Freedom TB - OneWorld

Governance Knowledge Centre Promoted by Department of Administrative Reforms and Public Grievances Ministry of Personnel, Public Grievances and Pensions, Government of India http://indiagovernance.gov.in/
Researched and Documented by
Governance Knowledge Centre Promoted by Department of Administrative Reforms and Public Grievances
Ministry of Personnel, Public Grievances and Pensions
Government of India
Table of Contents
Grievances and Pensions
Government of India
“In India today, two deaths occur every three minutes from tuberculosis
(TB). But these deaths can be prevented. With proper care
TB patients can be cured and the battle against TB can be won”
Executive Summary Tuberculosis (TB) is one of the leading causes of mortality in India and accounts for one
the global TB cases. In India, every year, 2 million new TB cases occur and 0.87 million are
infectious cases. Reports reveal 330,000 million people die of TB each year in India. It is
prevalent in poor communities, along with HIV/AIDS and Malaria. TB has also been fue
HIV/TB co-infection.
Due to a high incidence of TB cases in India, the government implemented the WHO
recommended DOTS1 (Directly observed treatment short
(Revised National Tuberculosis Control Programme) in 1997. RN
DOTS strategy and is currently in second phase covering 633 districts. It offers free treatment
and medicines at various health centres and government hospitals.
Despite national level initiatives, the threat continues to rise due to irregularity in medicine
dosage, ineffective monitoring mechanisms and lack of awareness of TB amongst patients and
community. TB reporting is low because patients fear being discrimin
problem of TB is Multi Drug Resistant (MDR) which occurs when patient stops taking drugs
during treatment or don’t take drugs correctly. In that case, prescribed medicine becomes
1 DOTS strategy has five components and is one of the most effective strategies available for controlling
TB: a) There must be a political commitment to control TB. b) TB cases are to be detected by sputum
smear microscopy examination among symptomatic patients. c) Patients
under the direct observation of the health care provider/community DOT provider. d) Regular,
uninterrupted supply of anti-TB drugs must be provided and lastly e) Systematic recording and
reporting system to be implemented to
TB control programme.
2 RNTCP aims to: a) achieve and maintain at least 85% cure rate amongst New Smear Positive (NSP)
pulmonary TB cases. b) achieve and maintain at least 70% detection of
Transparency and Accountability
OneWorld Foundation India
In India today, two deaths occur every three minutes from tuberculosis
(TB). But these deaths can be prevented. With proper care
- Ministry of Health and Family Welfare, India
Executive Summary Tuberculosis (TB) is one of the leading causes of mortality in India and accounts for one
cases. In India, every year, 2 million new TB cases occur and 0.87 million are
prevalent in poor communities, along with HIV/AIDS and Malaria. TB has also been fue
Due to a high incidence of TB cases in India, the government implemented the WHO
(Directly observed treatment short-course) strategy via the RNTCP
(Revised National Tuberculosis Control Programme) in 1997. RNTCP is an addition to the
and medicines at various health centres and government hospitals.
community. TB reporting is low because patients fear being discriminated against. Another
five components and is one of the most effective strategies available for controlling
smear microscopy examination among symptomatic patients. c) Patients are to be given anti
TB drugs must be provided and lastly e) Systematic recording and
reporting system to be implemented to assess treatment results of each and every patient and of whole
RNTCP aims to: a) achieve and maintain at least 85% cure rate amongst New Smear Positive (NSP)
b) achieve and maintain at least 70% detection of such cases.
Case Study Health
2
In India today, two deaths occur every three minutes from tuberculosis
(TB). But these deaths can be prevented. With proper care and treatment,
Ministry of Health and Family Welfare, India
Tuberculosis (TB) is one of the leading causes of mortality in India and accounts for one-fifth of
cases. In India, every year, 2 million new TB cases occur and 0.87 million are
prevalent in poor communities, along with HIV/AIDS and Malaria. TB has also been fuelled by
Due to a high incidence of TB cases in India, the government implemented the WHO-
course) strategy via the RNTCP2
TCP is an addition to the
ated against. Another
five components and is one of the most effective strategies available for controlling
are to be given anti- TB drugs
TB drugs must be provided and lastly e) Systematic recording and
assess treatment results of each and every patient and of whole
RNTCP aims to: a) achieve and maintain at least 85% cure rate amongst New Smear Positive (NSP)
such cases.
