Karuna Trust has been working on a war-footing to fight COVID-19, especially among the urban poor in Bangalore. We were the first to de-centralize COVID testing to ward levels through our urban primary health centres. With the spiking rise in cases, the Government has also adopted the same strategy now. Community testing using Rapid antigen tests are done at the rate of 25 to 30 tests/day, by field teams and also at the health centre. Further, Karuna trust with the support from donors has established a state fo the art TRUENAT testing centre at the Adugodi Fever Clinic health centre. Patients who require RT-PCR testing for COVID from other urban health centres – Adugodi UPHC, Maternity Hospital, Tavarekere UPHC, Maternity Hospital, Nelamaheshwari, Yemaluru are referred to the fever clinic for the same. About 30 to 40 samples are testing for COVID using RT-PCR. This expedites diagnosis, reduces waiting time and improves triage of cases at the grass-root level, bringing down the burden on tertiary care centres.