Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security
Active
- Assistance listing
- 93.318
- Agency
-
Centers for Disease Control and Prevention
Department of Health and Human Services
- Grant awards
- 339 $1,550,624,307 in federal obligations
Program facts
- Also known as
- Global Health
- Assistance types
-
- Cooperative Agreement
- Project Grant
- Treasury account
-
- 75-0943-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Centers for Disease Control and Prevention funds international infectious disease surveillance, laboratory capacity, workforce training, and outbreak response activities worldwide under Assistance Listing 93.318, with the most recent grant award on September 30, 2026.
Grant activity in this program remains steady and recent. The portfolio includes 339 awards spanning from 2014 to present, with an average of roughly 4 to 6 awards per year in recent years, accelerating to 9 awards in 2026. Combined federal dollars obligated total $1.55 billion across these awards. The program predominantly funds cooperative agreements (98% of awards, 333 of 339), with only a small share of project grants (2%). Funding concentration is substantial: CDC itself accounts for the vast majority of obligated dollars across multiple functional components within the program, with all seven distinct funding federal agencies being CDC sub-organizations.
Funded activities center on infectious disease surveillance and laboratory strengthening in low- and middle-income countries, emphasizing influenza, respiratory pathogens, and zoonotic diseases. Recent awards show this scope in practice. A cooperative agreement with the Pan American Health Organization for $27.3 million (through May 2029) supports immunization program capacity in the Americas. Uganda received a $35 million cooperative agreement (through September 2029) for HIV-related laboratory testing and diagnostics under PEPFAR. South Africa's cooperative agreement for $12.1 million (through August 2029) funds collaborative influenza and respiratory pathogen research. Smaller awards of $150 thousand to $800 thousand support surveillance and response to influenza and avian flu across the Caribbean, Kenya, and Southeast Europe. Project grants ($296 thousand to $2.2 million) fund diagnostic development—including rapid pathogen detection platforms and drug-resistant TB testing systems.
Multiple grant opportunities posted recently target global health security strengthening. CDC-RFA-JG-27-0069, posted August 14, 2026, seeks cooperative agreement applications for capacity building in global and national immunization programs (no stated deadline yet). CDC-RFA-CK-27-0244, posted August 3, 2026, funds antimicrobial resistance and healthcare-associated infection detection, surveillance, and response in low- and middle-income countries (forecast only). CDC-RFA-CK-26-0230 (posted April 16, 2026, due September 26, 2026) supports fungal disease detection and surveillance capacity. Additional opportunities targeting country-specific health security strengthening in Ghana, DRC, Kenya, Uganda, Ethiopia, Nigeria, Sierra Leone, Senegal, Tanzania, India, and Indonesia carry application deadlines between August and October 2026. Eligibility for most recent opportunities is unrestricted or open to 501(c)(3) nonprofits, higher education institutions, state and local governments, and other entity types; foreign applicants are eligible dependent on the specific NOFO.
Objective and description
- Objective
CDC's global health efforts are to assist Ministries of Health and other international partners to plan, manage effectively, and evaluate public health programs; achieve U.S. Government program and international organization goals to improve health,
- Description
CDC's global health efforts are to assist Ministries of Health and other international partners to plan, manage effectively, and evaluate public health programs; achieve U.S. Government program and international organization goals to improve health, including disease eradication and elimination targets; expand CDC's global health programs that focus on the leading causes of worldwide mortality, morbidity and disability, including chronic disease and injuries; generate and apply new knowledge to achieve health goals; and, strengthen health systems and their impact.
Eligibility
- Applicant eligibility
Eligibility also extends to foreign applicants. Dependent on the Notice of Funding Opportunity (NOFO), eligibility may range from open, competitive, limited, or single eligibility in accordance with authorizing legislation.
- Beneficiary eligibility
This will benefit individuals worldwide, including in the U.S., through collaborations with national Ministries of Health and other organizations/institutions. This is only for non-research activities supported by CDC/ATSDR. For the definition of research, please see http://www.cdc.gov/od/science/quality/resources.
