Opportunity Information: Apply for RFI 656 18 MCH
The Quality Health Intiative is a USAID/Mozambique grant opportunity focused on improving maternal, neonatal, and child health outcomes in Mozambique over a five-year period. The core idea is to help the Government of the Republic of Mozambique strengthen how MNCH services are delivered and used, with a strong emphasis on quality, high-impact interventions, and long-term sustainability. The approach is designed to be both practical and scalable: work intensively in one province to demonstrate what high-performing, patient-centered care can look like, then use those results to influence and improve national systems.
A central feature of the opportunity is building Nampula province into a model province for maternal, newborn, and child health service delivery. This includes improving the provision of care (how services are organized and delivered in facilities and communities) and increasing utilization (making sure more women, newborns, and children actually access timely and appropriate services). The description highlights that services should be gender-responsive and patient-centered, meaning programs are expected to consider gender-related barriers and power dynamics that affect access to care, while also improving the experience and responsiveness of services to patients and families. The emphasis on "high-quality" and "high-impact" suggests a focus on interventions known to reduce illness and deaths, coupled with systems to ensure those interventions are delivered consistently and safely.
Alongside the provincial work, the activity is meant to support the central Ministry of Health in adopting and institutionalizing lessons learned from Nampula. In practical terms, this points to building or strengthening a national Quality Improvement system, using real implementation experience from Nampula to shape policies, tools, standards, supervision approaches, data use, and continuous improvement processes across Mozambique. The intent is not only to run a successful provincial project, but to leave behind a repeatable, government-owned model that can be expanded and sustained beyond the life of the award.
From a funding and administrative standpoint, the opportunity is issued by the Agency for International Development, Mozambique (USAID-Maputo). It is categorized under "Other" as an opportunity category and uses a Cooperative Agreement as the funding instrument, which typically means USAID expects substantial involvement during implementation compared to a standard grant. The activity falls under the Health funding activity category and is associated with CFDA number 98.001. Eligibility is listed as unrestricted, meaning it is open to a wide range of entity types, subject to any additional eligibility details that may be provided in the full notice.
In terms of scale and competition, USAID anticipated making one award with an award ceiling of $37,000,000 for the full five-year period. The opportunity was originally posted on September 21, 2018, with an original closing date of October 4, 2018, under the funding opportunity number RFI 656 18 MCH. Overall, it represents a sizable, single-award investment aimed at improving MNCH outcomes through measurable quality improvements in Nampula and translating successful approaches into national Quality Improvement systems led by the Ministry of Health.Apply for RFI 656 18 MCH
- The Agency for International Development, Mozambique USAID-Maputo in the health sector is offering a public funding opportunity titled "Quality Health Intiative" 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 Sep 21, 2018.
- Applicants must submit their applications by Oct 04, 2018. (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 $37,000,000.00 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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Frequently Asked Questions (FAQs) - USAID/Mozambique Quality Health Initiative
What is the Quality Health Initiative?
The Quality Health Initiative is a USAID/Mozambique grant opportunity focused on improving maternal, neonatal, and child health (MNCH) outcomes in Mozambique over a five-year period. The opportunity centers on strengthening how MNCH services are delivered and used, with a strong emphasis on quality, high-impact interventions, and long-term sustainability.
What problem is this opportunity trying to address?
Based on the description provided, the opportunity aims to improve health outcomes for mothers, newborns, and children by improving both the quality of MNCH services (how consistently and safely services are delivered) and the utilization of services (whether women, newborns, and children access timely and appropriate care).
What does MNCH stand for?
MNCH stands for maternal, neonatal, and child health. In this opportunity, it refers to services and interventions that affect mothers, newborns, and children.
How long is the project period?
The opportunity describes a five-year period of performance.
Which country and region are the focus of the work?
The work is in Mozambique, with a central feature being intensive work in Nampula province to develop it as a model province for MNCH service delivery.
Why is Nampula province highlighted?
