Ouedraogo et al. 2006). Most patients presented with symptoms suspicious for TB; thus, lack of diagnostic sensitivity of health workers is of concern (Wandwalo & Morkve 2000). Afghanistan has the highest TB burden in south Asia (World Health Organization 2007). While health services are expanding and quality improving, gaps in access and deficient quality of some interventions persist. The Ministry of Public Health adopted a Basic Package of Health Services (BPHS) in 2003, which provides standard primary care services for districts covering 77% of the population. However, inequitable service distribution and difficulty motivating access to services make care provision challenging (Waldman et al. 2006). Health data from 2006 indicate that respiratory complaints comprised .
