during the
transmission process. Please be patient and give the system time to process the application.
Application Withdrawal: An applicant may withdraw an application at any time before award
by written notice or by email. Notice of withdrawal shall be sent to the Grants Officer identified
in this announcement. Withdrawals are effective upon receipt of notice by the Grants Officer.
E. Application Review Information
Review Criteria:
Proposals will be selected through a technical and business decision-making process with
technical considerations being most important. The following scored criteria are listed in
descending order of importance.
a. Technical Approach
• Goals and Objectives. The proposal clearly states the overall goal(s) of the
program and has specific, measurable objectives. The proposal is relevant to
established DHAPP priority activities
• Work Plan: The proposal contains sound scientific methods, an appropriate work
plan described in sufficient detail and appropriate deliverables.
• Methodology for monitoring and evaluation procedures. The proposed plan
includes a description of how the program will have an impact on the country’s
military and clearly states the indicators of performance that will be used to
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monitor effectiveness.
• Schedule and milestones. The proposed plan for HIV prevention efforts is
feasible and contains concrete, achievable schedule and milestones.
• Relevance to the host country’s military. The proposal clearly describes the
involvement of the host country military and the relevance of the proposed
program to the needs, priorities, and circumstances of the host country’s
military.
b. Qualifications
• Key Personnel are qualified and eligible to perform the work.
In addition, the following unscored criteria will also contribute to the overall evaluation of
the application:
Whether the applicant qualifies as a local partner. To be considered a local
partner, the applicant must submit supporting documentation demonstrating their
organization meets at least one of the criteria listed below at the time of
application. In the below definition, a region is defined as one of the 2020 State
Department / ForeignAssistance.gov Sub Regional groupings
A. Individual: an individual must be a citizen or lawfully admitted permanent
resident of, and have his/her principal place of business in the country served
by the PEPFAR program with which the individual is or may become
involved, and a sole proprietorship must be owned by such an individual; or
B. An entity (e.g., a corporation or partnership): Entity of a sole proprietorship
(such as, a corporation or not-for-profit) must meet all three areas of
eligibility:
• Must be incorporated or legally organized under the laws of, and have its
principal place of business in, the country served by the PEPFAR
program with which the entity is or may become involved; or
Must exist in the region where the entity’s funded PEPFAR programs are
implemented.
• Must be at 75% beneficially owned by individuals who are citizens or
lawfully admitted permanent residents of that same country; or
At least 75% of the entity’s staff (senior, mid-level, support) must be
citizens or lawfully admitted permanent residents of that same country
• Where an entity has a Board of Directors, at least 51% of the members of
the Board must also be citizens or lawfully admitted permanent residents
of such country.
Review and Selection Process: Proposals will not be evaluated against each other but will be
scored based on the criteria listed above. DHAPP’s intent is to review proposals as soon as
possible after they arrive; however, proposals may be reviewed periodically for administrative
reasons.
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The ultimate recommendation for award of proposals is made by DHAPP or other technical
experts. Recommended proposals will then be forwarded to the Defense Health Agency
Contracting Authority (DHACA). Any notification received from DHACA indicating the
Applicant’s proposal has been recommended does not ultimately guarantee an award will be
made. This notice indicates that the proposal has been selected in accordance with the
evaluation criteria stated above and has been sent to the DHACA Grants Division to conduct
cost analysis, determine the Applicant’s responsibility, to confirm whether funds are
available, and to take other relevant steps necessary prior to making the award.
Anticipated Announcement and Federal Award Dates: Decisions are expected to be
announced by acceptance/declination letters via email. All awards are expected to be in place as
specified in the country specific narrative in Attachment 1.
Recipient Qualification: The Office of Management and Budget (OMB) has issued final
guidance implementing section 872 of the Duncan Hunter National Defense Authorization Act
for Fiscal Year 2009 as it applies to grants. As required by section 872, OMB and the General
Services Administration have established the Federal Awardee Performance and Integrity
Information System (FAPIIS) as a repository for government-wide data related to the integrity
and performance of entities awarded federal grants, cooperative agreements, and contracts.
This final guidance implements reporting requirements for recipients and awarding agencies;
requires awarding agencies to consider information in FAPIIS before awarding a grant or
cooperative agreement to a non-federal entity; and addresses how FAPIIS and other
information may be used in assessing recipient integrity.
a. Federal awarding agencies must report information to FAPIIS about any termination of an
award due to a material failure to comply with the award terms and conditions; any
administrative agreement with a non-federal entity to resolve a suspension or debarment
proceeding; and any finding that a non-federal entity is not qualified to receive a given award, if
the finding is based on criteria related to the entity’s integrity or prior performance under
federal awards.
b. Federal awarding agencies, prior to making award to a non-federal entity, must
review information in FAPIIS to determine that entity’s eligibility to receive the
award.
c. Recipients of federal contracts, grants, and cooperative agreement awards with a cumulative
total value exceeding $10,000,000 are required to provide information to FAPIIS on certain
civil, criminal, and administrative proceedings that reached final disposition within the most
recent five year period and that were connected with the award or performance of a federal
award; and to disclose semiannually the information about the criminal, civil, and administrative
proceedings described in section 872(c).
d. Notice of funding opportunities and federal award terms and conditions to inform a non-
federal entity that it may submit comments to FAPIIS (https://www.sam.gov/fapiis) about any
information the federal awarding agency had reported to the system about the non-federal entity,
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for consideration by the awarding agency in making future awards to the non-federal entity.
F. Federal Award Administration Information
Federal Award Notices: Notification of selection of all applications will be e-mailed by the
DHACA Grants Officer.
The notification e-mail regarding a successful application must not be regarded as authorization
to commit or expend DoW funds. An award signed by the DHACA Grants Officer is the
authorizing document. Applicants whose applications are recommended for negotiation of award
will be contacted by a DHACA Grant Specialist to discuss any additional information required
for award. This may include representations and certifications, revised budgets or budget
explanations, or other information as applicable to the proposed award. The award start date will
be determined at this time.
Administrative and National Policy Requirements: Each cooperative agreement awarded
under this announcement will be governed by the general terms and conditions in effect at the
time of the award that conform to DoW’s implementation of OMB guidance applicable to
financial assistance in 2 CFR part 200, “Uniform Administrative Requirements, Cost Principles,
and Audit Requirements for Federal Awards.”
Awards made under this announcement are subject to the Department of Defense Directive
6485.02E which can be found here:
https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/648502E.pdf?ver=2018-06-
01-130040-790
A. Certification
Certification of compliance with the national policy requirement regarding lobbying
activities is required from all recipients of awards over $100,000. Submission of this
certification is required by 31 USC 1352 and is a prerequisite for making or entering into
an award over $100,000.
Complete SFLLL (Disclosure of Lobbying Activities), if applicable, and attach to
Block 18 of the SF424 (Application for Federal Assistance) Form.
Certification for Contracts, Grants, Loans, and Cooperative Agreements
By signing an application, the applicant certifies, to the best of his or her knowledge
and belief, that:
(1) No Federally appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an
officer or employee of an agency, a member of Congress, an officer or employee
of Congress, or an employee of a member of Congress in connection with the
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awarding of any Federal contract, the making of any Federal grant, and the
making of any Federal loan, the entering into of any cooperative agreement, and
the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federally appropriated funds have been paid, or will be
paid, to any person for influencing or attempting to influence an officer or
employee of any agency, a member of Congress, an officer or employee of
Congress, or an employee of a member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit SFLLL (Disclosure of Lobbying Activities), in accordance
with its instructions.
(3) The undersigned shall require that the language of this certification be included
in the award documents for all subawards at all tiers (including subgrants, and
contracts under grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by 1352 USC 31. Any
person who fails to file the required certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for each such failure.
B. Representations
All extramural applicants are required to complete the representations below and
submit with each application. The form for completion and submission is posted in
eBRAP (https://ebrap.org/eBRAP/public/Program.htm). Upload the form into
Grants.gov under Attachments.
Representations Regarding Unpaid Federal Tax Liabilities and Conviction of
Felony Criminal Violations Under Any Federal Law
At the time of application submission, the applicant organization represents that it:
(1) Is Is not a Corporation (“Corporation” means any entity, including any
institution of higher education, other non-profit organization, or for-profit entity
that has filed articles of incorporation). If the organization is a corporation,
complete (2) and (3) below.
(2) Is Is not a Corporation that has any unpaid Federal tax liability that has
been assessed, for which all judicial and administrative remedies have been
exhausted or have lapsed, and that is not being paid in a timely manner pursuant
to an agreement with the authority responsible for collecting the tax liability.
(3) Is Is not a Corporation that was convicted of a criminal violation under
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any
Federal law within the preceding 24 months.
NOTE: If the applicant organization responds in the affirmative to either (2) or (3)
of the above representations, the applicant is ineligible to receive an award unless
the agency suspension and debarment official has considered suspension or
debarment and determined that further action is not required to protect the
Government’s interests. The applicant organization therefore will be required to
provide information about its tax liability and/or conviction, upon request, to the
Grants Officer, to facilitate completion of the required consideration before award
decisions are made.
In accordance with DoW appropriations, the following representation is required. The
applicant, by its signature on the SF424, represents:
Representation Regarding the Prohibition on Using Funds Under Grants and
Cooperative Agreements with Entities That Require Certain Internal
Confidentiality Agreements.
By submission of its application, the applicant represents that it does not require any of its
employees, contractors, or subrecipients seeking to report fraud, waste, or abuse to sign or
comply with internal confidentiality agreements or statements prohibiting or otherwise
restricting those employees, contractors, or subrecipients from lawfully reporting that
waste, fraud, or abuse to a designated investigative or law enforcement representative of a
Federal department or agency authorized to receive such information. Note that (1) the
basis for this representation is a prohibition in Section 743 of the Financial Services and
General Government Appropriations Act, 2015 (Division E of the Consolidated and
Further Continuing Appropriations Act, 2015, Public Law 113-235) and any successor
provision of law on making funds available through grants and cooperative agreements to
entities with certain internal confidentiality agreements or statements; and (2) Section 743
states that it does not contravene requirements applicable to Standard Form 312, Form
4414, or any other form issued by a Federal department or agency governing the
nondisclosure of classified information.
C. National Policy Requirements
The recipient must comply with the following requirements, as applicable. The full text
of National Policy Requirements is available at https://www.dha.mil/Working-with-
DHA. Awards will incorporate the most recent set of National Policy Requirements
available at the time of award.
Reporting:
1) FINANCIAL REPORTING
(a) Interim Federal Financial Report (SF 425) shall be submitted within 30 days following the end
of each calendar quarter and must include in the remarks the location of financial records and a
point of contact for the Government to obtain access to the financial records associated with this
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award. The following reporting period end dates shall be used for interim reports: 3/31, 6/30, 9/30,
and 12/31.
(b) Final Federal Financial Report (SF 425) is required within 120 calendar days of the completion
date for the term of this award and must include in the remarks the location of financial records and
a point of contact for the Government to obtain access to the financial records associated with this
award.
(c) Annual report of Implementing Partners Budget and Projected Expenditures will be required for
awards funded with PEPFAR funding and will follow PEPFAR guidance for submission.
(d) Annual Expenditure Reporting will be required for awards funded with PEPFAR funding and
will follow PEPFAR guidance for submission.
Financial Reporting Format Instruction:
• Attach the Quarterly Financial Report Spreadsheet with the SF 425. Submit in excel format
along with SF425 in order to monitor expenditures according to the PEPFAR program area(s). The
report template will be provided by the Government Program Office/DHA. Submit 30 calendar
days after each reporting period (3/31, 6/30, 9/30, and 12/31). The Recipient shall provide the
Quarterly Financial Reporting Spreadsheet in accordance with the template provided by DHA.
2) INTERIM PROGRESS: INDICATOR REPORT
This report shall summarize progress in relation to the approved Work Plan as well as monitor
grant deliverables. The Grantee shall submit quarterly indicator reports in accordance with the
format provided by the Program Office within 45 calendar days following the end of the reporting
period: 3/31, 6/30, 9/30 and 12/31. The Recipient shall provide reports in accordance with the
guidance and template provided by DHA.
DHAPP Strategic Information Reporting Requirements: The grantee is expected to promptly
prepare and submit data results that accurately reflect the contributions of those involved, and all
significant findings from work conducted under DHAPP awards. Data reporting deadlines and
requirements are clearly communicated by DHAPP to all grantees on a routine basis.
DHAPP award recipients are required to:
• If applicable, submit routine program indicator targets and results (e.g. Monitoring, Evaluation
and Reporting (MER) Indicators) that reflect expected and achieved results through activities
supported by DHAPP awards. Military program indicator data at the Implementing Mechanism
level (not at a military site-level) are to be submitted on a quarterly, semi-annual and annual basis
into the OGAC hosted system Data for Accountability Transparency and Impact Monitoring
(DATIM), within the deadlines established by OGAC. Instructions will be provided after award.
Military program indicator data at the site-level must also be submitted to DHAPP, using the
required DHAPP templates, within the deadlines established by DHAPP. DHAPP will provide all
orientation and training related to the reporting of site-level data.
• Implementing Partners are responsible for ensuring the quality of data from the point of data
collection through report submission, and should make every attempt to either fix or document and
communicate to DHAPP data quality issues.
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• Implementing Partners are responsible for following the standards defined in the Site
Improvement through Monitoring System (SIMS) and are required to participate in program quality
assurance and improvement activities, per guidance provided by OGAC and DHAPP.
3) FINAL TECHNICAL REPORT
Within 120 calendar days of completion or termination of this Agreement, the Recipient shall
submit a Final Report addressing the technical achievements of the program. The report should
provide a synopsis of the accomplishments made under the Agreement. No proprietary or classified
information shall be included in the final report as it is subject to public release.
4) PROPERTY REPORT
Recipients shall submit annually an inventory listing of federally-owned property in their custody.
Upon completion of the award, Title to all property and equipment acquired under this grant shall
revert to the host nation at the end of the performance period.
You are responsible for adhering to any additional PEPFAR reporting requirements implemented
during the life of this award. These requirements can be found at:
https://datim.zendesk.com/hc/en-us/categories/200342209-PEPFAR-Guidance
The Award terms and Conditions will specify if more frequent or other special reporting is
required. Should OGAC require additional or different reporting requirements during the
award period of performance, awards will be modified to include these requirements.
Awards resulting from this Program Announcement will incorporate additional reporting
requirements related to recipient integrity and performance matters. Recipient organizations that
have Federal contract, grant, and cooperative agreement awards with a cumulative total value
greater than $10,000,000 are required to provide information to FAPIIS about certain civil,
criminal, and administrative proceedings that reached final disposition within the most recent
5-year period and that were connected with performance of a Federal award. Recipients are
required to disclose, semiannually, information about criminal, civil, and administrative
proceedings as specified in the applicable Representations
G. Federal Awarding Agency Contacts
Questions regarding program policy, program content, or technical issues should be directed
prior to the date indicated in the country specific narrative in Attachment 1 to:
DHAPP Program Manager
Dr. Braden Hale
DHAPP Division Chief
Braden.r.hale.civ@health.mil
Questions regarding administrative issues or grant administration should be directed to:
DHACA Grants Officer
Ebony Simmons
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Grants Officer
ebony.s.simmons.civ@health.mil
H. Other Information
Applications must not include any information that has been identified as classified national
security information under authorities established in Executive Order 12958, Classified National
Security Information.
Applicants are advised that employees of commercial firms under contract to the government
may be used to administratively process applications. By submitting an application, an applicant
consents to allowing access to its application(s) by support contractors. These support contracts
include nondisclosure agreements prohibiting their contractor employees from disclosing any
information submitted by applicants.
Freedom of Information Act Requests: The FOIA (5 USC 552) provides a statutory basis for
public access to official Government records. The definition of “records” includes documentation
received by the Government in connection with the transaction of public business. Records must be
made available to any person requesting them unless the records fall under one of nine exceptions
to the Act (www.usdoj.gov/oip/index.html).
When a FOIA request asks for information contained in a successful application that has
been incorporated into an award document, the submitter will be contacted and given an
opportunity to object to the release of all or part of the information that was incorporated. A
valid legal basis must accompany each objection to release. Each objection will be
evaluated by DoW in making its final determination concerning which information is or is
not releasable. If information requested is releasable, the submitter will be given notice of
DoW’s intent to release and will be provided a reasonable opportunity to assert available
action.
J-1 Visa Waiver: Each organization, including organizations located outside of the United States,
is responsible for ensuring that the personnel associated with any application recommended for
funding are able to complete the work without intercession by the DoW for a J-1 Visa Waiver on
behalf of a foreign national in the United States under a J-1 Visa.
Note: The Federal Government will not provide funds to support scientists from countries
meeting the criteria for designation as a State Sponsor of Terrorism
(https://www.state.gov/j/ct/list/c14151.htm). Additional information on J-1 Visa Waivers can be
located at the following Department of State website: https://travel.state.gov/content/travel/en/us-
visas.html.
Rejection Criteria
• Missing Budget.
• Missing Narrative.
• Missing Data Management Plan.
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• Proposals not submitted in English.
• Project Abstract exceeds 4000 characters.
Please note: Noncompliance of “Not to exceed” page limits will result in the excess pages being
deleted prior to application review by the Program Office.
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Attachment 1. Country Specific Narratives
Applications may be submitted in accordance with country specific narratives. These narratives
can be found as standalone documents in the Country Specific Narratives folder on Grants.gov
within this announcement (W81XWH-22-DHAPP). Please note that submission deadlines vary
across each narrative.
Angola
Burundi
Ethiopia
Ghana
Mozambique
Multi-Country: Burkina Faso, Central African Republic, Guinea Conakry, Mali and Madagascar
Multi-Country: SABERS
Senegal
Togo
Uganda
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Angola: DHAPP – FAA Partnership for Resilient Military Health Systems for Readiness
NOTE: Application submissions for this narrative are due by 12pm EST on 15 May 2026.
Submissions received after the deadline will not be considered for funding.
Call for Proposals
Proposals are requested to support the Angolan Armed Forces (FAA) to reach sustainable control of the
HIV epidemic through the lens of the America First Global Health Strategy, as well as the UNAIDS
HIV Treatment 95-95-95; Vertical Transmission 95 targets; and TB prevention 90 and in alignment with
the National Security Strategy (NSS) and the National Defense Strategy (NDS) goals to protect the
homeland, deter China, and increase burden sharing. Further, proposals must be aligned with any
existing Memorandum of Understanding between the U.S. Department of State and Angola.
Implementers should be familiar with these strategic guidance documents and include means of
addressing them in submitted proposals. Please see base Program Announcement section D for
complete detailed list of application, format and submission requirements. Proposal Technical
Narrative may not exceed 45 pages.
Introduction
The HIV/AIDS epidemic has devastated many militaries and other uniformed organizations worldwide by
reducing military readiness, limiting deployments, causing physical and emotional decline in infected
individuals and their families, posing risks to other military personnel and their extended communities,
and impeding participation in peacekeeping activities. As HIV management improves, many of these
impacts are reduced; however, militaries now need to sustain life-long HIV treatment for their HIV-
infected beneficiaries; this is in addition to managing other long-term chronic diseases to maintain high
force health readiness in strategically identified recipient militaries. Moreover, given the well-known
biobehavioral risk factors among uniformed personnel, reducing HIV acquisition and transmission in this
population is an essential component for reaching epidemic control in the recipient country.
The U.S. Government has a long history of providing foreign assistance to combat HIV/AIDS, advancing
U.S. national security by promoting stability in key regions. Over the years, the United States DoD
HIV/AIDS Prevention Program (DHAPP) has successfully engaged over 80 countries to control the HIV
epidemic among their respective military services. Working closely with the Department of Defense
(DoD, herein referred to using the secondary title Department of War, DoW), U.S. Geographic
Combatant Commanders, the Bureau of Global Health Security and Diplomacy (GHSD) and other
organizations, DHAPP’s mission is to build the capacity of recipient militaries through military-specific
HIV/AIDS assistance, creating self-reliant security counterparts. DHAPP is the DoW implementing
agency collaborating with the US Department of State, and the Centers for Disease Control and
Prevention (CDC), in the US President’s Emergency Plan for AIDS Relief (PEPFAR). DHAPP receives
funding for its programs from two sources: a congressional plus up to the Department of War (Title 10)
Defense Health Program (DHP) and funding transfers from the Department of State (Title 22) for
PEPFAR.
All proposals must be in full alignment with any existing Memorandum of Understanding (MOU)
between the Department of State (DoS) and Angola clearly articulating transition plans for each activity

