Idea submitted by: Shelly Batra
Operation ASHA has developed and implemented an innovative and low-cost solution to turn the tap off on MDR/XDR TB with the use of biometric technology. eCompliance was developed in collaboration with the Research Lab of Microsoft and Innovators in International Health, Boston, USA.
eCompliance tracks every dose taken by every patient. This is a necessity because of the tedious and difficult regimen prescribed under the DOTS therapy in which a TB patient must take up to 75 doses under observation (prescribed by WHO). The eCompliance software is loaded on a seven inch tablet, which has a SIM card. This connects the tablet to a server through internet or text messages. The tablet updates the server every 20 minutes.
eCompliance tracks every activity required to deliver high quality TB treatment. It advises the health worker to carry out pre-treatment counseling. Simultaneously, the patient is also registered with her fingerprints in the eCompliance system. Then the first dose is dispensed. Thereafter, every time the patient has to take the medication, both counselor and the patient have to give their fingerprints simultaneously. This generates irrevocable evidence that the meeting took place, every time, and the medicine was taken under observation.