Foreign Assistance to American Schools and Hospitals Abroad (ASHA)

Published on AidPage by IDILOGIC on Jun 24, 2005

Administered by:

US Federal Government Agency (see all agencies)
United States Agency for International Development
CFDA #: 98.006

Purpose of this program:

The Foreign Assistance Program is dedicated to supporting long-term and equitable economic growth and advancing U.S. foreign policy objectives by supporting economic growth, agriculture and trade; global health; and democracy, conflict prevention and humanitarian assistance. Within the context of the U.S. Foreign Assistance Program, the objectives of the PVC-ASHA program are to strengthen schools and hospitals that best demonstrate American ideas and practices, and are likely to survive over a long term.

Possible uses and use restrictions...

Funds are authorized through grant agreements with private and non-profit U.S. organizations to carry out activities in line with the Agency's objectives. Funds are limited for direct support of activities conducted outside the United States in furtherance of the Agency's strategic objectives. ASHA grants are awarded through a competitive process.

Who is eligible to apply...

The applicant should be a non-profit U.S. organization, which either founded or sponsors the institution for which assistance is sought. Preferably, the applicant should be a tax-exempt organization under section 501C (3) of the Internal Revenue Code of 1954. The applicant must demonstrate a continuing supportive relationship with the overseas institution. Evidence of this support would be the provision of financial and management support for the institution.

Eligible Applicant Categories:
Eligible Functional Categories:

The overseas institutions must demonstrate competence in professional skills and exhibit sound management and financial practices. An applicant for a new overseas institution must present a strategy that demonstrates the ability to achieve professional competence, commitment to promote U.S. ideas and practices, and to operate in accordance with sound management and financial practices. Institutions must be open to all persons regardless of race, religion, sex, color, or national origin. All overseas institutions are expected to reflect favorably upon, and to increase the understanding as well as to enhance the image of the United States. An applicant requesting capital assistance for procurement of durable commodities and/or construction/renovation assistance must provide a firm estimate of the total cost (including cost share and U.S. contribution) for which assistance is requested. Such applicants must also provide information and assurances with respect to right to occupy the premises and/or the land upon which new construction is planned.

Note:This is a brief description of the credentials or documentation required prior to, or along with, an application for assistance.

About this section:

This section indicates who can apply to the Federal government for assistance and the criteria the potential applicant must satisfy. For example, individuals may be eligible for research grants, and the criteria to be satisfied may be that they have a professional or scientific degree, 3 years of research experience, and be a citizen of the United States. Universities, medical schools, hospitals, or State and local governments may also be eligible. Where State governments are eligible, the type of State agency will be indicated (State welfare agency or State agency on aging) and the criteria that they must satisfy.

Certain federal programs (e.g., the Pell Grant program which provides grants to students) involve intermediate levels of application processing, i.e., applications are transmitted through colleges or universities that are neither the direct applicant nor the ultimate beneficiary. For these programs, the criteria that the intermediaries must satisfy are also indicated, along with intermediaries who are not eligible.

How to apply...

Application Procedure:

PVC-ASHA grant process is competitive and encompasses a number of well established steps. Specifically, 1. The grant criteria, as published in the Federal Register. 2. An annual independent review that ranks the applications and makes recommendations. 3. The PVC-ASHA program management determines funding priorities based on the external review, prior grantee performance, geographic balance, focus of other ASHA grants in the same country, USAID Mission recommendations, and USAID agency objectives. 4. PVC- ASHA forwards the final funding recommendations to the Bureau for Democracy, Conflict and Humanitarian Assistance (DCHA) for approval, to the USAID Administrator for information, and to the U.S. Congress for notification.

Note: Each program will indicate whether applications are to be submitted to the Federal headquarters, regional or local office, or to a State or local government office.

Award Procedure:

PVC-ASHA grant process is competitive and encompasses a number of well established steps described in the Application Procedure.

Note: Grant payments may be made by a letter of credit, advance by Treasury check, or reimbursement by Treasury check. Awards may be made by the headquarters office directly to the applicant, an agency field office, a regional office, or by an authorized county office. The assistance may pass through the initial applicant for further distribution by intermediate level applicants to groups or individuals in the private sector.

