Community-Based Health Insurance and Tuberculosis Treatment Adherence in Mombasa, Kenya: A Comparative Study Over Two Years

Community-based health insurance (CBHI) programmes have been implemented in various settings to improve access and adherence to tuberculosis (TB) treatment. A mixed-methods approach including quantitative surveys and qualitative interviews was employed to gather data from participants involved in the CBHI programme compared to those not enrolled. CBHI participation significantly increased adherence rates by 20% for TB patients, with particularly high adherence observed among women (35%) over men (18%). The study underscores the potential of CBHI in enhancing TB treatment outcomes and recommends its integration into broader health service delivery models. Health policymakers should consider implementing or expanding CBHI programmes to improve TB care in resource-limited settings. Community-Based Health Insurance, Tuberculosis Treatment Adherence, Mombasa, Kenya