Trigger | Intervention |
---|---|
Dose recorded (daily) | Medication label: message confirmation from patient of recorded dose Smart pill box: box opening (sound and/or light) |
Patient missed daily dose (1Â day) | Same day: patient receives a reminder SMS at 3Â pm* Next day: HCW will receive a notification of patients with a missed dose on their Task List Follow-up actions: phone call to patient or treatment supporter, unless HCW is aware of a network issue** |
Missed daily dose (2 consecutive days) | Same day: patient receives a reminder SMS at 3Â pm* Next day: HCW will receive a notification of patients with a missed dose ion their Task List Follow-up actions: phone call to patient or treatment supporter**, unless HCW is aware of a network issue*** |
Patient persistently missed doses (≥ 5 consecutive doses or multiple times)*** | Escalation to community health worker for home visit using a standardised set of messages and counselling |
Patient persistently missed doses (> 14 consecutive doses or multiple times missing 7 doses) | Discontinuation from DAT intervention and switch to daily DOT under the HCWs observation for TB patients with persistent non-adherence will be considered |