Product overview

99DOTS utilizes adherence packaging to support patient adherence. It is intended to be a simple and low-cost solution. The 99DOTS platform is designed as an open source toolkit available for use or adaptation by any government or health care organization seeking a real-time, low-cost solution for monitoring and improving medication adherence.

How it works

The 99DOTS packaging is a paper sleeve that slips over the TB blister pack. The sleeve has unique identifying codes printed inside the packaging that are revealed when the patient pops out their dose. The patient then utilizes any type of cellular phone to submit the code to the system which provides evidence of adherence.

 

Scoring

99DOTS has been scored below according to it’s ability to serve the TB market for LMICs along Fit for Purpose and Technical Specifications metrics. Note that higher scores equate to a greater ability to serve the market. For example, if a product scores well in the Provider Burden subcategory, that means that the burden for the provider is low.

For full descriptions of the sub-categories, see the DAT Market Maturity Assessment

Fit for purpose

Provider Burden50%
50%
Patient Burden50%
50%
Reach50%
50%
Barriers to Entry0%
0%
Accuracy100%
100%
Evidence100%
100%

Technical Specifications

Range0%
0%
Electricity100%
100%
Dosing History100%
100%
Data Integration100%
100%
Portability100%
100%
Reminders100%
100%
Automatic Reporting50%
50%

Advantages

  • 99DOTS has been thoroughly used in LMICs and for TB with high levels of acceptability
  • Can be used without a smart phone and “device” does not require electricity.
  • Open source technology reduces barriers to access.
  • Designed to be compatible with TB blister packs

Disadvantages

  • Due to varying  blister pack shapes and sizes, 99DOTS can be challenging to use when TB medication from multiple brands is used simultaneously.
  • Patients must send a message after each dose.

Access

For more information, please visit the 99DOTS website.

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