Opportunity Information: Apply for PSG MBA FY23 01

The Community-Led Monitoring (CLM) grant opportunity is a PEPFAR-funded small grants competition run by the U.S. Embassy in Eswatini, designed to improve the quality of HIV treatment services by systematically collecting and using client feedback gathered by trained community members. The program targets all four regions of Eswatini and focuses on strengthening how HIV services are experienced and delivered at health facilities supported by PEPFAR. At its core, the opportunity is about turning routine community experiences into structured evidence that can be discussed with facilities and acted on to fix persistent service delivery problems.

The Embassy is seeking proposals from registered local community-based organizations and a wide range of civil society entities, including networks of key populations, groups of people living with HIV, organizations representing people with disabilities, and other community groupings that are directly affected by HIV or actively engaged in HIV programming. Applicants should already have a mission tied to HIV work and be capable of gathering both quantitative and qualitative information about HIV services. The intent is to fund community organizations that are close enough to clients to capture honest experiences, while also being organized enough to collect data responsibly and consistently.

The CLM approach emphasized in the opportunity is meant to support better access to and delivery of quality HIV care and treatment by strengthening accountability and improving how services respond to client needs. The grant frames community-led monitoring as a way to empower patients and communities to seek care, increase health literacy, deepen engagement between communities and service providers, strengthen demand creation, and encourage a culture of accountability within the health system. In practical terms, the funded work should help communities document what is working, what is not working, and what barriers are preventing people from starting or staying on treatment, then use that information to push for realistic improvements.

Successful grantees are expected to collaborate at two levels: nationally and locally. At the national level, they need to coordinate with PEPFAR and other key community-focused stakeholders and participate in a national CLM steering committee supported by PEPFAR. At the community level, they must be able to work constructively with health facility staff, facility managers, and the clients receiving PEPFAR-supported services. The opportunity makes it clear that this is not just data collection for reporting purposes; it is a cooperative monitoring process intended to promote dialogue, encourage communities to share their experiences safely, and support joint action that produces visible improvements in the HIV response.

Monitoring activities will use standardized data collection tools and a mix of methods to synthesize findings, so that community feedback becomes actionable insight rather than isolated anecdotes. Typical areas to be monitored include HIV testing services and HIV treatment services, with specific attention to retention in care and viral load (VL) issues. The monitoring also covers service provider perceptions, attitudes, and practices, along with overall client satisfaction. After data are collected, results are expected to be presented and reviewed collaboratively with community representatives, service providers, and facility managers. This joint analysis is meant to create a structured space for identifying problems, agreeing on solutions, and then tracking whether action items are actually implemented and improving the client experience.

From a program structure standpoint, PEPFAR Small Grants plans to support at least one CLM initiative in each of Eswatini's four regions, which signals a strong emphasis on geographic coverage and representation. In addition, the Ministry of Health and NERCHA, in partnership with PEPFAR, will hold quarterly reviews of client feedback drawn from all stakeholders, including the small grant recipients. These quarterly reviews are intended to help national institutions and PEPFAR programs spot recurring challenges and barriers that affect uptake of HIV treatment services, diagnose root causes, and prioritize fixes that can be implemented across facilities or regions.

The funding details included in the notice indicate this is a discretionary grant opportunity administered by the U.S. Department of State, U.S. Mission to Eswatini, under CFDA 19.029. The funding opportunity number is PSG MBA FY23 01. The award ceiling is USD 25,000, and the Embassy anticipated making around five awards. The original application closing date listed in the notice was August 21, 2023 (created July 21, 2023). Overall, the opportunity is positioned as a practical, community-driven quality improvement mechanism: fund local groups to document client experience with HIV services, bring findings to the table with facilities and decision-makers, and follow through until solutions are implemented and service delivery measurably improves.

  • The Department of State, U.S. Mission to Eswatini in the other (see text field entitled explanation of other category of funding activity for clarification) sector is offering a public funding opportunity titled "Community-Led Monitoring (CLM)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 19.029.
  • This funding opportunity was created on Jul 21, 2023.
  • Applicants must submit their applications by Aug 21, 2023. (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 $25,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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