Opportunity Information: Apply for 72067319RFA00001
The Namibia Scaling up Access For Expanded Voluntary Medical Male Circumcision Services (SAFE) Activity is a USAID-funded grant opportunity designed to accelerate delivery of safe, high-quality voluntary medical male circumcision (VMMC) as a proven, lifelong biomedical HIV prevention intervention for boys and men in Namibia. The activity is built around supporting Namibia to avert new HIV infections by increasing access to VMMC services and ensuring those services are delivered consistently, safely, and at scale. The recipient is expected to work closely with the Government of the Republic of Namibia, particularly the Ministry of Health and Social Services (MOHSS), while also engaging the private health sector to strengthen and broaden service delivery capacity.
The opportunity is structured as a cooperative agreement, meaning USAID anticipates an active partnership with the recipient during implementation rather than a hands-off grant relationship. The program focus goes beyond simply delivering circumcisions and emphasizes the full enabling environment needed for rapid, sustainable scale-up. This includes both site-level support (what happens at clinics and service delivery points) and above-site support (systems, policies, and coordination that make it possible for sites to perform well and expand).
Core program elements highlighted in the notice include technical leadership and direct service delivery support, in-service training for providers, and strengthening quality management so that procedures are safe and meet required standards. The recipient is also expected to assist with policy and guideline revisions, which typically involves helping MOHSS update national protocols, clinical standards, and operational guidance to reflect best practices and to remove bottlenecks that slow expansion. Another key component is domestic resource mobilization, signaling that the activity is meant to help Namibia increase its ability to finance and sustain VMMC and related prevention services over time, rather than relying indefinitely on external funding.
SAFE also places heavy emphasis on communications, social mobilization, and demand creation to ensure that communities understand the benefits and availability of VMMC, and that uptake grows in a voluntary and informed way. USAID explicitly notes a vision of communities being engaged and empowered through routine advocacy and mobilization, which implies ongoing outreach, collaboration with community leaders and stakeholders, and tailored messaging that addresses misconceptions and cultural concerns while promoting informed choice.
Monitoring and evaluation is another central pillar of the activity. The recipient will be responsible for supporting measurement and learning to drive accelerated scale-up, including tracking service delivery outputs, quality indicators, and progress toward targets. The notice also makes clear that VMMC is expected to be delivered in combination with other HIV prevention interventions, reinforcing that circumcision is one component of a broader prevention package rather than a standalone solution.
Administratively, the opportunity was issued by the U.S. Agency for International Development (USAID), specifically USAID-Pretoria (South Africa), under Funding Opportunity Number 72067319RFA00001. It falls under the health funding activity category and is listed under CFDA 98.001. USAID anticipated making a single award (Expected Awards: 1), with an award ceiling of USD 18,070,000, indicating a sizeable, multi-year style investment intended to drive national-level impact. The original application deadline listed was January 22, 2019 at 11:00 AM Pretoria local time. Eligibility is noted broadly as "Others," with additional eligibility details referenced in the full notice.
Overall, SAFE is essentially a national scale-up and quality-strengthening effort for VMMC in Namibia, combining clinical service delivery support with workforce development, quality assurance, policy and systems work, financing sustainability efforts, and robust community engagement and demand creation, all tied together with strong monitoring and evaluation to guide performance and accelerate HIV prevention impact.Apply for 72067319RFA00001
- The Agency for International Development, South Africa USAID-Pretoria in the health sector is offering a public funding opportunity titled "Namibia Scaling up Access For Expanded Voluntary Medical Male Circumcision Services (SAFE) 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 Dec 14, 2018.
- Applicants must submit their applications by Jan 22, 2019 January 22, 2019 at 1100 AM Pretoria local time. (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 $18,070,000.00 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).
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Frequently Asked Questions (FAQs) - Namibia SAFE VMMC Activity (USAID)
1) What is the Namibia Scaling up Access For Expanded Voluntary Medical Male Circumcision Services (SAFE) Activity?
The SAFE Activity is a USAID-funded grant opportunity focused on accelerating the delivery of safe, high-quality voluntary medical male circumcision (VMMC) services for boys and men in Namibia. It is positioned as a proven, lifelong biomedical HIV prevention intervention and is designed to help avert new HIV infections by expanding access to VMMC and strengthening how services are delivered at scale.
2) What is the main goal of the SAFE Activity?
The main goal is to support Namibia to avert new HIV infections by increasing access to VMMC services and ensuring those services are delivered consistently, safely, and at scale. The activity also emphasizes building the enabling environment needed for rapid and sustainable scale-up, not just increasing the number of procedures.
3) Who is funding and issuing this opportunity?
