My Mobile Wallet: An Intervention for Tuberculosis Medication Adherence in Rural Uganda

The goal of this clinical trial is to develop My Mobile Wallet- a behavioral and economic intervention to support tuberculosis treatment adherence in rural southwestern Uganda. The main question[s] it aims to answer are: • Determine the optimal design and develop My Mobile Wallet as an intervention to support tuberculosis medication adherence • Assess the initial feasibility and acceptability of using My Mobile Wallet to support tuberculosis medication. Participants will use My Mobile Wallet intervention for a period of six months. Researchers will compare My Mobile Wallet intervention versus standard care to see if there is an impact on tuberculosis medication adherence.

Inclusion Criteria:Newly diagnosed with TB per the clinic records (TB patients living with HIV will also be eligible)Starting TB treatment now or been on TB treatment for <2 weeksOwning a mobile phoneAged 18 years and olderLive in Mbarara DistrictWilling to grow hair on the head and to allow a small thatch of it/hair (10-25 strands/0.02 ng/mg) to be cut at month 2 and 4 in the studyWilling and able to give consent.Exclusion Criteria:Unable to use mobile money-based SMS (train and test this skill at recruitment)Severe mental condition limiting the ability to provide consent