Recently, tuberculosis situation has been getting worse especially in developing countries. Directly Observed Treatmet Shortcourse (DOTS) is an effective measure toward enhancing TB adherence, assuring the treatment effectiveness and reducing drug resistance. Objective of the study was to assess the current situation of the implementation of DOTS by TB health staff at Hai Ba Trung TB clinic, Hanoi. The results showed that DOTS implementation at the clinic is not effective, leading to low adherence. 89 percent patients were provided drugs daily at the clinic in the active treatment period, 61 percent patients were provided drugs twice per month in the maintenance treatment period. Observations at home were implemented among 62 percent of patients only. 10.3 percent patients were observed less than once monthly. Observation was mainly in the form of reminders or over the phone 58 percent. In conclusion, there is urgent need to control for the DOTS implementation by district health staff, as well as to increase awareness on DOTS for patients as well as health staff.