<p>We conducted a retrospective cohort study of people &gt;15 years old newly diagnosed with pulmonary TB in Dushanbe in 2019-2021. We conducted face-to-face interviews using structured questionnaires and abstracted data from medical records. We defined presentation-delay as &gt;14 days between TB symptom onset and initial visit, and provider-delay as &gt;3 days from initial visit to treatment initiation. We ran Χ2 and Mann-Whitney U-tests to compare delays before and during the COVID-19 pandemic.</p>