With a prevalence of 230 per 100,000 population, India is the country with the highest burden of TB. Over 2.2 million new cases each year are in India, compared to the global incidences of 9 million. India is also considered to have the highest number of new MDR TB cases, with 99,000 in 2014. Extensively drug-resistant (XDR TB) cases have also been identified in the country, and an estimated 5% of TB patients are co-infected with HIV. Following rapid scale-up by the Revised National TB Control Program, India now has 100% DOTS coverage, with over 400,000 DOT provides and 13,000 designated microscopy centers.
Evaluation of TB Inclusion in National Insurance Programs
From 2011 – 2012, the USAID TB CARE II Project, led by University Research Co., LLC (URC), undertook an assessment in four countries – India, Peru, Philippines, and Thailand – which have adopted publicly-supported health insurance programs to examine how TB in included (or neglected) in the service delivery package of these national health insurance (NHI) programs. The four case studies demonstrate that integration of TB services with national health insurance can have a positive effect on access to services and their quality; however, each of the models assessed impose different types of restrictions which can limit utilization of services. Click here to view the report