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Impact of the 99DOTS digital adherence technology on tuberculosis treatment outcomes in North India: a pre-post study by Amy Z. Chen; Ravinder Kumar; R. K. Baria; Pramod Kumar Shridhar; Ramnath Subbaraman; William Thies is a Medicine article available to read on EtoBox.
What is Impact of the 99DOTS digital adherence technology on tuberculosis treatment outcomes in North India: a pre-post study about?
## Background 99DOTS is a cellphone-based digital adherence technology. The state of Himachal Pradesh, India, made 99DOTS available to all adults being treated for drug-sensitive tuberculosis (TB) in the public sector in May 2018. While 99DOTS has engaged over 500,000 people across India, few studies have evaluated its effectiveness in improving TB treatment outcomes. ## Methods We compared treatment outcomes of adults with drug-sensitive TB before and after Himachal Pradesh’s 99DOTS launch using data from India’s national TB database. The pre-intervention group initiated treatment between February and October 2017 (__N__ = 7722), and the post-intervention group between July 2018 and March 2019 (__N__ = 8322). We analyzed engagement with 99DOTS and used multivariable logistic regression to estimate impact on favorable treatment outcomes (those marked as cured or treatment complete). ## Results In the post-intervention group, 2746 (33.0%) people called 99DOTS at least once. Those who called did so with a wide variation in frequency (< 25% of treatment days: 24.6% of callers; 25–50% of days: 15.1% of callers, 50–75% of days: 15.7% of callers; 75–100% of days: 44.6% of callers). In th
Who reads Impact of the 99DOTS digital adherence technology on tuberculosis treatment outcomes in North India: a pre-post study?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Amy Z. Chen; Ravinder Kumar; R. K. Baria; Pramod Kumar Shridhar; Ramnath Subbaraman; William Thies
- Publisher
- Springer Science and Business Media LLC
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)