Table 2.

Process of knowledge acquisition to develop task-shifting protocols to collect patient information^a.

Step	Stage	Result	Committee members involved
			1: physician	2: physician	3: physician	4 and 5: program manager	6, 7, 8, 9, 10, and 11: community health workers
Step 1	Identify symptom list to cover the scope of most prevalent presenting complaints through literature review	67 presenting complaints identified	✓	✓	✓
Step 2	Create data collection questionnaires to collect subjective data for the presenting complaints through a literature review and synthesis of evidence-based guidelines	67 data collection questionnaires compiled	✓	✓	✓
Step 3	Identify simple physical examinations to collect objective data and map them to complaints	143 examinations identified	✓	✓	✓
Step 4	Contextualization of questionnaires to the etiology and epidemiology of disease in India	67 questionnaires contextualized		✓	✓	✓
Step 5	Feasibility assessment to remove history-taking questions and physical examinations that are difficult to task shift to health workers or have a high burden of training	Questionnaire list reduced to 51; examination list reduced to 93		✓	✓	✓
Step 6	Translation of content into local language (Bengali) and adaptation to improve comprehensibility for patients	Translations complete and verified; 51 questionnaires and 93 physical examinations modified			✓	✓	✓
Step 7	Adaptations to local social and cultural contexts	Adaptations complete and verified; 51 questionnaires and 93 physical examinations modified				✓	✓

^aPhysicians were responsible for the curation of medical knowledge to build the protocols. Public health program managers were experts in working with community health workers as well as in representing patient needs. The community health workers represented the sociocultural norms of the community that they served and the local dialect as well as patient needs.