According to the World Health Organization (WHO), Pakistan faces a substantial burden of tuberculosis (TB), ranking fifth globally among high-burden countries. With an estimated 510,000 new TB cases and approximately 15,000 drug-resistant TB cases emerging annually. NHSP Sindh is strategically focused on significantly increasing provincial TB case notification. This objective necessitates a multi-faceted approach, aiming to enhance the contribution of both healthcare providers and community-level case detection efforts. Key areas of intervention include: strengthening the involvement of Lady Health Workers; comprehensive capacity building for Primary Health Care (PHC) workers; bolstering digital screening and laboratory services; implementing and scaling up TB Preventive Therapy (TPT); expanding active case finding initiatives; and improving data reporting and program monitoring. These concerted efforts are designed to ensure that comprehensive TB care, including proper diagnostic services, is improved and readily available at the PHC level across Sindh.