The Quality Assurance Project commissioned a rapid assessment of the Bangladesh service delivery system for TB-DOTS, the internationally recommended strategy for tuberculosis control. The assessment was designed to inform the development of a context-specific strategy to ensure the delivery of high-quality TB-DOTS care to achieve sustained detection of 70% of new smear-positive patients and an 85% cure rate. Examining the various aspects of both the Government- and NGO-managed systems, the assessment measured the following elements of the Bangladesh National Tuberculosis Program, of which the USAID-funded NGO Service Delivery Program is also a part: awareness-raising efforts, identification of suspects, case detection, mode of DOTS, cure rate, physical facilities, technical capacity, record keeping, referrals, and facility-to-facility referrals. After a presentation of findings, the report makes recommendations to achieve the targeted case detection and cure rates. (author's)