The Notice of Funding Opportunity (NOFO) # 72067424RFA00001 outlines the Health Financing and Public Financial Management Systems Strengthening Activity in South Africa. The recent amendment clarifies eligibility, allowing Public International Organizations (PIOs) to apply for funding without specific conditions, provided they follow applicable USAID guidelines. The amendment also responds to various questions regarding the application process, indicating that full proposals may be requested from multiple applicants and that the anticipated timeline for applications is set for May 2024, with awards by August 2024. The activity aims to enhance existing human resources for health data systems in collaboration with the CDC and the National Department of Health, rather than creating new systems. Furthermore, while standard PEPFAR indicators will be included post-award in the Monitoring, Evaluation, and Learning (MEL) plan, applicants do not need to include them in initial concept notes. The document confirms that all other terms and conditions of the NOFO remain unchanged and in effect. Overall, this amendment aims to clarify future applicants' eligibility and clarify procedural expectations while ensuring alignment with established health objectives in South Africa.

The United States Agency for International Development (USAID) is soliciting Concept Papers for a funding opportunity focused on the "Health Financing and Public Financial Management Systems Strengthening Activity in South Africa." The program, authorized under the Foreign Assistance Act of 1961, aims to improve equity, quality, and resource optimization in South Africa's health system as the country strives for Universal Health Coverage by 2030. USAID plans to allocate up to $30 million over five years to the selected proposal(s), which can come from any qualified entity, encouraging innovative approaches to enhance health financing and public financial management. The initiative will address systemic challenges such as under-resourced public health systems and high levels of inequality and poverty impacting healthcare access. Key objectives include aligning public financial management with health financing priorities, fostering local innovation for resource optimization, and improving health workforce efficiency. Additionally, the activity aims to increase financial sustainability through enhanced resource allocation and partnerships with government entities at all levels. Applications are due by January 31, 2024, requiring potential recipients to understand and adhere to the submission criteria outlined in the Notice of Funding Opportunity. Overall, this initiative represents a significant investment in strengthening South Africa's healthcare infrastructure and improving health outcomes for its population.