Table 2.

Summary of barriers and enablers for MDR TB diagnosis

Enablers	Barriers
Social support	Most private facilities do not test for TB
Isolation of MDR TB patients as advised by nurses	Failure to identify TB symptoms
Adherence with first-line treatment	Bread winner and single parenting- especially for female patients
Support from medical community that patient friend supported fare	Traditional healers unaware of MDR-TB
Transportation support to TB centers	Treatment without diagnostic testing
Referral for further testing of people considered for MDR-TB	Medical staff asking for money
Medical staff have mechanisms for follow-up of their patients	TB clinics located close to HIV/AIDS offices may enhance stigma
Nurse empowerment to acquire skills to be able to presume MDR-TB	Non-adherence to TB & MDR-TB treatment guidelines
Provision of TB treatment at low cost	Health care workers lack of knowledge to presume MDR-TB
Ability of patients to sacrifice finances or time for diagnosis and/or treatment	Lack of patient-centered mechanisms for specimen transport
Courage and persistence from patients to seek TB health care