Integrated Screening and Treatment Linkages for TB Among Tobacco Users Through Opportunistic Platforms in Himachal Pradesh

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 2026 is expanding in scope to incorporate additional health priorities. Through direct engagement with local governments and their partners, TIFA co-designs fixed amount 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 organizations 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 implement a "Search-Link-Screen-Support" model in Himachal Pradesh to bridge the gap between community tobacco hotspots and clinical diagnostic facilities. It aims to accelerate TB elimination by integrating screening for Tuberculosis (TB), and Non-Communicable Disease (NCDs) relevant for tobacco users through a decentralized, community-led informant network and a digital voucher system. The expected outcome is a systemic shift from passive facility visits to proactive detection, significantly reducing diagnostic delays for high-risk individuals.

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Section I: Contact Details

Organization name

Organization’s registered address

Applicant type:

Indian nongovernmental organization legally registered with FCRA.

International organization legally registered in India.

For-profit organization with mandatory registrations (PAN, TAN, GST number) and fulfilling all statutory criteria to receive foreign funds.

Foreign Contribution Regulation Act number

Goods and Services Tax number, if applicable.

Unique Entity Identifier (UEI) number, if available (guidance for creating a UEI number to be provided).

Name and title of point of contact for applicant.

Mailing address of point of contact.

Telephone number of point of contact.

Email address of point of contact.

Confirm email

Name and title of authorized signatory for grant.

Section II: Organizational Eligibility

Note your organization’s ability to meet the following:

The chief executive of the organization is willing to sign an agreement and receive funds from JSI, the Washington-based partner.

Yes

Describe your organization’s recent (last 3 years) experience working on-ground experience strengthening tuberculosis and tobacco care services in Himachal Pradesh.

(1,000-character limit)

Describe your experience providing services to the Government of India, specifically: showcase existing or any previous work with the respective National programme at the central or state or district level, especially, National TB Elimination Programme and the National Tobacco Control Programme.

(1,000-character limit)

Section III: Proposal Description

Describe your proposed methodology for identifying and onboarding 200 community and 100 institutional touchpoints (e.g., pan shops, dental clinics, barber shops, etc). Outline your strategy for orientation and upskilling.

(3,000-character limit)

Detail your methodology. Explain your "history-to-screening" workflow and how you will ensure a "closed-loop" referral system for transitioning presumptive cases to molecular testing and Ni-kshay enrollment. Outline your strategy for upskilling and deploying the integrated TB and NCD screening in public and private imaging centers.

(3,000-character limit)

Detail your plan for deploying digital/physical vouchers and managing the "social-good incentive" model for the stakeholders engaged at community touchpoints.

(3,000-character limit)

Describe the establishment of the "One-Stop" screening desks at health facilities to integrate TB, NCD (blood sugar/BP), and oral cancer screenings at public and private sector sites. Explain how technology innovations will be deployed to ensure integrated screening.

(2,000-character limit)

Describe your experience deploying AI-enabled systems like chest X-ray screening or other health screening interventions and digital dashboard that track patients in real-time.

(1,000-character limit)

Describe your internal coordination mechanisms with national health programs (NTEP, NTCP, and NP-NCD) at the state, district, and block levels, with specific reference to Himachal Pradesh. How will you incorporate onboarding and coordination mechanisms to integrate private imaging centers.

(2,000-character limit)

Provide an overview of the proposed project team’s expertise in TB control, tobacco cessation programs, complex logistics, culturally sensitive communication approaches and health systems strengthening.

(2,000-character limit)

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Integrated Screening and Treatment Linkages for TB Among Tobacco Users Through Opportunistic Platforms in Himachal Pradesh (PDF, 978.9 KB)