USAID/Lesotho Bophelo Bo Botle (Good Health) Activity | 72067424RFA00006

Opportunity Information: Apply for 72067424RFA00006

The USAID/Lesotho Bophelo Bo Botle (Good Health) Activity is a USAID-funded cooperative agreement designed to help the Government of Lesotho improve health outcomes by strengthening and delivering high-quality, integrated, people-centered health services. The activity is meant to sustain progress toward HIV and tuberculosis (TB) epidemic control while also reducing illness and deaths linked to preventable communicable and non-communicable diseases, including emerging public health threats. The geographic focus is on four districts in Lesotho: Maseru, Thaba Tseka, Mafeteng, and Mohale's Hoek. The overall approach emphasizes integrated prevention, care, and treatment services across facility and community settings, anchored in a primary health care model that is intended to improve access, quality, and service utilization.

This opportunity is closely tied to major national and international health strategies and priorities. It aligns with the USAID/Southern Africa Regional Development Strategy, the PEPFAR 5X3 strategic framework aimed at ending AIDS by 2030, and Lesotho's National Health Sector Strategic Plans. A central expectation is strong coordination with other partners already working in Lesotho's health space, including existing PEPFAR above-site implementing partners, other donor-funded programs, local faith-based and community-based organizations, and additional local stakeholders. The notice makes clear that coordination is not optional; it is viewed as essential to achieving program results and avoiding duplication while maximizing system-wide impact.

Programmatically, the activity is organized around three overarching strategic priorities. First, it seeks to optimize clinical service delivery by improving the availability, quality, and uptake of integrated services at both the facility and community levels, using a primary health care approach. Second, it prioritizes health systems strengthening at district, facility, and community levels, recognizing that sustainable health outcomes depend on functioning systems and not only on service delivery outputs. Third, it includes sustaining local capacity technical assistance, focused on building local ownership and reinforcing governance frameworks that support an enabling policy environment, transparency, accountability, and resource mobilization. Taken together, these priorities indicate an emphasis on both near-term performance (better services and outcomes) and long-term sustainability (institutional capacity and governance).

The target populations include a broad cross-section of people living in the four focus districts, specifically children, adolescents, youth, and adults, as well as pregnant and breastfeeding women and key populations, alongside the wider community. In addition to these primary beneficiaries, the activity also identifies secondary target groups who are essential to service delivery and system performance, including health service providers working at facility and community levels, private sector actors, faith- and community-based organizations, and national and sub-national policymakers. This suggests the activity is structured to influence both demand- and supply-side factors, while also strengthening the policy and operational environment that shapes health service delivery.

From a funding and administrative standpoint, the opportunity is listed under Funding Opportunity Number 72067424RFA00006, categorized as "Other," with a cooperative agreement as the funding instrument type and a health activity category. The CFDA number is 98.001, and eligibility is described as unrestricted, meaning the applicant pool is broadly open unless further constrained by the full notice requirements. USAID anticipates making one award, with an award ceiling of $18,279,286. The issuing agency is USAID/South Africa (Pretoria). The original closing date listed is March 15, 2024.

In terms of the procurement timeline and amendments, the Notice of Funding Opportunity (NOFO) was first published as a forecast on February 12, 2024. Amendment 01 was posted on March 1, 2024 and includes answers to questions that were received on February 23, 2024. The NOFO itself was revised to reflect these clarifications, and the updated version is attached to the amendment. For applicants, this means the most current requirements and interpretations are contained in the amended, revised NOFO, and proposals should be developed against that updated guidance rather than relying on earlier forecast language.

• The South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "USAID/Lesotho Bophelo Bo Botle (Good Health) 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 2024-03-01.
• Applicants must submit their applications by 2024-03-15. (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 $18,279,286.00 in funding.
• The number of recipients for this funding is limited to 1 candidate(s).
• Eligible applicants include: Unrestricted.

Apply for 72067424RFA00006

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