- Uses of assistance
Support the implementation of programs and activities focusing on protecting and improving health globally through regional, national, and local partnerships to develop, implement and strengthen public health surveillance, health information systems (including monitoring and evaluation), public health laboratory capacity, workforce development, as well as systems and capacities for the prevention, detection, response, and control of infectious and non-communicable diseases, injury prevention efforts and public health emergencies. Support must also be aimed at building upon existing public health infrastructure focusing on country priorities that are of mutual interest to CDC in order to strengthen regional and national partnerships, public health capacity, leadership, strategic collaboration and integrated health programming through national ministries of health, national public health networks and inter-sectorial co-operation and collaborations with other health organizations, non-governmental health organizations, academic institutions and community groups as appropriate to accomplish program activities. In addition, projects must also consider monitoring and evaluation of overall program performance and the progress of projects or activities.
- Use restrictions
Recipients may not use funds for clinical care. • Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual. • Recipients may not generally use HHS/CDC/ATSDR funding for the purchase of furniture or equipment. Any such proposed spending must be identified in the budget. • The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project objectives and not merely serve as a conduit for an award to another party or provider who is ineligible. • Reimbursement of pre-award costs is not allowed.
- Length and time phasing of assistance
Financial assistance is provided for a 12-month budget period with a period of performance of up to five years subject to the availability of funds and satisfactory progress of the recipient.
How to apply
- Criteria for selecting proposals
Applications will be evaluated on the review criteria described in the Notice of Funding Opportunity Announcements (NOFOs). In general, the review and selection process of complete and responsive applications to the NOFO consists of determination of the scientific and technical merit by objective or peer review, availability of funds, and relevance of program priorities and the priorities of CDC.
- Award procedure
After review and approval, a Notice of Award (NoA) will be prepared and processed, along with appropriate notification to the public. Initial awards provide funds for the first budget period (usually 12 months) and the NoA will indicate support recommended for the remainder of the project period, allocation of Federal funds by budget categories, award requirements, and special conditions, if any.
- Deadlines
Check Grants.gov for any relevant NOFO information regarding processes for applying for assistance.
- Renewals
Cooperative agreement period of performance is 1 to 5 years. After initial awards, and subject to availability of funds, projects may be continued non-competitively contingent upon satisfactory progress by the recipient (as documented in required reports) and the determination that continued funding is in the best interest of the Federal government.
Grant opportunities
Show 39 more
Latest 49 listed here. See the rest on GovTribe.
Grant awards
Latest 10 of 339 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | African Field Epidemiology Network LTD | $261,102,949 | 17% |
| 2 | Association Of Public Health Laboratories, Inc. (The) | $149,133,822 | 10% |
| 3 | The Task Force For Global Health, Inc. | $113,925,746 | 7% |
| 4 | World Health Organization | $74,082,869 | 5% |
| 5 | Pan American Health Organization | $72,565,307 | 5% |
| 6 | Public Health Institute | $58,310,728 | 4% |
| 7 | The Trustees Of Columbia University In The City Of New York | $52,190,980 | 3% |
| 8 | Integral Global Health, Inc. | $49,316,860 | 3% |
| 9 | Ministry Of Health Central Public Health Laboratories | $35,024,800 | 2% |
| 10 | University Of Maryland, Baltimore | $27,977,444 | 2% |
10 of 168 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $11,547,779 |
| FY2025 | $38,236,318 |
| FY2024 | $169,958,247 |
| FY2023 | $329,729,988 |
| FY2022 | $708,379,771 |
| FY2021 | $548,678,536 |
| FY2020 | $512,174,263 |
| FY2019 | $158,639,459 |
| FY2018 | $90,695,262 |
| FY2017 | $182,624,309 |
| FY2016 | $147,656,297 |
| FY2015 | $122,147,890 |
| FY2014 | $1,089,228 |
Show all 13
Quick answers
What is Assistance Listing 93.318?
Assistance Listing 93.318 is Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security, a federal grant program run by Centers for Disease Control and Prevention (Department of Health and Human Services).
What is the CFDA number for Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security?
Its CFDA number is 93.318: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.318 awarded?
339 grant awards under 93.318 have obligated $1,550,624,307 in federal funds to 168 recipients.
Who receives the most funding from 93.318?
The recipients obligated the most under Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security are African Field Epidemiology Network LTD ($261,102,949), Association Of Public Health Laboratories, Inc. (The) ($149,133,822) and The Task Force For Global Health, Inc. ($113,925,746).
How much did 93.318 obligate in fiscal year 2025?
Grants under 93.318 obligated $38,236,318 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.318?
3 of the latest 49 opportunities under 93.318 are open or forecasted. The latest, Capacity Building for National Immunization Programs in the Eastern Mediterranean Region, was posted on August 31, 2026.
On GovTribe
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