Opportunity Information: Apply for 72030620RFA00004

The National Health Technical Assistance Program (NHTAP) is a USAID-funded health opportunity focused on providing targeted technical assistance across Afghanistan's health system, from national policy and governance levels down to the people and teams delivering services in facilities and communities. The central idea is to strengthen how the health system functions by supporting decision-makers, mid-level managers, and frontline service providers with practical, evidence-based technical support that improves the use, reach, and quality of proven health and nutrition interventions. Rather than creating an entirely new approach from scratch, the program is designed to build on what prior USAID technical assistance programs have already established, while also testing and applying newer, innovative methods that have credible evidence behind them.

A major emphasis of NHTAP is improving care-seeking behaviors, increasing access to high-impact services, and raising the quality of care in both public and private health facilities. The opportunity recognizes that Afghanistan has made real progress in service availability over the years, with more than 2,400 active health facilities and more than 80 percent of facilities having at least one female health worker. Those gains are associated with improvements in morbidity and mortality indicators. At the same time, USAID highlights that preventable deaths among women and children remain unacceptably high, which signals ongoing gaps not just in service availability, but in system performance, service quality, and community-level behaviors and norms that influence health outcomes.

The program is framed around constraints identified through roughly 15 years of USAID health programming experience in Afghanistan. These constraints include weak governance of the health system, limited access to cost-effective and high-impact primary and secondary services, uneven or suboptimal quality of care across facilities in both the public and private sectors, and harmful or counterproductive knowledge, attitudes, and practices among individuals and communities related to health and well-being. NHTAP is therefore positioned as a system-strengthening effort meant to address these barriers through technical activities that improve management and oversight, strengthen service delivery, and engage communities in ways that support healthier behaviors and more consistent use of appropriate services.

From a funding and administrative standpoint, this opportunity was issued by the U.S. Agency for International Development (USAID), Afghanistan (USAID-Kabul). It is a discretionary funding opportunity using a cooperative agreement, meaning the awardee should expect substantial involvement from USAID during implementation compared to a more hands-off grant. The opportunity falls under the Health funding activity category and is listed under CFDA number 98.001. Eligibility is described as unrestricted, meaning it is open to a wide range of entity types, subject to any additional eligibility language in the full notice. USAID anticipated making a single award, with an award ceiling of $117,000,000, reflecting a large, national-level platform intended to influence health system performance at scale. The funding opportunity number is 72030620RFA00004; it was created on November 26, 2019, with an original closing date of January 21, 2020.

Overall, NHTAP is best understood as a large-scale technical assistance mechanism meant to make the Afghan health system more resilient and sustainable by improving performance across governance, service access, and service quality, while also strengthening engagement with both public and private sector providers and addressing community factors that shape whether people seek and receive effective care.

  • The Agency for International Development, Afghanistan USAID-Kabul in the health sector is offering a public funding opportunity titled "National Health Technical Assistance Program (NHTAP)" 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 Nov 26, 2019.
  • Applicants must submit their applications by Jan 21, 2020. (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 $117,000,000.00 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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