99 DOTS- Initiating adherence monitoring of the patient

Initiating adherence monitoring of the patient on 99DOTS (Directly Observed Treatment, Short-course) on Nikshay is done by the STS/ Health care provider initiating patient on treatment. 

Registering a Patient

It is the responsibility of the STS/ Health care provider initiating patient on treatment to register the patient on the Nikshay . S/he has to make sure to enter all the phone numbers of the patient and to keep them updated. They also add the complete address where the patient is currently residing, entering a landmark in the address field, if possible.

Before adherence monitoring can be initiated on Nikshay, the patient’s status must show that they have positive test results and have started treatment on Nikshay. After entering a positive test result for a patient, treatment is started from the “Treatment Details” tab by clicking the “Start Treatment” button, as shown in Figure 1.

Figure 1: Starting Treatment on Nikshay

How to Select 99DOTS as the Adherence Technology?

1. After entering the test details of the patient, click on the “Treatment Details” tab. 
2. Under the “Adherence Monitoring” option, select “99DOTS” as the adherence technology and click “Start Treatment" (Figure 2).
3. Once you click “Start Treatment” you will be able to see the adherence calendar of the patient under the “Adherence Tab”.

Counselling Information to be given to the Patient when Initiating 99DOTS

The counselling checklist to be followed by the National TB Elimination Programme (NTEP) staff when initiating patients on 99DOTS is shown in the table below.

Resources:

• Nikshay 99DOTS NTEP Staff Training Manual, 2021.
• 99DOTS Counselling Poster, Nikshay, 2021.
• 99DOTS Patient Follow-up Counselling Checklist, Nikshay, 2021.

Assessment