Opportunity Information: Apply for 7200AA19RFA00003
Meeting Targets and Maintaining Epidemic Control (TMEC) is a USAID health funding opportunity focused on strengthening the full HIV (and related) clinical cascade by closing persistent gaps in prevention, care, and treatment. The core idea is to help programs reach and sustain epidemic control by improving how services are delivered and supported in the field, with a strong emphasis on technical assistance (TA), hands-on extension, and practical implementation support. Rather than only funding direct service delivery, TMEC is structured to bolster the systems, processes, and on-the-ground capacity that keep prevention and treatment performance on track, especially in places or populations where outcomes lag.
A major feature of the opportunity is its population focus. TMEC highlights services tailored for key populations as well as men, women, and families, reflecting the reality that different groups face different barriers along the cascade. In practice, that typically means identifying where people are being missed (for example, not getting tested, not starting treatment, or not staying engaged in care) and then applying targeted, evidence-informed solutions that fit local contexts. The opportunity description points directly to gaps across the clinical cascade, which commonly includes finding undiagnosed individuals, linking them to care quickly, initiating and maintaining effective treatment, supporting adherence, and achieving and sustaining viral suppression, while also reinforcing prevention approaches that reduce new infections.
The mechanism for this award is a Cooperative Agreement, which generally signals an assistance award with substantial involvement by the federal agency during implementation. This is important because it suggests USAID anticipated working closely with the recipient on planning, technical direction, coordination, and performance management to ensure that the project remains aligned with evolving epidemic needs and targets. The announcement also notes an option for transition awards, indicating built-in flexibility to support handover or continuity strategies, such as shifting responsibilities to local institutions, integrating activities into country systems, or bridging to a follow-on phase when certain milestones are met.
From a funding standpoint, TMEC was a discretionary grant opportunity under the Health activity category (CFDA 98.001) administered by the U.S. Agency for International Development. The opportunity anticipated a single award (ExpectedAwards: 1) with a very large maximum funding level (AwardCeiling: $270,000,000), implying a substantial, multi-country or large-scale national support platform rather than a small pilot. Eligibility was listed as unrestricted, meaning a wide range of entity types could apply, subject to any clarifications in the full eligibility text.
Key administrative details from the notice include the funding opportunity number 7200AA19RFA00003, with an original posting/creation date of October 19, 2018. The application deadline was November 1, 2018 at 12:00 PM EDT, indicating a relatively short application window typical of large procurement and assistance actions where applicants are expected to have strong pre-existing technical and operational capacity.
Overall, TMEC can be understood as a large USAID cooperative agreement intended to help countries and programs meet epidemic control targets by strengthening prevention and treatment performance across the cascade, using field-based technical assistance and extension support, and prioritizing approaches that effectively reach key populations and support men, women, and families with the right services at the right points in care.Apply for 7200AA19RFA00003
- The Agency for International Development in the health sector is offering a public funding opportunity titled "Meeting Targets and Maintaining Epidemic Control (TMEC)" 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 Oct 19, 2018.
- Applicants must submit their applications by Nov 01, 2018 The closing date for this opportunity is November 1, 2018 12PM EDT. (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 $270,000,000.00 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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TMEC (Meeting Targets and Maintaining Epidemic Control) - FAQs
1. What is the TMEC funding opportunity?
Meeting Targets and Maintaining Epidemic Control (TMEC) is a USAID health funding opportunity focused on strengthening the full HIV (and related) clinical cascade by closing persistent gaps in prevention, care, and treatment. The emphasis is on improving how services are delivered and supported in the field so programs can reach and sustain epidemic control.
2. What is the main goal of TMEC?
The central goal is to help programs meet and maintain epidemic control targets by strengthening performance across prevention and treatment. TMEC prioritizes practical, field-based improvements that keep HIV cascade outcomes on track, especially where results lag.
