DFOP0017890 Advancing Global Health APS Addendum 3 - Advancing Integrated and Sustainable Health Systems in the Philippines.pdf

Annual Program Statement Addendum Advancing Integrated and Sustainable Health Systems in the Philippines

U.S Department of State

Bureau of Global Health and Security and Diplomacy (GHSD)

Basic Information

1. Overview: The Bureau of Global Health Security and Diplomacy (GHSD) of the U.S. Department of State invites organizations to submit a statement of interest (SOI) to carry out a project (or projects) to advance a resilient and durable health system, increasingly funded from domestic resources, that will contain the spread of infectious diseases, saves lives, and bolster economic growth in the Philippines.

The purpose of this addendum is to indicate specific areas where the Department of State would like to receive SOIs. Submission instructions are included in the “Advancing Global Health” Annual Program Statement (APS). The submission of the SOI is the first step in a two-step process. Applicants must first submit a concise SOI clearly communicating project ideas and objectives. Importantly, this is not a full proposal and will not result in a federal assistance award at this step.

The purpose of the SOI process is to allow applicants to submit project ideas for evaluation prior to requiring the development of a full proposal or application.

Funding Opportunity Title

Advancing Global Health

Funding Opportunity Number

DFOP0017890

Addendum Title Addendum C: Advancing Integrated and Sustainable Health Systems in the Philippines

Deadline for Questions 11:59 pm EDT April 22, 2026 SOI Due Date 11:59 pm EDT May 31, 2026 Number of awards anticipated

Up to 6 awards

Total available funding Up to $200,000,000 subject to the availability of funds

This Addendum has an ad hoc Q&A period, which runs from April 14 through April 22, 2026.

Important: All interested organizations should review Amendment 1 Q&A before submitting questions because the Department of State will not repeat answers. Questions may be submitted to GHSD-APS@state.gov, and answers will be posted on or about April 30, 2026.

Project Performance Period: Proposed projects should be completed in five years or less.

This notice is subject to availability of funding.

2. Executive Summary The Department of State invites eligible U.S. and foreign organizations to support the U.S.-Philippine Health Security Initiative, consistent with the America First Global Health Strategy. To make America and the Philippines safer, stronger, and more prosperous, the Advancing Integrated and Sustainable Health Systems in the Philippines program, seeks to: 1) strengthen disease surveillance, detection, and outbreak response, 2) integrate health service delivery across disease programs to improve efficiency, 3) strengthen domestic capacity to fund and manage health systems, and 4) establish a robust performance accountability mechanism.

Through more efficient and integrated health programming, the initiative aims to build durable government capacity and reduce the risk of cross-border infectious disease outbreaks that threaten both Philippine and U.S. health security. The program also intends to expand partnerships with the private sector and other local partners to scale innovations and ensure long-term, sustainable outcomes.

A. Program Description Advancing Integrated and Sustainable Health Systems in the Philippines is a multi-year initiative to strengthen the Philippines’ capacity to contain the spread of infectious diseases, promote efficient, integrated service delivery, and boost economic investment in the health sector. The program seeks to address these health security threats in sustainable ways that also support efforts to address persistent burdens of HIV, tuberculosis, neglected tropical diseases, and vaccine-preventable diseases, as well as emerging infectious disease threats and systemic vulnerabilities stemming from decentralized health governance, supply chain disruptions, and outbreaks.

Investments prioritize integrated service delivery in Luzon and Visayas and Mindanao, including the Bangsamoro Autonomous Region of Muslim Mindanao (BARMM). Luzon, the largest and most populous of the Philippines’ islands, carries a significant share of the country’s disease burden, and anchors national mailto:GHSD-APS@state.gov laboratory, regulatory, and logistics systems. In Visayas and Mindanao, including the BARMM, poverty, fragility, geographic isolation, and regional instability heighten disease risk, and limit services and access. Investments across these regions also will prioritize procurement and supply chain management. Broad-based integrated program proposals and highly specialized proposals and applications are welcome. These coordinated investments will support sustainable, country-led systems that strengthen outbreak preparedness, improve health service delivery, and advance U.S.-Philippine health security priorities.

1. Goals and Objectives Across four objectives, the program seeks to leverage partnerships with U.S. and Philippine firms to pilot and scale up digital health, laboratory, supply chain, and regulatory innovations that strengthen disease outbreak readiness, surveillance, and responses while expanding the use of U.S. technologies and standards.

Objective 1: Strengthen Disease Surveillance, Detection, and Outbreak Response to Prevent Cross-Border Spread Recipients will strengthen the Department of Health and local health units integrated disease surveillance and response systems to enable timely detection, reporting, and control of infectious disease threats, contributing to regional and global health security and reducing the risk of cross-border disease transmission.