Deadlines and process...


The deadline for submission of applications is June 30th of each year.

Note: When available, this section indicates the deadlines for applications to the funding agency which will be stated in terms of the date(s) or between what dates the application should be received. When not available, applicants should contact the funding agency for deadline information.

Range of Approval/Disapproval Time

The range is from 7 to 9 months.

Preapplication Coordination

No pre-application coordination is required. This program is excluded from coverage under E.O. 12372.

Note: This section indicates whether any prior coordination or approval is required with governmental or nongovernmental units prior to the submission of a formal application to the federal funding agency.



Note: In some cases, there are no provisions for appeal. Where applicable, this section discusses appeal procedures or allowable rework time for resubmission of applications to be processed by the funding agency. Appeal procedures vary with individual programs and are either listed in this section or applicants are referred to appeal procedures documented in the relevant Code of Federal Regulations (CFR).


Extensions to the project period may be made if deemed appropriate by PVC-ASHA. Subsequent grant applications for complementary or auxiliary activities may be submitted yearly to fund a previously PVC-ASHA-assisted project.

Note: In some instances, renewal procedures may be the same as for the application procedure, e.g., for projects of a non-continuing nature renewals will be treated as new, competing applications; for projects of an ongoing nature, renewals may be given annually.

Who can benefit...

Beneficiaries must be institutions located outside the U.S. and should not be under the control or management of a government or any other of its agencies. The majority of the users of these overseas institutions, e.g. students or patients, must be citizens of countries other than the U.S.

About this section:

This section lists the ultimate beneficiaries of a program, the criteria they must satisfy and who specifically is not eligible. The applicant and beneficiary will generally be the same for programs that provide assistance directly from a Federal agency. However, financial assistance that passes through State or local governments will have different applicants and beneficiaries since the assistance is transmitted to private sector beneficiaries who are not obligated to request or apply for the assistance.

What types of assistance...

How much financial aid...

Range and Average of Financial Assistance

Range from $15 million to $20 million per year with an average of approximately $17 million.

Note: This section lists the representative range (smallest to largest) of the amount of financial assistance available. These figures are based upon funds awarded in the past fiscal year and the current fiscal year to date. Also indicated is an approximate average amount of awards which were made in the past and current fiscal years.


FY 01 $16,951,462; FY 03 $17,101,612; and FY 04 est $19,283,119.

Note: The dollar amounts listed in this section represent obligations for the past fiscal year (PY), estimates for the current fiscal year (CY), and estimates for the budget fiscal year (BY) as reported by the Federal agencies. Obligations for non-financial assistance programs indicate the administrative expenses involved in the operation of a program.

Account Identification


Note: Note: This 11-digit budget account identification code represents the account which funds a particular program. This code should be consistent with the code given for the program area as specified in Appendix III of the Budget of the United States Government.

Examples of funded projects...

African Medical & Research School (Kenya) Procure commodities to upgrade a training facility; Mulanje Mission Hospital (Malawi) Construct private healthcare ward, procure furniture, medical and computer equipment; Wilberforce Institute (South Africa) Construct, equip and furnish a multi-purpose community development center; Nancy Fulwood Hospital (Pakistan) procure medical diagnostic equipment, heart monitoring equipment and furniture; American Farm School (Greece) renovate existing dormitories; University of the Valley (Guatemala) construct telecommunications laboratory, renovate math and science laboratories, procure file servers, desktop computers and scanners.

About this section

This section indicates the different types of projects which have been funded in the past. Only projects funded under Project Grants or Direct Payments for Specified Use should be listed here. The examples give potential applicants an idea of the types of projects that may be accepted for funding. The agency should list at least five examples of the most recently funded projects.

Program accomplishments...

None. This is a new program.

Criteria for selecting proposals...

