Opportunity Information: Apply for W81XWH 22 DHAPP
The Department of Defense HIV/AIDS Prevention Program (DHAPP) is a Department of Defense cooperative agreement opportunity, managed through the U.S. Army Medical Research Acquisition Activity (USAMRAA), that supports HIV prevention, care, and treatment programming within foreign military health systems under the broader PEPFAR framework. The core aim is to save lives, prevent new HIV infections, and speed progress toward HIV epidemic control by helping partner-country militaries build effective, evidence-based, and measurable HIV programs that can be sustained over time. A key practical detail is that the announcement is expected to be updated periodically with country-specific guidance contained in an attachment, and applicants are encouraged to monitor revisions because those narratives can materially affect what a competitive application should propose.
DHAPP describes a country-tailored approach rather than a one-size-fits-all model. Program development is framed as a planning and implementation cycle that begins with engaging in-country stakeholders to identify priority program areas and technical assistance needs, then adapting activities to the local epidemic context with special attention to the military population. The program emphasizes strengthening military capacity for long-term ownership and behavior change, designing interventions that leverage lessons and assets from other successful in-country partners, aligning activities to national implementation plans and PEPFAR priorities, and then implementing and monitoring work to ensure accountability and sustainability. In other words, DHAPP is not only funding service delivery; it is also funding the systems, policies, and management capabilities needed to keep those services functioning and improving after external support is reduced.
The opportunity highlights specific technical priorities applicants should be prepared to address. These include clear military-sector support and ownership; actionable plans and policies that advance epidemic control; and strong alignment with both PEPFAR and national strategies. A major performance focus is expansion of HIV testing and treatment to meet the global 90-90-90 targets (and the later 95-95-95 targets), meaning high levels of diagnosis among people living with HIV, high treatment coverage among those diagnosed, and high viral suppression among those on treatment. Care and treatment proposals are expected to follow a "Treat All" approach and may need differentiated service delivery models that integrate or coordinate with care for tuberculosis, hepatitis, cervical cancer screening and management for women living with HIV, other sexually transmitted infections, opportunistic infections, and clinical management for advanced HIV disease. The scope also explicitly includes prevention of mother-to-child transmission and comprehensive "combination prevention" that brings together biomedical tools, behavioral interventions, and structural supports to reduce sexual transmission of HIV and other STIs.
DHAPP also calls for targeted prevention packages for specific populations, including key populations, other priority populations, and youth-focused interventions. Reducing HIV-related stigma and discrimination is identified as a priority area as well, reflecting the program view that stigma directly undermines testing uptake, treatment adherence, and retention in care. On the program management side, DHAPP places heavy weight on monitoring and evaluation: collecting and reporting PEPFAR indicators, using clinical and laboratory monitoring tools to ensure service quality, and making rapid course corrections based on results. Strengthening HIV data systems is presented as essential for better clinical decision-making and improved program management, signaling that informatics, data quality, and routine use of data for performance improvement are central expectations rather than optional add-ons.
A recurring theme throughout the announcement is sustainability and transition to local ownership. Local partners are explicitly encouraged to apply, and the intent is to expand the ability of local institutions, governments, and community-based or community-led organizations to deliver both direct HIV services and the supporting non-direct services at the site level. The goal of this transition language is to ensure long-term durability of HIV programming, regardless of current antiretroviral coverage levels, by building sufficient local capacity and capability to maintain epidemic control outcomes.
From the funding mechanics provided, this is a discretionary health funding opportunity using a cooperative agreement instrument, indicating substantial federal involvement or collaboration during implementation. The opportunity number is W81XWH 22 DHAPP, the CFDA listing is 12.350, eligibility is described as unrestricted unless further limited in the full text, and the program anticipates making about 15 awards. The posted award ceiling is listed as 0, which typically signals that applicants need to rely on the full announcement and country-specific narratives for budgeting expectations rather than assuming a single fixed maximum. The opportunity was created on September 19, 2022, with an original closing date of September 18, 2027, reinforcing that this is a multi-year, continuously updated solicitation where staying current with amendments and country guidance is important for applicants.Apply for W81XWH 22 DHAPP
- The Department of Defense, Dept. of the Army -- USAMRAA in the health sector is offering a public funding opportunity titled "Department of Defense HIV/AIDS Prevention Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 12.350.
- This funding opportunity was created on Sep 19, 2022.
- Applicants must submit their applications by Sep 18, 2027.
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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DHAPP (W81XWH 22 DHAPP) Grant Opportunity FAQs
1) What is the Department of Defense HIV/AIDS Prevention Program (DHAPP)?
DHAPP is a Department of Defense cooperative agreement opportunity managed through the U.S. Army Medical Research Acquisition Activity (USAMRAA). It supports HIV prevention, care, and treatment programming within foreign military health systems under the broader PEPFAR framework.
2) What is the overall goal of DHAPP?
The core aim is to save lives, prevent new HIV infections, and speed progress toward HIV epidemic control by helping partner-country militaries build effective, evidence-based, measurable HIV programs that can be sustained over time.
3) Who manages or administers this funding opportunity?
The opportunity is managed through USAMRAA (U.S. Army Medical Research Acquisition Activity) as a Department of Defense cooperative agreement.
4) What funding mechanism is being used?
