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An exclusive focus on speed may compromise diagnostic quality and patient-centred care in settings marked by chronic malnutrition and limited access to healthcare. Chronic malnutrition may impair sputum production, reducing specimen quality and diagnostic sensitivity, while socioeconomic constraints shape care-seeking and continuity of care. Drawing on experience from rural primary healthcare, we argue that diagnostic strategies should balance speed, specimen quality and patient-centred care. Flexible, context-specific approaches, rather than a universal emphasis on same-day diagnosis, are needed to improve TB care among vulnerable populations.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1242_26","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T20:00:10Z","timestamp":1785182410000},"page":"2189-2191","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is faster always better? 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