Recording and Monitoring Adherence

Content Status

Approved

Type

Linked Node

Recording and Monitoring Adherence

Learning Objectives

How to record and monitor adherence

Content

Recording of Treatment Adherence can be done as

Manually by DOT/Health Care Provider in TB Treatment Card of a patient.
Self-reported by Patient using digital tools for reporting adherence using 99 DOTS and MERM technologies.

Monitoring Treatment Adherence:

All TB patients should be monitored to assess their response to TB treatment. Nikshay Adherence calendar has a colour legend for various doses taken by a patient

Figure: Sample Nikshay Adherence Calendar in web and Mobile App

COLOUR LEGEND	DOSE	DESCRIPTION
	Treatment Start /End	Denotes Treatment start and End Date
	Digitally Reported Dose	Denotes that the patient has successfully called the Toll Free Number displayed on the envelope
	Manually Reported Dose	Indicates that the staff has marked manually confirmed dose for the day
	Unreported Dose	Indicates that there was no call event received on Nikshay for that day
	Manually Reported Missed Dose	Indicates that the staff has marked a manually confirmed missed dose for the day
	Digitally Reported(From Shared Phone Number)	Indicates that the patient has been calling from a shaed number(A mobile number that is common for more than one patient)