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Brazil has been promoting efforts to accelerate the improvement of its Tuberculosis Indicators making use of strategies as: control of TB-HIV co-infection by the Quick Test for HIV in all patients, directly observed treatment (TDO), drugs treatment scheme in fixed-dose combination (4:1) and conduct studies for the adoption of new technologies for the diagnosis of Tuberculosis, as the Quick Test for Tuberculosis (TRM-TB). However, these strategies have not yet allowed the eradication of the disease in the country. We have set as objectives: submit an account of experience in the program of Tuberculosis in a programmatic area in the city of Rio de Janeiro and describe the specifics of the program, comparing with the Guide of Visit and Surveillance of the Municipal Program of Tuberculosis Control. The research has shown that some actions are in line with what determines the program, however, other actions pointed challenges for the improvement, among them: the Unit presented difficulty in making the diagnosis, taking for up to 15 days, lack of materials to perform the test of Tuberculosis compromising treatment and diagnosis. Referring to the Quick Test for TB, there was a misunderstanding on the part of the professionals interviewed. In conclusion, it is necessary to ensure efforts to training on the most current in the control of Tuberculosis and in this case reinforces the Quick Test for TB. Monitoring on the part of professionals with sensitive listening to signs and symptoms reported in relations: professional/patient, in order to promote greater adherence to treatment.