Country-Led Strategies for Sustainable TB Systems: Resources from the HS4TB Project 

Launched in 2020, the USAID-funded Health Systems for Tuberculosis (HS4TB) project, led by Management Sciences for Health (MSH), aimed to strengthen health systems as a foundation for effective TB care and prevention. The project worked with governments in high TB burden countries to develop sustainable, locally led solutions through improved financing, governance, and service delivery.

In close partnership with national stakeholders in Bangladesh, Ethiopia, India, and Kenya, HS4TB supported efforts to align TB responses with broader health system priorities. While the project has formally concluded, the tools and insights captured here remain vital. As countries navigate evolving donor landscapes, these resources offer practical models for sustaining and scaling TB responses. They serve as valuable references for policymakers, implementers, and partners working to institutionalize resilient, country-led TB responses.

Bangladesh: Advancing Contracting Mechanisms for TB Services

HS4TB worked with the Ministry of Health and Family Welfare to explore outsourcing and social contracting for TB services. Resources include:

• Assessment Framework for Outsourcing and Social Contracting
• Contracting of TB Services Assessment Report
• Roadmap and Action Plan for Contracting TB Services
• Case Study and Technical Highlight on Government-Led Contracting

Ethiopia: Mobilizing Domestic Resources for Financial Sustainability

To address funding gaps, Ethiopia partnered with HS4TB to enhance domestic resource mobilization for TB. Tools developed include:

• TB Domestic Resource Mobilization and Sustainability Roadmap
• Assessment of Health Sector Co-Financing Framework
• Stakeholder Engagement and Advocacy Plan
• TB Resource Tracking Tool

India: Strengthening Contract Management and Private Sector Engagement

With many TB patients seeking care in the private sector, HS4TB supported improvements in contract design and oversight. Key resources include:

• Report on Best Practices in Contract Management
• Post-Contracting Assessment Report
• Contract Management Toolkit

Kenya: Building a Path to Sustainable TB Financing

As Kenya moves toward lower-middle-income status, HS4TB helped build capacity for sustainable TB financing at the county level. Resources include:

• Contracting Assessment Report and Guide
• Assessment of County-Level Engagement in Planning and Budgeting
• County-Level TB Planning & Budgeting Capacity Building Plan
• Evidence Brief from TB Resource Tracking Tool Pilot
• TB Financing Roadmap

Accessing HS4TB Resources

To support ongoing efforts in TB control and health systems strengthening, MSH has made these resources available for download. Originally hosted on USAID.gov and affiliated platforms, these materials are now archived here to ensure continued access. If you encounter any issues accessing a document or need additional guidance, please contact us directly at communications@msh.org.