Tuberculosis (TB) contact tracing among adult indexed cases is imperative for intensive case finding, especially among children 15 years old and younger who were exposed within three months prior to the adults’ detection and treatment, yet it is not uniformly conducted in the northern Philippines. To help understand and address the high burden of TB among exposed children, national and subnational governments need to establish guidance on contact tracing and provide health care workers with the resources and tools to improve the health of citizens. Through contact tracing, trained health care workers will be able to identify those who are eligible for either active TB or latent TB infection treatment following thorough screening and diagnosis.