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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Health Service Delivery (HSD) - USAID/Haiti Grant Opportunity FAQs
What is the Health Service Delivery (HSD) opportunity?
The Health Service Delivery (HSD) opportunity is a USAID/Haiti funding solicitation for a large, four-year health project designed to improve the health status of communities across Haiti by strengthening primary health care delivery.
Which USAID office issued this opportunity?
The opportunity was issued by USAID in Port-au-Prince, Haiti.
What type of award is expected under HSD?
The award is structured as a cooperative agreement. This typically means USAID expects substantial involvement during implementation, such as close coordination on work planning, performance management, and key technical decisions.
How long is the project period?
The project is intended to run for four years.
What is the maximum funding amount for this opportunity?
The anticipated award ceiling is $98.5 million.
How many awards did USAID anticipate making?
USAID anticipated making a single award, indicating a large, nationally significant implementation effort rather than multiple smaller grants.
Is this opportunity competitive and what is its funding category?
The opportunity was listed as discretionary.
Who is eligible to apply?
The opportunity was described as open to unrestricted eligible applicants, meaning organizations of many types could apply (subject to any clarifications in the full notice).
What are the main goals or objectives of HSD?
HSD centers on two linked objectives: (1) increasing the utilization of quality, essential health services at facility and community levels in line with the MSPP-approved Package of Essential Services (PES), and (2) strengthening local management and operational capacity to deliver health services.
What does "strengthening primary health care delivery" mean in this opportunity?
It points to supporting a coherent set of primary health care interventions (rather than isolated disease-specific activities), with emphasis on both access and quality, across both facility-based services (clinics/hospitals) and community-based service delivery mechanisms.
What is the Package of Essential Services (PES) and why does it matter here?
The PES is the Haitian Ministry of Public Health and Population (MSPP) approved Package of Essential Services. HSD is explicitly expected to increase utilization of essential services in line with this package, signaling that project-supported services should align with national standards and priorities.
What is meant by working at both facility and community levels?
The solicitation language indicates the activity is expected to strengthen care across the continuum, including services delivered in clinics and hospitals as well as outreach and community-based mechanisms that help households use services, follow referrals, and maintain adherence to treatment and prevention behaviors.
What does HSD say about alignment with national priorities in Haiti?
The program is designed to align closely with Haiti's national health priorities and to be implemented in close partnership with MSPP, working with both the central level and departmental health authorities.
Which Haitian government entity is the primary partner for this activity?
The primary partner highlighted is the Haitian Ministry of Public Health and Population (MSPP), including collaboration with departmental health authorities.
What does the opportunity emphasize about strengthening management and operations?
The second objective focuses on the systems that make care reliable, including planning and budgeting, human resources and supervision, supply chain and commodity availability, data collection and use, quality improvement routines, and day-to-day operational functions that support consistent services.
Does the opportunity focus only on clinical training or inputs?
No. The opportunity emphasizes that improvements in health outcomes are expected not only from training providers or adding inputs, but also from building institutional capacity within Haitian structures to manage performance and sustain service delivery over time.
What is results-based financing (RBF) and how central is it to HSD?
Prioritizing results-based financing (RBF) is described as a major strategic requirement. Since MSPP has adopted RBF as a national strategy, HSD is expected to expand and tailor RBF approaches to improve access, utilization, and quality, and to drive performance across Haiti's primary health service delivery system.
What kinds of results might RBF incentives be tied to under HSD?
Based on the solicitation description, incentives and verification mechanisms could 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.
Does HSD expect RBF to be integrated into national systems?
Yes. The opportunity indicates the implementer should be prepared to work within national RBF policies and systems, adapt them to local contexts, and integrate performance management into routine operations rather than running a parallel project system.
What does "substantial involvement" by USAID mean in a cooperative agreement context?
In this opportunity, it is described as close coordination with USAID on items like work planning, performance management, and key technical decisions during implementation.
Is this opportunity intended to be a stand-alone health project, or part of a broader portfolio?
HSD is framed as an integrated investment meant to complement USAID's other health sector activities in Haiti and to advance MSPP's ability to sustain delivery of quality primary health care over time.
What is the funding opportunity number for HSD?
The funding opportunity number is RFA 521 17 000014.
What is the CFDA number associated with this opportunity?
The CFDA number listed is 98.001.
When was the opportunity originally posted?
The original posting date was May 15, 2017.
What was the original closing date?
The original closing date was June 30, 2017.
What does the size of the award ceiling suggest about the scale of work?
An award ceiling of $98.5 million and the expectation of a single award suggest a large, nationally significant implementation effort rather than smaller, localized projects.
What type of technical and operational capabilities does the opportunity imply an implementer should have?
Based on the emphasis in the solicitation, USAID appeared to be looking for an implementer able to combine primary health care service delivery strengthening with strong health systems, management, and performance management capabilities, including the ability to scale and tailor RBF in partnership with MSPP.
What long-term outcome is HSD aiming to support beyond the life of the project?
The opportunity describes an intent to support a more resilient, higher-performing public health service delivery system in Haiti, strengthening MSPP's capacity to sustain delivery of quality primary health care beyond the project period.
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