Table 1.
Standardised patient case | Opening statement | Relevant history | Ideal TB management strategy | Ideal HIV management strategy |
Case 1: typical symptoms | ‘I have a cough and am feeling hot, and it’s not getting better’ | Cough duration 2 weeks, experiencing loss of weight/appetite and night sweats, known HIV+, not on ART | Offered/sent for any TB test or referred to public sector for any reason | Offered/sent for tests to assess CD4 cell count and/or viral load or referred to public sector for any reason |
Case 2: confirmed TB | ‘I have a cough that is not getting better. I have been to a clinic back home and they gave me some tablets and took my spit’ | Carrying GeneXpert pos/Rif inconclusive laboratory report. Cough duration 3 weeks, experiencing loss of weight/appetite and night sweats, HIV− at last test 1 year ago | Offered/sent for any TB test or referred to public sector for any reason | Offered/sent for rapid or ELISA test for HIV or referred to public sector for any reason |
Case 3: previous TB | ‘I am suffering from a bad cough. About a year ago I had got tablets in the hospital, and it had got better. But now again I’m having this cough’ | Cough duration 2 weeks, experiencing loss of weight/appetite and night sweats, diagnosed and treated with TB last year at which time took 3–4 months TB treatment, known HIV+, not on ART | Offered/sent for any TB test or referred to public sector for any reason | Offered/sent for tests to assess CD4 cell count and/or viral load or referred to public sector for any reason |
ART, antiretroviral therapy; TB, tuberculosis.