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over the course of the agreement with specific and measurable milestones. Reserving the last year of the
agreement for transition planning will not be accepted. Activities to transition responsibilities to the
recipient country must begin immediately upon award and continue throughout the life of the agreement
to ensure a rapid path to self-sufficiency. The implementer must prepare the recipient country's military to
fully own and operate all services, ensuring a complete and final transition of responsibility away from
U.S. assistance.
The DoW Combatant Commands (CCMDs) have identified the longstanding DHAPP program with
recipient countries as an essential security cooperation tool that serves U.S. interests. Pursuing HIV/AIDS
activities with foreign militaries is an important part of maintaining security interests, regional stability
through health readiness, counterterrorism, and peacekeeping efforts due to the impact of HIV/AIDS as a
destabilizing factor in developing nations. DHAPP employs an integrated bilateral and regional strategy
for HIV/AIDS cooperation and security assistance. DHAPP implements bilateral and regional strategies
in coordination with respective CCMDs and DHAPP Country Support Teams to offer military-to-military
HIV/AIDS program assistance using country priorities set by the US Under-Secretary of War for Policy
and by the Department of State Bureau of Global Health Security and Diplomacy (GHSD). DHAPP
provides technical support to defense forces in HIV prevention, care, treatment, and information systems
and data use for HIV-infected individuals and their families.
PEPFAR adopted the United Nations Programme on HIV/AIDS (UNAIDS) global 95-95-95 (formerly
90-90-90) goals that state by 2030: 95% of people with HIV are diagnosed, 95% of them are on
antiretroviral therapies (ART) and 95% of them are virally suppressed. An additional goal supported by
GHSD is 95% coverage of services for eliminating vertical transmission. Lastly, the UNAIDS Global
AIDS Strategy established a goal that 90% of PLHIV receive preventive treatment for TB.
All proposals must align with the America First Global Health Strategy, which focuses on the following
points:
• Address Inefficiency and Dependency: The majority of funding should go directly towards patient
care and building resilient health systems. High program management costs will not be funded.
• Pillar 1: Make America Safer: The primary goal is to protect Americans by enhancing global
surveillance systems to detect outbreaks within seven days of emergence, notify public health
authorities within 1 day and rapidly responding at the source within 7 days with early response
actions to prevent pandemics from reaching U.S. shores.
• Pillar 2: Make America Stronger: Foreign health assistance will be used as a strategic tool to
strengthen bilateral relationships. The U.S. will enter into multi-year agreements with recipient
countries that require co-investment and establish clear benchmarks, ...moving them toward self-
sufficiency and away from reliance on U.S. foreign assistance. Proposals must align with any
existing country-specific MOU timelines.
• Pillar 3: Make America More Prosperous: The strategy aims to bolster the U.S. economy by
preventing costly pandemics and by using foreign assistance programs to promote American
companies and health innovations (like diagnostics and pharmaceuticals) in emerging global
markets.
• Restructure Aid Delivery: The plan calls for more frontline support, such as medical commodities