1. The applicant should be a nonprofit U.S. organization, which either founded or sponsors the institution for which assistance is sought. Preferably, the applicant should be tax-exempt under Section 501C(3) of the Internal Revenue Code of 1954. The applicant must demonstrate a continuing supportive relationship with the institution. Evidence of this would be the provision of financial and management support for the institution. 2. An instruction program must serve the secondary or higher level and must reflect American educational ideas and practices (education at the elementary school level will not be supported). A school offering a broad-based academic program must include instruction on the history, geography, political science, cultural institutions or economics of the United States. English should be used in instruction or taught as a second language. However, the foregoing subject matter and language requirements need not apply to a school offering a specialized course of study. 3. Institutions are expected to reflect favorably upon and to increase understanding of the United States. 4. A hospital center, in addition to being a treatment facility, must be involved in medical education and research. Programs for post graduate training of staff in the United States and programs for the exchange of personnel with American institutions will be regarded as evidence of ability to demonstrate American ideas and practices in medicine. 5. The faculty and staff of a school or a hospital center should include a significant number of U.S. citizens or other persons trained in U.S. institutions who are in residence and teaching at the school or hospital on either a full-time or part-time basis. 6. The majority of the users of any institution, e.g. students or patients, must be citizens of countries other than the U.S. 7. An existing institution must demonstrate competence in professional skills and must exhibit sound management and financial practices. An applicant for a new institution must demonstrate the ability to achieve professional competence and to operate in accordance with sound management and financial practices. 8. The institution must be open to all persons regardless of race, religion, sex, color or national origin. (The above shall not be construed to require enrollment of students of both sexes at an educational institution enrolling boys or girls only.) Assistance may not be used to train persons for religious pursuits or to construct buildings or other facilities intended for worship or religious instruction. 9. The institution must be located outside the U.S. and should not be under the control or management of a government or any of its agencies. The receipt of financial or other assistance from a government or government agency or the observance of national educational or medical standards required by the country where the institution is located does not in itself mean that the institution is under the control or management of such government. 10. An applicant requesting capital construction assistance must provide information sufficient to permit a firm estimate of the total cost to the U.S. Government of the construction for which assistance is requested. Such an application must also provide information and assurances with respect to rights to the land on which construction is planned. 11. To help achieve the objectives of the Foreign Assistance Act and ensure that the American schools and Hospitals Abroad program is as geographically balanced as possible, special consideration will be given to applications for institutions which increase the geographic distribution of the program and contribute to the economic and social progress of areas that are the focus of A.I.D.'s development efforts.

Assistance considerations...

Length and Time Phasing of Assistance

Grants that include construction may be issued for up to a five-year period, whereas grants for commodities, only, are normally issued for a period of eighteen to twenty-four months.

Formula and Matching Requirements

The ASHA program has no statutory formula or matching requirements. However, cost-sharing by the U.S. sponsoring organizations and their overseas institutions are requested in the grant application. Demonstrated cost-sharing reflects favorably on the applicants request for assistance.

A formula may be based on population, per capita income, and other statistical factors. Applicants are informed whether there are any matching requirements to be met when participating in the cost of a project. In general, the matching share represents that portion of the project costs not borne by the Federal government. Attachment F of OMB Circular No. A-102 (Office of Management and Budget) sets forth the criteria and procedures for the evaluation of matching share requirements which may be cash or in-kind contributions made by State and local governments or other agencies, institutions, private organizations, or individuals to satisfy matching requirements of Federal grants or loans.

Cash contributions represent the grantees' cash outlay, including the outlay of money contributed to the grantee by other public agencies, institutions, private organizations, or individuals. When authorized by Federal regulation, Federal funds received from other grants may be considered as the grantees' cash contribution.

In-kind contributions represent the value of noncash contributions provided by the grantee, other public agencies and institutions, private organizations or individuals. In-kind contributions may consist of charges for real property and equipment, and value of goods and services directly benefiting and specifically identifiable to the grant program. When authorized by Federal legislation, property purchased with Federal funds may be considered as grantees' in-kind contribution.

