The project implementation and institutional arrangements are divided in to two: regional level and national level.

Project Implementation approach at Regional level The project’s multi-sectoral, multi-country approach has greater impact on TB control programmes and enhances prospects for sustainability. A multi-country focus enables economies of scale, especially in: (i) expertise and resources for MDR-TB management; (ii) accreditation and development of laboratory capacity to manage TB and provide continued training in laboratory management; (iii) training of new and in-service personnel to further strengthen knowledge and skills; and (iv) delivery of a standardised package of occupational health services and safety standards. The project leverages on opportunities for public–private partnerships in TB control.

Project Implementation approach at National Level: The project is implemented primarily through existing public sector structures such as national TB programmes, and government financial and procurement systems in each country, enabling the participating-country governments to maintain activities with their current institutions and resource environment after the project closes.