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Integrated Community and Facility-Based TB Case Finding and Preventive Therapy among Key Vulnerable Populations: A Pathway to Elimination in High-Burden Districts of India

Award Number: NU2GJG000005
ORGANIZATION: GLOBAL HEALTH CENTER
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2026
PERIOD OF PERFORMANCE END DATE: 09/29/2031

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Integrated Community and Facility-Based TB Case Finding and Preventive Therapy among Key Vulnerable Populations: A Pathway to Elimination in High-Burden Districts of India - Accelerating TB Case Finding, Prevention, and Surveillance Among Key Vulnerable Populations in Maharashtra and Haryana, India SAATHII (Solidarity and Action Against The HIV Infection in India) | CDC-RFA-JG-26-0125 Purpose. India bears the world's highest TB burden -25% of global cases and 28% of deaths (WHO, 2025) -yet significant numbers of people with TB, particularly among key and vulnerable populations (KVPs), remain undetected or are diagnosed late. Gaps persist across the TB care and prevention cascade: community-based active case finding (ACF) has consistently fallen short of programmatic benchmarks in coverage and diagnostic yield; systematic TB screening is insufficiently integrated into the health facilities where high-risk populations already seek care; TB preventive treatment (TPT) coverage stands at 45% nationally, with low initiation and completion rates; and data quality and use for programmatic decision-making remain inadequate. This project will address these gaps to strengthen TB case detection, preventive treatment, and surveillance across six high-burden districts in Maharashtra and Haryana, in alignment with India's National TB Elimination Programme (NTEP). Approach. The project will work across two strategies. The first will strengthen TB case finding and prevention by improving community-based ACF in high-risk geographies, integrating TB screening and referral into the health facilities and service settings where KVPs already seek care, and ensuring TB infection testing and TPT for eligible individuals per national guidelines. Systematic evaluation of household contacts, nutritional support for TB patients and contacts, and linkages to social protection schemes will further strengthen treatment adherence and outcomes. Local governance structures and non-health departments will be engaged to improve reach among KVPs. The second strategy will improve data quality and data use through strengthened Ni-Kshay reporting and routine data review mechanisms to support evidence-based decision-making by district and block-level programme teams. Target Populations. KVPs at highest risk of TB infection, disease, and poor outcomes: household and non-household contacts of TB patients; undernourished individuals; children and adolescents; the elderly; people with diabetes mellitus; tobacco and alcohol users; and individuals in congregate or crowded settings. Expected Outcomes. In the short term, the project will increase TB case detection through strengthened community and facility-based screening; improve household contact investigation and TPT initiation and completion; and enhance Ni-Kshay data completeness and use. Over the five-year period of performance, the project anticipates a narrowing of the gap between estimated and notified TB burden, improved TPT and treatment success rates, and institutionalized data-to-action cycles at district and block levels. In the long term, sustained implementation is expected to reduce TB morbidity and mortality in the intervention districts, with evidence generated informing NTEP strategies and supporting national and regional scale-up.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $650,000 )
2026	2026	SOLIDARITY AND ACTION AGAINST THE HIV INFECTION IN INDIA	New No 30 Old No S 23 35th Cross Street, Besant Nagar	CHENNAI	CHENNAI			IND	Global Tuberculosis:Developing,Evaluating,Implementing Evidence-based and Innovative Approaches to Find, Cure, and Prevent Tuberculosis Globally	00	1	9/14/2026	NEW	$650,000
														Subtotal = $650,000

Grand Total All Awards = $650,000

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Integrated Community and Facility-Based TB Case Finding and Preventive Therapy among Key Vulnerable Populations: A Pathway to Elimination in High-Burden Districts of India

Award Number: NU2GJG000005

ORGANIZATION: GLOBAL HEALTH CENTER

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2026

PERIOD OF PERFORMANCE END DATE: 09/29/2031

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