Bangladesh

Home>Bangladesh
Bangladesh2018-11-15T11:03:55-05:00

TB remains a major public health problem in Bangladesh. The country ranks fourth in the world for both prevalences of TB and TB mortalities. It is estimated that about 81,000 people died in 2014 due to TB. In 2014, WHO reported 196,797 TB cases were notified to the national registry, 187,005 of which were new cases. Case notification rate of all forms of TB is low at 53%. Although there is no estimate of the prevalence of childhood TB, it is believed that childhood TB is severely under-diagnosed. MDR TB is an emerging threat in Bangladesh. According to WHO estimates, MDR-TB rate among all newly diagnosed cases is estimated at 1.4%, and among previously treated cases at 22%.

The TB CARE II Bangladesh project is a field support activity funded through the USAID TB CARE II Project, which is a cooperative agreement awarded to the URC led consortium in September 2010. The project, drawing on the Global Fund and the Government of Bangladesh expert resources, facilitates implementation of strategies to strengthen and expand TB DOTS, Programmatic Management of Drug Resistant TB (PMDT) programs, and health systems.

Aligned with National TB Control Programme strategic objectives and USAID/Dhaka strategic framework, the TB CARE II partnership’s activities complement the Global Fund and Government of Bangladesh efforts to strengthen all the components of Stop TB Strategy with a major emphasis on universal and early access to TB services, Programmatic Management of Drug Resistant TB (PMDT), and health systems strengthening.

The TB CARE II Project has made significant achievements in fighting against TB in Bangladesh. Key achievements include improved access to quality TB and MDR-TB Services, Laboratory Quality Assurance, Development of cPMDT Standard Operating Procedures, strengthening of social support services for MDR TB patients and strengthened support systems for the effective delivery of TB services at all levels.

TB CARE II mHealth Background

With the support of the USAID TB CARE II project, the National Tuberculosis Control Program (NTP) in Bangladesh initiated a Community-based Programmatic Management of Drug Resistance Tuberculosis (cPMDT) program to treat DR TB in 2011. The cPMDT program requires an initial 1-2 months of hospitalization for DR TB patients who are then transitioned to community-based care, allowing patients to receive DR TB treatment in their own community. After the introduction of cPMDT, a large number of DR TB patients are now being discharged after a short stay in the hospital. At the community level, these patients continue their treatment under the supervision of specially trained DR TB DOT (directly observed treatment) providers. Treatment for DR TB requires a complex drug regimen which needs to be maintained over years. The TB CARE II project has developed and introduced a TB mHealth application which is designed to support the DOT providers to ensure quality DOT, assist to quickly identify drug-related side effects and link patients to treatment, and above all assist in patient management by facilitating documentation of the management procedures. The mHealth application is a web-based monitoring tool which allows DOT providers and managers to keep track of services delivered and organize an electronic record of treatment history of the DR TB patients. This system is designed to get input from mobile devices used by the DOT providers (Smartphone) through a GPS enabled the mobile application.

News Related to TB and Bangladesh

Achievements of TB CARE II Bangladesh project

In the past 2 years the TB CARE II Project has made significant achievements in fighting against TB in Bangladesh. Key achievements include improved access to quality TB and MDR-TB Services, Laboratory Quality Assurance, Development of cPMDT Standard Operating Procedures, strengthening of social support services for MDR TB patients and strengthened support systems for the effective delivery of TB services at all levels.

BANGLADESH WORLD TB DAY 2014 ACTIVITIES

TB CARE II is working throughout Bangladesh to raise awareness of TB among vulnerable groups, including children, urban and rural populations, and low-income populations.  World TB Day 2014 is a great opportunity to disseminate TB messages that specifically target these groups.  For example, to successfully reach children and their parents TB CARE II decided to go where children congregate in large numbers: the two biggest amusement parks in Dhaka,

TB CARE II USES MOBILE BANKING TO AID PATIENTS AND DOT PROVIDERS IN BANGLADESH

By: A N M Al Imran, mHealth Specialist, TB CARE II Bangladesh Mr. Nizamul Islam serves as TB CARE II’s district coordinator in Chittagong district, Bangladesh.  One of his responsibilities is distributing allowances to MDR TB patients and DOT providers in the district.  Through TB CARE II, MDR TB patients receive allowances – small monetary payments – to help them buy extra food to support good nutrition during their treatment.  DOT providers receive

XDR-TB Treatment: Tumpa’s Story

Tumpa, a 14 year old high school student, was diagnosed with TB on March 27, 2011. Although she started taking TB medication the day after, she experienced treatment failure after three months of treatment and was diagnosed with Multi Drug Resistance Tuberculosis (MDR-TB). With her new diagnosis, Tumpa started to take her medication for MDR-TB in August of that year. However, after completing 16 months of treatment, her sputum

Second Time’s the Charm

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 on 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