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and healthcare workers, while significantly reducing all other non-frontline expenditures to ensure
accountability to the American taxpayer. It will also streamline efforts by integrating disease-
specific programs (HIV, Malaria, TB) and leveraging the private sector and faith-based
organizations for more efficient service delivery. The implementer is expected to work with the
DHAPP Program Manager (PM) on supporting the integration of disease-specific programs
receiving USG funding for the military program.
Local Implementers
Local, non-governmental implementers with low overhead costs are encouraged to apply to this
announcement. To achieve self-reliance, it is critical that the full range of HIV services are owned and
operated by the recipient country's institutions, governments, and community-based and community-led
organizations, regardless of current antiretroviral (ARV) coverage levels. The intent of transitioning to
local implementers is to increase the delivery of direct HIV services, along with non-direct services
provided at the site, and establish sufficient capacity, capability, and durability of these local
implementers to ensure successful, long-term, community engagement and impact.
All respondents must demonstrate the active support of the in-country military in the planning and
execution of their proposals. This should be done by attaching an appropriate letter of support.
Additional Submission Guidance:
1. Review all documents within the package to ensure consistency in information, budgets, targets,
and numbering:
a. Use numbered lists, including numbered or alphabetized sub-lists, for activities for easier
reference and monitoring, especially the SOW Narrative column.
2. Ensure all activities in the Technical Narrative are also listed concisely in the SOW file.
3. Activities must be specific; Do not write “ensure” or “support” or a similar verb as a narrative
activity without defining what that means. Each activity must say specifically what the
implementer will be doing. It must be measurable and answer the questions Who? What? Where?
How? How many? How often?
4. Delineate between a training (i.e.: one time class or series of classes where attendees are gathered
in a conference room, away from regular duties) and onsite strategic assistance (on the job
guidance while recipient is performing regular duties) and specify as many of the following details
as possible for both: how many attendees or sites, how often, how many days, where, specific
topics/skills covered, expected outcomes & how they align with program goals, etc. Training
should be limited and cost efficient.
5. Please note this project budget cannot include:
a. Any budget allocations toward World AIDS Day (WAD) events/campaigns.
b. Prizes, hats, or T-shirts.
c. Flyers and printed education materials to be given to beneficiaries.
d. Rental of venues for training or events (must use available military or ministry facilities).
e. Employment or payments made directly to active-duty foreign military.

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Budget
The estimate budget for this program announcement is as follows. Final authorized budget will be
confirmed and communicated at time of official award execution. The link below contains the Financial
Classifications Reference Guide and a summary of the classification definitions:
https://help.datim.org
Financial classifications are not regulations governing allowability of federal awards. Nothing in this
guidance should be interpreted to mean that costs or activities that are unallowable or excluded under the
terms of an award are permitted by virtue of being described herein. All awards are subject to the
applicable cost principles and terms set forth and conveyed in the award made.
Estimated Budget to be used as a Framework

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Health
MOU Area of
Program Sub category Phase 1 Phase 2 Phase 3 Phase 4 Total
Cooperation
Area
GHS 2.1: Outbreak Response Capacities 50,000 50,000 50,000 50,000 200,000
2.1: Surveillance and
GHS 2.1: Outbreak Readiness 50,000 50,000 50,000 50,000 200,000
Outbreak Response
-
Subtotal 100,000 100,000 100,000 100,000 400,000
2.2: Lab Reagents and Diagnostic
42,492 38,243 34,419 30,977 146,131
HIV Test Kit Procurement
2.2: Laboratory HIV 2.2: Lab Consumables Procurement 2,000 1,800 1,620 1,458 6,878
Systems HIV 2.2: Frontline Lab Workers 50,435 45,392 40,852 36,767 173,446
2.2: Lab Service and Maintenance
24,000 24,000 24,000 24,000 96,000
HIV Costs
Subtotal 118,927 109,435 100,891 93,202 422,455
2.3: Diagnostic Commodity
5,975 5,378 4,840 4,356 20,548
HIV Procurement
2.3: Therapeutic Commodity
82,333 74,100 66,690 60,021 283,144
HIV Procurement
2.3: Prevention Commodity 28,513
8,291 7,462 6,716 6,044
HIV Procurement
2.3: Commodities 2.3: Therapeutic Commodity
39,600 35,640 32,076 28,868 136,184
Malaria Procurement
2.3: In-Country Warehousing and
58,236 52,412 47,171 42,454 200,274
Malaria Distribution
2.3: Diagnostic Commodity
13,200 11,880 10,692 9,623 45,395
Malaria Procurement
-
Subtotal 207,635 186,872 168,185 151,366 714,058
HIV 2.4: Doctors/Clinical Officers 261,612 235,451 211,906 190,715 899,684
HIV 2.4: Other Health Workers 97,910 88,119 79,307 71,376 336,712
Malaria 2.4: Doctors/Clinical Officers 130,806 117,725 105,953 95,358 449841.834
2.4: Frontline Health
Malaria 2.4: Other Health Workers 97,910 88,119 79,307 71,376 336,712
Workers
2.4: Epidemiologists & Surveillance
179,761 179,761 179,761 179,761 719,044
GHS Officers
-
Subtotal 767,999 709,175 656,234 608,587 2,741,994
HIV 2.5: Data Systems Developer Staff 186,299 167,669 150,902 135,812 640,682
2.5: Data Systems
-
Subtotal 186,299 167,669 150,902 135,812 640,682
2.6: Training (Pre and In-Service) and
Supervision of Front Line Health 250,000 225,000 202,500 182,250 859,750
HIV Care Workers
HIV 2.6: IP Program Management 247,500 247,500 247,500 247,500 247,500
2.6: Training (Pre and In-Service) and
2.6: Strategic
Supervision of Front Line Health 200,000 180,000 162,000 145,800 687,800
Assistance
Malaria Care Workers
Malaria 2.6: IP Program Management 198,000 198,000 198,000 198,000 792000
2.6: Training (Pre and In-Service) and
Supervision of Front Line Health 100,000 100,000 100,000 100,000 400,000
GHS Care Workers
GHS 2.6: IP Program Management 99,000 99,000 99,000 99,000 396,000
Subtotal 1,094,500 1,049,500 1,009,000 972,550 3,383,050
Total *Budget Estimate to be used as a framework. Final authorized
budget will be confirmed and communicated at time of official
award. Phase 2-4 option budget Estimates are notional and 2,475,361 2,322,651 2,185,212 2,061,517 8,302,239
dependent on availability of US Government available funding.
Approaches to Reaching Sustainable Epidemic Control & Transitioning Ownership
Proposals are requested to support the Angolan Armed Forces to reach sustainable control of the HIV
epidemic and focus on the America First Global Health Strategy, the latest PEPFAR guidance and
UNAIDS HIV Treatment 95-95-95, Vertical Transmission 95 targets, and TB prevention 90 targets, and
in alignment with the NSS, NDS, and the MOU between the U.S. DoS and Angola.

