Strengthening the Public Health Systems and Services in the US-Affiliated Pacific Islands

CDC’s National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce has published a five-year notice of funding opportunity (NOFO). The non-research cooperative agreement aims to improve the quality, performance, and sustainability of US-Affiliated Pacific Islands (USAPI) governmental and nongovernmental components of the public health system through capacity-building assistance.

Program Purpose

The purpose of this new funding initiative is to provide capacity-building assistance through a regional, nonprofit organization to strengthen the USAPI’s public health leadership, workforce, and public health systems and infrastructure.

Program Strategies

  • Public health workforce: Activities to enable improvement of competencies and resources to strengthen leadership and workforce development
  • Public health system and infrastructure: Activities to strengthen system and agency needs and determine steps to improve operational capacity
    • Sub-strategies: Accountability performance management, quality improvement; business process improvement; communications; financial management; and improved information technology systems
  • Public health laws and policies: Activities to improve the ability to interpret and inform laws, including statutes and regulations, and health policies
  • Translation and implementation of evidence-based public health practices and services for USAPI population:  Activities to strengthen the delivery of essential public health services
  • Public health monitoring and surveillance systems: Activities to increase the capacity to support collection, integration, maintenance, dissemination, and interpretation of data across the public health system
  • Communications: Activities to improve the use of communications to affect health decisions and actions
  • Partnerships: Activities to improve the establishment and maintenance of results-driven partnerships


This single source cooperative agreement has been awarded to the Pacific Island Health Officers Association (PIHOA).

Funding Period

All funded activities must adhere to the following period of performance and budget period:

  • Period of Performance Length: 5 years (August 1, 2021–July 31, 2026)
  • Budget Period Length: 12 months, each year: (August 1–July 31)
For more information

Email for more information and questions.