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Life-Saving TB Case Finding Activity in Urban Marginalised Community - Delhi

JSI Research & Training Institute, Inc. (JSI) implements the Tuberculosis Implementation Framework Agreement (TIFA) managed by the United States Department of State (DOS). The eight-year (2019–2027) project builds on the United States government’s (USG) investments in tuberculosis (TB) programming and, in 2025, is expanding in scope to incorporate additional health priorities. Through direct engagement with local governments and their partners, TIFA co-designs Health Commitment Grants (HCGs) and other awards that accelerate countries’ progress toward national and global TB and other health targets, support country ownership, and foster sustainability while advancing the DOS goals of making America safer, stronger, and more prosperous.

TIFA employs a phased, collaborative approach to develop subawards with our country partners. In partnership with the National Tuberculosis Elimination Program (NTEP) and DOS, we identify country priorities and potential implementing partners. These partners are invited to apply for subawards and, if selected, are guided through a co-design process for the subaward. The implementing organisations then execute the subawards, and DOS and JSI/TIFA verify completed milestones.

In India, unified and collective action is crucial in the fight against TB. With millions affected annually, a collaborative approach that leverages diverse expertise is essential. Since its inception in India, JSI/TIFA has issued 42 subawards to 19 implementing partners, supporting national program priorities across various thematic areas within the NTEP framework. JSI seeks an organisation to deploy the "Urban TB Project" that will implement an integrated Active Case Finding (ACF) and digital-enabled follow-up strategy to break the chain of Tuberculosis (TB) transmission in high-burden urban clusters. It involves deploying AI-enabled Chest X-ray and molecular testing, streamlining specimen logistics with a Hub-and-Spoke model, and developing an open-source digital ecosystem for real-time tracking. The primary goal is to significantly increase case detection in vulnerable populations and reduce the time from screening to treatment initiation, supporting India's 2025 TB elimination target.

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