Challenge TB

Challenge TB is the U.S. Agency for International Development’s (USAID’s) flagship global mechanism for implementing its tuberculosis (TB) strategy and contributes to the TB/HIV activities under the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). A five-year project, Challenge TB is a coalition of nine international TB control organizations, each with offices in USAID’s TB-priority countries.

Challenge TB has these main objectives:

  • Improved access to quality patient-centered care
  • Prevention of transmission and progression of the disease
  • Sustained and enhanced systems for prevention and treatment

The project achieves these objectives by working in partnership with other national and international initiatives to provide global leadership and support for national TB control efforts.

An implementing partner for Challenge TB, FHI 360 is working in Cambodia, Indonesia, Mozambique and Myanmar (Burma) in the international coalition led by KNCV Tuberculosis Foundation. The project vision aligns with the global End TB Strategy, USAID’s vision of a world free of TB, and the principles of USAID Forward, the Global Health Initiative and USAID’s gender, youth and evaluation policies.

Our specific, country-level activities include:


In Cambodia, our emphasis is on finding undiagnosed TB cases, especially among the elderly. The project aims to improve everyone’ s access to quality, patient-centered care for TB and multidrug-resistant (MDR-TB) services, including the most rural, impoverished and at-risk populations, while improving case detection and closing the diagnosis gap by targeting specific risk groups. Laboratory strengthening to increase targeted screening for active TB and infection control is also a priority.


Our work in Indonesia will provide technical assistance to increase community empowerment, especially among key risk groups; support the initiation of a national patient group network; and assist the National TB Control Program’s development of a national policy and guidelines on intensified case finding.


FHI 360 focuses on strengthening community-based directly‐observed treatment, short course (DOTS) and other mobilization activities, with the goal of intensifying case findings; pediatric TB diagnosis; laboratory and diagnosis quality; and recording and updating systems.


FHI 360 focuses on expanding access to quality TB services; increasing the number of presumptive TB patients referred from public hospitals and the private sector; increasing the number of cases identified through TB diagnosis and case notification by the private sector; and expanding the geographical distribution of TB diagnostics and treatment to include populations in fragile and conflict states.

  • Cambodia
  • Indonesia
  • Mozambique
  • Myanmar (Burma)
Funder: USAID
Duration: 2014 - 2019
URL: Challenge TB