• Bangladesh

• Bangladesh

Bangladesh is missing more than 38% of its 360,000 people estimated to have developed drug-sensitive TB in 2016. During the same year, 89% of its 8,800 people estimated to have developed drug-resistant TB were also missed by the health system.

To find more of its missing people with TB, Bangladesh is implementing community-based case finding activities in hard-to reach areas. The country is also implementing its new diagnostic algorithm in remotely located Upazilas, according to which chest x-ray (where available) is now routinely used as triage tool before GeneXpert as first diagnostic test (where available). Another priority area includes TB case finding activities that target specific risk groups, such as the urban poor, factory workers, garment workers, brickfield workers, miners, elderly people as well as pregnant women. Bangladesh is also expanding coverage of functional diagnostic facilities with chest X-ray and GeneXpert to improve the diagnosis of smear-negative, pediatric TB as well as extra-pulmonary cases of tuberculosis.