Is it the strategy of implementation defective? Is the direct observation, main component of treatment suffering? We have 3.5 million sputum positives to observe. Is the present machinery enough? Is there enough commitment on the part of Dots observers? To what extent the treatment is under direct observation. Unless this is, 100% and perfect, infectious cases will go on escaping and transmitting the disease, that too the more dreaded resistant disease. Until then, it will be just only a quantitative coverage by Dots, but not real qualitative coverage.