Key interventions include but are not limited to enhancing laboratory network capacity for multi-disease detection, including genomic sequencing and other advanced diagnostic technologies, expanding and institutionalizing surveillance and early warning systems using both event-based and indicator-based approaches, and improving data systems for real-time analysis and decision-making across national and subnational levels. Recipients shall also support the mobilization of domestic surge capacity, including trained rapid response teams, workforce development, and emergency operations coordination, to ensure timely and effective outbreak investigation and response. Recipients will leverage health system assets in HIV/AIDS, TB, and other disease programs to support outbreak detection and response.

Objective 2: Integrate Health Service Delivery Across Disease Programs in Private and Community-Based Facilities to Improve Efficiency Recipients will enhance the delivery of integrated HIV, TB, NTDs, MNCH, and global health security services, in alignment with the America First Global Health Strategy and national priorities. Recipients will strengthen integration across disease programs to improve efficiency in service delivery, supply chain, data systems, human resources, and laboratory systems. Recipients will promote private sector service delivery to the maximum extent practical.

Objective 3: Strengthen Domestic Capacity to Fund and Manage Health Systems Recipients will strengthen the institutional capacity of Philippine government agencies to transition financing from U.S. government funding to host government funding. Recipients will support the Department of Health (DOH), Philippines Food and Drug Administration (FDA), PhilHealth (Philippines’ national health insurance program), and other relevant agencies in enhancing national and local policies, regulations, fiscal management, and oversight of efficient and integrated health systems. Recipients will expand and improve utilization of health benefit packages under the national health insurance scheme. Recipients will support addressing the procurement bottlenecks, streamline product registration process, and strengthen post-marketing surveillance. Recipients will promote a fair and open environment for the private sector to deploy innovative health products and services in the Philippines.

Objective 4: Establish Robust Performance Accountability Mechanisms Recipients will support the U.S. Embassy Manila and DOH to establish integrated and complementary monitoring and accountability mechanisms that strengthen coordination, institutionalize a results-oriented approach, and enable data-driven decision-making that ensures health investments are strategically aligned and measurably advance Philippine health priorities and U.S. national interests. The DOH system will strengthen national monitoring across service delivery, epidemiology, supply chain, and domestic resource mobilization, with improved interoperability and use to guide planning and strengthen country-lead implementation. The U.S. embassy’s platform will support portfolio-level performance tracking, resource alignment, and results reporting across U.S.-funded activities to ensure transparency, accountability, and measurable impact. Jointly, recipients will support data sharing, aligned indicators and routine performance reviews, including the use of geospatial and analytics tools to improve targeting, forecasting, and timely course correction, contributing to stronger health systems.

2. Guiding Principles

• Integrated Health Security and Systems Approach: Link service delivery, laboratories, surveillance, supply chains, and digital health systems to reduce fragmentation and improve continuity of care and outbreak surveillance, readiness, and responses.

• Country Ownership and Sovereignty: Consistent with the America First Global Health Strategy, activities should support and reinforce host-country leadership, national response plans, and sovereign decision-making. These investments are intended to complement, not replace, country government-led efforts and should strengthen national capacities to manage outbreaks effectively.

• Partnership with the Private Sector and Innovation: Leverage U.S. and Philippine private sector expertise, technology, and investment to accelerate innovation, strengthen market systems, and expand the use of U.S.

technologies, standards, and solutions.

• Leverage local Organizations: Prioritize engagement of Philippine local organizations, including civil society, faith-based organizations, and community-based providers, to deliver services, strengthen local systems, and ensure culturally appropriate, sustainable, and accountable implementation at national and sub-national levels.

• Reach to High-Risk Populations: Target investments to underserved, fragile, and high-risk areas—particularly Visayas, Mindanao, and BARMM—and to populations with the greatest disease burden.

• Data-Driven and Digitally Enabled Decision-Making: Promote secure, interoperable digital systems and real-time data used to guide policy, resource allocation, and outbreak detection and emergency response.

• Resilient and Transparent Supply Chains: Build end-to-end procurement and logistics systems that are reliable, shock-resistant, transparent, and accountable, from forecasting through last-mile delivery.

• Preparedness for Shocks and Emergencies: Design systems to withstand and rapidly respond to outbreaks, natural disasters, and supply disruptions through surge capacity and contingency planning.

• Coordination and Accountability: Use robust monitoring, evaluation, and learning to adapt implementation, measure impact, and ensure transparency and results.