Tuberculosis (TB) is one of the top ten principal causes of death globally. In Bangladesh, which is one of the 30 high TB burden countries and also a high multi-drug resistant TB (MDR-TB) burden country, the incidence of TB (all forms) is estimated at 225 per 100,000 population per year and mortality is estimated at 45 per 100,000 population per year. The rate of MDR-TB is 1.6% among new cases and 29% among retreatment cases (3). More than 200,000 TB cases are detected annually; however, around 150,000 cases are still missing which contribute around 40% of the total estimated TB cases in Bangladesh. RDM is carrying out several implementation research studies that could help identify the some of the gaps in TB management and thereby, support in effective program planning and designing.