FIDELIS-IV: Introducing and strengthening DOTS in four districts of Punjab, through public-private partnership. Jan. 2005 to March 2006 Coverage: Four districts in the province of Punjab: Jhang, Sahiwal, Khanewal and Sheikhupura Activities: Enhancing the capacity of the district offices and the facilities to effectively plan, implement and monitor DOTS activities. Supplementing the equipment and material supplies as well as providing training and onsite technical support to the staff delivering TB care at government facilities Orientation and planning workshop and develop District Implementation Plan (DIP) in each district Training of care providers and managers, procurement and logistic support, monitoring and supervision, data management strengthening Screening of TB suspects and initiation of TB case registration Organizing and conducting community mobilization events Outputs: 84 managers oriented on DOTS and plans prepared for implementing DOTS activities in hospitals 348 doctors trained on case management, 348 Paramedics-1 training as DOTS facilitator and District Lab supervisors trained 83 Laboratory technicians training on AFB microscopy 1500 Lady health workers training on providing treatment support and 75 Paramedics-2 training Lady health workers (1500) training on providing treatment support 43,253 target suspects screened , 4,328 target cases new sputum positive, 1731 limited access and 23,692 cumulative NSP cases detected