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In 2025 DHAPP supported the recipient military in conducting a Military Sustainability Index
(MilSID). Findings indicate the military health system has made significant progress towards
sustainability over the past decade; however, support needs to be strengthened in the areas of planning
and coordination, service delivery, quality management, laboratory, resource mobilization, and
epidemiological and heath data. The implementer will be responsible for supporting the recipient
military in conducting a MilSID each year of the award, ensuring all stakeholders are present (please
include as an SOW activity).
In 2025 DHAPP conducted a review of the program against international standards. Findings indicate
the military health system must receive greater support in the following areas:
• Offer safe and ethical index testing to all eligible people
• Fully implement “Test and Start” policies
• Offer differentiated service delivery models
• Optimize diagnostic networks for VL, TB, and other co-infections
The implementer will develop and implement a comprehensive transition plan that is in alignment with
any existing country MOU, with clearly defined every 6-month milestones demonstrating progressive
military assumption of programmatic responsibilities across all technical areas, data collection and
reporting areas, and program management. This transition framework prioritizes efficiency, direct
patient care investment, and development of resilient health systems capable of independent operation
beyond the period of U.S. support. All proposals should detail how the implementer will engage the
recipient military leadership as well as personnel at all levels in this work; and, specifically, how the
implementer will utilize the organizational structure of the military to strengthen the internal capacity of
the military to conduct these activities. Please specify which SOW activities the implementer is
supporting the military to take ownership of (showing increasing military ownership) and by when
(with detailed milestones). Throughout this progression, the implementer must document evidence of
increasing military ownership through specific metrics including percentage of activities led by military
staff, number of military personnel trained to competency, and documented military-led decision-
making and problem-solving. Failure to attain defined milestones as agreed upon by the implementer,
the partner military, and DHAPP may result in award termination.
The implementer must work in complete coordination with all relevant officials in the recipient militaries’
HIV health services, as well as the DHAPP/DoW Program Manager based at the U.S. Embassies in these
countries, and other DHAPP-supported implementers working within the country or regionally supporting
the country, other bilateral and multilateral agencies with similar objectives and the DHAPP Headquarters
Team.
Technical Narrative & Scope of Work (SOW)
In alignment with international health guidelines, America First Global Health Strategy, and guidance
from PEPFAR/GHSD, coupled with DHAPP’s vision to build the capacity of military health systems
through military-specific and culturally appropriate services, the recipient will address the approach to
each technical area. The implementer, through increasing, demonstrable, military burden-sharing and
building self-reliance within the recipient military, will be responsible for providing the following in

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close collaboration with other DHAPP-funded implementers.
Technical Module Building Blocks
The implementer will work closely with the Ministry of Defense and its medical leadership to make
progress towards a resilient and self-reliant military HIV program that is aligned with the national MOU
(if applicable), using evidence-based and efficient interventions to reach the three 95s. In alignment with
the Transition Plan directive above, the implementer will include specific milestones for program
transition for activities within each technical area.
1. Post Exposure Prophylaxis (PEP)
The implementer will support the military in providing client-centered, judgement-free, evidence-based
PEP services to all HIV-negative individuals (including healthcare workers and non-healthcare workers)
who have had a possible exposure to HIV within the last 72 hours.
The implementer will ensure that the following interventions for adults and adolescents include:
• PEP should be started as soon as possible after a potential exposure to HIV, ideally within 24
hours and no later than 72 hours.
• The person seeking PEP should be tested for HIV to confirm they are HIV-negative before
starting PEP, although if testing is not available, PEP should be started immediately and can be
stopped later once testing is available. Individuals who test positive for HIV should be started on
treatment immediately.
• Three ARV drugs for a 28-day prescription are recommended for the HIV PEP regimen. Patients
must be properly counseled to understand what PEP is, on adherence, and potential side effects.
• If PEP is not being consistently integrated and offered at military facilities (to the point that the
surrounding population knows it is accessible if needed), the recipient will work with the military
and PM to update guidelines and SOPs, gain necessary approvals, and start implementation at
military facilities. Timely access to PEP is the most crucial factor in PEP effectiveness.
• Individuals who seek PEP services should be counseled on and offered PrEP post PEP if risk is
ongoing.
• PEP availability in community settings, as well as task sharing of PEP administration is
encouraged to increase timely accessibility post exposure.
2. HIV Testing Services (HTS)
HIV Testing Services (HTS) is the forefront for finding the remaining people who are living with HIV
(PLHIV) and is a priority for reaching HIV epidemic control. Current epidemiology shows that most of
those who do not yet know their infection status are men, adolescents, and children. The recipient military
HIV/AIDS program is strategically placed to reach men; therefore, the implementer will closely work
with the recipient military on HTS for both prevention and diagnosis. Those who test negative should be
provided with HIV risk reduction information (including referral to PrEP where relevant) and educated on
U=U (Undetectable = Untransmittable). For those who test positive, activities should include information
about HIV, offer of Safe and Ethical Index Testing (SEIT), and offer of self-testing for family members
(all sexual partners and children under 19 years old) who may not be able to access a testing site. HTS

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should be targeted towards military personnel to achieve the target of 95-100% of all recipient military
PLHIV knowing their status. HTS should also be provided to beneficiaries and civilians cared for at all
military sites. The implementer will ensure they and the recipient military follow GHSD and national
guidance on implementing SEIT and use the training materials created by the HTS team with the 10-Step
model.
The local epidemiology and situational analysis should guide other testing methods to identify PLHIV.
Provider-Initiated Testing and Counseling (PITC) will continue at military facilities for both the
military and civilian cohorts. PITC should focus within clinical areas that have shown a high testing
yield, such as inpatient wards, tuberculosis (TB) and sexually transmitted infection (STI) clinics.
All people newly diagnosed with HIV should be retested to verify their HIV status prior to starting
ART. The same testing strategy and algorithm as the original diagnosis should be used, but with a
different tester and different test kit lots.
The implementer should support the military to achieve over 95% linkage of HIV-positive individuals
identified to treatment initiation, fully implementing “test-and-start” policies across all age, sex, and
risk groups. Ensuring that any person with positive results identified is linked to HIV care and
treatment is essential to the success of the recipient military program. The implementer will support
the military to monitor HIV testing yield, modifying as necessary the strategies or locations that are
not identifying cases and/or linking significant numbers of HIV-positive persons to care and treatment
and other relevant integrated services.
The implementer will be responsible for providing support for the following activities to military bases
and facilities:
• Diagnosing HIV, with at least 95% of those diagnosed linked to HIV care, while striving for
100% linkage to treatment services and same day initiation of ART.
• Offering SEIT to all HIV positive clients and testing for all sexual partners and children under
19 years old of HIV positive military personnel and civilians (with at least 1.5 contacts
identified on average).
• Documenting HIV status for all children under 19 years of age with mothers living with HIV.
• Facilitating quality improvement and quality assurance for all recipient military HTS sites,
including strategic assistance, at least quarterly.
• Conducting proficiency testing for all HTS sites and individuals.
• Tracking PLHIV from HTS to clinical care and treatment services to ensure linkage and
retention, including Viral Load Suppression (VLS).
3. HIV Treatment
ART optimization is the cornerstone of PEPFAR policy, which stipulates that all PLHIV should have
access to the most effective, convenient therapy with minimal or no side effects. Optimal ART is critical
to lifelong continuity of care and viral load suppression. Moreover, long-term viral load suppression
prevents onward transmission and is the cornerstone of HIV prevention. The following factors should be
considered in supporting the treatment of PLHIV in military facilities.
• Dolutegravir (DTG)-containing regimens are the preferred first-line ART due to superior

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efficacy, tolerability and higher threshold for resistance compared to efavirenz (EFV)-containing
regimens.
• PEPFAR recommends use of tenofovir disoproxil fumarate/lamivudine/dolutegravir (TLD) as the
preferred option for ART for both first- and second-line treatment of adolescents and adults
living with HIV ≥ 30kg. The Panel on Treatment of Pregnant Women with HIV Infection and
Prevention of Perinatal Transmission recommends DTG-containing regimen as a Preferred ARV
for PBFW and recommends DTG-containing regimen as a Preferred ARV for women who are
trying to conceive. Starting in COP20 (FY21), programs were expected to provide DTG-based
ART to all PLHIV (≥ 4 weeks of age and who weigh ≥ 3 kg).TLD is the preferred regimen
beginning at 30kg.
• A priority of HIV programs is to prevent the development of TB in PLHIV as well as diagnose
and treat PLHIV with TB disease and ensure they become non-infectious. In addition, all TB
infected individuals should be tested for HIV.
o Routinely screen all PLHIV for TB disease. Standardized symptom screening alone is not
sufficient for TB screening among PLHIV and should be complemented with more-
sensitive and setting-specific recommended screening tools. Ensure all PLHIV who
screen positive for TB receive recommended molecular diagnostic and drug susceptibility
testing, all those diagnosed with TB disease complete appropriate TB treatment, and all
those who screen negative for TB complete TB Preventive Treatment.
o For all who do not have active TB, prevention of TB is a priority using nationally
approved TB preventive therapy (TPT). The Global AIDS Strategy has set the target of
90% of PLHIV to receive preventive treatment for TB, thus TPT must be scaled up for all
PLHIVs as an integral part of the clinical care package. Implementers are expected to
increase the use of TB diagnostic testing within DHAPP-supported HIV care and
treatment facilities and promote the use of TPT as a routine part of HIV care that is
consistently documented. In short, all newly diagnosed HIV-positive people should be
offered TB treatment or preventive therapy, and all people assessed for TB should be
tested for HIV.
o Programs should have clear policies and/or guidelines for the use of TPT, and should plan
for programmatic and clinical trainings, procurement and supply management, adequate
diagnostic capacity (including specimen transportation) and development of appropriate
data collection systems. In Global Fund high-impact countries implementing joint
TB/HIV grants, implementers should also seek opportunities to support effective joint
program implementation. Additionally, implementers should implement TB infection
prevention and control activities to minimize the risk of TB transmission and provide a
safe health seeking environment. This is critical in DHAPP-supported settings where
clients at high risk for TB and HIV often co-mingle. It also puts health care workers at
increased risk of contracting TB disease. Activities aimed at preventing transmission at
facility-level should include administrative and environmental controls, as well as the
availability and use of personal protective equipment.
• The implementer should work with the recipient military to offer most clients at ART treatment
sites 6 months of multi-month dispensing (MMD), or at least 3MMD. Other drugs that the client
requires, such as TPT, CTX, and drugs for other conditions should be provided whenever
possible for the same duration of dispensing as ARVs. Supply chain support and forecasting

