PURPOSE: Tuberculosis has been a scourge of the human kind from time immemorial. It is a major health problem in India. The emergence of multi-drug resistant TB (MDR-TB) has become a significant public health issue and an obstacle to effective TB control. In 1997, Govt. of India has launched Revised National Tuberculosis Control Programme (RNTCP) and by 2006, whole nation was covered under it. To tackle the burden of MDR-TB, govt. has initiated Programmatic Management of Drug Resistant TB (PMDT), which referes to programme based diagnosis, management and treatment of MDR-TB. MDR-TB has become a serious health issue among paediatric population as well. We conducted a retrospective/ prospective study to evaluate the outcome of treatment of MDR-TB, among paediatric population in order to take further steps to improve and strengthen the programme.