Project Overview: TB LON-3 DRM Project (Osun State, 2020–2023)

The TB LON-3 Domestic Resource Mobilization (DRM) Project aimed to increase equitable and sustainable financing for tuberculosis (TB) interventions in Osun State by mobilizing domestic resources and reducing dependence on international donors. From 2020 to 2023, the project worked to address Nigeria’s significant TB funding gap, which, in 2021, saw only 30% of the $375 million TB control budget funded, with over 80% coming from international donors.

Objectives:

1. Political Economy Framework: Analyze and understand the political, economic, and social contexts impacting health financing in Osun State, particularly for TB interventions.
2. Advocacy and Partnerships: Build strong partnerships between key government ministries and engage policymakers in the importance of sustainable TB financing.
3. Establish TB DRM Technical Working Group (TWG): Form a technical working group to integrate TB services into Osun’s State Health Insurance Scheme (SHIS).
4. Develop a 5-Year Roadmap: Create a strategic roadmap for incorporating TB services into SHIS.

Key Achievements:

• Significant increases in Osun State’s health and TB control budgets, including a rise from ₦5 million in 2021 to over ₦50 million in 2023 for TB control.
• Release of state funds for upgrading TB diagnostic facilities, including the procurement of two GeneXpert machines for enhanced diagnosis.
• Successful private sector engagement, leading to community-driven renovations of TB laboratories and additional resources such as AC units and generators.
• Enrolment of over 2,500 TB patients in the Osun Health Insurance Scheme, with their premiums covered for five years.
• Expansion of TB-accredited health facilities on the State Health Insurance Scheme from 31 to 106.

The project also developed advocacy tools, infographics, and conducted an actuarial study to support the integration of TB services into the state’s health insurance package, ensuring sustainable TB care and financing in Osun State.

Figure I: Ministry of Health and TB Budget Trend in Osun State 2020 – 2023