Abstract: Introduction: Globally, about 1 million cases of pediatric tuberculosis are estimated to occur every year accounting for 10-15% of all tuberculosis; with more than 100,000 estimated deaths every year, it is one of the top 10 causes of childhood mortality.1 The source of infection to a child is usually an adult, often family member with sputum smear positive tuberculosis. The frequency of childhood tuberculosis in a given population depends on: (a) the number of infectious cases ;( b) closeness of contact with an infectious case; (c) the age of child when exposed to tuberculosis; and (d) the age structure of the population .2The objective of this study was to study the prevalence of Tuberculosis among severely acute malnourished children and socio-demographic factors associated with it.