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Table 3 Healthcare worker interview responses, Zambia 2018

From: Assessment of the tuberculosis case-finding and prevention cascade among people living with HIV in Zambia – 2018: a cross-sectional cluster survey

 

Number of responsesa, N (unweighted %)

Do you perform TB symptom screening at every ART appointment?

 Yes

12 (92.3)

 No

1 (7.7)

Which symptoms do you use to screen for TB?

 Included 4 of 4 WHO-recommended screening symptoms for adultsb

9 (75.0)

 Omitted ≥1 of 4 symptoms

3 (25.0)

How many symptoms must a PLHIV have to screen positive?

 ≥ 1

5 (41.7)

 Cough alone is enough, otherwise ≥2

2 (16.7)

 ≥ 2

5 (41.7)

If a PLHIV has a positive symptom screen, do you collect sputum (or other specimen)?

 Yes

12

 No

0

Do you receive TPT-specific training at your facility?

 Yes

3 (27.3)

 No

8 (72.7)

Do you offer TPT to PLHIV without active TB disease?

 Yes

10 (83.3)

 No

2 (16.7)

[If TPT is offered], do you reserve a 6-month supply of isoniazid for each patient?

 Yes

1 (16.7)

 No

5 (83.3)

What is the most important barrier to providing TPT to PLHIV at your clinic?

 Isoniazid stockouts

5 (55.6)

 Pyridoxine stockouts

2 (22.2)

 Patients refuse TPT

1 (11.1)

 Development of isoniazid-resistant Mycobacterium tuberculosis

1 (11.1)

  1. Abbreviations: PLHIV Person/people living with HIV, ART Antiretroviral therapy, TB Tuberculosis, TPT TB Preventive treatment
  2. aNot all respondents answered all questions
  3. bCough, fever, night sweats, weight loss