Accelerating ChoiCe, Equity, and Sustainability for Services | 7200AA24RFA00014

Opportunity Information: Apply for 7200AA24RFA00014

Accelerating ChoiCe, Equity, and Sustainability for Services (ACCESS) is a USAID Bureau for Global Health opportunity run through the Office of Population and Reproductive Health that is designed to strengthen sexual and reproductive health (SRH) and related health outcomes for people across the life course. The core idea is to improve family planning and reproductive health (FP/RH) services in ways that expand client choice, close equity gaps, and support sustainability of service delivery over time. A central priority is reaching underserved populations and addressing the people and communities who experience the largest disparities in access to quality FP/RH care, including adolescents and youth as well as other marginalized groups such as persons with disabilities, Indigenous Peoples, racial and ethnic minorities, people living in extreme poverty, and LGBTQI people. The opportunity explicitly recognizes that many individuals face overlapping barriers because of intersecting identities, and ACCESS is intended to respond to those real-world complexities rather than treating groups as separate, one-dimensional categories.

The award is being offered as a Cooperative Agreement, which typically means USAID expects to have substantial involvement in the technical direction, coordination, and oversight as the project is implemented, rather than simply providing funds with minimal interaction. It is listed under the health funding activity category and is associated with CFDA number 98.001. USAID anticipates making one award, with an award ceiling of up to $90,000,000, indicating a large-scale, multi-country or multi-platform effort that is likely to combine service delivery strengthening with broader systems support and learning. The funding opportunity number is 7200AA24RFA00014, and the original closing date for applications was June 7, 2024. The opportunity was created on April 30, 2024.

Eligibility is broad and intentionally inclusive. Applications are open to eligible U.S. and non-U.S. entities (excluding organizations from countries restricted under U.S. foreign policy). Eligible applicants include public and private organizations, for-profit and nonprofit entities, institutions of higher education, public international organizations, and non-governmental organizations. This wide eligibility suggests USAID is encouraging strong consortia that can combine complementary capabilities, such as technical leadership in FP/RH and SRH programming, experience working with adolescents and marginalized populations, expertise in disability inclusion and rights-based approaches, community-based implementation capacity, and data and learning functions that can support performance improvement and adaptation throughout implementation.

In practical terms, ACCESS is positioned as a service-focused global health investment aimed at improving how FP/RH services are delivered and experienced, especially for people who are typically left behind by standard models of care. The emphasis on choice and equity points toward approaches that reduce barriers to access, improve quality and client-centeredness, and ensure that historically excluded groups are meaningfully reached and served. The sustainability framing signals that the work is expected to endure beyond the award period, likely through strengthening local systems, supporting local ownership and capacity, and embedding more inclusive and equitable practices into routine service delivery and governance.

• The Agency for International Development in the health sector is offering a public funding opportunity titled "Accelerating ChoiCe, Equity, and Sustainability for Services" 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 2024-04-30.
• Applicants must submit their applications by 2024-06-07. (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 $90,000,000.00 in funding.
• The number of recipients for this funding is limited to 1 candidate(s).
• Eligible applicants include: Others.

Apply for 7200AA24RFA00014

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