99DOTS

99DOTS is a low-cost approach for monitoring and improving TB medication adherence. Using 99DOTS, each anti-TB blister pack is wrapped in a custom envelope, which includes hidden phone numbers that are visible only when doses are dispensed. 99DOTS patients receive a series of daily reminders (via SMS and automated calls)... Compared to the current standard of care, 99DOTS offers three key benefits. First, it reduces patients' burden: instead of traveling to a center for every dose, patients can provide evidence of dosing from the comfort of their home. Second, it improves the efficiency of care providers: instead of waiting weeks or months for adherence records to be digitized, supervisors can view real-time adherence data for every patient and ensure prompt response to every missed dose. Finally, 99DOTS enables differentiated care: instead of mandating that all patients receive frequent counseling, adherent patients can proceed with less supervision, while limited program resources..