Opportunity Information: Apply for HRSA 24 108
The Health Resources and Services Administration (HRSA) is offering a discretionary cooperative agreement (HRSA-24-108) to fund a single organization for up to four years to serve as the Evaluation and Technical Assistance Provider (ETAP) for a national HIV initiative focused on racial and ethnic minority groups. The core aim is to strengthen HIV care and treatment outcomes by supporting a system-level "syndemic" approach, meaning an approach that recognizes HIV outcomes are often shaped by overlapping, mutually reinforcing issues (for example, behavioral health needs, substance use, housing instability, stigma, and structural barriers) and therefore require coordinated, integrated responses across multiple systems rather than isolated clinic-level fixes.
Under this opportunity, the ETAP will provide hands-on technical assistance and lead or support a multi-system evaluation for a cohort of five demonstration systems that are being funded under a separate companion announcement (HRSA-24-107). In practice, HRSA is funding two connected parts: five local or regional "demonstration systems" that will implement the syndemic approach in their settings, and one ETAP awardee that will help those sites plan, implement, measure, and learn from the work in a consistent way across all sites. The ETAP is expected to work closely with each demonstration system so that evaluation is not an afterthought, but built into the design and day-to-day implementation, enabling continuous improvement and credible cross-site findings.
The population focus is explicit: people with HIV from racial and ethnic minority groups who are out of care or at the greatest risk of falling out of care. The demonstration systems, with ETAP support, will test strategies to improve linkage to HIV care and retention in care, with an emphasis on comprehensive and integrated services. That framing signals that HRSA is looking for approaches that do more than schedule appointments or provide reminders; the initiative is oriented toward coordinated service models that address multiple, interacting needs that can derail sustained engagement in HIV treatment.
The ETAP role is both technical and evaluative. On the technical assistance side, the awardee will help the five demonstration systems develop and refine implementation plans, strengthen cross-system partnerships, and troubleshoot barriers that arise when multiple agencies and service sectors need to work together. On the evaluation side, the ETAP will support and conduct a multi-system evaluation, which typically includes building shared evaluation questions, harmonizing measures and data collection methods across sites, setting up reporting and feedback loops, and translating results into practical lessons that can be used by the sites and shared more broadly. Because this is a cooperative agreement, HRSA will have substantial involvement in the project beyond standard grant oversight, meaning the ETAP should be prepared for active collaboration with HRSA on priorities, deliverables, and learning activities.
Eligibility is tied to the Ryan White HIV/AIDS Program (RWHAP). Entities eligible for funding under Parts A through D of RWHAP may apply, which generally includes public and nonprofit private entities, including Tribes and Tribal organizations. The opportunity is domestic in scope and defines domestic broadly to include the 50 states, the District of Columbia, Puerto Rico, other U.S. territories, and certain freely associated states and jurisdictions listed in the announcement (including the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau).
Key administrative details from the source include: the funding instrument is a cooperative agreement; it is categorized under the health activity area; the CFDA number is 93.899; HRSA expects to make one award; and the original application closing date was July 24, 2024. The notice lists an award ceiling of 0, which usually means the ceiling is not specified in the summary fields and applicants should rely on the full funding announcement for detailed budget guidance and expectations.
Overall, this opportunity is designed to produce two outcomes at once: immediate, practical support to five implementation sites trying to improve HIV linkage and retention among racial and ethnic minority communities using a syndemic, integrated systems approach, and a rigorous, multi-site evaluation that can identify which strategies are feasible, scalable, and most effective across different settings.Apply for HRSA 24 108
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – Evaluation and Technical Assistance Provider (ETAP)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.899.
- This funding opportunity was created on 2024-06-24.
- Applicants must submit their applications by 2024-07-24. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others.
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Frequently Asked Questions (FAQs)
What is HRSA-24-108?
HRSA-24-108 is a discretionary cooperative agreement offered by the Health Resources and Services Administration (HRSA) to fund one organization to serve as the Evaluation and Technical Assistance Provider (ETAP) for a national HIV initiative focused on racial and ethnic minority groups.
What is the main purpose of this grant opportunity?
The purpose is to strengthen HIV care and treatment outcomes by supporting a system-level "syndemic" approach. The ETAP will help five funded demonstration systems plan, implement, measure, and learn from integrated strategies designed to improve linkage to HIV care and retention in care for racial and ethnic minority communities.
What does ETAP stand for, and what does the ETAP do?
