The fourth wave of TB REACH funding is supporting local organizations and prioritizing active case finding among children, mining affected communities, migrants, indigenous populations, ethnic minorities, and incarcerated populations. The Stop TB Partnership’s Coordinating Board approved US $13.9 million in new funding for 33 partners implementing the fourth wave of TB REACH projects. The projects were selected on a competitive basis from more than 500 letters of interest. These projects include 11 organizations which applied through the “small track” with budgets of 200,000 USD or less in response to an expressed need among the TB community to support local organizations who are working on or wish to improve TB case detection. In addition, 22 grantees were funded through the general track, the majority of whom are using Xpert MTB/RIF to improve accuracy of testing results and drastically reduced time to diagnosis and treatment. For the first time, TB REACH has funded projects in Brazil and Cameroon, which will be implemented by their respective National TB Programmes. Following an M&E review of the baseline data and targets as well as the grantee workshop held in Tbilisi, Georgia, all projects except for one have signed grant agreement letters and started activities in mid to late 2014. 40% of funds have been disbursed as of mid-October 2014.