Sierra Leone is still painfully crawling out of a decade-long civil
strife that plunged the nation into decades of retrogression. The
economy of the country plummeted during the war periods of 1991 to 2001;
human resources dwindled, health care services where abysmal and there
was a general resource poverty and its accompanying traits of
malnutrition. During the war periods, a platform for disease
transmission and spread was set causing many to die from curable as well
as incurable diseases. The spread of tuberculosis was favoured by the
war related congestion, malnutrition and poor healthcare that continued
even after the war. Tuberculosis remain a cause for concern especially
in situations where HIV and AIDS are also becoming a concern. The
country suffers from antibiotic-resistant recurrent tuberculosis
infection, multiple co-infections among others. This piece delves into
the successes and failures of tuberculosis control in a resource
deficient setting.