“…The overall fall of annual distribution of all forms of TB registered cases in this study is in agreement with other studies (Lobato et al, 2006), in Japan (Shimao, 2009) and the countries profile (WHO, 2012). The probable reasons of falling down may be due to continuous implementation of DOTS, increased availability of health facilities and health service delivery increment and increased awareness by the public about the disease in the area (Yun et al, 2011). currently, due to DOTS program implementations in the study area the relapse and defaulters cases were generally in a decreasing manner per years in responding to the program, which was similar to other studies done in south Ethiopia (Shargie and Lindtjorn, 2005), in northwestern shewa (Seyoum, 2007), in western Ethiopia (Ejeta et al, 2012) and in Jijiga district (Mohammed, 2007) yet these studies showed increased observations of relapse cases contrary to the present study.…”