Nampula is intended to be developed into a model province that demonstrates what high-performing, patient-centered MNCH care can look like. The idea is to work intensively in one province, generate results, and then use those lessons to influence and improve national systems.
What does it mean to create a "model province" for MNCH?
In the context provided, a model province means improving MNCH service delivery and utilization in Nampula in a way that is practical and scalable, demonstrating approaches that can later be adopted by national systems and replicated elsewhere in Mozambique.
What are the main objectives of the opportunity?
The description indicates two linked objectives: (1) improve the provision and utilization of MNCH services in Nampula province using high-quality, high-impact, gender-responsive, patient-centered approaches; and (2) support the Ministry of Health at the national level to adopt and institutionalize lessons learned from Nampula through stronger national Quality Improvement systems.
What is meant by improving the "provision of care"?
Improving provision of care refers to strengthening how MNCH services are organized and delivered in facilities and communities, with an emphasis on quality and consistent delivery of effective interventions.
What is meant by increasing "utilization" of services?
Increasing utilization means ensuring more women, newborns, and children actually access timely and appropriate MNCH services, not just that services exist.
What does "gender-responsive" mean in this opportunity?
Gender-responsive programming, as described, means taking into account gender-related barriers and power dynamics that affect access to care. It implies the activity should consider how gender roles and constraints may influence whether and how patients seek and receive MNCH services.
What does "patient-centered" mean here?
Patient-centered, as described, means improving the experience and responsiveness of services to patients and families, and designing service delivery in ways that better meet patient needs.
What is meant by "high-quality" and "high-impact" interventions?
The opportunity description suggests a focus on interventions known to reduce illness and deaths (high-impact), combined with systems that ensure these interventions are delivered consistently and safely (high-quality).
How does the provincial work connect to national systems?
The activity is designed so that results and lessons learned from Nampula can be used to support the central Ministry of Health in adopting and institutionalizing improvements at the national level. In other words, Nampula is meant to generate practical implementation experience that strengthens national approaches.
What national-level outcomes are expected from the Nampula experience?
The description points to strengthening or building a national Quality Improvement system, using Nampula implementation experience to shape national policies, tools, standards, supervision approaches, data use, and continuous improvement processes.
What is a national Quality Improvement system in the context of this opportunity?
Based on the information provided, it refers to national processes and structures that help Mozambique continuously improve health service quality, potentially including standards, tools, supportive supervision approaches, data use practices, and improvement cycles that can be adopted and sustained by the Ministry of Health.
Who is the funding agency?
The opportunity is issued by the Agency for International Development, Mozambique (USAID-Maputo).
What type of funding instrument will be used?
The funding instrument is a Cooperative Agreement.
What does a Cooperative Agreement imply for implementation?
As described, a Cooperative Agreement typically means USAID expects substantial involvement during implementation compared to a standard grant.
What is the funding activity category?
The funding activity category is Health.
What is the opportunity category listed as?
The opportunity category is listed as "Other."
What is the CFDA number associated with this opportunity?
The CFDA number is 98.001.
Who is eligible to apply?
Eligibility is listed as unrestricted, meaning it is open to a wide range of entity types, subject to any additional eligibility details that may be provided in the full notice.
How many awards does USAID expect to make?
USAID anticipated making one award.
What is the maximum funding amount available?
The award ceiling is $37,000,000 for the full five-year period.
When was the opportunity posted?
The opportunity was originally posted on September 21, 2018.
What was the original closing date?
The original closing date was October 4, 2018.
What is the funding opportunity number?
The funding opportunity number is RFI 656 18 MCH.
Is this opportunity focused only on service delivery, or also on systems change?
It is designed to do both: demonstrate improvements in MNCH service delivery and utilization in Nampula, and also translate those lessons into national Quality Improvement systems led by the Ministry of Health for broader, sustained impact.
What is the core approach described for achieving sustainability?
The approach emphasizes practical, scalable work in Nampula to demonstrate results, then using those results to influence national systems so improvements become government-owned and repeatable beyond the life of the award.
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