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BRAC's Tuberculosis Program: Pioneering DOTS ...

The Global Health Delivery Project
https://www.globalhealthdelivery.org › case-studies
Mar 22, 2018 — This case examines the development of a tuberculosis (TB) treatment program in Bangladesh by the non-governmental organization, BRAC, from 1984 ...

Tuberculosis and malaria control

BRAC
https://www.brac.net › health-nutrition-and-population
BRAC initiated the tuberculosis control programme in 1984 in one district as a pilot ... observed treatment short course (DOTS) services across the country.

BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh

Citation:

May M, Rhatigan J. BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh. Harvard Business Publishing. 2011.
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Download GHD-010 BRAC's TB Control Program1014 KB

Abstract:

This case examines the development of a tuberculosis (TB) treatment program in Bangladesh by the non-governmental organization, BRAC, from 1984 to 2006. After providing background about Bangladesh, the burden of TB there, and BRAC, the case examines how this program was piloted and grew to cover a population of 80 million people. It details how BRAC was able to create a TB control program that utilized community health workers to perform most of its essential functions including case finding, directly-observed therapy, identification of complications, and record keeping. The case concludes with a brief summary of BRAC’s expansion to Afghanistan and recently, Africa, and asks the reader to consider the feasibility of this TB care model in other contexts and in other conditions, such as HIV/AIDS.

Teaching Note available through Harvard Business Publishing.

Timeline of BRAC TB Program Expansions
Timeline of BRAC TB Program Expansions. Source: From One to Many: Scaling Up Health Programs in Low-Income Countries. Edited by Richard A Cash, A Mushtaque R. Chowdhury, George B. Smith, and Faruque Ahmed (2010). Ch 13. Islam A and May MA. Decentralized Management in the Expansion of BRAC's Rural Tuberculosis Program (DOTS). Pgs. 207-214. (Exhibit 3 in "BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh" case.)

Learning Objectives: To understand effective strategies for effectively engaging community health workers to deliver complex medical and public health interventions to large populations in low resource settings.

Supporting Content: The sequel to this case is titled Tuberculosis in Dhaka: BRAC’s Urban TB Program.

Keywords: Community health workers, tuberculosis control, rural nongovernmental organizations, social enterprise

Last updated on 03/22/2018
chris macrae at 7:51 PM
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