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LETTER |
At the time of writing, Krista Jane Lauer was a student in the International Development Studies program, University of Toronto, Scarborough, Ontario. Anne-Emanuelle Birn is with the Department of Social Sciences and the Department of Public Health Sciences, University of Toronto, Ontario.
Correspondence: Requests for reprints should be sent to Krista Jane Lauer, 1409 Cuthbertson Pl, Thunder Bay, Ontario, Canada P7E 5L3 (email: kristalauer@hotmail.com).
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Despite increased funding over the last decade, global tuberculosis (TB) control efforts have fallen short of their intended case detection targets.1 The FIDELIS initiative2 could help to close the gap by funding locally developed, innovative solutions that go beyond the current paradigm of passive case finding.3
Unfortunately, although FIDELISs overall objective is worthy, the approach is inadequate. First, it is not clear how much room for local, "innovative" proposals actually exists in the FIDELIS framework. Though the initiative purports to engage in-country contractors, its Web-based call for applications and its minimum proposal request of US$150000 exclude grassroots groups with low
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