The Tuberculosis Implementation Framework Agreement (TIFA) is a USAID-funded project that aims to accelerate the country’s progress toward ending tuberculosis (TB). TIFA supports up to 24 USAID priority TB countries. The project is led by JSI Research & Training Institute with a core team operating out of Washington, USA. The project supports TB elimination activities by awarding TB Commitment Grants (TCGs) – which are fixed amount awards (FAAs) - grants or contracts to government entities, local and international NGOs, and private sector partners working in TB control and elimination.

In India, TIFA is led by a team supported by JSIPL through an agreement with JSI Research and Training Institute. TIFA-India initiated activities in the third quarter of 2021 and will continue until July 2024. It works closely with Central TB Division/NTEP and USAID/India to provide sub-awards that will assist the Government of India (GoI) in achieving a TB-free nation.

A total of 22 sub-awards (grants and contracts) have been awarded by TIFA India till date (November 2022). The sub-awards that are currently implemented are - Decentralizing pediatric TB care at the sub- district level through the capacity strengthening of block-level healthcare professionals and demonstrating a reliable sample referral, transportation and tracking mechanism between primary, secondary and tertiary level healthcare facilities. Demonstration of differentiated TB care guidance of NTEP through building a system of risk assessment, referral and intensify care of severely ill TB patients to reduce morbidity and mortality due to TB. Additionally, the evaluation of ACF, DBT, and robust estimation of TB mortality in India is also supported by TIFA.

Addressing Gaps and Challenges