Description of the Project: Early detection and prompt management of TB among diabetics and diabetes among TB patients are crucial to reduce the dual burden of TB and Diabetes. From the experience in field, it was noted that the existing Joint TB-Diabetes collaborative framework is not being effectively implemented. The proposed study tries to explore opportunities to understand and recommend how better this convergence can be stregthened. Learnings from the study would provide a structure of strategies within the health care system to improve treatment outcomes in TB and Diabetes. Thus, the study will be undertaken in high burden districts of Karnataka, India.