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rk practices to maintain their ability to aid survivors. The End-TB strategy aims to see a world free of tuberculosis (T by the coming decade through detecting and treating all cases irrespective of socioeconomic inequalities. However, case detections and treatment outcomes have not been as they should be in Somali pastoral settings of Ethiopia. Hence, this study aimed to explore the challenges that hinder the delivery and utilization of TB services in pastoral areas. A qualitative study was conducted between December 2017 and October