At a time where the “business as usual” approach towards TB case detection and health service delivery is no longer sufficient to curb the epidemic, new and innovative approaches need not only to be tested out but, more importantly, be scaled-up once proven impactful. TB REACH has the unique advantage in catalyzing a variety of proven pioneering and effective local approaches to local challenges.
TB REACH funds projects that seek to employ innovative approaches and/or technologies to find the missing people with drug-sensitive or drug-resistant TB, who would have otherwise remained undiagnosed, untreated, and/or not notified in the absence of a TB REACH-supported project. Grantees must justify their activities target areas with low TB case detection, patients with poor treatment outcomes, poor populations (poverty pockets), and/or people with limited access to existing TB care services. Although these projects focus on achieving additional notifications in their evaluation areas, parts of these grants may also be used to support TB treatment and follow-up services.
Proposals or funded projects that seek to improve case detection should establish their interventions in such a way that they contribute to the achievement of the first of the 90-(90)-90 targets of 
to End TB – reaching at least 90% of all people with TB and placing them on appropriate treatment. If project activities include the provision of TB service delivery in a key population, they should be designed to contribute to the second of the 90-(90)-90 targets – reaching at least 90% of the most vulnerable, underserved, and at-risk populations.