Background: Tuberculosis is still endemic in Indonesia with 316 cases per 100,000 population in 2018 and Indonesia has the 3rd highest TB case in the world [1]. The leading causes of the burden of TB in Indonesia include the implementation of the TB program is not by the standards, cross-sector involvement is not optimal, the increase of Multi-Drug Resistant TB cases, and other factors. Suspected case findings and diagnosis are basic things in TB control programs that must be implemented optimally. Purpose: Knowing the implementation of TB control programs in public health centers that focus on screening and diagnosis based on the National Guidelines for TB Control 2014. Methods: This type of research is observational descriptive. Data was collected using a combined closed and open questionnaire and medical record data for public health centers patients from January to December 2019. Informants were selected by purposive sampling. Results: The results showed that 4 public health centers reached the target for finding suspected pulmonary TB cases, but only 2 reached the target proportion of finding new pulmonary TB cases. Inconsistencies in program implementation and obstacles were also found in the field. Conclusion: The success of finding suspected pulmonary TB that is not accompanied by a diagnosis occurs in public health centers that do not implement programs according to national guidelines and some obstacles arise in the field. Evaluation and innovation of TB control programs need to be carried out continuously to achieve the target.