This opportunity is funded and issued by the U.S. Agency for International Development (USAID), specifically USAID-Pretoria (South Africa).
4) What type of award is this?
The opportunity is structured as a cooperative agreement. This means USAID anticipates an active partnership with the recipient during implementation, rather than a fully hands-off grant relationship.
5) What is the Funding Opportunity Number for this grant?
The Funding Opportunity Number is 72067319RFA00001.
6) What CFDA number is associated with this opportunity?
The opportunity is listed under CFDA 98.001.
7) What is the program area or activity category?
The activity falls under the health funding activity category.
8) How many awards did USAID expect to make?
USAID anticipated making a single award (Expected Awards: 1).
9) What is the maximum funding amount available?
The award ceiling is USD 18,070,000.
10) When was the application deadline?
The original application deadline listed was January 22, 2019 at 11:00 AM Pretoria local time.
11) Who is expected to be involved locally in Namibia?
The recipient is expected to work closely with the Government of the Republic of Namibia, particularly the Ministry of Health and Social Services (MOHSS). The recipient is also expected to engage the private health sector to strengthen and broaden service delivery capacity.
12) Is this activity only about performing circumcisions?
No. While accelerating VMMC service delivery is central, the program focus goes beyond procedures. It emphasizes the full enabling environment required for rapid, sustainable scale-up, including clinical quality, workforce development, systems strengthening, policy support, communications, and monitoring and evaluation.
13) What is meant by site-level support versus above-site support?
Site-level support refers to what happens directly at clinics and service delivery points where VMMC services are delivered. Above-site support refers to the systems, policies, and coordination mechanisms that enable sites to perform well, maintain quality, and expand services effectively.
14) What are the core program elements highlighted for SAFE?
Core elements include technical leadership and direct service delivery support, in-service training for providers, and strengthening quality management so that VMMC procedures are safe and meet required standards.
15) Does the activity include training for health workers?
Yes. In-service training for providers is specifically highlighted as a core element of the activity.
16) How does SAFE address service quality and safety?
SAFE emphasizes strengthening quality management to ensure VMMC procedures are delivered consistently and safely and meet required standards. The overall design aims to ensure quality is maintained as services scale up.
17) Will the recipient be expected to support national policies and guidelines?
Yes. The recipient is expected to assist with policy and guideline revisions, typically by helping MOHSS update national protocols, clinical standards, and operational guidance to reflect best practices and remove bottlenecks that slow expansion.
18) What is meant by removing bottlenecks?
In this context, bottlenecks refer to policy, operational, or system constraints that slow the expansion of VMMC services. The activity anticipates supporting revisions and improvements that make it easier for services to scale efficiently while maintaining safety and quality.
19) Does SAFE include a sustainability or financing component?
Yes. Domestic resource mobilization is a key component, signaling that SAFE is meant to help Namibia increase its capacity to finance and sustain VMMC and related prevention services over time, rather than relying indefinitely on external funding.
20) What role do communications and community outreach play in SAFE?
Communications, social mobilization, and demand creation are heavily emphasized. The activity is designed to ensure communities understand the benefits and availability of VMMC and that uptake grows in a voluntary and informed way.
21) How does the activity describe community engagement?
USAID notes a vision of communities being engaged and empowered through routine advocacy and mobilization. This implies ongoing outreach, collaboration with community leaders and stakeholders, and tailored messaging that addresses misconceptions and cultural concerns while promoting informed choice.
22) Is VMMC expected to be delivered as part of a broader HIV prevention approach?
Yes. The notice makes clear that VMMC is expected to be delivered in combination with other HIV prevention interventions, reinforcing that circumcision is one component of a broader prevention package rather than a standalone solution.
23) What are the monitoring and evaluation expectations under SAFE?
Monitoring and evaluation is a central pillar. The recipient will be responsible for supporting measurement and learning to drive accelerated scale-up, including tracking service delivery outputs, quality indicators, and progress toward targets.
24) What kind of partnership does USAID anticipate with the recipient?
Because this is a cooperative agreement, USAID anticipates an active partnership during implementation. This generally means USAID is expected to be more engaged in the activity than it would be under a more hands-off grant structure.
25) Who is eligible to apply?
Eligibility is noted broadly as "Others," with additional eligibility details referenced in the full notice.
26) What is the overall structure or approach of SAFE?
SAFE is described as a national scale-up and quality-strengthening effort for VMMC in Namibia. It combines clinical service delivery support with workforce development, quality assurance, policy and systems work, financing sustainability efforts, robust community engagement and demand creation, and strong monitoring and evaluation to guide performance and accelerate HIV prevention impact.
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