Opportunity Information: Apply for 72052123RFA00006

The Health Service Delivery - Integrated Social Behavior and Change (SBC) Activity is a USAID-funded opportunity in Haiti designed to increase adoption of positive health behaviors at the individual, household, and community levels. The focus is deliberately broad and integrated, recognizing that families face overlapping health challenges that cannot be addressed well in isolation. The activity aims to strengthen how people seek care, experience care, and continue recommended practices after care, using social and behavior change approaches as a core strategy to improve health outcomes across multiple public health areas.

Programmatically, the grant targets several intersecting sectors, including family planning and reproductive health, HIV, maternal and child health, nutrition, and water, sanitation, and hygiene (WASH). It also explicitly includes epidemic and emerging threats such as COVID-19, cholera, and tuberculosis, along with other primary care needs. A key cross-cutting expectation is the inclusion of gender-based violence considerations within health programming, signaling that the activity should address how gender norms, safety, power dynamics, and service accessibility affect health behaviors and service use.

A defining feature of the activity is that it is meant to operate "hand-in-hand" with Haiti's Ministry of Public Health and Population (MSPP) and USAID service-delivery implementing partners. In practical terms, this means the SBC activity is not a standalone communications project; it is intended to be tightly coordinated with organizations delivering clinical and community-based health services. The goal is to apply SBC across the full service continuum: before services, during services, and after services. Before services, SBC efforts are expected to motivate and enable clients to seek care and adopt preventive behaviors, reducing barriers such as misinformation, stigma, low risk perception, logistical constraints, or harmful social norms. During services, the activity is expected to strengthen the client-provider interaction and the environment where services are delivered, which can include interpersonal communication, respectful care, trust-building, and making service settings more welcoming and effective. After services, SBC is expected to reinforce adherence and maintenance, supporting people to follow treatment regimens, continue healthy practices, return for follow-up, and sustain behavior changes over time.

From an award and administrative standpoint, the opportunity is issued by the U.S. Agency for International Development (USAID), Haiti USAID-Port Au Prince, under Funding Opportunity Number 72052123RFA00006. The funding instrument is a Cooperative Agreement, which typically implies substantial involvement by USAID during implementation, such as collaboration on technical direction, learning priorities, coordination with other partners, and adaptive management. The opportunity was posted June 30, 2023, with an original closing date of August 18, 2023. USAID anticipated making one award, with an award ceiling of $10,000,000, placing it in the category of a sizeable, centralized national-level or multi-regional implementation effort. Eligibility is listed as "Others," with further detail referenced in the official eligibility section of the full announcement.

Overall, the opportunity is best understood as a systems-oriented SBC platform intended to increase demand for services, improve service quality experiences, and strengthen long-term adherence across a wide range of health areas in Haiti. Its success depends on strong coordination with MSPP and service-delivery partners, and on deploying evidence-based behavior change approaches that respond to both routine health needs and outbreak-driven threats while accounting for gender and protection concerns.

  • The Agency for International Development, Haiti USAID-Port Au Prince in the health sector is offering a public funding opportunity titled "Health Service Delivery – Integrated Social Behavior and Change Activity" 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 Jun 30, 2023.
  • Applicants must submit their applications by Aug 18, 2023. (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 $10,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for 72052123RFA00006

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Frequently Asked Questions (FAQs)

1) What is the Health Service Delivery - Integrated Social Behavior and Change (SBC) Activity?

It is a USAID-funded opportunity in Haiti focused on increasing the adoption of positive health behaviors at the individual, household, and community levels. The activity is designed as an integrated approach, based on the idea that families often face overlapping health challenges that are not well addressed in isolation.

2) What is the main purpose of this grant opportunity?

The main purpose is to improve health outcomes by using social and behavior change (SBC) approaches as a core strategy. The activity aims to strengthen how people seek care, experience care, and continue recommended practices after receiving care.

3) Is this opportunity focused on one specific health area?

No. The focus is deliberately broad and integrated. It targets multiple intersecting public health areas rather than addressing a single health issue on its own.

4) Which health sectors and topics are included in the program scope?

The grant targets several intersecting sectors, including family planning and reproductive health, HIV, maternal and child health, nutrition, and water, sanitation, and hygiene (WASH). It also includes epidemic and emerging threats such as COVID-19, cholera, and tuberculosis, along with other primary care needs.

