Global Health Security and Transition of Life-saving Services
Active
- Assistance listing
- 19.046
- Agency
-
Department of State
- Grant awards
- 1 $250,500,000 in federal obligations
Program facts
- Also known as
- Strengthen sustainability and accelerate transition of life-saving health programs, including the ability to prevent, detect, and respond to infectious disease threats and public health risks.
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 19-1031-0-1-151
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of State awarded a single Cooperative Agreement totaling $275.6 million in obligated dollars as of August 3, 2026, to deliver cost-effective, high-quality integrated health services through strengthened community and facility-based health workers using faith- and community-based platforms with a time-bound transition plan to sustainable local delivery. CFDA 19.046 funds global health security and health system strengthening in partner countries under the America First Global Health Strategy.
The program supports a broad range of activities including technical assistance, capacity building, service delivery, supply chain management, workforce deployment, and program management and oversight. Funding is designed to respond to evolving global health threats and priorities, allowing flexible and rapid deployment of resources across multiple countries and regions. Recipients work with governments, international organizations, and other eligible entities to improve public health outcomes, enhance preparedness and response capabilities, and strengthen accountability and governance systems.
Program activity is minimal in the available snapshot: the portfolio shows one award disbursed in the past year, a Cooperative Agreement representing 100 percent of awards under this listing. The Department of State is the sole funding agency. Combined federal dollars obligated total $250.5 million, with non-federal cost-share contributions bringing the total obligated to $275.6 million—indicating a mandatory matching component of approximately $25.1 million across the recipient base.
The most recent award, Cooperative Agreement SAQMMA26CA0036 (awarded August 3, 2026, with completion by August 3, 2027), obligated $275.55 million to deliver integrated health services through community and facility-based health workers with a sustainability transition plan.
The source does not provide information on open grant opportunities, application deadlines, or recent NOFO postings. Refer to NOFOs associated with CFDA 19.046 for specific application deadlines, eligibility requirements, selection criteria, and award procedures. Continuation grants beyond the initial budget period may be available on a non-competitive basis subject to satisfactory progress and program availability.
Objective and description
- Objective
The America First Global Health Strategy aims to make America safer, stronger, and more prosperous by preventing infectious disease outbreaks, strengthening bilateral relationships with foreign governments, saving millions of lives and moving countri
- Description
The U.S. Government via the Department of State provides foreign assistance to support global health security and health system strengthening in partner countries. Funding supports a broad range of activities and interventions, including technical assistance, capacity building, service delivery, supply chain management, workforce deployment, and program management and oversight. The program is designed to respond to evolving global health threats and priorities, allowing for flexible and rapid deployment of resources across multiple countries and regions. Activities may include support to governments, international organizations, and other eligible entities to improve public health outcomes, enhance preparedness and response capabilities, and strengthen accountability and governance systems. This listing is unique in its integrated approach, combining technical, operational, and systems-level support to achieve measurable and sustainable improvements in global health security.
Eligibility
- Applicant eligibility
Please refer specifically to NOFO listings with this Assistance Listing number for specific eligibility requirements.
- Uses of assistance
See NOFO listings for this specific Assistance Listing for information on how funding may be used and related restrictions.
- Use restrictions
See NOFO listings for this specific Assistance Listing for information on how funding may be used and related restrictions.
How to apply
- Preapplication coordination
Refer to NOFO listings under this Assistance Listing for specific information related to any pre-application coordination requirements.
- Criteria for selecting proposals
Refer to NOFO listings under this Assistance Listing for specific information related to criteria for selecting proposals.
- Award procedure
See NOFO Listings associated with this Assistance Listing for specific information related to award procedures. For all awards under this Assistance Listing. The Bureau makes funding decisions based on recommendations from the Bureau offices and warranted grants officers sign the agreement.
- Deadlines
Refer to NOFO listings under this Assistance Listing for specific information related to application deadlines.
- Time to approval or disapproval
See NOFO Listings associated with this Assistance Listing for specific information related to application review procedures.
- Renewals
See NOFO listings associated with this Assistance Listing for specific information related to renewals. The U.S. Department of State will entertain applications for continuation grants funded under this award beyond the initial budget period on a non-competitive basis subject to availability of funds, satisfactory progress of the program, and a determination that continued funding would be in the best interest of the U.S. Department of State.
Grant awards
| Award | Recipient | Federal obligations | Awarded |
|---|---|---|---|
| Deliver cost-effective, high-quality integrated health services through strengthened community and facility-based… | World Vision Inc. | $250,500,000 |
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | World Vision Inc. | $250,500,000 | 100% |
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $250,500,000 |
Quick answers
What is Assistance Listing 19.046?
Assistance Listing 19.046 is Global Health Security and Transition of Life-saving Services, a federal grant program run by Department of State.
What is the CFDA number for Global Health Security and Transition of Life-saving Services?
Its CFDA number is 19.046: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 19.046 awarded?
1 grant award under 19.046 have obligated $250,500,000 in federal funds to 1 recipient.
Who receives the most funding from 19.046?
The recipients obligated the most under Global Health Security and Transition of Life-saving Services are World Vision Inc. ($250,500,000).
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