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should be adjusted accordingly for these medicines as well.
• The implementer should work with the recipient military to establish decentralized drug
distribution (DDD), which is a client-centered initiative aimed at reducing ART interruptions,
decongesting public facilities, and improving client-centered care, with both clinical and supply
chain implications. Programs can achieve greater efficiency, increase convenience for clients,
and reduce HIV-related stigma by integrating a wide array of non-HIV commodities into
decentralized sites (e.g. TPT).
• Diagnose and treat people with advanced HIV disease (AHD). People starting treatment, re-
engaging in treatment after an interruption of > 1 year, or virally unsuppressed for >1 year should
be evaluated for AHD. All children <5 years old who are not stable on effective ART are
considered to have advanced HIV disease. The PEPFAR-adopted package of diagnostics and
treatment should be offered to all individuals with advanced disease.
4. Viral Load (VL) Suppression
Sustained viral suppression of all PLHIV is the key to HIV epidemic control. DHAPP’s priority is access
to critical HIV treatment monitoring, which is accomplished via VL testing that should be conducted at
least once annually for stable patients and more frequently for new, unstable, and pediatric patients. To
this end, the implementer will work closely with the Ministry of Defense in the recipient Angola to scale
up VL testing coverage and VL suppression to achieve 95-95-95 goals for military personnel, as well as
beneficiaries and civilians. Targets for HIV/AIDS care and treatment will focus on generating significant
progress towards the third 95: 95% VL suppression among PLHIV taking ART. CD4 testing should not
be used to determine eligibility for ART and only should be used for assessment of immune status (i.e.
identification or ongoing monitoring of patients with advanced HIV disease).
The implementer should ensure that the recipient military has access to timely VL testing (goal
turnaround time is within 2 weeks) and that capacity exists to test 95% of people currently on ART
annually. To ease logistical challenges associated with the transport of whole blood specimens and to
increase access to routine VL monitoring, dried blood spots (DBS) for VL testing can be used as an
alternative specimen type to plasma. DBS are easy to collect and store under field conditions, with no
phlebotomist required for collection. Further, they are easy to transport to centralized laboratories with
reduced costs associated with collection materials and transportation under ambient temperature. The
DBS technology is applicable to both adult and pediatric populations, with the small volume of blood
required for preparing DBS, making it especially suitable for pediatric populations.
The use of point of care (POC) platforms in the interim to test and deliver quick results to avoid patient or
sample movement should be considered as well. Since POC testing is already being used within the same
setting for VL testing, extending this use for VL testing, as well as improved optimization and effective
use of these instruments. Considering this, it is recommended that POC be used for VL testing.
Implementers must follow international health guidelines and work with military and MoH network (as
necessary) to implement and monitor VL testing schedule of non-PBFW HIV+ adults. POC platforms
may also be appropriate for low volume remote military sites.
The implementer will ensure that VL results are available to providers/clients in a reasonable amount of
time (goal is within 2 weeks) to both the health care provider and the client. These results should be

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available to ensure that those who are not virally suppressed are linked to adherence support and close
follow-up leading to either suppression or ART modification as needed. Unsuppressed clients and their
sexual partners should be educated on U-U literacy . Those who are suppressed should be encouraged to
stay suppressed and should be offered differentiated models of care, including multi-month dispensing of
supplies of ART and fast-tracking, to minimize inconveniences associated with health system access.
HIV viral suppression is not only critical to improving individual health, but also to prevent sexual
transmission, and reduce perinatal transmission. There are three key categories for HIV viral load
measurements: unsuppressed (>1000 copies/mL), suppressed (detected but ≤1000 copies/mL) and
undetectable (viral load not detected by test used: <40 or <50 copies/ml depending on the machine used).
People living with HIV who have an undetectable viral load and continue taking medication as prescribed
have zero risk of transmitting HIV to their sexual partner(s) (U=U). PLHIV who have a suppressed but
detectable viral load and are taking medication as prescribed have almost zero or negligible risk of
transmitting HIV to their sexual partner(s). HIV VL test results can be a motivation for adhering to
treatment and achieving the goal of being undetectable. Emphasizing and strengthening adherence
counselling during antiretroviral therapy initiation and throughout treatment are essential, including
communicating about the benefits of viral load suppression to all PLHIV. HIV programs should offer
activities that help people understand the facts about HIV infection, treatment, and viral load. The
implementer must work with the military to ensure updated and accurate U=U messaging and encourage
HIV testing, prevention, and treatment reaches all PLHIV, the general population and health care
providers.
5. Health System Strengthening
DHAPP is working to enhance the ability of militaries and Ministries of Defense to manage their HIV
epidemic, respond to broader health needs impacting their communities, and address new and emerging
health concerns. Implementers should describe how they will increase recipient government capacity. A
sustainable HIV response requires coordinated efforts that enable governments to take on increasing
leadership and management of all aspects of the HIV response, including political commitment, building
program capacities and capabilities, and financial planning and expenditure.
The procurement of supplies, support and equipment should use recipient government and other donor
sources when possible (Global Fund, etc.).
Laboratory:
The implementer will be responsible for the following activities to help recipient militaries build resilient,
sustainable, and internationally accredited laboratory systems strongly capable of responding to the HIV
epidemic and other future infectious disease outbreaks:
• Laboratory inventory tracking, control, and forecasting; monitoring of commodities
procurements to ensure laboratory supplies are procured at cost-effective prices and
services are uninterrupted; monitoring facilities storing procured laboratory commodities
to ensure they meet International Organization for Standardization (ISO) warehouse
principals and standards; obtaining insurance for procured laboratory commodities to
protect against natural disasters, fire, theft, etc.
• Supporting and facilitating military participation in national quantification exercises,
ensuring that military laboratory commodity needs are incorporated into national

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forecasting.
• Routine monitoring of turnaround time (TAT) for VL, TB, and other critical tests, to
ensure test results are provided to providers and patients within a reasonable period (2
weeks) to improve and maximize patient care and outcomes.
• Procuring laboratory service maintenance contracts, routine calibration of equipment,
and training of laboratory staff on proper use and maintenance of procured equipment.
• Supporting training in proper laboratory biosafety and waste management.
• Ensuring continuous quality improvement of all laboratories (including satellite
laboratories and HIV testing sites) and accreditation is in place and transitioned over to
the recipient government with key milestones and timeline.
• Monitoring of laboratory quality, adherence to quality systems, and method validation;
provision of proficiency testing for rapid HIV testing, VL,TB, STIs, and other tests
critical to HIV epidemic control and detecting emerging disease outbreaks.
• Conducting routine visits to laboratories to assess achievements, review/evaluate
activities, address needs and gaps, and provide recommendations for the development of
improvement plans to resolve any identified problems.
• Linking recipient military laboratory services to other laboratory resources at the district,
provincial, and national levels.
Optimizing diagnostic networks for VL, TB, and other coinfections. In coordination with other
Donors and National TB Programs, complete diagnostic network optimization (DNO) and
transition to integrated diagnostics and multi-disease testing. Ensure 100% EID and VL testing
coverage and return of results within stipulated turn-around time (goal is 2 weeks). Identify all
parts of the laboratory system that are interoperable with the U.S. military system.
6. Virtual Communities of Practice/ECHO Platform
The implementer should support the recipient military's use of Virtual Communities of Practice (vCOPs)
through the Project ECHO (Extension for Community Healthcare Outcomes) model if an ECHO network
already exists within the military program. Project ECHO is evidence-based, virtual model that
democratizes medical expertise as a self-reliant tool for continuous clinical knowledge sharing amongst
healthcare workers. Since 2020, DHAPP has collaborated with the ECHO Institute
(https://hsc.unm.edu/echo/) to lever their vast experience with vCOPs/ECHOs and to assist in establishing
ECHO programs with 24 recipient militaries. More information on the establishment of the DHAPP
Superhub available at https://pubmed.ncbi.nlm.nih.gov/40984107/. Key requirements are equipment and
connectivity as well as personnel who can coordinate, manage, and lead regular vCoP/ECHO sessions.
(https://hsc.unm.edu/echo/).
For recipient militaries with existing, launched ECHO programs, the implementer shall provide support
focused on transitioning full ownership of the ECHO program to the recipient military. Required support
activities include:
• Program Maintenance: Assisting the recipient military in the maintenance of existing ECHO
hub and spokes – connectivity,
• Strategic Expansion: Supporting the addition of new clinical "spokes" to strengthen the military
network of integrated care throughout the country.

