Tanzania has a significant burden of tuberculosis (TB), with rural areas often facing challenges in TB diagnosis and treatment. A mixed-methods approach involving baseline surveys, post-intervention follow-ups, and qualitative assessments to gather data from to in four rural districts. Early detection rates increased by 45% with community-based services compared to traditional approaches. Cure success rate was also significantly higher at 92%, indicating effective intervention strategies. Community-based TB screening and treatment programmes demonstrated substantial improvements in early detection and cure outcomes, contributing positively to public health initiatives. Continuation of these community-driven services is recommended with further research to inform broader implementation across Tanzania. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.