The global drive for universal health coverage (UHC) provides important opportunities for strengthening TB control by emphasizing the need for more sustainable and effective funding models and the promotion of policies designed to improve universal access to high-quality diagnosis, care, and treatment. In many countries, efforts to achieve UHC have taken the form of newly designed or expanded national and/or social health insurance programs. Currently, there are significant questions around how best to organize, manage, and effectively monitor delivery of TB services in insurance-based systems in order to facilitate increased access, high quality (especially when engaging additional providers), and coverage for all necessary services.
The attached document, “Exploring the Promise of Improving Access and Delivery of TB Services through Insurance-based Financing Reforms” summarizes issues and discussion points emerging from a consultative workshop held in September 2014 in Bangkok, Thailand. The workshop was planned and organized by the USAID TB CARE II Project, in coordination with the World Health Organization’s Global TB Programme and Regional Offices for the Western Pacific and South-East Asia. The focus of the workshop was to provide a forum for information sharing and review of current systems for ensuring access to, and provision of, essential TB services and core public health functions in the context of UHC financing reforms in Asian countries.