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• Network Engagement: Ensuring the recipient military actively engages with the DHAPP ECHO
Superhub, and, where applicable, any local ECHO network (i.e., an MOH-led ECHO) for broader
collaboration.
The Statement of Work (SOW) narrative must be specific about all proposed ECHO activities (e.g.,
personnel, number of sites, locations). All equipment purchases listed in the workplan must follow
current U.S. laws (Congress) and policies (Executive Branch) and must be reviewed and approved by the
DHAPP ECHO Team.
7. Commodities
The implementer will assist the military in developing and implementing a supply chain management
strategy that aligns with PEPFAR's goals of ensuring sustainable commodity supplies while
simultaneously emphasizing and working to improve self-reliance of the commodities recipient, with the
full transition of all capabilities to the commodities recipient by award completion or USG/recipient
country MOU completion (whichever comes first). This strategy should include, where applicable to a
site or sites, as many of the following principles as practical:
• Development of a comprehensive Supply Chain Transition Plan with clearly defined annual
milestones for the recipient military to assume responsibility for key functions. A written supply
chain risk management plan that is co-developed with and owned by the recipient military. This
plan must address risks to commodity availability (e.g., stockouts, expiries) and risks to the
transition process itself (e.g., personnel gaps, funding shortfalls). Plans may be specific to a site or
group of similar sites, depending on the need identified by the recipient military and recipient.
• Identification and training of supply chain points of contact within each facility on topics to
include where applicable, but not limited to:
o Accurate use of the commodities request system (typically the national system)
o Completion of necessary paperwork/electronic forms
o Stockout and overstock mitigation strategies
o Inter-site commodity movement procedures
o Establishing relationships with commodities counterparts within the military and national
systems, both regionally and nationally
o Quantification and forecasting, with the goal of the recipient military leading their national
quantification exercise for its facilities.
• In alignment with the America First Global Health Strategy, and in compliance with applicable
federal acquisition regulations, the recipient will prioritize the evaluation and selection of U.S.-
manufactured pharmaceuticals, diagnostics, and supply chain technologies where they are
competitive in terms of cost, quality, and availability. The recipient will document efforts to
explore U.S.-based sources as part of its procurement strategy.
• Implementation of supply chain best practices, including product and supply chain segmentation,
actively identifying and contracting with local and/or U.S.-based private sector logistics
partnerships where appropriate to improve efficiency and build a sustainable logistics
infrastructure that can be leveraged directly by the recipient military in the future, and establishing
end-to-end supply chain visibility using global standards (GS-1) to enable military leadership to
make independent, data-driven supply chain decisions.
• Adoption of decentralized drug distribution (DDD) models, such as home deliveries, use of
community or private pharmacies, and automated lockers, to improve client convenience and

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maximize product availability.
• Collaboration with relevant stakeholders to conduct Diagnostic Network Optimizations (DNOs) to
inform laboratory supply chain refinements.
• Development of accurate forecasts that capture total program needs, including considerations for
optimized testing and treatment. These forecasts should inform regular (at minimum quarterly)
supply plan updates.
• Establishment of systems for increased data visibility and reporting of HIV commodities
availability, including granular-level reporting of quantities dispensed and stock availability.
• Active participation in collaborative efforts with recipient governments and other stakeholders to
ensure data-informed decision-making and mitigate stock risks.
• Development of a plan for increasing local oversight and utilizing private sector capabilities,
where appropriate.
• Implementation of a risk management and monitoring system, which may include third-party
monitoring for assessment and oversight of supply chain programs, if required.
• Design and implementation of capacity building initiatives to increase supply chain literacy and
fluency across recipients and human resources for health.
• Avoidance of parallel supply chain systems. All efforts must focus on strengthening and utilizing
the recipient military's and/or the national health system's existing infrastructure. The recipient
should not create separate, temporary, procurement or distribution systems.
The implementer should work towards ensuring a sustainable supply chain and improved regional self-
reliance where feasible. This includes ensuring the military is connected to the national procurement
system and other already existing procurement systems and resources in-country to avoid creating parallel
procurement systems.
8. LIVES & Child Safeguarding
The implementer will ensure that all implementer & military health facility staff are trained in and
implementing both the DHAPP LIVES and Child Safeguarding interventions (utilizing the curriculum
updated in December 2025 that is in alignment with Executive Orders to date); to include re-training all
trained staff every 3 years and training all new staff as part of their hiring process. Records for who has
been trained and when must be kept by implementer and/or military and accessible upon request.
9. Malaria
The implementer is responsible for implementing evidence-based malaria prevention and treatment
services. The implementer should work with the recipient military and MoH to ensure that these activities
align with national malaria guidelines and target geographic regions with high malaria prevalence.
Malaria remains a significant global health threat, particularly for PLHIV who may be at higher risk of
severe infection due to a compromised immune system. Malaria infection may reduce the effectiveness of
ART for PLHIV on treatment, making malaria prevention an important tool in the clinical care of PLHIV.
Populations which should be prioritized for malaria prevention and treatment services include , PLHIV,
and military populations.
The implementer will ensure that activities to address malaria include:

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• Promotion of vector control prevention activities to reduce malaria infection, such as the
distribution of insecticide-treated mosquito nets and the use of indoor residual spraying (IRS) in
areas with high malaria prevalence.
• Distribution of chemoprophylaxis according to MOD and national guidelines as appropriate for
active-duty military (ADM) deployed to areas with high malaria prevalence. Dispensing of
chemoprophylaxis medications, if indicated, should include clear guidance on timeline and
duration of medication usage.
• Training healthcare providers to identify, diagnose, and treat malaria, as well as training on early
detection and response to drug-resistant malaria.
• Distribution of appropriate malaria treatment at military health facilities, or referral to other health
center where treatment is available. The most common malaria treatments are as follows:
o Artemisinin-based combination therapy medicines are the most effective treatment for P.
falciparum malaria.
o Chloroquine is recommended for treatment of infection with the P. vivax parasite only in
places where it is still sensitive to this medicine.
o Primaquine should be added to the main treatment to prevent relapses of infection with the
P. vivax and P. ovale parasites.
• Ongoing surveillance and analysis of malaria cases and health outcome data.
10. Bio Surveillance (Surveillance and Outbreak Response)
The implementer will be responsible for implementing bio surveillance activities in coordination with the
recipient military and in alignment with international and national health guidelines. Bio surveillance
activities include 1) outbreak detection and 2) outbreak response; and will not be duplicative of other U.S.
funded bio surveillance activities.
The implementer will work with the military to ensure that outbreak detection activities are military
owned and include:
• Assessment and maintenance of existing outbreak detection capacities in military health facilities
and assessment of alignment with national protocols.
• Ensure military clinical and laboratory facilities are aware of national reporting requirements for
outbreak detection
• Determine gaps in outbreak detection, particularly in laboratory capacity and data management,
and implement a plan to correct identified gaps.
The implementer will ensure that outbreak response activities include:
• Assessment of existing outbreak response plans and revision of plans as appropriate.
• Training of personnel in effective outbreak response and establishment of outbreak response SOPs
in alignment with national protocol.
• Ensure clinical facility staff are familiar with required barrier protective measures per national
guidelines to prevent nosocomial spread of pathogens. Coordinate with national efforts to ensure
military facilities are supplied with PPE.
The implementer will work with the PM to tailor and address any other outbreak detection and response
activities outlined in the Country MOU Implementation Plan and Operational Plan.

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Monitoring and Evaluation
To ensure the effective, efficient, and durable use of United States Government funds, the recipient
military armed forces shall be responsible for the comprehensive, reliable, and timely reporting of the
milestone, outcome and process metrics specified in this announcement. This reporting is critical for two
primary objectives: first, to guide the development of health policies and practices that improve the
recipient country's force health readiness, and second, to provide rigorous accountability to the United
States Congress and the American taxpayer for every dollar appropriated.
The implementer is mandated to coordinate directly with the recipient military to ensure the accurate and
transparent delivery of these metrics to all designated stakeholders as specified in the Memorandum of
Understanding between the USG and Angola.
The overarching goal is to transition all monitoring, evaluation, and reporting responsibilities to the
recipient military, fostering complete self-reliance in the shortest possible timeframe. To verify the
integrity of this reporting and safeguard U.S. investment, the implementer will execute regular Data
Quality Assessments (DQAs) to evaluate the accuracy and reliability of the data provided by the recipient
military, the frequency of which will be determined in consultation with the recipient military.
Process Metrics Baseline Targets
# people on ART 8,367
# new HIV diagnoses among children and adults (age 12 months or
980
older)
% suspected cases receiving diagnostic test for malaria To be determined
% or # confirmed malaria cases that receive first-line antimalarial
To be determined
treatment
# insecticide-treated nets distributed to populations at risk of malaria To be determined
% accuracy of data fields assessed during the annual data audit 90%
To ensure rigorous oversight and accountability, the implementer is required to submit independent
performance data. This reporting will serve to verify and corroborate the data provided by the recipient
country's Ministry of Defense as compared to actual program implementation. The explicit purpose of
this data collection is to guarantee that every American taxpayer dollar is spent effectively, and its impact
is demonstrably justified. All implementer performance data shall be reported at the site level or higher
through the designated online data collection system (DC2) at the specified quarterly, semi-annual, or
annual intervals. The indicators used for this reporting requirement will harmonize with required
milestone, process, and outcome metrics.
All proposals must include milestone metrics by activity and which outcome or process metric each

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activity supports. Example table headers are provided below.
Metric Mapping (Outcome
Budget, USD Activity Milestone
& Process Metric)
Quality Management System
The Angolan Armed Forces is responsible for maintaining a quality management (QM) system, which
will no longer be funded through PEPFAR. Site Improvement through Monitoring System (SIMS) is a
QM system that has been supported by DHAPP for many years, and implementers and recipient militaries
are encouraged to use this system (or other QM system of their choosing). QM systems provide a
standardized approach and set of tools for monitoring program quality. QM assessment results are used to
strengthen alignment with global and national standards and facilitate program improvement as a
component of an overall quality management strategy. QM systems are also used to identify performance
issues that may impact patient outcomes or the integrity of program reporting site-level triangulation of
program and QM data can be used to contextualize performance and determine if performance challenges
at a site are due to issues related to the underlying quality of service provision.
QM systems aim to:
(1) facilitate service improvement,
(2) ensure accountability of U.S. government investments, and
(3) maximize the impact of U.S. government investments on the HIV epidemic.
QM assessment results confirm compliance with minimum quality assurance standards and identify areas
where improvements can be made.
The implementer should ensure that all supported sites are familiar with QM standards and make sure that
all efforts are taken to follow these standards. DHAPP encourages implementers and militaries to conduct
reviews of program performance using the latest QM or SIMS tools which are freely available.
SIMS or other QM system implementation is one strategy available for programs to integrate effective
quality assurance (QA) and CQI practices into site and program management. Program management must
apply ongoing program and site standards assessment—including the consistent evaluation of site safety
standards and monitoring infection prevention and control practices. PEPFAR-supported activities,
including implementer agreements and workplans should align with national policy in support of
QA/CQI.
Client, Patient, and Program Data Monitoring
Successful collection, evaluation, and use of client/patient level data is critical to good patient care and to
the success of the recipient military HIV program’s ability to monitor progress towards epidemic control.
The implementer will work with the recipient military and Ministry of Health (MOH), Ministry of
Communications, and other organizations, as appropriate, to support the collection of patient-level data,
the clinical and programmatic use of data, and the reporting of site-level data to DHAPP HQ and the
recipient military leadership.

