Household ID
name of kebele coded
houshold member id
The patient has given verbal consent
The Participant has received oral and written information about the study
residency status
Date of visit_Date
Date of visit _Month
Date of visit _Year
Recode Age
Gender
Marital status
Educational History
Is there any family member who share the same room with the TB patient
Occupation
Ethnicity
How often does anyone smoke inside your house?
Do you the following symptom/sign?_Cough >_ 2weeks
duration cough (days)
Do you the following symptom/sign?_Night sweats >-2 weeks
Do you the following symptom/sign?_Weight loss ( 3 kgs in 4 weeks)
Do you the following symptom/sign?_Fever >2  weeks
Do you the following symptom/sign?_Chest pain
Do you the following symptom/sign?_Blood stained sputum
Do you the following symptom/sign?_Lumps in the neck
screening result(1st visit)
Is the patient previously diagnosed with TB and Treated?
Culture
DST result *LPA    if not sensitive to the specified drug tick