The Philippines is classified by WHO as a high burden TB and MDR TB country, with an incidence rate of 288 per 100,000 population in 2014 (approximately 243,379 new cases). In the Philippines, the majority of TB cases occur among those ages 30-59, meaning that TB is a threat to economic productivity throughout the country. Also, 12% of cases are in children under 15, which threatens the future productivity of the country.
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 imposes different types of restrictions which can limit utilization of services.