USAID/Cambodia Community Mobilization Initiatives to End Tuberculosis 2 (COMMIT 2) | RFI 442 24 001

Opportunity Information: Apply for RFI 442 24 001

USAID/Cambodia Community Mobilization Initiatives to End Tuberculosis 2 (COMMIT 2) is a planned, five-year community-focused tuberculosis activity that USAID/Cambodia is considering to help Cambodia find more TB cases earlier and keep more patients on treatment through completion. The opportunity is framed around improving TB outcomes nationwide, with explicit attention to vulnerable and hard-to-reach populations who often face barriers to diagnosis, referral, and adherence. The activity is designed to build directly on USAID's prior community TB investments, especially the earlier COMMIT project, and it is expected to incorporate findings from COMMIT's mid-term evaluation along with lessons learned from other partners working in TB control.

Programmatically, COMMIT 2 is intended to strengthen how the End TB approach is carried out at the community level, emphasizing practical improvements in access, demand, quality, and continuity of services. A major thrust is accelerating TB case finding, meaning more active identification of people with TB symptoms, better linkage to diagnostic services, and reduced delays between symptom onset, testing, and treatment initiation. Alongside this, it prioritizes "case holding," which typically refers to treatment support and follow-up systems that reduce loss to follow-up and improve treatment completion, including community-based adherence support, patient navigation, and approaches that address social and logistical barriers to staying in care.

The activity is also positioned as a systems-strengthening effort rather than a stand-alone community project. It aims to improve integration of high-quality TB services within Cambodia's national health system so that community-level gains translate into durable improvements in routine service delivery. This includes streamlining implementation of national strategies at local levels and reinforcing referral networks between communities, primary care, and TB diagnostic and treatment sites. Another key pillar is engagement with the private sector, with the goal of creating a more enabling environment for private providers and facilities to contribute to TB control. In practice, this often means improving private sector TB screening and referral, standardizing quality and reporting expectations, and aligning private services with national guidelines so patients receive consistent care regardless of where they first seek help.

Data and information systems are highlighted as a third area of focus. COMMIT 2 would seek to improve TB Management Information System (MIS) performance and strengthen the use of data for decision-making. That can include improving data quality, completeness, and timeliness, supporting more routine analysis and use of information by health workers and managers, and ensuring community-level activities are visible in national reporting so that planning and resource allocation reflect what is happening on the ground. The overall intent is to make TB services more effective and sustainable by pairing community mobilization with stronger systems and better data use.

Strategically, the proposed activity is aligned with major national and global frameworks, including Cambodia's National TB Strategic Plan to End TB (2021-2030), the World Health Organization End TB Strategy, and USAID's Global TB Strategy 2023-2030. The funding opportunity is being shared as a Request for Information (RFI), meaning USAID is gathering market feedback and ideas to shape a potential future award. The instrument type listed is a Cooperative Agreement, which typically implies substantial involvement by the funder during implementation. The opportunity is managed by USAID in Phnom Penh, Cambodia, is listed under CFDA 98.001, and states unrestricted eligibility. The posted ceiling amount is up to $20,000,000, with an original closing date of November 17, 2023, indicating the RFI window for responses rather than a full application deadline for a finalized solicitation.

• The Cambodia USAID-Phnom Penh in the health sector is offering a public funding opportunity titled "USAID/Cambodia Community Mobilization Initiatives to End Tuberculosis 2 (COMMIT 2)" 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 2023-10-31.
• Applicants must submit their applications by 2023-11-17. (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 $20,000,000.00 in funding.
• Eligible applicants include: Unrestricted.

Apply for RFI 442 24 001

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