Timeliness is essential in preventing and controlling infectious diseases like meningococcal meningitis and tuberculosis (TB). Experts from resolve to save lives explored adapting the global 7-1-7 target for outbreak control to the management of household contacts of TB patients. Applying the metric in India, Pakistan, and Kenya improved TB preventive therapy (TPT) initiation rates, though logistical and health care barriers persisted. Field staff recommended a “3-5-7” metric to enhance screening and TPT delivery. Timeliness metrics provide structure and urgency, offering a valuable tool for improving HHC management and global TB prevention efforts.