This is an implementation research project aiming to assess impact of  innovative operational strategies on the occurrence of tuberculosis (TB) in Saharia dominated district of Madhya Pradesh and to establish mechanism and processes for enhanced and early testing and treatment of tuberculosis cases and preventive of contacts. The will be undertaken in 8 Saharia Tribe dominated districts in Madhya Pradesh and involves the qualitative component to identify reasons for the delay in diagnosis & initiation of TB treatment and delay in TPT initiation. After baseline prevelance and rapid situational analysis, in each district, the interventions will be initiated which includes intense IEC activities followed by active case detection by field teams using handheld x-rays for screening and molecular test for diagnosis and all the cases would be treated as per NTEP guidelines by District TB cell. ASHAs, village volunteers, would be responsible for ensuring treatment adherence to decrease unfavourable outcomes and to increase awareness. All the contacts would be screened to rule out TB and would be initiated on TPT. The vulnerability mapping will be done and the co-morbid conditions would be referred for appropriate management. For the smoking and alcohol cessation, the patients would be referred to NCD division of programme. The nutritional interventions for malnutrition and IFA, deworming would be done for all eligible participants.  The tele-OPD will be initiated for consultation & appropriate advice to symptomatics. The endline survey will be done at the end of the intervention. The proposed interventions in the entire saharia dominated blocks which would cover both Saharias and non-Saharia population will have impact on the occurrence of the TB cases in the entire region, thus leading to substantial reduction of TB in Saharia population. This will help in development of the suitable policy for the Saharia tribe.