Promoting Results and Outcomes through Policy and Economic Levers (PROPEL) | 7200AA22APS00002

Opportunity Information: Apply for 7200AA22APS00002

The Promoting Results and Outcomes through Policy and Economic Levers (PROPEL) opportunity is a USAID Office of Population and Reproductive Health (PRH) Annual Program Statement (APS) designed to strengthen the broader "enabling environment" that determines whether health programs can actually perform and last. Rather than focusing only on delivering services in clinics, this APS targets the policy, financing, governance, and accountability conditions that shape how equitable and sustainable health services, supplies, and delivery systems operate over time. The overall aim is to help countries build systems that can reliably fund, manage, and improve health services in ways that are fair, transparent, and responsive to public needs.

A central theme of PROPEL is improving health systems through policy development and implementation, along with creating financing arrangements that are adequate, predictable, and sustainable. In practice, this points to work such as supporting governments to craft or reform health and reproductive health policies, strengthening implementation rules and procedures, and helping public systems move away from short-term or donor-dependent funding toward more stable domestic resource commitments. The APS also highlights the importance of stronger government stewardship, transparency, and accountability, indicating support for reforms that improve oversight, reduce bottlenecks and leakage, and make decision-making more evidence-based and open to scrutiny. Alongside government-facing work, PROPEL explicitly calls for an engaged and informed civil society that is prepared to advocate for better systems and outcomes, signaling that community groups, watchdog organizations, and advocacy partners may play a meaningful role in pushing for policy follow-through and improved performance.

Programmatically, PROPEL places specific emphasis on voluntary, rights-based family planning and reproductive health (FP/RH). That language matters because it signals that activities should protect informed choice, voluntarism, non-discrimination, and quality of care, and that results are not meant to be pursued through coercive or target-driven approaches. The APS also prioritizes integration of FP/RH with maternal and child health (MCH) and HIV/AIDS efforts, reflecting USAID's interest in more coordinated approaches that reduce fragmentation and reach clients more effectively across services. More broadly, PROPEL is intended to work across health systems and other development sectors, which suggests that interventions may involve actors and levers outside the health ministry alone, including finance ministries, social protection systems, insurance schemes, public financial management institutions, and other cross-sector policy platforms that influence health outcomes.

In terms of intended results, the APS frames success as improvements in FP/RH demand and uptake and, ultimately, better health outcomes. The logic is that when policies are clearer and better implemented, financing is more dependable, governance is stronger, and civil society can hold systems accountable, then services and commodities are more consistently available and higher quality, trust increases, and people are more likely to seek and continue using FP/RH services by choice. The health outcome focus implies attention not only to service coverage but also to system performance and sustainability, including whether reforms persist beyond the life of a single project.

From a funding and administrative standpoint, PROPEL is a discretionary opportunity from the U.S. Agency for International Development, using a cooperative agreement as the funding instrument. A cooperative agreement typically means substantial involvement by the government during implementation compared with a standard grant, such as collaboration on work planning, technical direction, or coordination with other USAID efforts. The opportunity is identified as Funding Opportunity Number 7200AA22APS00002 and is categorized under the Health activity area, with CFDA number 98.001. The opportunity was created on 2021-12-07 and lists an original closing date of 2027-11-30, which is consistent with an APS structure that may have multiple rounds and allow concept paper submissions over an extended period.

Eligibility is broad: U.S. and non-U.S. organizations may apply, including public and private entities, for-profit and nonprofit organizations, institutions of higher education, public international organizations, and non-governmental organizations. Applicants are expected to submit a concept paper under each round of the APS, meaning the process is likely staged, with concept papers used to screen and shape potential awards before more detailed applications are invited. The listed award ceiling is $180,000,000, indicating the program can support large-scale awards depending on USAID's determinations, priorities, and available funding. The number of expected awards is not specified in the provided data, which usually means the agency may make multiple awards over time depending on the quality of submissions and evolving program needs.

• The Agency for International Development in the health sector is offering a public funding opportunity titled "Promoting Results and Outcomes through Policy and Economic Levers (PROPEL)" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
• This funding opportunity was created on 2021-12-07.
• Applicants must submit their applications by 2027-11-30.
• Each selected applicant is eligible to receive up to $180,000,000.00 in funding.
• Eligible applicants include: Others.

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