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The implementer will be responsible for:
• Staffing, support, and mentoring of existing recipient military staff for paper and electronic data
collection
• Timely, accurate reporting of all indicators required by the recipient military and DHAPP
• Ensuring confidentiality and security of data, in line with Ministry of Defense (MOD), Ministry of
Health (MOH), and national guidelines through the whole data lifecycle from clinic, to storage, to
dissemination and destruction.
• Securing all patient-level and site-level data from dissemination outside of the recipient military
and DHAPP without prior approval from the recipient military and from DHAPP
• Support for paper and electronic data entry, cleaning, reporting, and use
• Ensuring data quality
Data Quality
Ensuring high data quality is a critical component of all recipient military programs and the implementer
should include a strategy for conducting baseline, periodic, and ongoing data quality assessments (DQA).
In this way, DHAPP, and the recipient military, can be confident in the veracity of the data that it uses for
planning and measurement of progress towards programmatic goals. The implementer should plan on
conducting periodic DQAs at the highest volume sites comprising 80% of the total number of people
living with HIV and conducting DQA’s of non-treatment technical programs, too.
Protocols for DQAs will be reviewed by recipient military, DHAPP HQ, DHAPP PM; and as deemed
appropriate by the PM and DO, MOH and local health department staff. A DHAPP DQA template is
available upon request. Protocols should start at the point of client/patient contact and follow the client
through the workflow from HIV testing to viral load testing, and the complete data lifecycle. Both paper
and electronic systems must be assessed in the DQA. Discrepancies found during DQAs should be
rectified per the DQA protocol at the site, and in the systems, and reporting. Frequency of periodic DQAs
should be determined in consultation with the recipient military and DHAPP.
Informatics
Health Information Systems
Informatics (including Digital Health Platforms (DHP) also known as Health Information Systems (HIS)
or Medical Information Systems (MIS)) are critical underpinnings of good patient healthcare and good
program management. The military's health system requires reliable informatics support to ensure its
long-term, sustainable advancement. Key goals for a military HIS include 1) improving quality and safety
of care; outbreak detection; data-driven decision-making; efficient deployment of resources; QA/QC; and
improved access and improved confidentiality of health data.
The implementer will support the recipient military’s HIS to align with the recipient country health
information systems (HIS) to the greatest degree possible. The implementer will inventory the current
military data systems (paper and electronic) and will provide written recommendations to include
identification of gaps in the military HIS and requirements to enable the recipient military HIS to reach
all clinical and laboratory locations. The implementer will coordinate with the military and MOH or other

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appropriate ministries to 1) ensure the military sites are included in national systems with 2) training, 3)
infrastructure improvements such as routers, computers, solar power and satellite internet connectivity, 4)
security (physical and cyber), 5) data use policy and governance, 6) data management, 7) data analytics,
and 8) data use and dissemination. Where equipment procurements are needed, the recipient will ensure
that the equipment will follow US laws and policies (e.g. no equipment from China, USA made, etc.).
The implementer must ensure by 2030 that the military will be capacitated with durable systems, staffing,
training, and infrastructure to allow the military to use their systems effectively and independently to
monitor client health and conduct national reporting.
Work Plans
The implementer must submit annual, programmatic and financial, work plans to the DHAPP Program
Manager and DHAPP HQ (budget breakdown per activity and for program management is required).
Work plans should include an Activities Implementation Timeline as well as Monitoring and Evaluation
Timeline. A full list of reporting requirements can be found in the base Program Announcement and will
be disclosed in the award terms and conditions.

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Burundi: DHAPP - Burundi National Defense Force Partnership for Resilient Military Health
Systems for Readiness
NOTE: Application submissions for this narrative are due by 12pm EST on 15 May 2026.
Submissions received after the deadline will not be considered for funding.
Call for Proposals
Proposals are requested to support the Burundi National Defense Force (BNDF) to reach sustainable
control of the HIV epidemic through the lens of the America First Global Health Strategy, as well as the
UNAIDS HIV Treatment 95-95-95; Vertical Transmission 95 targets; and TB prevention 90 and in
alignment with the National Security Strategy (NSS) and the National Defense Strategy (NDS) goals to
protect the homeland, deter China, and increase burden sharing. Further, proposals must be aligned with
any existing Memorandum of Understanding between the U.S. Department of State and Burundi.
Implementers should be familiar with these strategic guidance documents and include means of
addressing them in submitted proposals. Please see base Program Announcement section D for
complete detailed list of application, format and submission requirements. Proposal Technical
Narrative may not exceed 45 pages.
Introduction
The HIV/AIDS epidemic has devastated many militaries and other uniformed organizations worldwide by
reducing military readiness, limiting deployments, causing physical and emotional decline in infected
individuals and their families, posing risks to other military personnel and their extended communities,
and impeding participation in peacekeeping activities. As HIV management improves, many of these
impacts are reduced; however, militaries now need to sustain life-long HIV treatment for their HIV-
infected beneficiaries; this is in addition to managing other long-term chronic diseases to maintain high
force health readiness in strategically identified recipient militaries. Moreover, given the well-known
biobehavioral risk factors among uniformed personnel, reducing HIV acquisition and transmission in this
population is an essential component for reaching epidemic control in the recipient country.
The U.S. Government has a long history of providing foreign assistance to combat HIV/AIDS, advancing
U.S. national security by promoting stability in key regions. Over the years, the United States DoD
HIV/AIDS Prevention Program (DHAPP) has successfully engaged over 80 countries to control the HIV
epidemic among their respective military services. Working closely with the Department of Defense
(DoD, herein referred to using the secondary title Department of War, DoW), U.S. Geographic
Combatant Commanders, the Bureau of Global Health Security and Diplomacy (GHSD) and other
organizations, DHAPP’s mission is to build the capacity of recipient militaries through military-specific
HIV/AIDS assistance, creating self-reliant security counterparts. DHAPP is the DoW implementing
agency collaborating with the US Department of State, and the Centers for Disease Control and
Prevention (CDC), in the US President’s Emergency Plan for AIDS Relief (PEPFAR). DHAPP receives
funding for its programs from two sources: a congressional plus up to the Department of War (Title 10)
Defense Health Program (DHP) and funding transfers from the Department of State (Title 22) for
PEPFAR.
All proposals must be in full alignment with any existing Memorandum of Understanding (MOU) between

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the Department of State (DoS) and Burundi clearly articulating transition plans for each activity over the
course of the agreement with specific and measurable milestones. Reserving the last year of the
agreement for transition planning will not be accepted. Activities to transition responsibilities to the
recipient country must begin immediately upon award and continue throughout the life of the agreement
to ensure a rapid path to self-sufficiency. The implementer must prepare the recipient country's military to
fully own and operate all services, ensuring a complete and final transition of responsibility away from
U.S. assistance.
The DoW Combatant Commands (CCMDs) have identified the longstanding DHAPP program with
recipient countries as an essential security cooperation tool that serves U.S. interests. Pursuing HIV/AIDS
activities with foreign militaries is an important part of maintaining security interests, regional stability
through health readiness, counterterrorism, and peacekeeping efforts due to the impact of HIV/AIDS as a
destabilizing factor in developing nations. DHAPP employs an integrated bilateral and regional strategy
for HIV/AIDS cooperation and security assistance. DHAPP implements bilateral and regional strategies
in coordination with respective CCMDs and DHAPP Country Support Teams to offer military-to-military
HIV/AIDS program assistance using country priorities set by the US Under-Secretary of War for Policy
and by the Department of State Bureau of Global Health Security and Diplomacy (GHSD). DHAPP
provides technical support to defense forces in HIV prevention, care, treatment, and information systems
and data use for HIV-infected individuals and their families.
PEPFAR adopted the United Nations Programme on HIV/AIDS (UNAIDS) global 95-95-95 (formerly
90-90-90) goals that state by 2030: 95% of people with HIV are diagnosed, 95% of them are on
antiretroviral therapies (ART) and 95% of them are virally suppressed. An additional goal supported by
GHSD is 95% coverage of services for eliminating vertical transmission. Lastly, the UNAIDS Global
AIDS Strategy established a goal that 90% of PLHIV receive preventive treatment for TB.
All proposals must align with the America First Global Health Strategy, which focuses on the following
points:
• Address Inefficiency and Dependency: The majority of funding should go directly towards patient
care and building resilient health systems. High program management costs will not be funded.
• Pillar 1: Make America Safer: The primary goal is to protect Americans by enhancing global
surveillance systems to detect outbreaks within seven days of emergence, notify public health
authorities within 1 day and rapidly responding at the source within 7 days with early response
actions to prevent pandemics from reaching U.S. shores.
• Pillar 2: Make America Stronger: Foreign health assistance will be used as a strategic tool to
strengthen bilateral relationships. The U.S. will enter into multi-year agreements with recipient
countries that require co-investment and establish clear benchmarks, ...moving them toward self-
sufficiency and away from reliance on U.S. foreign assistance. Proposals must align with any
existing country-specific MOU timelines.
• Pillar 3: Make America More Prosperous: The strategy aims to bolster the U.S. economy by
preventing costly pandemics and by using foreign assistance programs to promote American
companies and health innovations (like diagnostics and pharmaceuticals) in emerging global
markets.
• Restructure Aid Delivery: The plan calls for more frontline support, such as medical commodities

