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Twinning Program Cooperative Agreement

Grant Amount: Approximately $16,000,000 is expected to be available annually to fund one awardee.

The purpose of this announcement is to solicit applications for the Twinning Program Cooperative Agreement. The overall goal of the Twinning Program (TP) is to provide facilitation, management and technical support for the formation of HIV-AIDS-related, voluntary, peer-to-peer institutional partnerships for capacity building in collaboration with U.S. government (USG) field offices to support the President’s Emergency Plan for AIDS Relief (PEPFAR) and its strategic vision and plan as stated in the PEPFAR Blueprint for Creating an AIDS-free Generation.

In supporting the TP model, PEPFAR recognizes the need for diverse evidence-based cost-efficient approaches for systems and capacity building. Activities supported by the TP will need to follow PEPFAR Blueprint principles of:
(1) Making strategic and scientifically sound investments to maximize impact and efficiencies,
(2) Working with partner countries, civil society, Faith Based Organizations (FBOs), and the private sector,
(3) Supporting activities that minimize stigma and discrimination with attention to gender equality,
(4) Proactively monitoring and improving outcomes and efficiencies.

First started in 2004, the TP will continue to support partnerships between U.S.-based organizations and host-country organizations (north-south partnerships) and between in-country and regional organizations (south-south partnerships and south-south-north partnerships) to strengthen human and organizational capacity. To date, major objectives of the TP’s partnerships have been to strengthen health systems in various PEPFAR countries/regions by:
Expanding the pool of trained providers, managers, and allied health staff delivering quality HIV/AIDS services;
Strengthening organization structures and systems;
Supporting limited infrastructure enhancements;
Facilitating private sector engagement through volunteerism; and
Working in support of in-country Government strategic plans and OGAC-supported PEPFAR team priorities.

Going forward, the TP will sharpen its scope of work to directly support Country Ownership of national HIV responses. Examples of types of future partnerships that empower local partners to own and manage HIV-related activities include, but are not limited to, those that:
Strengthen organizational, management, and advocacy capacities of professional associations;
Facilitate integration of community-based health worker cadres into national structures and systems;
Support institutionalization of cadres from other sectors (e.g., social workers) into the national HIV response;
Building capacity of sub-national governmental and non-governmental organizations to improved local-level HIV planning and management.
Funding Organization
US Department of Health and Human Services
Public Health Service
Health Resources and Services Administration
Fund Category
Support Types
Cooperative Agreements
Eligible Organizations
Community Based Organizations
Nonprofit Organizations
Religious Organizations
Number of Awards Given
1 award
Maximum Amount
Award Amount Notes
This program will provide funding during Federal fiscal years 2014-2018. Approximately $16,000,000 is expected to be available annually to fund one awardee. Applicants may apply for a ceiling amount of up to $ 16,000,000 per year. The project period is five years.

Funding beyond the first year is dependent on the availability of appropriated funds for the Twinning Program in subsequent fiscal years, awardee satisfactory performance, and a decision that continued funding is in the best interest of the Federal Government.
Application Due Date
Project Start Date
Application Contact
Olusola Dada
Grants Management Specialist
Div of Grants Mgmt Operations
Parklawn Bldg, Rm 11A-19
5600 Fishers Lane
Rockville, MD 20857
Phone: (301) 443-0195
Fax: (301) 443-9810
Technical Contact
Raymond Goldstine
Chief, Global Health Systems Branch
Div of Training & Capacity DevHIV/AIDS Bureau, HRSA
Parklawn Building, Room 7-69
5600 Fishers Lane
Rockville, MD 20857
Phone: (301) 443-9530
Fax: (301) 443-3650
Fund Duration
5 years.
Health Care Programs/Services
HIV/AIDS Prevention
International Cooperation
Program Evaluation
Program Management
Technical Assistance
Community Based Organizations
Developing Nations
Health Services Organizations
Local Government Agencies
Religious Organizations
Volunteer Organizations
Application Process
HRSA requires applicants for this funding opportunity announcement to apply electronically through Applicants must download the SF424 application package associated with this funding opportunity following the directions provided at (

Section 4 of HRSA’s SF-424 Application Guide ( provides instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract. Applicants must submit the information outlined in the Application Guide in addition to the program specific information.
For program synopsis and guidance, visit the website: .
Web Site
Fund Number

Disclaimer: NPIN provides this information as a public service only. The views and information provided about the materials, funding opportunities, and organizations do not necessarily state or reflect those of the U.S. Department of Health and Human Services, CDC, or NPIN. Fund Record #4747

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