Opportunity Information: Apply for 72061323RFA00005

The grant opportunity, titled "Improving Maternal, Newborn and Child Health Services" (Funding Opportunity Number 72061323RFA00005), is a USAID/Zimbabwe (USAID-Harare) cooperative agreement focused on strengthening maternal, neonatal, and child health outcomes in Zimbabwe. Its central aim is to reduce preventable deaths among mothers, newborns, and children by expanding access to quality MNCH services and improving how those services are delivered in targeted districts across five priority provinces. The opportunity is positioned as a health-focused activity under CFDA 98.001 and is structured to work in close collaboration with Zimbabwe's Ministry of Health and Child Care (MOHCC), indicating a strong emphasis on government systems strengthening rather than stand-alone service delivery.

The activity is designed around the practical reality that improving survival and health outcomes depends on more than clinical care alone. It targets the broader health system factors that determine whether evidence-based interventions actually reach women and children consistently and safely, including the technical capacity of decision-makers and managers, the availability and stability of a trained health workforce, and the reliability of essential supplies and equipment. In other words, the grant is not just about increasing service coverage, but about improving the quality and consistency of care in the facilities and districts where mothers and children seek services, so that preventable complications are identified early and managed effectively.

The first objective centers on strengthening the technical capacity of MOHCC at national, provincial, and district levels to scale up high-impact MNCH interventions. This suggests support for leadership, technical guidance, implementation oversight, and the ability to translate national policies and clinical standards into routine practice at lower levels of the health system. Activities that typically fit within this objective include improving clinical guidelines uptake, building capacity for supportive supervision and mentorship, strengthening data use for decision-making, and improving the ability of provincial and district health teams to plan and monitor MNCH programs. The emphasis on "high-impact" interventions indicates a focus on proven practices that directly reduce mortality and severe morbidity, especially those related to pregnancy, childbirth, the immediate postnatal period, and common childhood conditions.

The second objective focuses on the MNCH workforce, specifically improving planning, distribution, and retention in the implementation areas. This reflects a recognition that even well-equipped facilities cannot deliver quality care without sufficient skilled staff in the right places. The goal is not only to increase staffing numbers, but to address common workforce bottlenecks such as uneven deployment between urban and rural areas, high turnover, limited incentives to remain in hard-to-reach districts, skills gaps, and weak workforce planning systems. In practical terms, this objective commonly involves strengthening workforce analytics and staffing plans, supporting targeted training and mentoring to ensure competencies align with MNCH needs, and improving retention approaches that help keep skilled providers in priority districts where maternal and newborn risks are often highest.

The third objective addresses the planning, management, and coordination of essential commodities and the procurement of equipment. This is a core systems component because consistent availability of medicines, supplies, and functional equipment is often the difference between a timely, lifesaving intervention and an avoidable death. The objective points to strengthening the supply chain and procurement environment that supports MNCH care, which can include forecasting and quantification, stock management, distribution coordination, and ensuring facilities have the right tools for safe childbirth and newborn care. The wording also signals that the activity may support the procurement of critical equipment, paired with stronger management systems so that equipment is appropriately selected, delivered, maintained, and used effectively.

From an administrative standpoint, the opportunity is categorized as "Other" and uses a cooperative agreement mechanism, meaning USAID expects substantial involvement in the design and implementation oversight compared to a standard grant. Eligibility is listed as unrestricted, open to any type of entity, subject to any additional eligibility clarifications in the full notice. USAID anticipated making one award, with an award ceiling of $16,500,000. The opportunity was created on May 9, 2023, with an original closing date of June 13, 2023, indicating a defined application window and a single implementer expected to lead the activity at scale.

Overall, the opportunity is best understood as a targeted, systems-strengthening effort intended to improve MNCH outcomes by upgrading how services are managed, staffed, and supplied in five provinces. The expected result is a measurable reduction in preventable maternal, newborn, and child deaths in the targeted districts, achieved through better quality clinical care supported by stronger national-to-district technical capacity, a more stable and better-distributed workforce, and more reliable availability of essential commodities and equipment.

  • The Agency for International Development, Zimbabwe USAID-Harare in the health sector is offering a public funding opportunity titled "Improving Maternal, Newborn and Child Health Services" 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 09, 2023.
  • Applicants must submit their applications by Jun 13, 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 $16,500,000.00 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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