Opportunity Information: Apply for RFI 663 22 000005 IQH
The Improving Quality of Healthcare (IQH) opportunity is a USAID/Ethiopia Request for Information (RFI) intended to gather expert input to shape a future program focused on improving the quality of health care, with particular emphasis on Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) services. It is not a funding solicitation at this stage, meaning it is not a Request for Proposals (RFP) or a Request for Applications (RFA), and it should not be treated as an invitation to submit a proposal or budget for award. USAID makes clear that responding does not create any agreement, does not guarantee that a solicitation will be released later, and does not provide any competitive advantage in any future procurement. Any costs associated with preparing a response are the responder's responsibility, and USAID will not pay for submissions.
The main purpose of the RFI is planning and program design. USAID/Ethiopia is seeking practical feedback from organizations, consortia, and technical experts who understand quality-of-care improvement in Ethiopia or similar settings, especially as it relates to RMNCAH across different service delivery points. Respondents are asked to review a draft concept note (Attachment A) and provide insights that help USAID better understand the current quality-of-care landscape, what interventions are already being used, what is working or not working, and what design choices could make a comprehensive quality improvement activity more effective and sustainable. USAID notes that the information provided will not be publicly released and will be used internally to inform planning decisions, but it also states that responses may be used without restriction or limitation.
USAID outlines a set of technical and strategic questions meant to test the logic and completeness of the draft activity design. A key theme is whether the proposed results and sub-results, along with the Theory of Change, logically connect to the overall objective using a clear "if-then" pathway. Another major theme is sustainability and incentives, including what types of results-based financing approaches might improve quality of care in urban and peri-urban primary health care units (PHCUs) and in referral facilities over the long term. The RFI also specifically asks for approaches to support private health facilities in defining, implementing, and sustaining quality-of-care interventions that lead to better RMNCAH outcomes, signaling USAID interest in both public and private sector quality improvement.
The questions also reflect operational realities in Ethiopia, including the need to rebuild or restore health services in conflict-affected areas. USAID asks for ideas on how to support infrastructure recovery and service restoration where conflict has disrupted delivery, which suggests the planned activity may need to be adaptable across stable and unstable contexts. There is also a strong focus on referral systems and continuity of care, with requests for new or testable interventions that strengthen linkages between communities and facilities, between facilities (inter-facility), and within facilities (intra-facility), spanning PHCUs through referral hospitals. In addition, USAID is interested in approaches that improve quality of care across the life cycle, from pre-pregnancy through delivery, childhood, and adolescence, rather than concentrating only on a single life stage or service area.
Community engagement is another explicit design priority. The RFI asks what approaches or platforms could best support meaningful community involvement in quality improvement efforts, implying that client experience, accountability, and local participation are expected components of the eventual program design. USAID also references a "tiered approach" for facilities and asks whether the sequencing is logical and what evidence would be needed to ensure a tailored, tier-based model can accurately categorize facilities and match interventions to facility capacity and performance. Finally, USAID requests recommendations for addressing quality-of-care gaps specifically in urban settings and invites respondents to identify any critical missing interventions or approaches in the draft concept note, effectively opening the door for respondents to propose additional components USAID may not have emphasized.
For submission logistics, the RFI was released on January 27, 2022, with responses due by February 25, 2022, no later than 1700 Addis Ababa time. Submissions were to be emailed to caddis@usaid.gov with a copy to yabraham@usaid.gov, and the email subject line was required to read "RFI-663-22-000005-IQH". Responses were limited to 15 pages and needed to address the listed questions along with any comments on Attachment A. USAID indicates it is not obligated to acknowledge receipt, answer questions, or provide feedback on submissions.
The opportunity listing includes additional metadata that helps frame the potential scale and structure of what may come next. The agency is the U.S. Agency for International Development (USAID), Mission in Ethiopia (USAID Addis Ababa). The activity sits in the health sector under CFDA/Assistance Listing 98.001, and eligibility is described as unrestricted (open), subject to any clarifications that might appear in a future solicitation. The notice references an award ceiling of $32,000,000 and an expectation of one award, but because this is an RFI, those figures should be interpreted as preliminary planning markers rather than confirmed funding available through this notice. Overall, IQH is best understood as a market research and design-shaping step by USAID/Ethiopia to gather targeted technical input on how to build an effective, sustainable quality-of-care improvement activity for RMNCAH and broader service delivery challenges across diverse Ethiopian contexts.Apply for RFI 663 22 000005 IQH
- The Agency for International Development, Ethiopia USAID-Addis Ababa in the health sector is offering a public funding opportunity titled "Improving Quality of Healthcare (IQH)" 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 Jan 28, 2022.
- Applicants must submit their applications by Feb 25, 2022 February 25, 2022 at 1700. (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 $32,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 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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