The case for public-private partnership in tuberculosis control is warranted since many patients still go to physicians in private practice despite the availability in public health facilities of free, cost-effective treatment protocol called the Directly Observed Treatment Short Course (DOTS). Despite the private sector's pioneering role in TB control in the country, it has been relegated to a mere social partner of the government in TB control. But since TB is proving to be a bigger public health menace than the public sector can handle, private physicians are now involved as service delivery partners. Some policy directions are suggested to strengthen the emerging modes of public-private partnerships in TB control