This opportunity uses a cooperative agreement instrument. That typically means substantial federal involvement or collaboration during implementation, compared to a standard grant.
5) How does DHAPP fit within PEPFAR?
DHAPP supports programming within foreign military health systems under the broader PEPFAR framework and emphasizes alignment with PEPFAR priorities alongside national strategies and plans.
6) Is DHAPP a one-size-fits-all program model?
No. DHAPP explicitly describes a country-tailored approach rather than a one-size-fits-all model. Program design is expected to reflect the local epidemic context, with special attention to the military population.
7) What approach does DHAPP expect for program development?
DHAPP frames program development as a planning and implementation cycle: engage in-country stakeholders to identify priority areas and technical assistance needs, adapt activities to the local context, align with national implementation plans and PEPFAR priorities, then implement, monitor, and adjust to ensure accountability and sustainability.
8) What types of activities does DHAPP support beyond direct service delivery?
DHAPP is not only funding service delivery. It also supports the systems, policies, and management capabilities needed to keep services functioning and improving after external support is reduced.
9) What are the technical priority areas highlighted in the opportunity?
The opportunity highlights priorities such as clear military-sector support and ownership, actionable plans and policies that advance epidemic control, strong alignment with PEPFAR and national strategies, expansion of HIV testing and treatment, combination prevention, targeted prevention packages for priority groups, stigma reduction, and strong monitoring and evaluation and data systems.
10) What does DHAPP emphasize regarding military-sector ownership?
Applicants should be prepared to address clear military-sector support and ownership. The program emphasizes strengthening military capacity for long-term ownership and durable behavior change within military health systems.
11) What performance targets are referenced for testing and treatment?
DHAPP highlights expansion of HIV testing and treatment to meet the global 90-90-90 targets and the later 95-95-95 targets: high diagnosis coverage among people living with HIV, high treatment coverage among those diagnosed, and high viral suppression among those on treatment.
12) What treatment approach is expected for care and treatment proposals?
Care and treatment proposals are expected to follow a "Treat All" approach.
13) Does DHAPP support differentiated service delivery models?
Yes. DHAPP notes that proposals may need differentiated service delivery models.
14) What health areas may need to be integrated or coordinated with HIV care?
The opportunity notes potential integration or coordination with tuberculosis, hepatitis, cervical cancer screening and management for women living with HIV, other sexually transmitted infections, opportunistic infections, and clinical management for advanced HIV disease.
15) Does the scope include prevention of mother-to-child transmission (PMTCT)?
Yes. The scope explicitly includes prevention of mother-to-child transmission.
16) What does DHAPP mean by "combination prevention"?
DHAPP describes combination prevention as bringing together biomedical tools, behavioral interventions, and structural supports to reduce sexual transmission of HIV and other STIs.
17) Are there expectations for targeted prevention packages for specific groups?
Yes. DHAPP calls for targeted prevention packages for specific populations, including key populations, other priority populations, and youth-focused interventions.
18) How does DHAPP address stigma and discrimination?
Reducing HIV-related stigma and discrimination is identified as a priority area. DHAPP highlights stigma as a factor that undermines testing uptake, treatment adherence, and retention in care.
19) How important are monitoring and evaluation (M&E) activities in DHAPP?
DHAPP places heavy weight on monitoring and evaluation, including collecting and reporting PEPFAR indicators, using clinical and laboratory monitoring tools to ensure service quality, and making rapid course corrections based on results.
20) What does DHAPP say about HIV data systems and informatics?
Strengthening HIV data systems is presented as essential for improved clinical decision-making and program management. Informatics, data quality, and routine use of data for performance improvement are treated as central expectations rather than optional add-ons.
21) What does DHAPP mean by sustainability and transition to local ownership?
Sustainability and transition are recurring themes. The opportunity emphasizes building local capacity and capability so programs can maintain epidemic control outcomes over time, even as external support is reduced.
22) Are local partners encouraged to apply?
Yes. Local partners are explicitly encouraged to apply, and the intent is to expand the ability of local institutions, governments, and community-based or community-led organizations to deliver direct and supporting services at the site level.
23) What is the opportunity number and CFDA listing?
The opportunity number is W81XWH 22 DHAPP, and the CFDA listing is 12.350.
24) What is the stated eligibility for this opportunity?
Eligibility is described as unrestricted unless further limited in the full text of the announcement.
25) How many awards does DHAPP anticipate making?
The program anticipates making about 15 awards.
26) Is there a published maximum award amount (ceiling)?
The posted award ceiling is listed as 0. This typically signals that applicants should rely on the full announcement and country-specific narratives for budgeting expectations rather than assuming a single fixed maximum.
27) Will the announcement change over time?
Yes. The announcement is expected to be updated periodically, with country-specific guidance provided in an attachment. Those narratives can materially affect what a competitive application should propose.
28) What should applicants do to stay competitive as updates are released?
Applicants are encouraged to monitor revisions and pay close attention to country-specific guidance, since changes can affect proposed activities, technical emphasis, and what reviewers consider competitive.
29) When was this opportunity created and what is the original closing date?
The opportunity was created on September 19, 2022, with an original closing date of September 18, 2027.
30) What does the multi-year open period imply for applicants?
The long open period suggests a continuously updated solicitation where staying current with amendments and country guidance is important throughout the life of the opportunity.
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