REACH Ethiopia is sub-grantee for USAID Eliminate TB project of MSH, which is implemented at Sidama Region and SNNPR, Hadiya zone with an objective of improving community contribution through strengthening community structures (HEWs & WDAs) ,the health system referral and linkage to result in reduced incidence and mortality of Tuberculosis. To achieve the above aim IRT (Integrated Refresher Training) was conducted for HEWs at 10 Woredas in Sidama Region and 10 woredas in Hadiya zone of SNNPR.