Overview
99DOTS utilizes custom 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 and 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 low- and middle-income countries (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 2021 DAT Market Landscape.
Fit for Purpose
Technical Specifications
Advantages
- 99DOTS has been thoroughly used in LMICs and for TB with high levels of acceptability
- It can be used without a smart phone and the “device” does not require electricity.
- Open source technology reduces barriers to access.
- It is 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.
- Requires consistent electricity access
Access
For more information, please visit the 99DOTS website.