McKinsey 3-Horizon intervention roadmap with budget allocation
| Intervention | Target | Expected Impact | A-Impact | Patients | BN Shift | Budget (M) | Stakeholder |
|---|---|---|---|---|---|---|---|
| Mandatory notification enforcement (NCR focus) | AWARENESS | +15% case detection in NCR | AWARE +5% | — | No shift | ₱50 | Policymakers + Providers |
| GeneXpert utilization optimization (40% to 60%) | AVAILABLENESS | +75K tests/year capacity | AVAIL +20% | — | No shift | ₱120 | Providers + Physicians |
| Mobile CAD-AI deployment (10 units) | AWARENESS + AVAILABLENESS | +50K screenings in BARMM/CAR | AWARE +3%AVAIL +2% | — | No shift | ₱180 | Providers + Policymakers |
| Transport voucher program (Bicol pilot) | AFFORDABILITY | -15% catastrophic costs | AFFORD +6% | — | No shift | ₱85 | Payors + Policymakers |
| Stool-based LC-NAAT for childhood TB | AWARENESS | +38.6% childhood detection | AWARE +4% | — | No shift | ₱95 | Providers + Physicians |
| Horizon 1 Total | ₱530 M | ||||||
| Intervention | Target | Expected Impact | A-Impact | Patients | BN Shift | Budget (M) | Stakeholder |
|---|---|---|---|---|---|---|---|
| Med-tech training program (500 techs) | ADOPTION | Fill GeneXpert staffing gaps | ADOPT +8% | +3,769,861 | ADOPT → AVAIL | ₱250 | Physicians + Policymakers |
| STRider network standardization | AVAILABLENESS | <24hr TAT nationwide | AVAIL +10% | — | No shift | ₱320 | Providers + Policymakers |
| Primary care facility accreditation (42% to 70%) | ADOPTION | +1,680 accredited RHUs | ADOPT +12% | +3,769,861 | ADOPT → AVAIL | ₱450 | Providers + Policymakers |
| PhilHealth benefit package enhancement | AFFORDABILITY | Cover 50% of OOP (vs 14%) | AFFORD +15% | — | No shift | ₱800 | Payors + Policymakers |
| BPaL regimen nationwide rollout | ADOPTION + AFFORDABILITY | 98% DR-TB success rate | ADOPT +5%AFFORD +3% | +3,769,861 | ADOPT → AVAIL | ₱650 | Physicians + Payors |
| Horizon 2 Total | ₱2,470 M | ||||||
| Intervention | Target | Expected Impact | A-Impact | Patients | BN Shift | Budget (M) | Stakeholder |
|---|---|---|---|---|---|---|---|
| AI-integrated national screening network | AWARENESS | 10-13% population screened annually | AWARE +10% | — | No shift | ₱1,200 | Policymakers + Providers |
| Comprehensive social protection system | AFFORDABILITY | 0% catastrophic costs (End TB target) | AFFORD +18% | — | No shift | ₱2,500 | Payors + Policymakers |
| 2,400 RHU expansion (30-min access) | AVAILABLENESS + ADOPTION | Full UHC geographic access | AVAIL +25%ADOPT +10% | +11,272,900 | No shift | ₱3,800 | Policymakers + Providers |
| Private sector integration framework | AWARENESS | 100% mandatory notification | AWARE +8% | — | No shift | ₱450 | Policymakers + Providers |
| Prison TB prevention program (national) | AWARENESS + ADOPTION | Eliminate congregate setting hotspots | AWARE +3%ADOPT +2% | +2,254,580 | No shift | ₱380 | Policymakers + Physicians |
| Horizon 3 Total | ₱8,330 M | ||||||