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BADAS-USAID TB CARE II ProjectTuberculosis (TB) continues to infect an estimated one-third of the world’s population, to cause disease in 8.7 million people per year and to kill 1.4 million of those afflicted. The global burden of Diabetes Mellitus (DM) is expected to mount from an estimated 180 million prevalent cases currently to a predicted 366 million by 2030. The association between DM & TB and their synergistic role in causing human disease has been recognized for centuries. In Asia, the prevalence of DM is increasing at a spectacular rate, particularly India, China and Bangladesh and estimated number of DM patients in Bangladesh is around 8.6 million in 2011. Persons with diabetes have a radically increased risk of active TB, which is 2 – 3 times higher than in persons without diabetes.

Recent studies also reflected increasing concern among field workers in TB facilities, that DM may be a key potency in converting latent infection into overt disease. With almost 8% of diabetes death take place in low & middle income countries, around 7 million people of Bangladesh have been suffering from Diabetes as the number of such patients is rising by 5 – 6 percents each year.

Bangladesh is one of the TB endemic countries. This country is ranked 6th among the 22 high TB burdened countries with 337,000 new cases and 64,000 death per annum. Incidence of smear positive TB cases is 100/100,000. In the setting of the escalating overlap of populations at risk for both diseases, the combination of TB & DM represents a potential health threat for Bangladesh.

Our Objectives :

In our country DM & TB are currently addressed through vertical delivery program systems that are separated from each other. Keeping this in mind, Bangladesh Diabetic Association (BADAS) has taken the initiative for the comprehensive multi-component approach to increase access to TB services for DM patients by improving Prevention, Early case detection and Quality of care for persons with diabetes and TB, thereby contributing to decline in the morbidity and mortality rates in persons with TB-DM co-morbidity.

Geographical Coverage :

The geographic coverage of the project is Dhaka City Corporation (DCC) and 63 districts of Bangladesh where BADAS has diabetic program implemented by its affiliated associations.

Our Key Activities :

1. Improve early detection of TB in persons with diabetes.

  • Detection of TB case
  • Management of TB cases
  • Patient follow-up
  • Develop referral networks with NGOs
  • Infection Prevention

2. Strengthen providers’ capacity in diabetes-TB diagnosis & case management.

  • Training of the Trainers (TOT)
  • Training of Medical Doctors
  • Orientation of doctors, nurses and other health staff

3. Increase patients’ awareness about TB-DM co-morbidity

  • An education & counseling session for 2 hours daily is conducted routinely at BIRDEM by the professional counselors and dieticians. BADAS is incorporating a short session on the awareness of TB in the ongoing session, so that every DM patients become aware of TB symptoms. The ACSM activities will also dome by leaflets, posters, message on TB-DM co-morbidity in patients’ diabetic guide book.

Poster displayed at BIRDEM OPD