TB stigma remains a significant impediment to service uptake in Zimbabwe, particularly at the community level. Targeted interventions, including community awareness campaigns, healthcare provider training, and psychosocial support for PWTB, are recommended to mitigate stigma and improve health outcomes. Addressing self-stigma and family-level discrimination through counselling and peer support groups can further enhance treatment adherence and reduce TB-related suffering. The findings underscore the urgent need for stigma reduction initiatives within national TB programs.

The TB Hybrid Contact Investigation Model offers a scalable approach for enhancing TB case detection and treatment adherence, particularly in marginalized communities. Future programs should focus on scaling up CHW training, strengthening community engagement, and integrating digital tools for monitoring and evaluation to optimize TB prevention and control efforts.

The RBACFM model has proven effective in improving TB case detection and treatment initiation, offering a scalable approach for high-burden settings. Key recommendations include expanding the model to additional districts, strengthening community education to address TB-related stigma, enhancing CHW training and incentive structures, and leveraging digital tools for real-time monitoring and resource allocation.

Impact details available upon request.