The overall aim of the mPATCH-TB Study is to identify potentially cost-effective, feasible and scalable interventions that could increase rates of completion of screening for tuberculosis and HIV among male partners of women attending primary health care in Blantyre, Malawi. Eligible women who consent to participate - and who have a primary male partner with cough at home -will be randomly allocated, by day of clinic attendance, into a standard of care group or one of up to four intervention groups. They will be asked to identify their primary male partner and will be offered interventions according to their allocated group. The primary outcome will compare the proportion of primary male partner that complete TB screening (defined as receipt of result of a sputum Xpert or smear result) within 14 days of recruitment in each intervention group compared to the enhanced standard of care group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
30
Male partner can attend clinic with dedicated services for men
Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening
Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner
Female participants will be provided with an oral HIV self-test kit to be given to their male partner with instructions for use
Female participants will be provided with a voucher for MKW5000 which can be redeemed when the male partner attends the clinic for TB testing
Bangwe Health Centre
Blantyre, Southern Region, Malawi
TB screening
The proportion of male partners that complete TB screening
Time frame: Within 14 days of recruitment of female participant
TB case detection
The proportion of male partners with either microbiologically-confirmed TB assessment, or taking TB treatment
Time frame: Within 14 days of recruitment of female participant
Acceptability
The proportion of primary household male partners who report that they would be "very likely" or "likely" to recommend the interventions they received to their families or friends
Time frame: Within 14 days of recruitment of female participant
Completion of HIV testing
The proportion of primary male household partners not receiving ART at baseline who report having been tested for HIV
Time frame: Within 14 days of recruitment of female participant
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.