3. What does TMEC mean by strengthening the "clinical cascade"?
Based on the opportunity description, strengthening the clinical cascade typically involves identifying and addressing gaps such as finding undiagnosed individuals, linking them to care quickly, initiating and maintaining effective treatment, supporting adherence, and achieving and sustaining viral suppression, while also reinforcing prevention approaches that reduce new infections.
4. Is TMEC primarily about paying for direct service delivery?
No. TMEC is described as being structured to bolster the systems, processes, and on-the-ground capacity that support prevention and treatment performance. Rather than only funding direct service delivery, it emphasizes technical assistance (TA), hands-on extension, and practical implementation support.
5. What types of support does TMEC emphasize?
The opportunity places strong emphasis on technical assistance (TA), hands-on extension, and practical implementation support. The intent is to strengthen how services are delivered and supported in the field.
6. Why does TMEC emphasize "persistent gaps"?
TMEC is designed around the idea that even in strong HIV programs, persistent gaps can remain across prevention, care, and treatment. The opportunity highlights closing these gaps to improve cascade outcomes and sustain epidemic control over time.
7. What populations does TMEC focus on?
TMEC highlights services tailored for key populations as well as men, women, and families. This reflects that different groups face different barriers along the HIV clinical cascade, and solutions often need to be tailored accordingly.
8. What does a "population focus" mean in practice for TMEC?
In practice, the population focus typically means identifying where specific groups are being missed (for example, not getting tested, not starting treatment, or not staying engaged in care) and applying targeted, evidence-informed solutions that fit local contexts.
9. What award mechanism is used for TMEC?
TMEC uses a Cooperative Agreement mechanism.
10. What does it mean that TMEC is a Cooperative Agreement?
A Cooperative Agreement generally signals an assistance award with substantial involvement by the federal agency during implementation. For TMEC, this suggests USAID anticipated working closely with the recipient on planning, technical direction, coordination, and performance management to keep the project aligned with evolving epidemic needs and targets.
11. Does TMEC mention transition awards?
Yes. The notice indicates an option for transition awards, suggesting built-in flexibility to support handover or continuity strategies.
12. What kinds of transitions are implied by the "transition awards" option?
The description suggests transitions could include shifting responsibilities to local institutions, integrating activities into country systems, or bridging to a follow-on phase when certain milestones are met.
13. Who administers the TMEC opportunity?
The opportunity is administered by the U.S. Agency for International Development (USAID).
14. What is the activity category and CFDA number listed for TMEC?
TMEC is listed under the Health activity category with CFDA 98.001.
15. What is the funding opportunity number for TMEC?
The funding opportunity number is 7200AA19RFA00003.
16. When was the TMEC opportunity originally posted?
The original posting/creation date listed is October 19, 2018.
17. What was the application deadline for TMEC?
The application deadline was November 1, 2018 at 12:00 PM EDT.
18. How many awards were expected under TMEC?
The notice anticipated a single award (ExpectedAwards: 1).
19. What is the maximum funding amount (award ceiling) for TMEC?
The award ceiling listed is $270,000,000.
20. What does the large award ceiling suggest about the size of the program?
The very large maximum funding level suggests a substantial, large-scale support platform (for example, multi-country or large national-level support) rather than a small pilot project.
21. What is the eligibility for TMEC?
Eligibility was listed as unrestricted, meaning a wide range of entity types could apply, subject to any clarifications in the full eligibility text.
22. Is TMEC a discretionary grant opportunity?
Yes. The description notes TMEC was a discretionary grant opportunity under the Health activity category.
23. What problem is TMEC trying to solve at the program level?
TMEC targets performance and implementation challenges that keep prevention and treatment outcomes from meeting targets. It aims to strengthen systems and field delivery support so programs can consistently reach key milestones along the cascade, particularly in locations or populations where outcomes lag.
24. What is a simple way to summarize TMEC?
TMEC is a large USAID cooperative agreement designed to help programs meet and sustain HIV epidemic control by strengthening prevention and treatment performance across the cascade through field-based technical assistance, hands-on extension, and practical implementation support, with tailored approaches for key populations and for men, women, and families.
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