We conducted a secondary data analysis of cross sectional data obtained within a cohort study in 34 health care facilities (one district hospital and 33 primary care health centers) managed by the Ministry of Health in the San Juan de Lurigancho district in Lima, Peru. This was a cohort study to determine the proportion of drug resistant TB and the rate of recurrent episodes among TB patients. A sample size of 1130 was calculated for those objectives. Adults with a smear-positive pulmonary TB episode diagnosed between March 2010 and December 2011 with no history of previous TB treatment were enrolled. Patients initiated anti-TB treatment at the TB clinic and were followed at the health facility until the end of their treatment regimen. Treatment outcomes were prospectively obtained from the NTP registers. TB registers were monitored monthly up to two years after the end of treatment of the last enrolled case for TB recurrence. If a recurrent episode was found among an enrolled and cured TB patient, a sputum sample was collected [15, 16]. San Juan de Lurigancho is a periurban district in the north east of Lima and lies on the side of a hill. It is the most populous district in Peru, with over one million inhabitants. In 2015, TB incidence in Lima was 164.9 per 100,000 inhabitants .