Government of India
ineffective and develops drug resistance, thus unable t
complications. TB can be cured only if patients strictly adherence to prescribed medication
regimen for a period of six months.
Poor, marginalised patients face inaccessibility of basic TB information due to electricit
shortage, poor healthcare infrastructures, and limited official doctors. To address this, ZMQ
launched the Freedom TB programme in 24
provide patients relevant information about their dosage, treatment schedules,
alerts thus tracking progress and monitoring treatment compliance via mobile technology.
ZMQ's pioneering initiative Freedom TB is partnering with Delhi State TB Office
of the NCR of Delhi for TB treatment. The program has been
centre in rural Delhi. There are 573
the 573 DOTS centres.
This "Technology for Health" Initiative of ZMQ promises to combat Tuberculosis through
mobile phones by creating a) high
phone games; b) targeted m-Training interventions for healthcare providers using Smart
phones c) implementing Universal TB Management platform and d) connecting patients for
Adherence & Compliance through mobile phones.
Technology applied with the hope to create a social impact. Technology is time and cost
effective and non-dependent on too many resources.
Background The WHO recommended DOTS strategy is the most effective strategies to c
emphasises the regular intake of TB drugs for a
period of six to eight months and monitoring
of patients treatment for progress assessment.
In Delhi there are573 DOT centres which have
major limitations. The data of the patient,
treatment and medication are recorded in
registers. The monthly reports are put on the
blackboards. This creates an unnecessary
challenge for the DOTS treatment because in
today’s scenario with the use of appropriate
technology, the treatment can be made more
effective if a component of technology is
ineffective and develops drug resistance, thus unable to kill the germs, and creates further
regimen for a period of six months.
Poor, marginalised patients face inaccessibility of basic TB information due to electricit
launched the Freedom TB programme in 24th March 2009 on World Tuberculosis Day to
provide patients relevant information about their dosage, treatment schedules,
ZMQ's pioneering initiative Freedom TB is partnering with Delhi State TB Office
of the NCR of Delhi for TB treatment. The program has been implemented in a private DOTS
centre in rural Delhi. There are 573 DOTS centres in Delhi and ZMQ is trying to scale this for all
creating a) high-impact low-cost general mass awareness through mobile
Training interventions for healthcare providers using Smart
implementing Universal TB Management platform and d) connecting patients for
Compliance through mobile phones.
dependent on too many resources.
The WHO recommended DOTS strategy is the most effective strategies to c
emphasises the regular intake of TB drugs for a
period of six to eight months and monitoring
of patients treatment for progress assessment.
In Delhi there are573 DOT centres which have
major limitations. The data of the patient,
medication are recorded in
blackboards. This creates an unnecessary
challenge for the DOTS treatment because in
today’s scenario with the use of appropriate
technology, the treatment can be made more
if a component of technology is
Figure 1: Receiving award from the Chief Minister of
Delhi
o kill the germs, and creates further
Poor, marginalised patients face inaccessibility of basic TB information due to electricity
March 2009 on World Tuberculosis Day to
provide patients relevant information about their dosage, treatment schedules, reminder and
ZMQ's pioneering initiative Freedom TB is partnering with Delhi State TB Office - a nodal body
implemented in a private DOTS
DOTS centres in Delhi and ZMQ is trying to scale this for all
cost general mass awareness through mobile
implementing Universal TB Management platform and d) connecting patients for
The WHO recommended DOTS strategy is the most effective strategies to control TB. It
ng award from the Chief Minister of
Government of India
applied in it.
Hence, ZMQ leveraged mobile technology under the Freedom TB programme to promote
awareness amongst patients and connect them with health service providers for emergencies.
Objective To bridge gap between DOTS strategy and on ground implementation, ZMQ conceived
Freedom TB to act as a multi-dimensional mobile technology initiative to combat Tuberculosis.
It has identified four levels of technology interventions to combat TB:
• Generates awareness: 1.4 million mobile phone games were downloaded to aware
illiterate and marginalised patients on TB in lo
• Provides Training: Smart phon
• Centralising TB Management system (Patient tracking): All DOTS centres are connected
to a central server and monitored with limited
message generated from the server is sent to all patients reminding them to take
medicines through a universal patient identification system that contains a database
patients of all DOT centres.
• Patient compliance report
response regarding medicine consumption via mobile to the DOT centre/worker. This
has helped in monitoring patients treatment and their compliance especially those
living in the remote regions and
the total number of patients under treatment, to check drop outs if there are any and
those who need more attention, such as MRD
To bridge gap between DOTS strategy and on ground implementation, ZMQ conceived
dimensional mobile technology initiative to combat Tuberculosis.
has identified four levels of technology interventions to combat TB:
Generates awareness: 1.4 million mobile phone games were downloaded to aware
illiterate and marginalised patients on TB in local languages and free of cost.
Provides Training: Smart phones with mobile training kits were given to DOTS
healthcare providers (self-training modules) and community health worker
Centralising TB Management system (Patient tracking): All DOTS centres are connected
to a central server and monitored with limited human supervision. An automated
medicines through a universal patient identification system that contains a database
patients of all DOT centres.
Patient compliance reporting: After receiving the automatic SMS, Patients send their
living in the remote regions and isolated locations. This information is useful to know
those who need more attention, such as MRD-TB.
Case Study Health
4
To bridge gap between DOTS strategy and on ground implementation, ZMQ conceived
dimensional mobile technology initiative to combat Tuberculosis.
Generates awareness: 1.4 million mobile phone games were downloaded to aware
cal languages and free of cost.
es with mobile training kits were given to DOTS
) and community health workers.
Centralising TB Management system (Patient tracking): All DOTS centres are connected
human supervision. An automated
medicines through a universal patient identification system that contains a database of
omatic SMS, Patients send their
isolated locations. This information is useful to know
Government of India
phases.
Awareness and Behaviour Change
on TB on Reliance and other low cost mobiles in
local languages so that every person from rural
areas can make use of these games. These games
are fun to play and are good medium of learning.
Phase 2 Training Healthcare providers through
mobile applications:
providers are given training via smart phones in
compliance with DOTS to learn about the disease
at an individual level. This is called self
module. Whereas community training involves
training peer educators and other marginalised
groups about TB.
Sputum positive, sputum negative and relapse.
Each category is self-explanatory giving details of
treatment duration, kind of tests required and
recommends medicine dosage
components on its interface: Basic
understanding, Transmission and Risks,
Cure. All instructions are provided with iconic
messaging features, making it convenient
illiterate persons to understand in English as well a
on TB on Reliance and other low cost mobiles in
local languages so that every person from rural
make use of these games. These games
are fun to play and are good medium of learning.
Training Healthcare providers through
providers are given training via smart phones in
e with DOTS to learn about the disease
at an individual level. This is called self-training
module. Whereas community training involves
training peer educators and other marginalised
Under Self training module, the smart phone
plains three categories of TB patients-
Sputum positive, sputum negative and relapse.
explanatory giving details of
recommends medicine dosage.
nents on its interface: Basic
understanding, Transmission and Risks,
Cure. All instructions are provided with iconic
messaging features, making it convenient
illiterate persons to understand in English as well as Hindi.
Edutainment: Mobile Games and
create awareness on Tuberculosis among
children through edutainment and
games and interactive learning on
Tuberculosis. The primary aim of the
project is to create TB awareness among
youth and bring a change using
interactive computer and mobile phone
games. It has been evidenced that
interactive games blended with socially
relevant messages helps in effective,
quicker & easier understanding, better
being distributed to schools in and
around Delhi in close collaboration with
the Delhi State TB Office. Central TB
Division, GOI, has validated the content
of the CD-Rom. Games include:
Stop TB Learning zone
explanatory simulated modules with
test to check knowledge
cricket. Target is to win and chase germs
Stop TB Quiz:10 questio
anywhere
create awareness on Tuberculosis among
children through edutainment and
Rom based campaign with
primary aim of the
youth and bring a change using
interactive computer and mobile phone
games. It has been evidenced that
interactive games blended with socially
relevant messages helps in effective,
understanding, better
Rom games are
the Delhi State TB Office. Central TB
Division, GOI, has validated the content
Games include:
explanatory simulated modules with
test to check knowledge
:10 questions on TB to
Stop TB Mobile Cricket: Mobile
version of cricket game to be played
http://www.freedomtb.org/Awareness.html
Government of India
patients. It helps to track attendance, drop
another, update on latest treatment and medicines and adhere to the specific needs of patients.
Automated messages are sent from the central server to every patient to take medicines on time and
allow patients to send a response. A complete monitoring of TB treatment has been made possible
by this initiative.
The mobile tracking system connect
SMS on medicine dosage and patients reply either through SMS, video or voice. This process
acts as a reminder to patients and keeps them under sur
strategy.
Creating a Centralised Patient Management System:
All the DOT centres are connected through a centralised system containing a database of registered
patients. It helps to track attendance, drop-outs (reasons for drop-outs) their shift from one centre to
Integrating a Mobile Tracking and Treatment System:
The mobile tracking system connects patients with the DOT centres and providing them alerts
acts as a reminder to patients and keeps them under surveillance, as prescribed by DOTS
Case Study Health
centralised system containing a database of registered
outs) their shift from one centre to
providing them alerts
veillance, as prescribed by DOTS
Government of India
Methodology
The Governance Knowledge Centre (GKC) research team selected Freedom TB on the basis
its unique, financially and socially sustainable business model. For documentation, the team
interacted with the project director to learn more about the projects details, objective, and
achievements.
owner. The enterprise develops innovative ICT solutions,
empowering people and enabling sustainable development. Freedom TB would not have been
successfully launched without the collaborative support of the following partnerships:
Government: Delhi State TB Office acts as a TB kno
ZMQ provides. At the same time, it gives ZMQ access to number of health centres (DOTS
Centres) to implement the programme.
Education Department: Gave access to 1200 schools with 650,000 students where school based
mobile games were provided on TB.
The Governance Knowledge Centre (GKC) research team selected Freedom TB on the basis
the project director to learn more about the projects details, objective, and
is a Technology for Development Social Enterprise and is the project
owner. The enterprise develops innovative ICT solutions, software, and applications for
Government: Delhi State TB Office acts as a TB knowledge partner that verifies the knowledge
Centres) to implement the programme.
mobile games were provided on TB.
Case Study Health
7
The Governance Knowledge Centre (GKC) research team selected Freedom TB on the basis of
the project director to learn more about the projects details, objective, and
Development Social Enterprise and is the project
software, and applications for
wledge partner that verifies the knowledge
Government of India
NGOs: 40 NGOs are provided technology based tools, which they disseminate in their
communities and beneficiaries. At the same time, the front
instructed to visit door to door in the commun
solution. (CASP PLAN, ORDS etc).
Mobile Operators: Leading mobile Operators like Reliance Mobile gives ZMQ a channel to
distribute games and content to communities either free or at a very low price.
IT and Mobile Tech Companies: Microsoft and Qualcomm (BREW) provide technology support
tools. Microsoft supports the technology component in the initiative and has given ZMQ the
hope to scale it further.
Pharma Company: Eli Lilly & MDRTB are support partners for
Finally Asoka Changemakers for bringing together Microsoft and ZMQ to make a difference to
millions of lives towards better life.
Lessons Learned Freedom TB initiative promises to cure TB patients with effective monitoring practices and
brings awareness of the illness to the rest of the community through game applications,
quizzes, and other self-training methods.
By integrating m-technology, awareness of TB treatment and combating the disease has become
possible. It has benefited both pa
technology at all aspects of combating Tuberculosis and its management. The following
features make the initiative interesting and effective:
1. Unique methodology: It employs a unique methodolog
observation and adherence system; thus significantly reducing the burden of human
resource and associated management issues.
2. Centralised monitoring system to track patients: Owing to the centralised monitoring of
all DOT centres, the performance of each centre and their services are tracked. All
patients’ information is recorded in a universal patient identification system and they
are updated on latest medicines, treatment, alerts on medicines etc. The solution he
in significant reduction of drop
3. Ensures patient compliance reporting: Freedom TB has sensitised every patient that the
only way to recover is regular intake of medicines and reporting their treatm
DOT centre on a day-to
patient. Regular reporting ensures speedy recovery of TB patients.
communities and beneficiaries. At the same time, the front-line health workers of NGOs are
instructed to visit door to door in the community and train people how to use the mobile based
solution. (CASP PLAN, ORDS etc).
Mobile Tech Companies: Microsoft and Qualcomm (BREW) provide technology support
Pharma Company: Eli Lilly & MDRTB are support partners for the initiative.
millions of lives towards better life.
Freedom TB initiative promises to cure TB patients with effective monitoring practices and
training methods.
technology, awareness of TB treatment and combating the disease has become
possible. It has benefited both patients and communities in several ways. It is structured to use
features make the initiative interesting and effective:
Unique methodology: It employs a unique methodology of creating self
resource and associated management issues.
Centralised monitoring system to track patients: Owing to the centralised monitoring of
are updated on latest medicines, treatment, alerts on medicines etc. The solution he
in significant reduction of drop-out rates of patients, especially migrant population.
Ensures patient compliance reporting: Freedom TB has sensitised every patient that the
only way to recover is regular intake of medicines and reporting their treatm
to-day basis so that specific remedies can be undertake for each
Case Study Health
8
line health workers of NGOs are
and train people how to use the mobile based
Mobile Tech Companies: Microsoft and Qualcomm (BREW) provide technology support
the initiative.
Freedom TB initiative promises to cure TB patients with effective monitoring practices and
technology, awareness of TB treatment and combating the disease has become
tients and communities in several ways. It is structured to use
y of creating self-monitoring,
Centralised monitoring system to track patients: Owing to the centralised monitoring of
are updated on latest medicines, treatment, alerts on medicines etc. The solution helps
out rates of patients, especially migrant population.
Ensures patient compliance reporting: Freedom TB has sensitised every patient that the
only way to recover is regular intake of medicines and reporting their treatment to the
day basis so that specific remedies can be undertake for each
Government of India
4. Facilitates management training: The DOTS care providers are now in a better position
to teach others on TB due to the training modules on their smart phones. They are easy
to learn and at the same time easy to teach, especially the illiterate section of the society
as the components are available in the form of iconic messages and in local langu
5. Streamlines connectivity: It employs two
the patient, and vice-versa through the course of the treatment through mobile phones.
6. Interactive learning: ZMQ with the support of Microsoft designed mobile game
edutainment on TB for quick and effective learning; and longer retention of information,
especially among semi
Research was carried out by OneWorld Foundation India (OWFI), Governance Knowledge Centre (GKC) team.
Documentation was created by
Asoka Changemakers http://www.changemakers.com/empower
http://www.whoindia.org/en/section3/section123.ht
Facilitates management training: The DOTS care providers are now in a better position
ch others on TB due to the training modules on their smart phones. They are easy
as the components are available in the form of iconic messages and in local langu
Streamlines connectivity: It employs two-way connectivity between the DOT centre and
versa through the course of the treatment through mobile phones.
Interactive learning: ZMQ with the support of Microsoft designed mobile game
especially among semi-literate communities and children.
Research was carried out by OneWorld Foundation India (OWFI), Governance Knowledge Centre (GKC) team.
ocumentation was created by Research Associate, Attrika Hazarika
For further information, please contact Naimur Rahman, Director, OWFI, at [email protected]
http://www.freedomtb.org/
http://www.changemakers.com/empower-patient/entries/freedomt
http://www.tbcindia.org/RNTCP.asp
http://www.whoindia.org/en/section3/section123.htm
9
Facilitates management training: The DOTS care providers are now in a better position
ch others on TB due to the training modules on their smart phones. They are easy
as the components are available in the form of iconic messages and in local languages.
way connectivity between the DOT centre and
versa through the course of the treatment through mobile phones.
Interactive learning: ZMQ with the support of Microsoft designed mobile games and
Research was carried out by OneWorld Foundation India (OWFI), Governance Knowledge Centre (GKC) team. Attrika Hazarika
[email protected]
patient/entries/freedomtb
Government of India
Appendix A – Interview Questionnaire Stakeholders and roles
1. According to our research, the major stakeholders in the project are ZMQ,
Microsoft, Qualcomm, Mobile operators, Government, DOT centres, and NGOs
.To our knowledge:
a. ZMQ is the owner and the ma b. Microsoft Research and Qualcomm has designed the game applications
and training modules on mobile phones c. Government supplies free medicines d. Mobile Operators have provided the handsets e. DOT centres are housing the patients f. NGO partners have provided front g. Education Department has disseminated TB information in schools h. Pharma Company has provided TB drugs
Can you expand on this list of providers and elaborate on each of their roles?
Scope
2. How many DOT centres are covered under this system? 3. What is the total number of patients monitored under this system? 4. Has there been a reduction in the number of TB patients since 2009 under this
project? If yes, could you please provide us data 5. What type of alerts is sent to the patients and how frequently are these alerts sent? 6. What is the level of response among patients to medicine dosage reminders?
Working Design
7. According to our research, there are 4 major programme features: a. high-impact low b. targeted m
phones i. What is the impact of self
health workers via smartphones? Is there any difference of role
between self
Interview Questionnaire
According to our research, the major stakeholders in the project are ZMQ,
.To our knowledge:
ZMQ is the owner and the manager of the project
Microsoft Research and Qualcomm has designed the game applications
and training modules on mobile phones
Government supplies free medicines
NGO partners have provided front-line health staff to visit patients
Education Department has disseminated TB information in schools
Pharma Company has provided TB drugs
How many DOT centres are covered under this system?
What is the total number of patients monitored under this system?
Has there been a reduction in the number of TB patients since 2009 under this
project? If yes, could you please provide us data?
What type of alerts is sent to the patients and how frequently are these alerts sent?
What is the level of response among patients to medicine dosage reminders?
According to our research, there are 4 major programme features:
impact low-cost general mass awareness through mobile phone games;
targeted m-Training interventions for healthcare providers using Smart
What is the impact of self-training and community training on DOT
between self-trained and community trained workers?
1. How many self-trained workers are employed?
2. How many community-trained workers are employed?
3. Are there plans to integrate new technologies to measure
impact and pursue effective monitoring of the project?
4. Are the iconic messages both in Hindi and English?
Case Study Health
10
According to our research, the major stakeholders in the project are ZMQ,
Microsoft Research and Qualcomm has designed the game applications
line health staff to visit patients
Education Department has disseminated TB information in schools
What is the total number of patients monitored under this system?
Has there been a reduction in the number of TB patients since 2009 under this
What type of alerts is sent to the patients and how frequently are these alerts sent?
What is the level of response among patients to medicine dosage reminders?
According to our research, there are 4 major programme features:
cost general mass awareness through mobile phone games;
training and community training on DOT
trained and community trained workers?
trained workers are employed?
impact and pursue effective monitoring of the project?
Are the iconic messages both in Hindi and English?
Government of India
c. implementing Universal TB Management platform i. Can you explain how the DOT centres are monitored under the
centralised TB management system/ universal patient
identification system?
d. How does the project motivate drop out patients to get treatment?
connecting patients for Adherence & Compliance through mobile phones i. How are the mobile phones used in det
medicine usage amongst TB patients? Explain this use of
technology.
Impact and Sustainability
8. How is the project funded? Do you think this is sustainable? If so, why/how?
a) Can you provide us with a breakdown of costs according to the following?
i. Technology ii. Smartphones
iii. DOT health workers iv. Other expenses
9. The project was launched in 2009 and according to our research, it has partnered
with the TB office in Delhi. a) To what extent has it been scaled up?
b) What is the strategy for further promotion of awareness/upscaling of the
project?
10. The project has the following achievements:
a) Increase in number of patients enrolled b) Increase in success rate of treatment; c) Decrease in patient drop d) Increased in intake of medicine; e) Reduction in the cost of travel to hospitals for treatment
How has the project achieved the following and by what margin? Please provide us
data.
11. In what other ways has this project been successful? What is particularly unique
about this model of addressing TB?
implementing Universal TB Management platform
Can you explain how the DOT centres are monitored under the
identification system?
1. How are those who are in denial and do not register in DOT
centres identified?
2. There is a reduction of drop-outs by 6.85%. How are
drop out patients monitored?
How does the project motivate drop out patients to get treatment?
connecting patients for Adherence & Compliance through mobile phones
How are the mobile phones used in detecting absence of
technology.
How is the project funded? Do you think this is sustainable? If so, why/how?
Can you provide us with a breakdown of costs according to the following?
Technology Smartphones DOT health workers Other expenses
The project was launched in 2009 and according to our research, it has partnered
with the TB office in Delhi.
To what extent has it been scaled up?
What is the strategy for further promotion of awareness/upscaling of the
The project has the following achievements:
Increase in number of patients enrolled
Increase in success rate of treatment;
Decrease in patient drop-out rate;
Increased in intake of medicine;
Reduction in the cost of travel to hospitals for treatment
In what other ways has this project been successful? What is particularly unique
about this model of addressing TB?
Case Study Health
11
Can you explain how the DOT centres are monitored under the
How are those who are in denial and do not register in DOT
outs by 6.85%. How are
How does the project motivate drop out patients to get treatment?
connecting patients for Adherence & Compliance through mobile phones
ecting absence of
How is the project funded? Do you think this is sustainable? If so, why/how?
Can you provide us with a breakdown of costs according to the following?
The project was launched in 2009 and according to our research, it has partnered
What is the strategy for further promotion of awareness/upscaling of the
Reduction in the cost of travel to hospitals for treatment

Freedom TB - OneWorld

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