Tuberculosis remains one of the oldest debilitating infectious diseases globally, but disproportionately affects the world’s poor population. Sierra Leone is one of the countries with a very high burden of tuberculosis with an estimated incidence of 289 per 100,000 populations. Treatment success rates and enhanced case detection are critical indicators to evaluate the performance of the tuberculosis control programme in Sierra Leone. We analyse tuberculosis surveillance data from the  Moyamba District to determine burden, trends, distribution, and treatment outcomes.