Starting January 1974, a paramedic, for every 5 villages starts the medicines and treatment free of cost through token fees. In 1977, the first rural health volunteer program was started experimentally in Manikganj to make primary health care accessible to the people's doorstep and to create financially sustainable health programs. To prevent diarrhea (which is one of the major reason of child death) - Otep was started in 1980. A Memorandum of Understanding was signed in 1994 to work as a collaborator of the Government of Bangladesh to expand the DOTS. In 1996, reproductive health and disease control programs and nutrition programs started. ‘Brac artificial legs and Brace centers’ were established in 2000. In 2001, small health insurance programs and pilot mothers, newborns and child health programs were started in 2005. In 2006, the launch of Wash, Manasi, and Chashma program in 2011 and the Vision center’s program started in 2011. In 2017, the trial of the social enterprise started.