In 2011-2012, the USAID TB CARE II project implemented by University Research Co., (URC) undertook a series of case studies to examine the extent to which TB has been integrated into National Health Insurance (NHI) programs in several high burden TB countries and to analyze the impact of NHI on achievement of National TB Control objectives. Assessments were carried out in four countries: Thailand, Peru, Phillippines, and India.
Each country has adopted publicly supported health insurance programs in order to 1) Examine the extent to which TB services have been integrated within NHI schemes; 2) Examine the roles of TB stakeholders within the design and implementation of NHI programs; and 3) Outline gaps and recommendations for improved delivery of TB services with NHI models. To accomplish these goals, a series of data collection tools/questionnaires were designed and adapted to fit the landscape of TB service delivery in each country.
A key overarching conclusion from the assessment is that strong coordination and strategic planning is needed between health policymakers and program managers to carefully design models for integration of TB services under national health insurance.