Table 3.
Intervention Functions | Arranging home visits | Visiting households to screen contacts | Evaluating contacts in clinics |
---|---|---|---|
Education | LHWs use their lay understanding of community knowledge gaps and concerns to counsel patients | ||
Training | |||
Persuasion | LHWs establish trust with index patients | ||
LHWs convince index patients to accept CI | |||
Environmental restructuring | Home visit allows scheduling flexibility | Clinic-staff streamline clinic visits for contacts | |
Enablement | LHWs give social support to index patients | Home visit provides privacy | Families support contacts physically |
Clinic-staff shift task of visiting home to LHWs | Contacts trust LHWs | Families support contacts emotionally | |
CHWs call index patients on mobile phones | |||
Modeling | Former TB patients recount their experiences in referring their contacts | ||
Incentivization | Clinic funds LHW transport fare | Home visit eliminates some clinic visits | Clinic-staff streamline clinic visits for contacts |
Clinic or program pays LHWs for their work | |||
Restriction | |||
Coercion |
Abbreviations: LHWs lay health workers, CI contact investigation, TB tuberculosis