Health Systems for Tuberculosis (HS4TB)
Health Systems for Tuberculosis (HS4TB)

Overview
The USAID Health Systems for Tuberculosis (HS4TB) project seeks to transform the way leaders and managers understand and work toward TB control and elimination. HS4TB builds on efforts to increase investments from the public and private sectors to end the TB epidemic while building local commitment and capacity to put the world on track to ending TB by 2030 and providing lifesaving treatment for 45 million people between 2023 and 2027.
HS4TB focuses on selected countries within USAID’s priority countries with high burdens of TB, where it aligns with local communities and partners to deliver performance-based results toward global targets. The project works in Bangladesh, Ethiopia, India, and Kenya, where we help countries increase domestic financing, use key TB resources more efficiently, build in-country technical and managerial competence and leadership, and support policy formation and dissemination. HS4TB also prepares local organizations to transition into the role of primary technical assistance providers and recipients of direct donor support and engage marginalized groups, including women and youth, in co-creating activities with national TB programs, professional associations, civil society, and other stakeholders.
To assist governments and TB leaders and managers in achieving and sustaining transformation, we partner with public financing expert Nathan Associates; women-owned small business Open Development, LLC; and an array of local partners.
Accelerating the End of TB: Field Research from Management Sciences for Health—2008-2024
Our volume of more than 120 peer-reviewed journal articles highlights MSH’s long-term commitment to ending the TB epidemic. Authored or co-authored by MSH technical experts for close to 20 years, these articles are important contributions to the evidence base of what works in the fight against TB, including systems strengthening innovations that improve access to both established and novel TB medicines, ensure safety and quality, and promote effective detection and case management.
TB FSI: Creating a Picture of Viable Funding for TB
At the United Nations High-Level Meeting on Tuberculosis in 2023, the world’s highest-burden countries committed to increasing domestic funding for TB prevention, treatment, and eradication efforts. In collaboration with partner Open Development LLC, the HS4TB project created a self-assessment tool—the TB Financial Sustainability Index (TB FSI)—to assist countries in identifying challenges and opportunities for sustainably financing their TB elimination efforts.