FIDELIS-VI: Introducing and strengthening DOTS implementation in ten teaching hospitals and six private hospitals, including linkages with primary health care, in three districts of Pakistan. Coverage: Three districts i.e. Rawalpindi, Islamabad and Lahore April 2007 – March 2008 Activities: Enhancing the capacity of the district offices and the hospitals to effectively plan, implement and monitor DOTS activities Training of managers, doctors, laboratory personnel, DOTS Facilitators and lady health workers Enabling/supporting three key agents (school teachers, community health workers and local religious leaders) to mobilize communities in proposed districts Screening of TB suspects, initiation of TB cases registration and examination Organizing community groups and conducting discussions Outputs: 128 managers oriented on DOTS and plans prepared for implementing DOTS activities in hospitals 16 advocacy workshops for the hospitals conducted 70 doctors received core training on case management module and 32 doctors trained on refresher course 70 paramedics received core training as DOTS facilitator, 38 paramedics received training on quarterly reporting and 32 paramedics received training on refresher course 38 laboratory technicians received core training on AFB microscopy, 16 laboratory technicians received refresher training on AFB microscopy and 3 district laboratory supervisons received training on EQA 4 social organizers received training on social mobilisation and 1500 lady health workers training on providing treatment support 4945 smear +ive cases detected, 192 community mobilization events conducted and 3791 TS reported