Opportunity Information: Apply for RFA 521 17 000014
The Health Service Delivery (HSD) opportunity is a USAID/Haiti funding solicitation for a large, four-year health project intended to improve the health status of communities across Haiti by strengthening primary health care delivery. The award is structured as a cooperative agreement, which typically means USAID expects substantial involvement during implementation (for example, close coordination on work planning, performance management, and key technical decisions). The program is designed to align closely with Haitis national health priorities and to be implemented in close partnership with the Haitian Ministry of Public Health and Population (MSPP), working not only with the central level but also with departmental health authorities to reinforce how services are planned, managed, and delivered.
At the core of HSD are two linked objectives. First, the project seeks to increase the utilization of quality, essential health services at both facility and community levels, specifically in line with the MSPPs approved Package of Essential Services (PES). In practice, this points to supporting a coherent set of primary health care interventions rather than isolated disease-specific activities, with an emphasis on both access and quality. The language about facility and community platforms suggests the activity is expected to strengthen care across the continuum, including services delivered in clinics and hospitals as well as outreach and community-based service delivery mechanisms that help households actually use services, follow referrals, and maintain adherence to treatment and prevention behaviors.
Second, HSD aims to strengthen local management and operational capacity to deliver health services. This objective is about the systems that make care reliable: planning and budgeting, human resources and supervision, supply chain and commodity availability, data collection and use, quality improvement routines, and the day-to-day operational functions that allow facilities and community networks to provide consistent services. By emphasizing management and operations, USAID is signaling that improvements in health outcomes are expected to come not only from training providers or adding inputs, but from building the institutional capacity of Haitian structures to manage performance and sustain service delivery over time.
A major strategic requirement embedded in the opportunity is the prioritization of results-based financing (RBF). The MSPP has adopted RBF as a national strategy, and HSD is expected to expand and tailor RBF approaches to improve access, utilization, and quality, while also driving performance across all levels of Haitis primary health service delivery system. This implies the program should use incentives and verification mechanisms that reward measurable results, such as increased coverage of priority services, improved quality scores, stronger reporting, or better patient experience, depending on how the RBF model is designed. It also implies the implementer should be prepared to work within national RBF policies and systems, adapt them to local contexts, and ensure performance management is integrated into routine operations rather than functioning as a parallel project system.
From a funding and competition standpoint, USAID anticipated making a single award, with an award ceiling of $98.5 million, indicating a large, nationally significant implementation effort rather than multiple smaller grants. The opportunity was listed as discretionary and open to unrestricted eligible applicants (meaning organizations of many types could apply, subject to any clarifications in the full notice). The funding opportunity number is RFA 521 17 000014, under CFDA 98.001, and it was issued by USAID in Port-au-Prince. The original posting date was May 15, 2017, with an original closing date of June 30, 2017.
Overall, HSD is framed as an integrated investment meant to complement USAIDs other health sector activities in Haiti and to incrementally advance the MSPPs ability to sustain delivery of quality primary health care. The emphasis on alignment with the PES, collaboration with MSPP at multiple administrative levels, and scaled RBF implementation suggests USAID was looking for an implementer able to combine technical service delivery strengthening with robust health systems and performance management capabilities, ultimately supporting a more resilient, higher-performing public health service delivery system over the life of the project and beyond.Apply for RFA 521 17 000014
- The Agency for International Development, Haiti USAID-Port Au Prince in the health sector is offering a public funding opportunity titled "Health Service Delivery (HSD)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
- This funding opportunity was created on May 15, 2017.
- Applicants must submit their applications by Jun 30, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $98,500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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