NU2GGH002348
Cooperative Agreement
Overview
Grant Description
Advancing Community-Based Epidemic Control in Namibia Project (ACEC) - DAPP is pleased to propose the Advancing Community-Based Epidemic Control in Namibia Project (hereafter Project ACEC), in response to the CDC NOFO Advancing Comprehensive Community-Based HIV Services to Achieve Epidemic Control in Namibia under PEPFAR (CDC-RFA-GH21-2152).
The purpose of the 5-year intervention is to build on the strong foundations of DAPP's current CDC project (CDC-RFA-GH16-1639) while featuring new approaches that directly address critical gaps and weaknesses in Namibia's national response to HIV and TB. This includes enhancing active HIV case finding among men and adolescents, improving early infant diagnosis (EID) for mother-baby pairs, integrating HIV self-testing to enhance HIV case finding, and creating region-specific approaches to boost the impact of community-based index testing, linkage, and retention.
Building on a partnership model successfully implemented by DAPP and MOHSS since 2018, DAPP will directly implement Project ACEC in 8 high disease burden regions of Namibia. In the remaining 6 regions, DAPP will provide targeted technical assistance to MOHSS staff who will directly implement community-based services. Within the 6 technical assistance regions, DAPP will also directly implement activities in 20 hotspot towns that have large numbers of undiagnosed people living with HIV (PLHIV) or ART patients experiencing treatment interruption, or where other gaps and weaknesses have been identified that present a challenge to attaining epidemic control. In this way, Project ACEC will provide high-quality, effective community-based HIV/TB services in all 14 regions of Namibia.
Project ACEC will be implemented using the Total Control of the Epidemic (TCE) approach, a systematic and evidence-based approach to providing high-quality, scaled-up HIV and TB prevention, treatment, care, and support interventions. The approach is community-led, engaging HIV negative and positive populations to take control of their own health and make informed decisions to eliminate vulnerability to HIV/AIDS, TB, and other diseases. Throughout its 15 years of implementation, DAPP has evolved its TCE approach under the guidance of MOHSS and CDC to meet emergent needs to address the HIV and TB epidemics in Namibia with new and evidence-based interventions. Under the proposed project, activities will be further tailored to address specific, urgent gaps to support Namibia to attain the UNAIDS 95-95-95 epidemic control targets.
DAPP, a local non-governmental organization (NGO) with more than 30 years of experience implementing community-based health projects in close collaboration with the Government of Namibia and the Ministry of Health and Social Services (MOHSS), has the organizational capacity, experienced staff, and strong stakeholder relationships required to effectively implement Project ACEC. To realize project targets and goals and ensure gains are country-owned and sustained, Project ACEC will be implemented in full cooperation with CDC and the MOHSS at regional, district, health facility (HF), and community levels.
The outcomes of Project ACEC will include increasing HIV diagnosis among high-risk populations, preventing mother-to-child transmission, increasing coverage of ART, retention in care, and viral load suppression (VLS), and linking HIV-negative people to preventive services. Together, these outcomes will help move Namibia towards reducing TB and HIV incidence, morbidity, and mortality and supporting the country to achieve and sustain HIV and TB epidemic control by 2030.
The purpose of the 5-year intervention is to build on the strong foundations of DAPP's current CDC project (CDC-RFA-GH16-1639) while featuring new approaches that directly address critical gaps and weaknesses in Namibia's national response to HIV and TB. This includes enhancing active HIV case finding among men and adolescents, improving early infant diagnosis (EID) for mother-baby pairs, integrating HIV self-testing to enhance HIV case finding, and creating region-specific approaches to boost the impact of community-based index testing, linkage, and retention.
Building on a partnership model successfully implemented by DAPP and MOHSS since 2018, DAPP will directly implement Project ACEC in 8 high disease burden regions of Namibia. In the remaining 6 regions, DAPP will provide targeted technical assistance to MOHSS staff who will directly implement community-based services. Within the 6 technical assistance regions, DAPP will also directly implement activities in 20 hotspot towns that have large numbers of undiagnosed people living with HIV (PLHIV) or ART patients experiencing treatment interruption, or where other gaps and weaknesses have been identified that present a challenge to attaining epidemic control. In this way, Project ACEC will provide high-quality, effective community-based HIV/TB services in all 14 regions of Namibia.
