 Accordingly, all patients should receive daily TB care including observed daily doses of treatment for the first 28 days from the most convenient health facility. Patients have to be properly counselled about their illness and managed accordingly by the TB focal persons. Counselling should be conducted using a standard procedure developed from our baseline studies in order to ensure good quality of tuberculosis care. They should be taught specifically on the causes and prevention of TB, side effects of drugs, treatment adherence and the schedule for follow up examinations. During this time, the TB focal persons need to assist patients to select volunteer CHWs from their village. They should explain their role and created confidence between them. All eligible patients should be treated using anti-TB drugs recommended by the national tuberculosis control of Ethiopia. PTB patients should receive weight adjusted Ethambutol E, Rifampicin R, Isoniazid H and Pyrazinamide Z during the first 8 weeks of treatment followed by 6 months of EH, while PTB- should be treated with weight adjusted RHZ for two months, followed by 6 months of EH. 