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Strengthening the Urban Ecosystem Against Future Disease Threats: A Framework for Urban-Peri-Urban Coordination in Five Priority Cities

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, foster country ownership, and enhance public health emergency preparedness and response.

In India, the TIFA project is focused on strengthening national health security by fostering 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 the Urban Ecosystem Against Future Disease Threats: A Framework for Urban-Peri-Urban Coordination in Five Priority Cities.” This initiative contributes to India’s efforts to contain outbreak-prone diseases at their source. The intervention provides a demonstration model for five high-priority cities, comprising a mix of: operationalized Metropolitan Surveillance Units (MSUs) seeking to extend surveillance reach into peri-urban catchments; and tier-2/3 Cities building specialized urban surveillance capacity within existing District Surveillance Units (DSUs).

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