Background: Nowadays, pulmonary tuberculosis (TB) is still a major global cause of death. Indonesia is a country with a high burden of the disease and is ranked second as a contributor to tuberculosis in the world after India, China, the Philippines, and Pakistan [1] along with the phenomenon of deforestation [2] and global warming [3]. Forest restoration and reforestation are considered cost-effective nature-based solutions for climate change adaptation and mitigation to remove carbon dioxide from the atmosphere, provide habitat for species and balance temperatures.Methods: There is no research data on the contribution of the economic value of reforestation to reduce the incidence rate of infectious diseases especially for TB, which is very important for mitigating against the global warming. This research was conducted to determine the economic value of ecosystem services as compensation for the reforestation program. This research was carried out in Lampung Province from April to October 2021, using Landsat imagery series 2009, 2012, 2015, 2018, and 2019 to detect forest cover.Results: The study's findings show that every 2oC increase in temperature increases the incidence of pulmonary tuberculosis by 1.5 per 10,000 population, or 3,770 cases cover class that has a significant effect on the incidence of pulmonary TB is temperature, state forests, community forests, bare land, and rice fields.Conclusions: The valuation of forest environmental services in Lampung Province with human capital through pulmonary tuberculosis medical cost approach techniques for forest mitigation costs is IDR 20.113.458.000 /year.