ZAWEDE Stella (Ms) | Developing A Theory Informed Intervention to Improve Linkage to Treatment for Patients Diagnosed with Tuberculosis Using XpertMtb/Rif Testing in Central and Eastern Uganda.

​​​​​​ZAWEDDE Stella examined pre-treatment loss to follow-up for tuberculosis (TB). The grounding for the study is based on the fact that the loss of patients between TB diagnosis and TB treatment initiation is a pervasive problem in low and middle-income settings. Following a series of studies to quantify and understand the reasons for pre-treatment loss to follow-up in the Ugandan setting, an intervention was designed to decrease pretreatment loss to follow-up for TB at public health facilities in Uganda. The intervention, which included: a) educating healthcare workers, b) restructuring of the work environment (to reduce sputum test results turnaround time), and c) enabling quick and efficient communication between healthcare workers and patients was piloted at Jinja regional referral hospital. The intervention resulted in a 30% increase in treatment initiation among patients diagnosed with TB. The study was funded by National Institutes for Health; and was supervised by Dr. Achilles Katamba, Dr. Barbara Castelnuovo, Professor Yukari Manabe and Professor Adithya Cattamanchi.