TABLE 6

Health system context and tuberculosis (TB) service delivery in 22 low-incidence countries that responded to survey in 2014

Country	Total health expenditure as % of gross domestic product	Public health expenditure as % of total health expenditure	National TB programme	Central unit	TB control and elimination plan	Specific targets for TB control and elimination	Specific TB budget	Laboratory external quality assessment system	Individual case-based electronic database	Directly observed treatment for all or selected patients	Free TB diagnosis	Free TB treatment	Special incentive/enabler for some or all TB patients
Australia	9	68	No	No	Yes	Yes	No	Yes	Yes	Selected	Yes, all tested	Yes	No
Austria	9	76	NA	NA	NA	NA	NA	NA	NA	Selected	NA	NA	NA
Belgium	11	76	No	No	No	No	Yes	Yes	Yes	Selected	Yes, all tested	Yes	No
Canada	11	70	No	No	Yes	Yes	No	Yes	No	Selected	Yes, all tested	Yes	No
Cuba	10	95	Yes	Yes	Yes	Yes	Yes	Yes	Yes	All	Yes, all tested	Yes	Yes
Cyprus	7	43	No	No	No	No	No	Yes	Yes	All	Yes, if confirmed	Yes	No
Czech Rep.	7	84	No	No	No	No	No	Yes	Yes	Selected	Yes, all tested	Yes	No
Denmark	11	85	No	No	No	No	No	Yes	Yes	Selected	Yes, all tested	Yes	No
Finland	9	75	Yes	No	Yes	No	No	Yes	Yes	Selected	Yes, all tested	Yes	No
France	12	77	Yes	Yes	Yes	No	Yes	Yes	Yes	Selected	Yes, all tested	Yes	No
Germany	11	76	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Selected	Yes, all tested	Yes	No
Greece	11	61	No	No	No	No	No	Yes	Yes	NA	Yes, other criteria	No^#	No
Ireland	9	70	Yes	No	No	No	No	Yes	Yes	Selected	Yes, all tested	No^¶	Yes
Israel	8	62	Yes	Yes	Yes	Yes	Yes	Yes	Yes	All	Yes, all tested	Yes	Yes
Malta	9	66	Yes	Yes	Yes	Yes	No	No	Yes	Selected	Yes, all tested	Yes	Yes
Netherlands	12	86	No	Yes	Yes	No	No	No	Yes	Selected	Yes, other criteria⁺	No⁺	Yes
Norway	9	86	No	Yes	No	No	No	Yes	Yes	Selected	Yes, all tested	Yes	Yes
Slovakia	9	64	Yes	Yes	Yes	No	Yes	Yes	Yes	Selected	Yes, all tested	Yes	No
Slovenia	9	73	No	No	Yes	Yes	No	Yes	Yes	NA	Yes, all tested	Yes	No
Sweden	9	81	No	No	No	No	No	Yes	Yes	No policy	Yes, all tested	Yes	No
Switzerland	11	65	Yes	Yes	Yes	No	Yes	Yes	Yes	Selected	No	No	Yes
USA	18	46	Yes	Yes	Yes	Yes	Yes	No	Yes	Selected	Yes, all tested	Yes	Yes

Data concern national levels. Based on the roles and responsibilities for the organisation and delivery of health services, country-level responses need to be interpreted with caution, especially for countries with a federal system of government. NA: not available or no answer. ^#: patient pays 25%; ^¶: nominal fee of €1.50 on each medication dispensed; ⁺: covered by health insurance, but patients must pay the first €350 of healthcare costs.