LAUSR

Key Points Question Do patients with tuberculosis (TB) have differential preferences for strategies to improve TB diagnostic services? Findings In this cross-sectional study of 326 patients newly diagnosed with TB in Lusaka, Zambia, 3 groups with distinct preferences for different TB diagnostic service enhancements were identified. Groups 1 and 2 were far more likely to report waiting at least 4 weeks after symptom onset to seek care, and they demonstrated strong preferences for facilities providing same-day TB test results, financial incentives, and greater privacy. Meaning Tailored strategies that include features most preferred by persons with undiagnosed TB, who are likely to delay care seeking, have the potential to accelerate TB diagnosis and care engagement.