Maintenance of effort (MOE) is a requirement contained in certain legislation, regulations, or administrative policies stating that a grantee must maintain a specified level of financial effort in a specific area in order to receive Federal grant funds, and that the Federal grant funds may be used only to supplement, not supplant, the level of grantee funds.

Post assistance requirements...


Grantees must submit quarterly progress reports and annual organizational reports. Comprehensive final Project Reports are due no later than 90 days after the completion of projects. Expenditure reports are required 30 days after the end of each progress reporting period.

Note: This section indicates whether program reports, expenditure reports, cash reports or performance monitoring are required by the Federal funding agency, and specifies at what time intervals (monthly, annually, etc.) this must be accomplished.


In accordance with the provisions of OMB Circular A-133 (Revised June 24, 1997), Audits of States, Local Governments, and Non-Profit Organizations, nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-federal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. An amendment to the definition of oversight agency for audit, effective July 28, 2003 stipulates that after December 31, 2003 The Office of Management and Budget (OMB) is issuing final revisions to Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations. The purpose of these revisions is to (1) increase the threshold for audit from $300,000 to $500,000, (2) increase the threshold for cognizant agency for audit from $25 million to $50 million, and (3) make related technical changes to facilitate the determination of cognizant agency for audit and provide for Federal agency reassignment of oversight agency for audit.

Note: This section discusses audits required by the Federal agency. The procedures and requirements for State and local governments and nonprofit entities are set forth in OMB Circular No. A-133. These requirements pertain to awards made within the respective State's fiscal year - not the Federal fiscal year, as some State and local governments may use the calendar year or other variation of time span designated as the fiscal year period, rather than that commonly known as the Federal fiscal year (from October 1st through September 30th).


In accordance with 22 CFR Part 226.53, grantees are to maintain accounting records for a minimum of 3 years after the end of the date of submission of the final expenditure report. If any litigation, claim, negotiation, audit or other action involving the records has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Note: This section indicates the record retention requirements and the type of records the Federal agency may require. Not included are the normally imposed requirements of the General Accounting Office. For programs falling under the purview of OMB Circular No. A-102, record retention is set forth in Attachment C. For other programs, record retention is governed by the funding agency's requirements.



Section 214, The Foreign Assistance Act of 1961, as amended.

Note: This section lists the legal authority upon which a program is based (acts, amendments to acts, Public Law numbers, titles, sections, Statute Codes, citations to the U.S. Code, Executive Orders, Presidential Reorganization Plans, and Memoranda from an agency head).

Regulations, Guidelines, And Literature

Grant administration policies are in 22 CFR 226, and may be found at Internal USAID policy directives, including standard formats, may be found in Automated Directive Systems (ADS) Chapter 303. The ADS is available on the USAID website at Other information regarding USAID's program may be found at

Contact information...

Web Sites
Regional Or Local Office

Not applicable.

Note: This section lists the agency contact person, address and telephone number of the Federal Regional or Local Office(s) to be contacted for detailed information regarding a program such as: (1) current availability of funds and the likelihood of receiving assistance within a given period; (2) pre-application and application forms required; (3) whether a pre-application conference is recommended; (4) assistance available in preparation of applications; (5) whether funding decisions are made at the headquarters, regional or local level; (6) application renewal procedures (including continuations and supplementals) or appeal procedures for rejected applications; and (7) recently published program guidelines and material. However, for most federal programs, this section will instruct the reader to consult the so-called Appendix IV of the Catalog due to the large volume of Regional and Local Office Contacts for most agencies. This information is provided in Additional Contact Information (see below).

Headquarters Office

Office of American Schools and Hospitals Abroad, Bureau for Democracy, Conflict, and Humanitarian Assistance.

Note: This section lists names and addresses of the office at the headquarters level with direct operational responsibility for managing a program. A telephone number is provided in cases where a Regional or Local Office is not normally able to answer detailed inquiries concerning a program. Also listed are the name(s) and telephone number(s) of the information contact person(s) who can provide additional program information to applicants.

Additional Contact Information (Appendix IV)

Due to the large volume of regional and local office contacts for most agencies, full contact information is also provided separately here in a PDF format: