Perceptions of 99dots among Health Staff and Beneficiaries Attending the Visakhapatnam District Hospital, Andhra Pradesh

Authors

  • Kesava Lakshmi Prasad Kandipudi Andhra Medical College, Visakhapatnam
  • Kranthi Paruvu Andhra Medical College, Visakhapatnam
  • B Devi Madhavi Andhra Medical College, Visakhapatnam

Keywords:

99DOTS, Perceptions, Adherence, Visakhapatnam

Abstract

Back Ground: The Need of the hour in TB treatment is compliance and motivation to prevent drug resistance TB. To achieve this one of the methods adopted keeping in mind the easy availability of mobile phones is 99DOTS. The study was conducted to know the perception of 99DOTS among Health staff and Beneficiaries.

Methodology: A Qualitative study was conducted by doing In- depth interviews and Focus Group Discussions (FGDs) during November 2017 at ART Centre and TB Hospital. Sample size in- cluded beneficiaries on Phone call (22), one to one interviews (5) of Beneficiaries, Key informants (8), and FGDs (2).

Results: Key informants perceived that it as a good programme as the reason being adherence and protection of patient identity is maintained. Problems regarding 99 dots are missing of direct ob- servation of the patient regarding consumption of the tablet and problem in usage of mobile phones by illiterates. Patients per- ceived the concept of 99 dots as a good programme as adherence is improved and their personal privacy is protected. Problems like lack of personal phone, difficulty in usage of phone, non- availability of Network and seeking help from others due to illiter- acy.

Conclusion: 99DOTS improves convenience to patients and allows providers to focus on non-adherent patients. Patients have to be trained for using mobile features such as remainders, alerts.

References

TB Statistics India – National, treatment outcome & state statistics. https://www.tbfacts.org/tb-statistics-india/. Ac- cessed on 6 th Nov, 2017.

RNTCP: Technical and operational guidelines for tuberculo- sis control in India 2016. Available at:http://tbcindia. nic.in/WriteReadData/l892s/4773363959TOG%20Chapter

%201Introduction.pdf. Accessed on 20th Nov, 2017.

Azhar GS. DOTS for TB relapse in India: A Systematic Re- view. Lung India. A2012;29:147.

Thomas A, Gopi PG, Santha T, Chandrasekaran V, Subra- mani R, Selvakumar N et al. Predictors of relapse among pulmonary tuberculosis patients treated in a DOTS pro- gramme in South India. The International Journal of Tuber- culosis and Lung Disease. 2005;9:556-61.

Kulkarni PY, Akarte SV, Mankeshwar RM, Bhawalkar JS, Banerjee A, Kulkarni AD. Non. Adherence of New Pulmo- nary Tuberculosis Patients to Anti. Tuberculosis Treatment. Annals of medical and health sciences research.2013;3:67-74.

Central TB Division: Activities Undertaken In 2014. Report of the Joint TB Monitoring Mission, India, 2015. Available at: http://www.tbonline.info/media/uploads/documents/ jmm Draft 2015.pdf. Accessed on 2018, December 12.p 10- 32.

Ramachandran D, Canny J, Das PD, Cutrell E. Mobile-izing Health Workers in Rural India. CHI10, Human Factors in Computing Systems . 2010 ;p 1889-1898.

Simmi Oberoi, Vikram Kumar Gupta,Neha Chaudhary, Amarjit Singh. 99 DOTS. International Journal of Contem- porary Medical Research 2016;3(9):2760-2762.

Elangovan R, Arulchelvan S. A study on the role of mobile phone communication in tuberculosis DOTS treatment. In- dian journal of community medicine: official publication of Indian Association of Preventive and Social Medicine. 2013; 38:229

Kaplan WA. Can the ubiquitous power of mobile phones be used to improve health outcomes in developing countries? Globalization and Health. 2006. 2:9

Andrew Cross , Rashmi Rodrigues , George D'Souza and William Thies. 99DOTS: Using Mobile Phones to Monitor Adherence to Tuberculosis Medications. Available at https://www.microsoft.com/en-us/research/publication/ 99dots-using-mobile-phones-monitor-adherence- tuberculosis-medications/ .Accessed on 9th Dec, 2017.

Ramnath Subbaraman, Laura de Mondesert, Angella Musiimenta, Madhukar Pai, Kenneth H et al. Digital adher- ence technologies for the management of tuberculosis ther- apy: mapping the landscape and research priorities. BMJ Glob Health. 2018; 3(5): 10-18.

Barclay E. Text messages could hasten tuberculosis drug compliance. Lancet. 2009;373:15–6

Shet A, Arumugam K, Rodrigues R, Rajagopalan N, Shubha K, Raj T, et al. Designing a mobile phone-based intervention to promote adherence to antiretroviral therapy in South In- dia. AIDS Behav. 2010;14:716–20.

Liu et al., Effectiveness of Electronic Reminders to Improve Medication Adherence in Tuberculosis Patients: A Cluster- Randomised Trial, PLoS Medicine. 2015;12 (9): 1-18.

Denkinger CM, Grenier J, Stratis AK, Akkihal A, Pant-Pai N, Pai M. Mobile health to improve tuberculosis care and control: a call worth making. Int J Tuberc Lung Dis. 2013;17:719–727.

Finitsis DJ, Pellowski JA, Johnson BT. Text message inter- vention designs to promote adherence to antiretroviral therapy (ART): a meta-analysis of randomized controlled trials. PLoS ONE. 2014;9(2):1-10

Albino S, Tabb KM, Requena D, Egoavil M, Pineros-Leano MF, Zunt JR, et al. Perceptions and Acceptability of Short Message Services Technology to Improve Treatment Adher- ence amongst Tuberculosis Patients in Peru: A Focus Group Study. PLoS ONE. 2014 ;9(5): 1-10

Downloads

Published

2019-01-31

How to Cite

1.
Kandipudi KLP, Paruvu K, Madhavi BD. Perceptions of 99dots among Health Staff and Beneficiaries Attending the Visakhapatnam District Hospital, Andhra Pradesh. Natl J Community Med [Internet]. 2019 Jan. 31 [cited 2024 May 4];10(01):26-9. Available from: https://njcmindia.com/index.php/file/article/view/418

Issue

Section

Original Research Articles