In 2006, USAID/Bolivia asked the Quality Assurance Project (QAP) to work with its bilateral health project, Gestión y Calidad en Salud (GCS) and the National TB Control Program (NTP) of the Ministry of Health (MOH) to implement an improvement collaborative aimed at strengthening the TB program’s performance. A rapid assessment conducted by GCS and QAP in 38 public health facilities in Los Yungas in January 2007 found divergent cure rates (as low as 47%), abandonment rates of 21%, and no directly observed treatment. Other problems found were limited patient adherence support, weak drug logistics, lack of clinical training of personnel, poor lab quality control, and lack of surveillance of multi-drug-resistant TB.