Community Health Toolkit

99DOTS - TB Directly Observed Therapy

Hey, since we’re going so far in on 2 way texting, I think we should look at programs like 99DOTS!

Basically, it’s a TB medication adherence program that gives patients medications in blister packs. When you pop open the blister pack, there’s a number that gets revealed, and the patient needs to send a text message to that number. If they miss too many days in a row, a health worker is sent to follow up on them.

Despite the obvious ways the system can be abused, it’s apparently worked out fairly well. I think even in absence of the ability to create the drug blister packs, there’s a lot we can do to explore the feasibility of TB treatment adherence workflows

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