External prestressing is commenly used with notable effectiveness to increase and upgrade the flexural capacity of Reinforced Concrete (RC) beams and slabs. However, the major practical difficulty associated with external prestressing is that, it must be applied to relatively high strength concrete elements which may not be met in many cases where geometry and properties of concrete and steel reinforcement of existing member can't be modified. Hence the designer has no control on the existing structural elements that need repair. This research is aims to develop and evaluate an innovative strengthening technique for low strength concrete slabs. This method is based on applying a thin layer of Engineered Cementitious Composites (ECC) in the compressive side of RC slabs prior to the application of the external prestressing tendons. The role of the proposed ECC layer is to avoid the early concrete crushing in compression side, and consequently increase the efficiency of the external prestressing. To investigate the efficiency of the proposed strengthening technique, a total of nine RC slabs cast by low concrete strength (compressive strength = 15 MPa). Application of external prestressing solely would induce brittle failure by abrupt crushing in concrete at the low strength compressed soffit. For That purpose, two different thicknesses of ECC layer were considered in the first group of the experimental program. Strengthening process at three different levels of sustained loading was also taken into account through the second experimental group. The present study indicated that the proposed hybrid strengthening technique was is a very powerful tool for enhancing the capacity of the considered case study. Evaluation of some of the existing analytical formulae of tendon stress was finally made. In addition, a proposed prediction formula of the ultimate tendon stress for the case of the studied hybrid strengthening technique was presented.