Project ACEC will be implemented using the Total Control of the Epidemic (TCE) approach, a systematic and evidence-based approach to providing high-quality, scaled-up HIV and TB prevention, treatment, care, and support interventions. The approach is community-led, engaging HIV negative and positive populations to take control of their own health and make informed decisions to eliminate vulnerability to HIV/AIDS, TB, and other diseases. Throughout its 15 years of implementation, DAPP has evolved its TCE approach under the guidance of MOHSS and CDC to meet emergent needs to address the HIV and TB epidemics in Namibia with new and evidence-based interventions. Under the proposed project, activities will be further tailored to address specific, urgent gaps to support Namibia to attain the UNAIDS 95-95-95 epidemic control targets.
DAPP, a local non-governmental organization (NGO) with more than 30 years of experience implementing community-based health projects in close collaboration with the Government of Namibia and the Ministry of Health and Social Services (MOHSS), has the organizational capacity, experienced staff, and strong stakeholder relationships required to effectively implement Project ACEC. To realize project targets and goals and ensure gains are country-owned and sustained, Project ACEC will be implemented in full cooperation with CDC and the MOHSS at regional, district, health facility (HF), and community levels.
The outcomes of Project ACEC will include increasing HIV diagnosis among high-risk populations, preventing mother-to-child transmission, increasing coverage of ART, retention in care, and viral load suppression (VLS), and linking HIV-negative people to preventive services. Together, these outcomes will help move Namibia towards reducing TB and HIV incidence, morbidity, and mortality and supporting the country to achieve and sustain HIV and TB epidemic control by 2030.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Namibia
Geographic Scope
Foreign
Related Opportunity
Analysis Notes
COVID-19 $650,000 (3%) percent of this Cooperative Agreement was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the total obligations have increased 1399% from $1,300,000 to $19,485,248.
Amendment Since initial award the total obligations have increased 1399% from $1,300,000 to $19,485,248.
Dapp Namibia was awarded
Advancing Community-Based Epidemic Control in Namibia Project (ACEC)
Cooperative Agreement NU2GGH002348
worth $19,485,248
from Center for Global Health in September 2021 with work to be completed primarily in Namibia.
The grant
has a duration of 5 years and
was awarded through assistance program 93.067 Global AIDS.
The Cooperative Agreement was awarded through grant opportunity Advancing Comprehensive Community-Based HIV Services to Achieve Epidemic Control in Namibia under the U.S. President's Emergency Plan for AIDS Relief (PEPFAR).
Status
(Ongoing)
Last Modified 9/5/25
Period of Performance
9/30/21
Start Date
9/29/26
End Date
Funding Split
$19.5M
Federal Obligation
$0.0
Non-Federal Obligation
$19.5M
Total Obligated
Activity Timeline
Transaction History
Modifications to NU2GGH002348
Additional Detail
Award ID FAIN
NU2GGH002348
SAI Number
NU2GGH002348-976875850
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Other
Awarding Office
75CDC1 CDC Office of Financial Resources
Funding Office
75CW00 CDC CENTER FOR GLOBAL HEALTH
Awardee UEI
FRSPAMYM17J3
Awardee CAGE
SAL86
Performance District
Not Applicable
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Global Health Programs, State (019-1031) | International development and humanitarian assistance | Grants, subsidies, and contributions (41.0) | $9,657,985 | 82% |
| Global Health, Centers for Disease Control and Prevention, Health and Human Services (075-0955) | Health care services | Grants, subsidies, and contributions (41.0) | $1,438,082 | 12% |
| Economic Support Fund, Funds Appropriated to the President (072-1037) | International security assistance | Grants, subsidies, and contributions (41.0) | $650,000 | 6% |
Modified: 9/5/25