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Delayed TB diagnosis and treatment perpetuate the high burden of TB-related morbidity and death in resource-constrained settings. We explored the potential of COVID-19 to further compromise TB care engagement in Zambia. From April to May 2020, we purposefully selected 17 grownups newly identified as having TB from three community health facilities in Lusaka, Zambia, for in-depth phone interviews. We conducted thematic analyses using a hybrid approach. Nearly all members had been very worried a