Opportunity Information: Apply for RFI 636 22 SIHSA 00001

The Strengthening Integrated Health Services Activity (SIHSA) is a USAID-led health initiative being shaped for work in Sierra Leone, with USAID missions in Guinea (USAID-Conakry) and Sierra Leone jointly issuing a Request for Information (RFI) to collect input from organizations and stakeholders. This notice is not a call for full proposals or an award competition yet; it is an early market and stakeholder consultation meant to improve the design of a future activity. Through the RFI, USAID is essentially asking potential implementers, technical experts, and other interested parties to share practical feedback that can help refine the scope, approach, and priorities before USAID finalizes a formal solicitation.

The anticipated purpose of SIHSA is to strengthen integrated health service delivery in selected districts in Sierra Leone, with an emphasis on improving the quality of care and increasing the use of essential services. The technical focus spans Family Planning and the broader continuum of Reproductive, Maternal, Newborn, Child, and Adolescent Health (FP/RMNCAH), alongside malaria services. In practical terms, this implies attention to how health facilities and community systems provide a coordinated package of care across life stages, rather than treating services as isolated programs. The integration angle suggests USAID is interested in approaches that align clinical services, referrals, outreach, and community-based activities so clients can access multiple needed services more efficiently and consistently.

A second major outcome area is behavior change: increasing the adoption of selected key optimal behaviors that can improve health outcomes in the target districts. While the RFI text does not list the specific behaviors, this typically points to evidence-based practices such as timely antenatal and postnatal care attendance, facility-based delivery, appropriate newborn care, child immunization and care-seeking, uptake and continuation of voluntary family planning, and malaria prevention and treatment behaviors (for example, consistent insecticide-treated net use, intermittent preventive treatment in pregnancy where applicable, prompt testing, and adherence to treatment). Because behavior adoption is explicitly mentioned alongside service quality, SIHSA is likely envisioned as combining health system and service delivery strengthening with community engagement and demand-side strategies.

Administratively, the opportunity is categorized as a discretionary announcement and uses an "Other" funding instrument type, reflecting that this RFI is part of pre-solicitation planning rather than a standard grant competition. The funding activity category is Health, and it is associated with CFDA/Assistance Listing number 98.001 (USAID Foreign Assistance). Eligibility is listed as unrestricted, meaning USAID is open to input from a wide range of entities during this information-gathering phase. The posting identifies the funding opportunity number as RFI 636 22 SIHSA 00001, with an original closing date of April 11, 2022, and a creation date of March 22, 2022. No award ceiling and no expected number of awards are provided, which is consistent with an RFI since it does not commit the agency to funding levels or awards.

Overall, SIHSA should be understood as a planned USAID activity aimed at improving integrated FP/RMNCAH and malaria services and promoting healthy behaviors in selected parts of Sierra Leone, with the RFI serving as a mechanism for USAID to gather real-world perspectives that can shape a stronger, more implementable program design before issuing a future formal funding solicitation.

  • The Guinea USAID-Conakry in the health sector is offering a public funding opportunity titled "Strengthening Integrated Health Services Activity (SIHSA)" 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 2022-03-22.
  • Applicants must submit their applications by 2022-04-11. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Eligible applicants include: Unrestricted.
Apply for RFI 636 22 SIHSA 00001

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Frequently Asked Questions (FAQs)

1) What is the Strengthening Integrated Health Services Activity (SIHSA)?

SIHSA is a USAID-led health initiative being shaped for work in Sierra Leone. It is intended to strengthen integrated health service delivery in selected districts, with a focus on improving quality of care and increasing the use of essential services.

2) Is this announcement a funding opportunity I can apply to right now?

No. The notice described is a Request for Information (RFI), not a call for full proposals and not an award competition. It is an early consultation to collect input that can help USAID refine a future activity design before a formal solicitation is issued.

3) What is USAID asking for through this Request for Information (RFI)?

USAID is requesting practical feedback from organizations, technical experts, and other stakeholders to help refine the scope, approach, and priorities of a future SIHSA activity. The goal is to incorporate real-world perspectives before USAID finalizes a formal solicitation.

4) Who is issuing the RFI?

The RFI is being jointly issued by USAID missions in Guinea (USAID-Conakry) and Sierra Leone.

5) Where will SIHSA operate?

The anticipated focus is on selected districts in Sierra Leone. The specific districts are not listed in the information provided.

6) What health areas will SIHSA focus on?

The technical focus spans Family Planning and the broader continuum of Reproductive, Maternal, Newborn, Child, and Adolescent Health (FP/RMNCAH), alongside malaria services.

7) What does "integrated health service delivery" mean in this context?

It refers to providing a coordinated package of care across life stages rather than treating services as isolated programs. This implies aligning facility-based care and community systems, including referrals, outreach, and community-based activities, so clients can access multiple needed services more efficiently and consistently.

8) What are the main intended outcomes of SIHSA?

Two major outcome areas are described: (1) strengthening integrated health service delivery to improve quality of care and increase use of essential services, and (2) increasing adoption of selected key optimal behaviors that improve health outcomes in the target districts.

9) What behavior change is USAID interested in through SIHSA?

The RFI information does not list specific behaviors. However, it signals a strong interest in increasing adoption of "selected key optimal behaviors" alongside improvements in service quality and service utilization.

10) Does SIHSA include both facility-based and community-based work?

Yes. The integration approach described suggests attention to health facilities and community systems, including coordinated clinical services, referral pathways, outreach, and community-based activities.

11) Is this a grant competition with a defined budget or number of awards?

No. Because this is an RFI (pre-solicitation planning), no award ceiling and no expected number of awards are provided. This is consistent with an information-gathering notice that does not commit USAID to funding levels or awards.

12) What funding instrument type is associated with this notice?

The notice is categorized as a discretionary announcement and uses an "Other" funding instrument type. This reflects that it is part of pre-solicitation planning rather than a standard grant competition.

13) What is the funding activity category?

The funding activity category is Health.

14) What is the CFDA/Assistance Listing number for this opportunity?

The associated CFDA/Assistance Listing number is 98.001 (USAID Foreign Assistance).

15) Who is eligible to respond to the RFI?

Eligibility is listed as unrestricted, meaning USAID is open to input from a wide range of entities during this information-gathering phase.

16) What is the funding opportunity number?

The funding opportunity number is RFI 636 22 SIHSA 00001.

17) What were the key dates for this RFI?

The creation date is March 22, 2022, and the original closing date is April 11, 2022.

18) Does responding to the RFI guarantee future funding or selection?

No. The notice is described as an early market and stakeholder consultation intended to improve the design of a future activity. It does not represent an award competition and does not indicate a commitment to make awards.

19) Why is USAID conducting an RFI before releasing a formal solicitation?

The purpose is to gather practical, real-world input that can help USAID refine and strengthen the future activity design. The RFI is a mechanism to improve the scope, approach, and priorities before issuing a formal funding solicitation.

20) What is the overall intent of SIHSA as described here?

SIHSA is planned as a USAID activity aimed at improving integrated FP/RMNCAH and malaria services and promoting healthy behaviors in selected parts of Sierra Leone, with the RFI serving to collect perspectives that make the program design more implementable and effective.

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