TB CARE II recently hosted two technical meetings on TB infection control in Bethesda, MD.  The first, which was held May 5-6 and hosted in partnership with Partners in Health, focused on the development of standards for use of ultraviolet germicidal irradiation (UVGI) in TB settings. 

The second, held May 7-8, reviewed lessons learned from implementation of the FAST strategy, an innovative method of TB and MDR TB case finding in hospital and clinic settings, to reduce nosocomial TB and MDR TB transmission.  TB CARE II has been piloting the FAST strategy in a variety of country settings, including Bangladesh, Malawi, and Vietnam.  Around 50 participants from 14 countries attended the meetings, including representatives from USAID, MOHs, NTPs, and TB CARE II and URC staff from around the world.

Click below to view the video:

Photo from TB in children video


TB CARE II is excited to announce that it will be expanding its field support presence into South Africa for FY2015.  TB CARE II will build on the activities and approaches utilized by the USAID TB Program South Africa, also implemented by University Research Co., LLC (URC), which from 2009-2014 has supported the National Department of Health (NDOH) in improving early case detection, increasing access to diagnostics, ensuring treatment support for patients on TB treatment and ensuring that there is provision of appropriate and timely HIV care for TB patients and ART treatment for all TB/HIV co-infected patients. 

TB CARE II will work nationwide, targeting high priority TB districts. Project strategies for further developing sustainable systems which can carry forward long term TB diagnosis, treatment and care include:

Bangladesh is a low income country with the population of 150.5 million. TB remains a major public health problem in Bangladesh: the country is among both high TB and high MDR-TB burden countries. More than 170,000 cases of TB including 106,790 smear positives were notified in 2012. Approximately, 70,000 people die from TB every year. The estimated MDR-TB burden is 1.4% among the new and 29% among the retreatment cases. (WHO World TB report 2013).

Malawi is a low income country with a population of about 15 million.  TB remains a major public health problem in the country.  According to the WHO World TB Report 2012, there were an estimated 29,000 new cases of TB (all forms) in the year 2011, and approximately 18,000 of these were HIV positive.  The HIV pandemic presents a significant challenge to global TB control. The USAID TB CARE II Malawi project, launched in 2010, is a 5 year coordinated effort led by URC in collaboration with Project HOPE and PIH. The project assists the National TB Program in improving TB control and expanding access to high quality TB and TB/HIV services in the public sector.  The project recently developed infographics designed to highlight project successes spanning the past 21 months. 


Bishwa (World) Ijtema is the second largest religious gathering of Muslims after the Hajj in Mecca, bringing millions of people together in Tongi, a township located in the Gazipur district of Bangladesh. Muslims from all over Bangladesh along with visitors from more than 100 different countries traveled to join the Ijtema 2013, which was held in two phases (January 11-13 and January 18-20) in order to accommodate such a large number of people. This religious gathering includes sermons delivered by Islamic scholars on various aspects of Islam. The USAID TB CARE II Bangladesh project saw this gathering as a unique opportunity to spread information about TB. TB CARE II staff, members of the Civil Surgeon Office, and TB patients were able to disseminate TB messages to thousands of people who came to join the Bishwa Ijtema 2013.

These messages included the basic symptoms of TB along with information about health centers providing TB services.

Each year we recognize World TB Day on March 24th, often with a variety of activities leading up to the official date. The global theme for World Theme TB day according to Stop TB Partnership is aimed at bringing attention to the estimated three million TB cases that are "missed" by public health systems each year: “Reach the 3 million. Find. Treat. Cure TB”.

This year the Stop TB Partnership is challenging each organization to develop their own key message –sticking to the main global message, but tailoring their activities around  key themes geared at mobilizing engagement on an issue partners consider to be of vital importance in their settings.

Stories From The Field

Md. Anwar Hossain is a 38-year old father of two who hails from the district of Narayanganj. As an engineer at one of Bangladesh’s many textile factories, Anwar prides himself in supporting his family and helping his two sons gain a quality education. Naturally, then, he was dismayed when he learned that he may no longer have the ability to take care of them.

Seven years ago, Anwar was diagnosed with tuberculosis (TB). He underwent a treatment regimen and believed he had beaten the disease. Last year, however, he began to feel ill once again. After visiting a nearby clinic, doctors diagnosed him with multi-drug resistant TB (MDR TB), which can occur when there is an interruption in TB treatment. This form of TB takes longer to treat and requires specialized drugs, which are more expensive and can require the patient to remain hospitalized for an extended period of time. His job, his family, and his life were all in jeopardy as a result of this new diagnosis.

The Experience of Catherine Pelani

Access to health care services among rural, resource-poor people in low-income countries remains a major obstacle to TB control efforts. A critical factor is the need to improve access to diagnostic facilities, which in many rural areas double as TB treatment initiation and registration centres for TB patients. It is common for patients to travel over 50 kilometers to access TB treatment initiation services. Thanks to the USAID TB CARE II project, more than 31, 558 people living near the Chilipa Health Centre can now access TB diagnosis and treatment close to their communities.

On January 20, 2013 US Ambassador to Bangladesh Mr. Dan W. Mozena visited the Teliapara Tea Garden in Sylhet to observe a community awareness and education session for the garden workers. The area around Sylhet is a traditional tea growing area; it is home to over 150 tea gardens, including three of the largest in the world both in area and production. The Health, Education, and Economic Development (HEED) in Bangladesh is a non-governmental organization working with the TB CARE II project in the Habiganj, Maulavibazar, and Sylhet districts implementing advocacy, communication, and social mobilization activities to increase awareness about Tuberculosis (TB) among tea garden workers and their families, and among the local people and community surrounding the garden.  In those districts of the Sylhet Division, the organization covers 157 tea gardens with a population of 650,000.

Universal Access

DOTS represents the best strategy for coordinating TB services within the broader health system, mobilizing wide support at the operational level, reducing TB incidence, and preventing further drug resistance.


Programmatic Management of Drug-resistant TB (PMDT): While the causes of multi-drug resistant TB are similar in all high burden countries (low adherence, weak DOTS, poor treatment compliance, inadequate drug supplies, direct transmission, etc.).


TB CARE II works to link HIV and TB advocacy and to promote a unified response, and works with National TB and HIV/AIDS Programs to integrate planning and service delivery mechanisms to effectively tackle the dual epidemics.

Health Systems Strengthening

TB CARE II supports health systems improvement through our country programs, emphasizing management capacity building, integration, and results-oriented process improvement.

TB CARE II South Africa Participates in 7th AIDS Conference

The USAID TB CARE II Project participated in the recent 7TH AIDS Conference that took place June 9-12, 2015 in Durban, South Africa.  The project showcased its work in the country in supporting the government fight against tuberculosis (TB) and HIV/AIDS. The project, managed by University Research Co., LLC (URC), had an exhibition stand at the event as well as participated in panel discussions and satellite events. The stand served as an information resource platform from which participants were briefed about the projects various components. Materials on display included technical briefs,...read more

RFQ: TB CARE II Consultancy Services for Environmental Impact Assessment and Engineering Oversight to Site Development Work in Sylhet

This Request for Quotation (RFQ) is issued by the TB CARE II Bangladesh project funded by United States Agency for International Development (USAID) and implemented by University Research Co., LLC (URC). Interested competent firms are requested to submit most competitive quote for the works detailed under Part B – Statement of Work. The quotes must be submitted in accordance with the instructions as provided below, including all required certifications. Any purchase order or contract issued as a result of this RFQ will be subject to all instructions, certifications, terms and conditions, and...read more