SP case scenarios
| Standardised patient case | Opening statement | Relevant history (if prompted) | Ideal TB management strategy* |
| Case 1: ‘Basic TB’ | 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 |
| 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 | |
| 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 |
*South African TB guidelines were used as a reference for ideal TB management, which was defined as a verbal or written (1) recommendation for any TB or HIV-related test or (2) referral to the public sector for any reason.
ART, antiretroviral therapy; SPs, standardised patients; TB, tuberculosis.