5) How does the activity define or use social and behavior change (SBC) approaches?

Based on the description provided, SBC is used as a core strategy to influence health behaviors and service use across the full continuum of care. This includes motivating and enabling care-seeking, improving service experiences during care, and reinforcing adherence and sustained behaviors after care.

6) What does it mean that the activity is "integrated"?

It means the program is designed to address multiple, overlapping health challenges together, recognizing that families may face several health risks at once. The activity is intended to work across various health areas and across different points in the service continuum (before, during, and after care).

7) What is meant by applying SBC across the full "service continuum"?

The opportunity specifies that SBC should be applied before services, during services, and after services. The intention is to strengthen demand for services, improve the care experience, and support long-term adherence and maintenance of healthy practices.

8) What kinds of outcomes are expected before services are delivered?

Before services, SBC efforts are expected to motivate and enable clients to seek care and adopt preventive behaviors. The description highlights reducing barriers such as misinformation, stigma, low risk perception, logistical constraints, or harmful social norms.

9) What kinds of outcomes are expected during service delivery?

During services, the activity is expected to strengthen the client-provider interaction and the environment where services are delivered. Examples provided include interpersonal communication, respectful care, trust-building, and making service settings more welcoming and effective.

10) What kinds of outcomes are expected after services are delivered?

After services, SBC is expected to reinforce adherence and maintenance. This includes supporting people to follow treatment regimens, continue healthy practices, return for follow-up, and sustain behavior changes over time.

11) Is this meant to be a standalone communications project?

No. The opportunity states that the SBC activity is not a standalone communications project. It is intended to be tightly coordinated with organizations delivering clinical and community-based health services.

12) Who is expected to be a key partner in implementation?

A defining feature is that the activity is meant to operate "hand-in-hand" with Haiti's Ministry of Public Health and Population (MSPP) and with USAID service-delivery implementing partners.

13) How is coordination with MSPP and service-delivery partners described?

The opportunity emphasizes tight coordination, with the SBC activity working alongside entities delivering clinical and community-based services. This coordination is positioned as central to achieving results across before/during/after care.

14) Does the opportunity include considerations related to gender-based violence (GBV)?

Yes. The opportunity includes a cross-cutting expectation to incorporate gender-based violence considerations within health programming. It signals that programming should address how gender norms, safety, power dynamics, and service accessibility affect health behaviors and service use.

15) How does the opportunity link GBV considerations to health behaviors and services?

It indicates that health programming should consider how gender norms, safety concerns, power dynamics, and access to services shape behaviors and service utilization, and that these factors should be reflected in SBC-informed health programming.

16) Who is issuing and administering this grant opportunity?

The opportunity is issued by the U.S. Agency for International Development (USAID), specifically USAID Haiti (USAID-Port Au Prince).

17) What is the Funding Opportunity Number (FON) for this announcement?

The Funding Opportunity Number is 72052123RFA00006.

18) What type of funding instrument is being used?

The funding instrument is a Cooperative Agreement.

19) What does it imply that the instrument is a Cooperative Agreement?

The description notes that a Cooperative Agreement typically implies substantial involvement by USAID during implementation. Examples referenced include collaboration on technical direction, learning priorities, coordination with other partners, and adaptive management.

20) When was the opportunity posted, and what was the original closing date?

The opportunity was posted on June 30, 2023, and the original closing date was August 18, 2023.

21) How many awards did USAID anticipate making?

USAID anticipated making one award.

22) What is the award ceiling for this opportunity?

The award ceiling is $10,000,000.

23) What does the award size suggest about the scale of the activity?

The description characterizes it as a sizeable effort, consistent with a centralized national-level or multi-regional implementation platform in Haiti.

24) What is the listed eligibility category?

Eligibility is listed as "Others," with additional details referenced as being in the official eligibility section of the full announcement.

25) What is the overall program approach in plain terms?

Overall, it is a systems-oriented SBC platform intended to increase demand for services, improve service quality experiences, and strengthen long-term adherence across a wide range of health areas in Haiti. It is designed to respond to routine health needs and outbreak-driven threats while accounting for gender and protection concerns, and it depends on close coordination with MSPP and USAID service-delivery partners.

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