JSI Research & Training Institute, Inc. (JSI) implements the Tuberculosis Implementation Framework Agreement (TIFA). Spanning eight years (2019–2027), this initiative builds on the U.S. Government’s investments in health programming. In 2026, the project is expanding its scope to address additional health priorities under the Global Health Security Strategy. Through direct engagement with local governments, TIFA co-designs Health Commitment Grants (HCGs) and other subawards. These instruments accelerate progress toward national and global health targets, enhance country ownership, and strengthen public health emergency preparedness and response.
TIFA employs a phased, collaborative approach to develop subawards. In coordination with the National Centre for Disease Control (NCDC), we identify national priorities and potential implementing partners. Invited organizations undergo a guided co-design process; once approved, the partner implements activities while JSI/TIFA verifies the completion of key milestones.
In India, the TIFA project is focused on strengthening national health security by enhancing unified action across government sectors. While TIFA’s foundational work involved advancing National TB Elimination Program goals, the project is now launching a new focus on Global Health Security. JSI/TIFA is requesting applications for: "Strengthening District Public Health Laboratories (DPHLs) for Early Detection of Outbreak-Prone Diseases." This initiative contributes to India’s efforts to contain outbreak-prone diseases at their source by optimizing the existing Integrated Disease Surveillance Programme (IDSP) laboratory network. The intervention focuses on transforming District Public Health Laboratories (DPHLs) from passive diagnostic units into proactive surveillance hubs. By strengthening the Level 2 (L2) laboratory tier, the project ensures that clinical samples are converted into actionable "Lab-Confirmed Surveillance Data," reducing reliance on non-specific syndromic reporting.