Additional Context: USAID cuts forced the organization TB Mukt Vahini to reduce their staff from 800 to less than five. This has impacted the organization's ability to do outreach in remote villages and monitor treatment adherence. Anjana Singh, a counselor with the organization for over a decade, has explained that people continue working because "without counseling, people lose confidence and stop treatment." This organization was supported under USAID's Challenge Facility for Civil Society and the Tuberculosis Implementation Framework Agreement, which helped fill gaps at the grassroots level which the Indian government could not sustain. Several agreements expired in April 2025.

Devex Researcher Note: Bihar has the third largest incidence of TB cases in India, and is the poorest state in the country.

Source: Think Global Health