The United States Agency for International Development (USAID) is seeking applications from qualified entities to implement the Client-Oriented Response for HIV Epidemic Control (CORE) Activity that will provide intensive support to improve access to and uptake of quality HIV clinical services in multiple districts of Malawi in alignment with the GOM’s NSP, the PEPFAR Malawi strategy as defined through the annual COP process, and the CDCS.

USAID’s assistance for Malawi’s HIV and AIDS program is focused on interventions that are expected to have the greatest impact on achieving and sustaining epidemic control and are supported by a strong evidence base. This activity's primary goal is to reduce HIV incidence, and HIV-related morbidity and mortality.

Objectives & Results

• Objective 1: Increase and sustain the proportion of People Living with HIV (PLHIV) identified and linked to treatment.
  • Result 1.1 Cost-effective, strategic testing services implemented; and,
  • Result 1.2 Cost-effective linkage systems from testing to HIV prevention, care, and treatment services assured.
• Objective 2: Durable viral load suppression increased.
  • Result 2.1 Quality care & treatment services for adults, including pregnant women, children, adolescents and key populations;
  • Result 2.2 Patient outcomes for adherence and retention improved; and
  • Result 2.3 Strengthening viral load monitoring systems.
• Objective 3: Use of high impact preventive services increased.
  • Result 3.1 PrEP services and uptake expanded.
• Objective 4: Improve the availability and use of quality site-level data
  • Result 4.1 Site-level electronic and paper-based systems supported.

Funding Information

• Estimated Total Program Funding: $160,000,000
• Award Ceiling: $80,000,000
• Award Floor: $80,000,000

Eligibility Criteria

• Eligibility for this NOFO is restricted to local (Malawian) and Regional (Southern African Development Community – SADC) organizations. Applications from organizations that have not previously received financial assistance from USAID are welcome if the Applicant determines that it has necessary capacity to implement activities of the magnitude such as this one.
• Applicants must meet the following criteria that qualify what a local or regional organization as defined by the President's Emergency Plan for AIDS Relief (PEPFAR).
• USAID/PEPFAR defines a “local or regional entity” as an individual, a corporation, a nonprofit organization, or another body of persons that:
  • Is incorporated or legally organized under the laws of the country or region, and have its principal place of business in the country or region served by the PEPFAR program with which the entity is or may become involved (in this case Malawi or SADC).
  • It is 75?neficially owned by individuals who are citizens or lawfully admitted permanent residents of that same country or region, per sub-paragraph (a), or by other corporations, partnerships or other arrangements that are local partners under this paragraph.
  • At least 75% of the entity's staff (senior, mid-level, support) must be citizens or lawfully admitted permanent residents of that same country or region, per sub-paragraph (a), and at least 75% of the entity's senior staff (i.e., managerial and professional personnel) must be citizens or lawfully admitted permanent residents of such country or region; and
  • Has a Board of Directors and that at least 51% of the members of the Board must also be citizens or lawfully admitted permanent residents of the country or region.
• Applicants must provide as part of the application package; information and supporting documents that prove qualifications as a local or regional organization in view of the applicable USAID/PEPFAR definition for local organization provided above.

For more information, visit USAID-Malawi.