For TB case detection and provision of TPT , the feasibility and effectiveness of decentralization and integration may vary by setting based on, for example, the local burden of TB disease, available resources, existing infrastructure, regulatory framework and structure of the NTP. The NTP should consider starting with an assessment of the feasibility and potential utility of decentralization or integration at different levels of care, or in urban versus rural settings, or in public versus private settings. During such an assessment, the NTP may consider the components listed below (among others).
In addition, site-level assessments may be conducted by health facility teams to assess readiness to deliver TB services. It may also be useful to conduct qualitative research on community needs and perceptions (including views related to stigma) and to collect suggestions for decentralization and integration of TB services, considering social, cultural and societal values.