Table 4 Open-ended responses by CTSs regarding potential risks and benefits of task-shifting community-based MDR-TB care (n = 82)
| Â | N (%) |
|---|---|
Potential risks (n = 213) |  |
 Compromised quality of care | 60 (73.2) |
 Malpractice liability fears | 40 (48.8) |
 Poor infection prevention and control | 36 (43.9) |
 Inadequate training | 20 (24.9) |
 Irregular supervision | 18 (22.0) |
 Increased non-adherence to treatment | 14 (17.1) |
 Poor retention of CTSs | 10 (12.2) |
 Power conflict with community MDR-TB nurses | 9 (11.0) |
 Othera | 6 (7.3) |
Potential strategies to mitigate the risks (n = 174) |  |
 Appropriate training | 69 (84.1) |
 Regular supportive supervision | 40 (48.8) |
 Simplified instructions and job aids | 31 (37.8) |
 Regulation | 23 (28.0) |
 Improved availability of medical supplies | 11 (13.4) |
Potential benefits (n = 281) |  |
 Increased MDR-TB treatment access | 78 (95.1) |
 Reduced transport-related treatment access barriers | 65 (79.3) |
 Improved adherence to MDR-TB treatment | 63 (76.7) |
 Reduced stigma | 32 (39.0) |
 Improved social status of CTSs | 21 (25.6) |
 Reduced workload for community MDR-TB nurses | 15 (18.3) |
 Increased pool of healthcare workers | 7 (8.5) |