Different studies reported 2-14 times higher risk of TB for the healthcare workers than the general populations. This poses a serious challenge to the healthcare workers involved in TB control worldwide. BRAC has been using services of thousands of community-based health workers (CHW) known as shasthya shebikas for TB control all over the country. Their continuous exposure to infectious pulmonary TB (PTB) patients might have increased the risk of disease transmission. This concern led RED to implement a pilot study in Trishal upazila to (i) assess the operational feasibility of using CXR (chest X-ray) as a tool for PTB diagnosis, and obtaining and testing sputum samples; and (ii).