Author Contributions: Dr Lienhardt had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Thiam and LeFevre contributed equally to the paper.
Study concept and design: Ndir, Lienhardt.
Acquisition of data: Thiam, Hane, Ndiaye, Ba, Ndir, Lienhardt.
Analysis and interpretation of data: Thiam, LeFevre, Fielding, Lienhardt.
Drafting of the manuscript: Thiam, LeFevre, Hane, Ba, Fielding, Ndir, Lienhardt.
Critical revision of the manuscript for important intellectual content: Thiam, LeFevre, Ndiaye, Fielding, Lienhardt.
Statistical analysis: LeFevre.
Obtained funding: Ndir, Lienhardt.
Administrative, technical, or material support: Thiam, Ndiaye, Ba, Ndir, Lienhardt.
Study supervision: Thiam, Hane, Ndiaye, Fielding, Lienhardt.
Financial Disclosures: None reported.
Funding/Support: This study was funded through a special program from the French Ministry of Research, called PAL+, which was granted in September 2000.
Role of the Sponsors: The sponsor of the study, the French based Institut de Recherche pour le Developpement (IRD), was involved at all stages of the study, which was conducted jointly and in close collaboration with the Senegalese National TB Control Program. Sponsor funds were provided to the authors in Dakar and to the Senegalese National TB Control Program. The sponsor helped in getting official contacts with the responsible persons at the Ministry of Health in Senegal and access to health centers involved in the study, and in collecting data throughout the study. The sponsor was informed on trial developments through regular visits and reports, and contributed to the preparation and review of the manuscript.
Acknowledgment: We thank all head physicians and staff in the concerned district health centers who contributed to the study. We also thank Laurent Vidal, PhD, Acteurs et Systèmes de santé en Afrique, IRD Université de Provence, Marseille, France, and Abdou Salam Fall, PhD, Institut Fondamental d’Afrique Noire (IFAN), Dakar, Senegal, for their contribution in the qualitative study that allowed the definition of the intervention; and Jessica A. Ogden, PhD, International Center for Research on Women, for her creative thinking and contribution to the development of the methods of the study. None received any compensation for their work.