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In 2020, 6922 cases of tuberculosis were notified in Mali. Despite efforts tuberculosis remains a public health problem in sub-Saharan Africa Objective to evaluate tuberculosis management in Koro according to national guidelines in Mali.Materials and Methods: This was a descriptive cross-sectional study of tuberculosis management in 2019 ,2020 and 2021. It focused on the evaluation of resources, process of results with national standards. Data were collected using a data collection form and questionnaires sent to health care providers, an evaluation of the management system, and an exhaustive sampling of tuberculosis patient files managed during the study period.Results: We noted a decrease in qualified personnel, an inadequacy in the implementation of tuberculosis control activities, and recorded 172 patient files managed. The average age was 40.33. Men accounted for 74.4%. New cases accounted for 92%; the pulmonary form was 95%. Cured 77%, deceased 14%.