A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district
Background: 99DOTS (Directly Observed Treatment, Short course) is a low-cost, mobile phone-based technology that enables real-time remote monitoring of daily intake of treatment, first introduced by the Revised National Tuberculosis Programme under the national programme in 2015 in high-burden antir...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=2;spage=108;epage=111;aulast=Thakkar |
| _version_ | 1811268462514798592 |
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| author | Dharitri Thakkar Kiran G Piparva Suresh G Lakkad |
| author_facet | Dharitri Thakkar Kiran G Piparva Suresh G Lakkad |
| author_sort | Dharitri Thakkar |
| collection | DOAJ |
| description | Background: 99DOTS (Directly Observed Treatment, Short course) is a low-cost, mobile phone-based technology that enables real-time remote monitoring of daily intake of treatment, first introduced by the Revised National Tuberculosis Programme under the national programme in 2015 in high-burden antiretroviral therapy (ART) centers. This project was launched for the first time in 2016 in Rajkot district, Gujarat, India, and hence this was an effort to evaluate 99DOTS. Objectives: The objective of this study was to evaluate treatment adherence rate and treatment outcome of 99DOTS-information communication technology (ICT)-based approach for tuberculosis (TB) management. Materials and Methods: Data from 99DOTS were obtained from February 2016 to September 2017 after obtaining approval from the Institutional Ethical Committee and permission from the head of the department of district TB center (DTC), Rajkot. Data were evaluated for sociodemographic pattern, adherence rate, and treatment outcome. Results: A total of total 347 registered patients, 197 (56.77%) patients diagnosed by private practitioners and 150 (43.22%) patients having HIV-TB from ART center were initiated TB treatment under 99DOTS project from nine different talukas of Rajkot district. Mean age of the registered TB patients was 36 ± 13.55 years with predominance of “new cases” (n = 275, 79.25%) and “male” gender (n = 257, 74.06%). The overall treatment adherence rate of 99DOTS was 96.03%, while adherence by “call” was 92.25% and adherence by “manual” was 32.12%. Cure rate was higher in patients with TB only (n = 113, 78.47%) as compared to patients with HIV-TB co-infection (n = 46, 67.64%). Defaulter rate (n = 19, 13.19%) was also higher in patients with TB only, while death rate (n = 14, 20.58%) was higher in patients of TB with HIV co-infection. Conclusion: 99DOTS is an effective approach for improving TB medication adherence, thereby increasing the compliance to TB treatment. It will be helpful for easy access of treatment to patients from remote areas, improve notification of patients from private practitioners, and enable differentiated care. |
| first_indexed | 2024-04-12T21:23:20Z |
| format | Article |
| id | doaj.art-22a9f31c49de4c02a834dddbb900bba3 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-04-12T21:23:20Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-22a9f31c49de4c02a834dddbb900bba32022-12-22T03:16:14ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2019-01-0136210811110.4103/lungindia.lungindia_86_18A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot districtDharitri ThakkarKiran G PiparvaSuresh G LakkadBackground: 99DOTS (Directly Observed Treatment, Short course) is a low-cost, mobile phone-based technology that enables real-time remote monitoring of daily intake of treatment, first introduced by the Revised National Tuberculosis Programme under the national programme in 2015 in high-burden antiretroviral therapy (ART) centers. This project was launched for the first time in 2016 in Rajkot district, Gujarat, India, and hence this was an effort to evaluate 99DOTS. Objectives: The objective of this study was to evaluate treatment adherence rate and treatment outcome of 99DOTS-information communication technology (ICT)-based approach for tuberculosis (TB) management. Materials and Methods: Data from 99DOTS were obtained from February 2016 to September 2017 after obtaining approval from the Institutional Ethical Committee and permission from the head of the department of district TB center (DTC), Rajkot. Data were evaluated for sociodemographic pattern, adherence rate, and treatment outcome. Results: A total of total 347 registered patients, 197 (56.77%) patients diagnosed by private practitioners and 150 (43.22%) patients having HIV-TB from ART center were initiated TB treatment under 99DOTS project from nine different talukas of Rajkot district. Mean age of the registered TB patients was 36 ± 13.55 years with predominance of “new cases” (n = 275, 79.25%) and “male” gender (n = 257, 74.06%). The overall treatment adherence rate of 99DOTS was 96.03%, while adherence by “call” was 92.25% and adherence by “manual” was 32.12%. Cure rate was higher in patients with TB only (n = 113, 78.47%) as compared to patients with HIV-TB co-infection (n = 46, 67.64%). Defaulter rate (n = 19, 13.19%) was also higher in patients with TB only, while death rate (n = 14, 20.58%) was higher in patients of TB with HIV co-infection. Conclusion: 99DOTS is an effective approach for improving TB medication adherence, thereby increasing the compliance to TB treatment. It will be helpful for easy access of treatment to patients from remote areas, improve notification of patients from private practitioners, and enable differentiated care.http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=2;spage=108;epage=111;aulast=ThakkarAntituberculosis treatmentantiretroviral therapyDirectly Observed TherapyShort coursedistrict tuberculosis centerRevised National Tuberculosis Programme |
| spellingShingle | Dharitri Thakkar Kiran G Piparva Suresh G Lakkad A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district Lung India Antituberculosis treatment antiretroviral therapy Directly Observed Therapy Short course district tuberculosis center Revised National Tuberculosis Programme |
| title | A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district |
| title_full | A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district |
| title_fullStr | A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district |
| title_full_unstemmed | A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district |
| title_short | A pilot project: 99DOTS information communication technology-based approach for tuberculosis treatment in Rajkot district |
| title_sort | pilot project 99dots information communication technology based approach for tuberculosis treatment in rajkot district |
| topic | Antituberculosis treatment antiretroviral therapy Directly Observed Therapy Short course district tuberculosis center Revised National Tuberculosis Programme |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=2;spage=108;epage=111;aulast=Thakkar |
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