Opportunity Information: Apply for 72066323RFA00011

The Empowered Communities Activity is a USAID/Ethiopia health-sector funding opportunity designed to increase the use of quality health and nutrition services by strengthening community engagement, empowerment, and social accountability. It directly supports Development Objective 4 of USAID/Ethiopia's Country Development Cooperation Strategy (CDCS) 2019-2024, and is closely aligned with Ethiopia's own national priorities under the Health Sector Transformation Plan II (HSTP II 2020-2025) and the Health Extension Program (HEP) Roadmap (2020-2035). In practice, the grant is meant to help communities and local institutions play a stronger role in shaping health service quality and responsiveness, while also improving demand for key services by making systems more people-centered and accountable.

A central theme of the activity is social accountability: improving how service users, service providers, and government officials communicate and work together so that health services better match community needs and expectations. The opportunity emphasizes leadership development and capacity strengthening to make engagement more productive and consistent, rather than one-off consultations. It also reflects key HSTP II directions, particularly around equitable access to comprehensive, quality services, community ownership, and stronger governance and leadership across the health system. The intention is that communities are not only recipients of services, but active participants in monitoring, feedback, and local problem-solving to improve health outcomes.

The activity places special attention on non-state actors (NSAs) and existing community structures and platforms, such as idirs and community care coalitions. Rather than creating entirely new structures, it aims to build on local mechanisms that already organize people and influence behavior. Capacity building is a core component, focusing on improving organizational capability in practical terms: knowledge, technical skills, internal processes, and systems that allow local organizations and networks to operate effectively and sustainably. The underlying idea is that stronger local institutions can maintain results beyond the life of donor funding by being more efficient, better governed, and more capable of representing community priorities.

Geographically, the activity will be implemented in up to 30 selected woredas (districts) across four regions: Afar (pastoralist) and Amhara, Oromia, and Southern Nations, Nationalities and Peoples (SNNP) (agrarian). This multi-region footprint suggests the program is expected to adapt approaches to different contexts, including pastoralist settings where service delivery and community engagement can look very different from agrarian areas. The activity is also positioned as a continuation and reinforcement of past USAID investments, specifically building on lessons and gains from USAID Transform Primary Health Care (TPHC) and USAID Transform Health in Developing Regions (THDR). At the same time, it is meant to connect tightly with USAID's New Partnership Initiative EXPAND (NPI EXPAND), which focuses on social accountability to improve family planning and maternal, newborn, and child health (FP/MNCH) services while strengthening the sustainability of newer and underutilized local entities.

From a funding and administrative perspective, this opportunity is a discretionary award using a Cooperative Agreement, which typically means USAID expects substantial involvement in program design, implementation oversight, and ongoing collaboration during the award period. The funding opportunity number is 72066323RFA00011 under CFDA 98.001. Eligibility is listed as unrestricted (open to any type of entity, subject to any additional eligibility details in the full notice). USAID planned to make one award, with an award ceiling of up to USD 35,000,000. The opportunity was posted on May 3, 2023, with an original closing date of June 14, 2023, by the Agency for International Development, Ethiopia (USAID Addis Ababa).

Overall, the Empowered Communities Activity is framed as a systems-strengthening and community-accountability investment: improving service utilization by ensuring services are higher quality and more responsive, and by enabling communities and local organizations to actively engage with the health system. The expected results hinge on stronger local leadership, more capable civil society and community structures, and better collaboration among citizens, providers, and government to increase trust, demand, and sustained improvements in health and nutrition service delivery.

  • The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "Empowered Communities 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 May 03, 2023.
  • Applicants must submit their applications by Jun 14, 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 $35,000,000.00 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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