8.1 Recommendations

fig:8.1

⁵⁸ Treatment adherence interventions include social support such as material support (e.g. food, financial incentives or transport fees), psychological support, tracers such as home visits or digital health communications (e.g. SMS or telephone calls), medication monitor and staff education. The interventions should be selected based on the assessment of the individual patient’s needs, the provider’s resources and conditions for implementation.

⁵⁹ Treatment administration options include DOT, non-daily DOT, VOT or unsupervised treatment.

⁶⁰ “Tracers” refer to the communication with the patient, including home visits or via SMS or telephone (voice) call.

⁶¹ A digital medication monitor is a device that can measure the time between openings of the pill box. The medication monitor can have audio reminders or send an SMS to remind the patient to take medications, along with recording when the pill box is opened.

⁶² Material support can be food or financial support: meals, food baskets, food supplements, food vouchers, transport subsidies, living allowance, housing incentives, or financial bonus. This support addresses the indirect costs incurred by patients or their attendants in order to access health services, and may try to mitigate the consequences of income loss related to the disease.

⁶³ Psychological support can be counselling sessions or peer-group support.

⁶⁴ Staff education can be adherence education, chart or visual reminders, educational tools and desktop aids for decision-making and reminders.

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