ETAP stands for Evaluation and Technical Assistance Provider. The ETAP is expected to provide hands-on technical assistance to five demonstration systems and lead or support a multi-system evaluation so the work is implemented and measured consistently across sites and produces credible cross-site findings.
How many awards will HRSA make under HRSA-24-108?
HRSA expects to make one award under HRSA-24-108.
How long is the project period?
The project can be funded for up to four years.
What is the funding mechanism for HRSA-24-108?
The funding instrument is a cooperative agreement, which means HRSA will have substantial involvement in the project beyond standard grant oversight.
What does "substantial involvement" mean in a cooperative agreement?
Based on the description provided, substantial involvement means the ETAP should be prepared for active collaboration with HRSA on priorities, deliverables, and learning activities, rather than operating with minimal federal engagement.
What is the "syndemic" approach referenced in the opportunity?
A syndemic approach recognizes that HIV outcomes are often shaped by overlapping and mutually reinforcing issues such as behavioral health needs, substance use, housing instability, stigma, and structural barriers. The initiative emphasizes coordinated, integrated responses across multiple systems rather than isolated clinic-level fixes.
What is the relationship between HRSA-24-108 and HRSA-24-107?
HRSA-24-108 funds the ETAP. HRSA-24-107 is the separate companion announcement that funds five local or regional "demonstration systems" implementing the syndemic approach. The ETAP supported by HRSA-24-108 will work closely with those five sites.
How many demonstration systems will the ETAP support?
The ETAP will support a cohort of five demonstration systems funded under the companion announcement (HRSA-24-107).
Who is the target population for the initiative?
The initiative focuses on people with HIV from racial and ethnic minority groups who are out of care or at the greatest risk of falling out of care.
What outcomes are the demonstration systems trying to improve?
With ETAP support, the demonstration systems will test strategies to improve linkage to HIV care and retention in care, emphasizing comprehensive and integrated services.
What types of barriers or needs does the initiative expect to address?
The initiative is designed around the idea that sustained HIV care engagement can be disrupted by interacting needs and barriers, including behavioral health needs, substance use, housing instability, stigma, and structural barriers. The work is oriented toward coordinated service models that address multiple needs at once.
What kinds of technical assistance is the ETAP expected to provide?
The ETAP is expected to provide hands-on technical assistance to help demonstration systems develop and refine implementation plans, strengthen cross-system partnerships, and troubleshoot barriers that arise when multiple agencies and service sectors need to work together.
What does the ETAP do on the evaluation side?
The ETAP will support and conduct a multi-system evaluation. This typically includes developing shared evaluation questions, harmonizing measures and data collection methods across sites, setting up reporting and feedback loops, and translating results into practical lessons for the sites and broader dissemination.
Why does HRSA emphasize building evaluation into day-to-day implementation?
The opportunity indicates HRSA wants evaluation to be integrated into the design and daily work of each demonstration system so it supports continuous improvement and produces credible findings across all five sites, rather than being treated as a separate after-the-fact activity.
Is this opportunity focused on clinic-level interventions only?
No. The framing emphasizes system-level, coordinated, integrated responses across multiple systems. It signals an expectation that strategies go beyond isolated clinic-level fixes such as appointment scheduling or reminders.
Who is eligible to apply for HRSA-24-108?
Eligibility is tied to the Ryan White HIV/AIDS Program (RWHAP). Entities eligible for funding under RWHAP Parts A through D may apply, which generally includes public and nonprofit private entities, including Tribes and Tribal organizations.
Is the opportunity limited to applicants in the 50 U.S. states?
No. The opportunity is domestic in scope and defines domestic broadly to include the 50 states, the District of Columbia, Puerto Rico, other U.S. territories, and certain freely associated states and jurisdictions listed in the announcement, including the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.
What is the activity area for this opportunity?
The opportunity is categorized under the health activity area.
What is the CFDA number for HRSA-24-108?
The CFDA number listed for this opportunity is 93.899.
What was the application closing date?
The original application closing date listed was July 24, 2024.
Is there a stated award ceiling?
The notice lists an award ceiling of 0. As described in the source summary, this usually means the ceiling is not specified in the summary fields and applicants should rely on the full funding announcement for detailed budget guidance and expectations.
What are the two main outcomes HRSA is aiming to achieve through this structure?
The opportunity is designed to produce (1) immediate, practical support to five implementation sites working to improve linkage and retention among racial and ethnic minority communities using an integrated syndemic approach, and (2) a rigorous, multi-site evaluation that identifies which strategies are feasible, scalable, and effective across different settings.
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