Table 2.

RE-AIM Framework [8]

Dimension	Unit	Outcome Over 5 Months
Reach	Individual	24% screened (range of 5%–57% by facility)
Efficacy/Effectiveness	Individual	2.7% diagnosed with tuberculosis compared with historical prevalence estimate of 2.9% in a South African facility
Adoption	Facility	Implemented across the 4 facilities
Implementation	Facility/Department of Correctional Services	Maintained high fidelity to tuberculosis screening, testing turnaround, treatment initiation, and weekly reporting. Adaptations to plan occurred due to security issues. The total annual cost was $730 000. The cost per tuberculosis case identified was $1513.27.
Maintenance	Facility/Department	There was no attrition in participation by health staff in the systematic screening during the project. The Government of South Africa is expanding program throughout the correctional system