CHALLENGE TB (CTB) is the new USAID-funded five year project, to accelerate the global fight against tuberculosis (TB).

CTB will support the National TB Program by providing technical leadership; assisting in making strategic choices and a sustainable difference, and ensuring the highest impact with limited resources. The project will build on good and promising results, help to improve the quality of basic TB control, leverage on what is there, engage local institutions to help and mainstream the principles of quality-focused deliverables through technical assistance; promote locally owned and generated innovations, research, and solutions; and foster innovative approaches, technologies and pioneering thinking. Principles include patient-centered interventions to Engage the NTP, new partners and individuals, Empower key decision makers, marginalized and vulnerable populations, Evaluate interventions, measure quality, develop evidence and best practices and Expand on the provider and service range to remove access barriers.

The overall aim is to have a targeted range of expandable, specific, and sustainable interventions (both financial and technical) in five years to solve certain issues and working closely together with other USAID-funded partners (e.g., JSI, USP, CEPAT, PEER, HIV, HFG, WHO Hospital Accreditation (JCI) and Kinerja).  This requires a new way of working, with KNCV Tuberculosis Foundation as lead of the CTB program, in full consultation with the National TB Program and USAID defining priority program interventions, geographical areas, and roles / level of involvement of CTB partners e.g. local universities (UI, UGM, etc).  

Based on the NSP gap analysis and lessons learned from TB CARE I, CTB has prioritized five technical intervention areas:

1.    Ensuring Universal Access by integrating TB in JKN, and securing increased local government funding for TB

2.    Increasing case detection,

3.    Ensuring the quality of treatment and care for TB, DR-TB, and TB/HIV,

4.    Expanding diagnostic services,

5.    Strengthening M&E, surveillance and operational research