 Indonesia has been identified as a high burden TB country, with a large case detection gap due to the COVID-19 pandemic. To address this issue, health system strengthening activities have been implemented since 2017, including decentralizing TB services, training and mentoring of health care workers, improved screening for comorbidities, and introduction and optimization of expert testing. These efforts resulted in an increase in annual case notifications, an increase in bacteriologically confirmed cases, and an increase in the proportion of TB cases detected in primary care. Despite these improvements, the number of TB cases notified in 2020 decreased significantly due to the COVID-19 pandemic, but the proportion of TB cases tested with expert increased. The number of TB cases notified in 2021 increased again, suggesting that the health system strengthening activities may be having a positive effect on TB case notification. Overall, the authors found that the health system strengthening activities implemented in Mimica district, Papua, Indonesia have led to improvements in TB case finding, despite the challenges posed by the COVID-19 pandemic. This article was authored by Trisasi Lestari, Kamaluddin, Christopher Lowbridge, and others. We are article.tv, links in the description below.