Tuberculosis Control in developing countries: A Generalized Community Health Worker Based Model

Abstract

Tuberculosis is a major health care burden in developing countries. World Health Organization (WHO) has been assisting developing countries through their respective Governments to control this curable disease. The Amsterdam declaration aims to control tuberculosis globally by the year 2005. The TBC project implementation experiences are varied across countries both on cure and detection rates. The government initiatives are complemented by the non government organizations involvement at the operational level. The BRAC model in Bangladesh involves the NGOs in an extensive and cohesive way. This paper documents the BRAC model for TBC in Bangladesh. We introduce the concept of value chain, in the context of TBC. Based on the value chain concept, the logic for the effectiveness of the BRAC model is discussed. An improved version of the Bangladesh delivery model is proposed. We hope the model proposed in this work would draw the attention of policy planners, and help them to control TB in their respective countries.