Table 4.

Three-tiered assessment of the TB educational video impact and corresponding statements by the Ministry of Health compiled from the impressions and observations submitted by the participating TB clinic health providers.

Tier 1: patient responses and observed changes	• “Improved patient knowledge of TB”, including: [10]a ° Greater understanding of what TB is, how TB affects people and how TB is treated ° Greater patient acceptance of their diagnosis of TB ° Enhanced interest in TB • “Improved TB treatment adherence” [5] ° Typically linked to a greater understanding of TB and rationale for treatment •“Heightened understanding by patients for producing sputum samples” (why sputum collection is important in diagnosis and treatment monitoring) [2]
Tier 2: family member and community responses	• “Reduced fear and negative stigma of TB” [5] ° Including the procurement of greater community TB interest • “Improved family support of TB patients” [4] ° Also including an improved family knowledge of TB •“Facilitated contact investigations and helped to identify secondary active cases/contacts”
Tier 3: MOH TB provider responses and observationsb	•“Improved contact investigations by public health nurses” [6] •“Improved delivery of respiratory samples for AFB testing” •“More time-efficient health provider evaluations and discussions with patients” (less time spent on repeated explanations)

^aNumbers in parentheses indicate the number of clinics reporting specific outcomes as documented by Ministry of Health. Outcomes without corresponding numbers were those reported directly by multiple TB clinics but could not be accurately quantified by the Ministry of Health.

^bIncludes physicians and nurses working in the MOH-supported TB clinic.