Accessing TB-related services is often costly, and can be catastrophic for TB-affected households. In addition to eliminate the incidence of TB, the WHO End TB Strategy also sets a target to reduce to zero percent the percentage of TB-affected households that faced catastrophic costs. In 2014, Indonesia started a national health insurance program (Jaminan Kesehatan Nasional, JKN) to achieve universal health coverage (UHC). In the context of UHC in Indonesia, this thesis aims to provide an evidence-base on the household-level economic impact of TB, the relationship between catastrophic costs and TB treatment outcomes, and the social-protection improvements required to further reduce TB-related catastrophic costs

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This thesis was financially supported by the the Indonesian Endowment Fund for Education (Lembaga Pengelola Dana Pendidikan, LPDP), Indonesia.
J.H. Richardus (Jan Hendrik) , A.J. Houweling (Tanja)
Erasmus University Rotterdam
Erasmus School of Health Policy & Management (ESHPM)

Fuady, A. (2020, June 9). Tuberculosis-related Catastrophic Cost Since the Implementation of Universal Health Coverage in Indonesia. Retrieved from