No
Yes
Don't Know
Refuse to Answer
Not Applicable
Male
Female
No school
P1 - P6
P7
S1 - S3
S4
S5
S6
Tertiary/Vocational
University
Post-graduate
Single
Married
Widowed
Divorced/Separated
Unemployed
Farmer
Health Care Worker
Market Vendor
Shopkeeper
Bar owner
Transport driver (truck, taxi, boda-boda, bus)
Teacher
Student
Other occupation
All of my life.
Other
1 - 2 Months
3 - 5 Months
6 - 12 Months
1 - 2 Years
3 - 5 Years
>5 Years
6 - 11 Months
>11 Months
<1 Week
1 - 2 Weeks
3 - 4 Weeks
3 - 4 Months
> 4 Months
< 2 Weeks
2 - 4 Weeks
< 1 Week
I don't feel ill.
>4 Months
Never
Monthly or less
2 - 4 Times per month
2 - 3 Times per week
4 or more times per week
1 or 2 Drinks
3 or 4 Drinks
5 or 6 Drinks
7 - 9 Drinks
10 or more Drinks
Less than monthly
Monthly
Weekly
Daily, or almost daily
HIV Negative
HIV Positive
Spouse
Son/Daughter
Father/Mother
Grandson/Granddaughter
Grandfather/Grandmother
Brother/Sister
Uncle/Aunt
Co-wife
Cousin
Niece/Nephew
Stepchild
Foster child
Girlfriend
Local Friend/Neighbor
Non-local Friend
LC chairperson
Househelper
Employee
Employer
Landlord
Tenant/Renter
Priest
Healthcare worker
Mother/Father
Daughter/Son
Other relative
Friend
Neighbor
Co-worker
Traditional Healer
Local Councilor (LC)
Girlfriend/Boyfriend
Trader
Client
Daily
More than weekly (but not daily)
Less than weekly
Daily (6-7 times/week)
3-5 times/week
1-2 times/week
2-3 times/month
Once
I did not go to this place in the past month
>12 Hours
8-12 Hours
4-8 Hours
<4 Hours
Restaurant
Bar/Club
Market place
Shop
Church/Mosque
Hotel/Inn
Private Residence
Ajona or Malwa (local brew drinking circle)
Money Club
Daily taxi rides from Monday-Friday
3-4 times each week
1-2 times each week
2-3 times per month
Once per month
Less than once per month
New Case
Relapse
Default
Treatment Failure
Not recorded/Unknown (confirm with TB nurse)
Smear Negative
Smear Positive
Not recorded/Unknown (Confirm with nurse)
Lymph Node (adenitis)
Pleura
Meningitis (CNS TB)
Spinal
Abdominal
Uro-genital
Normal
Abnormal (no cavity)
Abnormal with cavity
No chest x-ray done (confirm with TB nurse)
Isoniazid(H)/ Rifampicin(R)/ Ethambutol(E)/ Pyrazinamide(Z,
Isoniazid(H)/ Rifampicin(R)/ Ethambutol(E)/ Pyrazinamide (Z,
Other regimen
Negative
Positive
Indeterminate test result
Unknown, and HIV testing not available at TB clinic
No - sputum could not be collected or induced
Yes - sputum was collected without induction
Yes - sputum was collected with induction
Unable to collect - Participant refused sputum collection or