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and healthcare workers, while significantly reducing all other non-frontline expenditures to ensure
accountability to the American taxpayer. It will also streamline efforts by integrating disease-
specific programs (HIV, Malaria, TB) and leveraging the private sector and faith-based
organizations for more efficient service delivery. The implementer is expected to work with the
DHAPP Program Manager (PM) on supporting the integration of disease-specific programs
receiving USG funding for the military program.
Local Implementers
Local, non-governmental implementers with low overhead costs are encouraged to apply to this
announcement. To achieve self-reliance, it is critical that the full range of HIV services are owned and
operated by the recipient country's institutions, governments, and community-based and community-led
organizations, regardless of current antiretroviral (ARV) coverage levels. The intent of transitioning to
local implementers is to increase the delivery of direct HIV services, along with non-direct services
provided at the site, and establish sufficient capacity, capability, and durability of these local
implementers to ensure successful, long-term, community engagement and impact.
All respondents must demonstrate the active support of the in-country military in the planning and
execution of their proposals. This should be done by attaching an appropriate letter of support.
Additional Submission Guidance:
1. Review all documents within the package to ensure consistency in information, budgets, targets,
and numbering:
a. Use numbered lists, including numbered or alphabetized sub-lists, for activities for easier
reference and monitoring, especially the SOW Narrative column.
2. Ensure all activities in the Technical Narrative are also listed concisely in the SOW file.
3. Activities must be specific; Do not write “ensure” or “support” or a similar verb as a narrative
activity without defining what that means. Each activity must say specifically what the
implementer will be doing. It must be measurable and answer the questions Who? What? Where?
How? How many? How often?
4. Delineate between a training (i.e.: one time class or series of classes where attendees are gathered
in a conference room, away from regular duties) and onsite strategic assistance (on the job
guidance while recipient is performing regular duties) and specify as many of the following details
as possible for both: how many attendees or sites, how often, how many days, where, specific
topics/skills covered, expected outcomes & how they align with program goals, etc. Training
should be limited and cost efficient.
5. Please note this project budget cannot include:
a. Any budget allocations toward World AIDS Day (WAD) events/campaigns.
b. Prizes, hats, or T-shirts.
c. Flyers and printed education materials to be given to beneficiaries.
d. Rental of venues for training or events (must use available military or ministry facilities).
e. Employment or payments made directly to active-duty foreign military.

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Budget
The estimate budget for this program announcement is as follows. Final authorized budget will be
confirmed and communicated at time of official award execution. The link below contains the Financial
Classifications Reference Guide and a summary of the classification definitions.
https://help.datim.org
Financial classifications are not regulations governing allowability of federal awards. Nothing in this
guidance should be interpreted to mean that costs or activities that are unallowable or excluded under the
terms of an award are permitted by virtue of being described herein. All awards are subject to the
applicable cost principles and terms set forth and conveyed in the award made.
Estimated Budget to be used as a Framework
Health
MOU Area of Cooperation Sub category Phase 1 Phase 2 Phase 3 Phase 4 Total
Program Area
2.1: Surveillance and Outbreak
0 0 0 0 0
Response
Subtotal - - - - -
3,624 3,262 2,935 2,642 12,463
HIV 2.2: Lab Accreditation
20,694 18,625 16,762 15,086 71,167
HIV 2.2: Lab Consumables Procurement
54769.514
15,926 14,333 12,900 11,610
HIV 2.2: Lab Equipment Procurement
2.2: Laboratory Systems
27,490 24,741 22,267 20,040 94,538
HIV 2.2: Lab Service and Maintenance Costs
20,712 18,641 16,777 15,099 71,229
HIV 2.2: Frontline Lab Workers
45,980 41,382 37,244 33,519 158,125
HIV 2.2: Lab Sample Transport
Subtotal 134,426 120,983 108,885 97,997 462,291
43,792 39,413 35,472 31,924 150,601
HIV 2.3: In-Country Warehousing and Distribution
2.3: Commodities
58,074 52,267 47,040 42,336 199,716
HIV 2.3: Supply Chain Systems Support
Subtotal 101,866 91,679 82,511 74,260 350,317
79,222 71,300 64,170 57,753 272,444
HIV 2.4: Community Health Workers/Community-Based Staff
2.4: Frontline Health Workers
181,442 163,298 146,968 132,271 623,979
HIV 2.4: Other Health Workers
Subtotal 260,664 234,598 211,138 190,024 896,423
31,098 27,988 25,189 22,670 106,946
HIV 2.5: Data Systems Infrastructure
2.5: Data Systems 2,901 2,611 2,350 2,115 9,977
HIV 2.5: Licenses & Software
24073
7,000 6,300 5,670 5,103
HIV 2.5: Cybersecurity
Subtotal 40,999 36,899 33,209 29,888 140,996
2.6: Training (Pre and In-Service) and Supervision of Front
118,500 106,650 95,985 86,387 407,522
HIV Line Health Care Workers
2.6: TA to Support Program Transition to Government or
29,380 26,442 23,798 21,418 101,038
HIV Local Partners
203182.998
2.6: Strategic Assistance 59,082 53,174 47,856 43,071
HIV 2.6: Other Health Systems Strengthening
7,120 6,408 5,767 5,190 24,486
HIV 2.6: Other Commodity Procurement
226,112 203,501 183,151 164,836 777,599
HIV 2.6: IP Program Management
Subtotal 440,194 396,175 356,557 320,901 1,513,827
Total *Budget Estimate to be used asa framework. Final authorized budget will be
confirmed and communicated at time of official award. Phase 2-4 option
budget Estimates are notional and dependent on availability of US 978,149 880,334 792,301 713,071 3,363,854
Government available funding.

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Approaches to Reaching Sustainable Epidemic Control & Transitioning Ownership
Proposals are requested to support the Burundi National Defense Force to reach sustainable control of
the HIV epidemic and focus on the America First Global Health Strategy, the latest PEPFAR guidance
and UNAIDS HIV Treatment 95-95-95, Vertical Transmission 95 targets, and TB prevention 90 targets,
and in alignment with the NSS, NDS, and the MOU between the U.S. DoS and Burundi.
In 2025 DHAPP supported the recipient military in conducting a Military Sustainability Index
(MilSID). Findings indicate the military health system has made significant strides towards
sustainability over the past decade; however, additional support and strengthening is needed in
laboratory systems as well as understanding and tracking epidemiology and health data, financial and
expenditure data, and performance data.
In 2025, DHAPP conducted a review of the program against international standards. Findings indicate
the military health system must receive greater support in the following areas:
• Optimize diagnostic networks for VL/EID, TB, and other coinfections
The implementer will develop and implement a comprehensive transition plan that is in alignment with
any existing country MOU, with clearly defined every 6-month milestones demonstrating progressive
military assumption of programmatic responsibilities across all technical areas, data collection and
reporting areas, and program management. This transition framework prioritizes efficiency, direct
patient care investment, and development of resilient health systems capable of independent operation
beyond the period of U.S. support. All proposals should detail how the implementer will engage the
recipient military leadership as well as personnel at all levels in this work; and, specifically, how the
implementer will utilize the organizational structure of the military to strengthen the internal capacity of
the military to conduct these activities. Please specify which SOW activities the implementer is
supporting the military to take ownership of (showing increasing military ownership) and by when
(with detailed milestones). Throughout this progression, the implementer must document evidence of
increasing military ownership through specific metrics including percentage of activities led by military
staff, proportion of budget executed directly by military, number of military personnel trained to
competency, and documented military-led decision-making and problem-solving. Failure to attain
defined milestones as agreed upon by the implementer, the partner military, and DHAPP may result in
award termination.
The implementer must work in complete coordination with all relevant officials in the recipient militaries’
HIV health services, as well as the DHAPP/DoW Program Manager based at the U.S. Embassies in these
countries, and other DHAPP-supported implementers working within the country or regionally supporting
the country, other bilateral and multilateral agencies with similar objectives and the DHAPP Headquarters
Team.
Technical Narrative & Scope of Work (SOW)
In alignment with international health guidelines, America First Global Health Strategy, and guidance
from PEPFAR/GHSD, coupled with DHAPP’s vision to build the capacity of military health systems

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through military-specific and culturally appropriate services, the recipient will address the approach to
each technical area. The implementer, through burden-sharing and building self-reliance within the
recipient military, will be responsible for providing the following in close collaboration with other
DHAPP-funded implementers.
Technical Module Building Blocks
The implementer will work closely with the Ministry of Defense and its medical leadership to make
progress towards a resilient and self-reliant military HIV program that is aligned with the national MOU
(if applicable), using evidence-based and efficient interventions to reach the three 95s. In alignment with
the Transition Plan directive above, the implementer will include specific milestones for program
transition for activities within each technical area.
1. Pre-Exposure Prophylaxis (PrEP)
The implementer will support the military in providing client-centered, judgement-free, evidence-based
PrEP services to all HIV-negative individuals at high risk of acquiring HIV.
The implementer will ensure that the following interventions for adults and adolescents include:
• People at a higher risk of acquiring HIV, including PBFW, must be counseled on and offered
PrEP in alignment with recipient country government policies. Any person who asks for PrEP
should be considered for use.
• Individuals considering PrEP must be confirmed HIV-negative and be willing to attend
follow-up appointments to monitor their HIV status on a routine basis. If a PrEP user tests
HIV-positive, PrEP must stop immediately and effective HIV treatment must start.
• Differentiated and simplified service delivery for PrEP is encouraged, such as event-driven
PrEP (ED PrEP), community delivery, and the use of HIV self-tests (HIVST) for PrEP
services.
• PrEP counselors must be equipped to ensure that PrEP users understand adherence to the
different DSD options and different PrEP options. Adherence counseling and support must be
ongoing, as necessary.
• As Long-acting Lenacapavir (LEN) injectables become available, beneficiaries should be
presented with thorough information on all available PrEP options, including each method’s
relative efficacy and safety, as well as counseling and adherence support, allowing for an
informed client choice.
• If PrEP is not being offered at military facilities, the recipient will work with the military and
PM to advocate with necessary stakeholders (possibly MoH or military leadership) to update
guidelines, gain necessary approvals, and start implementation at military facilities.
2. Post Exposure Prophylaxis (PEP)
The implementer will support the military in providing client-centered, judgement-free, evidence-based
PEP services to all HIV-negative individuals (including healthcare workers and non-healthcare workers)
who have had a possible exposure to HIV within the last 72 hours.
The implementer will ensure that the following interventions for adults and adolescents include:

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