In Myanmar, the education level of the community is low for advanced TB Diagnostic Tools. We all know that in any disease control project can`t achieve its targets without community involvement. Documented Nationwide Community Health Workers' engagement was started in 1978 at the early stage of Health for All -2000. But Myanmar didn’t maintain these activities due to financial reasons. Community volunteers are bridging between the patients and health facilities. For TB case finding, Volunteers give TB health education and identify the presumptive TB cases in the community and then refer to the Public and Private Health Facilities for TB Diagnosis by CXR and GeneXpert testing. Volunteers also conduct contact investigations of Bacterial confirmed pulmonary TB patient`s house give education and refer family members to health facilities to exclude active TB and TPT consideration. Trained volunteers involved in directly observed treatment to the patients of DS-TB & DR-TB and Latent TB Treatment. Some challenges should be considered like the sustainability of financial support and recruited volunteers.

In Myanmar, the COVID-19 pandemic waves and conflict situations had enormous impacts on TB services during 2021. During these crisis situations, contributions of community-based TB activities were seen as transporting drugs to patients’ homes during movement restrictions, health education and case finding at the household level, and engaging with Public-Private Mix clinics in areas with limited functions at public facilities. As shown in the figure below, although significantly low TB notifications occurred in 2020 and 2021, the contribution of community referral increased from 13% in 2019 to 17% in 2021. To conclude, TB volunteers are crucial for End TB in Myanmar