A user-centred implementation strategy for tuberculosis contact investigation in Uganda: protocol for a stepped-wedge, cluster-randomised trial

Table 2 Participant schedule of procedures

Activity	Participant	Implementation Strategy	Location	Duration
Assessing for eligibility	Person with TB	Both	Facility/Telephone	3 min
Invitation to contact investigation	Person with TB	Both	Facility/Telephone	3 min
Intake interview	Person with TB	Both	Facility/Telephone	10 min
1. Education & counselling
a. Routine TB education	Person with TB	Standard	Facility/Telephone	20 min
b. TB education booklet	Person with TB	User-centred	Facility/Telephone	15 min
2. Contact enumeration
a. Standard contact enumeration	Person with TB	Standard	Facility/Telephone	5 min
b. Contact person identification algorithm	Person with TB	User-centred	Facility/Telephone	10 min
3. Assessing for eligibility	Contact person	Both	Community	3 min
4. Invitation to contact investigation	Contact person	Both	Community	3 min
5. Symptom screening	Contact person	Both	Community	15 min
6. Instruction on sputum collection
a. Standard sputum instruction^a	Contact person	Standard	Community	6 min
b. Sputum collection video^a	Contact person	User-centred	Community	3 min
7. Sputum collection^a	Contact person	Both	Community	10 min
8. Linkage to care
a. Travel to facility^b	Contact person	Standard	Community/Facility	~ 10–60 min
b. Transport to facility by CHR^b	Contact person	User-centred	Community/Facility	~ 10–60 min
9. Evaluation by clinician^b	Contact person	Both	Facility	~ 45 min

Abbreviations: TB Tuberculosis
^aOnly for those needing TB evaluation. ^bOnly for those unable to produce sputum during community visits or those with indeterminate TB evaluation results

ISSN: 1471-2458