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Flyer_iNTP-FAQ-01

Digital Adherence Technology is an intervention that helps patients complete TB treatment using mobile phones through Video Observed Treatment (VOT). Eligible participants include individuals of any age taking TB treatment for less than 2 months, who have access to the required technology and are willing to be monitored. Additionally, 3HR is a TB preventive treatment involving daily medication for three months, and point-of-care rapid diagnostic equipment is used for real-time TB detection and resistance testing.

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Percilito C. Tillor
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2 views

Flyer_iNTP-FAQ-01

Digital Adherence Technology is an intervention that helps patients complete TB treatment using mobile phones through Video Observed Treatment (VOT). Eligible participants include individuals of any age taking TB treatment for less than 2 months, who have access to the required technology and are willing to be monitored. Additionally, 3HR is a TB preventive treatment involving daily medication for three months, and point-of-care rapid diagnostic equipment is used for real-time TB detection and resistance testing.

Uploaded by

Percilito C. Tillor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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What is a Digital Adherence

Technology?
A digital treatment adherence intervention
technology that assists patients and health
workers achieve successful completion of for Better Health
TB treatment using mobile phones through
Video Observed Treatment (VOT)

Who are eligible for VOT?


Any age (pediatric patients will be accompanied by an adult
family member or treatment supporter)
All types of TB (Drug Susceptible or Drug Resistant) regardless
of bacteriologic status
Taking TB treatment for less than 2 months
Patient/family that can use the technology (gadget and wifi
connectivity) after orientation and training.
Willing to be followed up during treatment and one-year
post-treatment

What are the requirements for VOT?


Gadget (celphone or tablet)
Wifi or data connectivity

When can a health care provider


discontinue the use of VOT?
Uncontrolled adverse events (AE) requiring closer monitoring
Prolonged hospitalization for more than 2 weeks anytime
during treatment
Patient decision regardless of reasons
Sputum smear/culture non-conversion at 2nd month for DS-TB
or 4th for DR-TB
Adherence rate of <90% for 2 consecutive months despite
counselling efforts
Missed doses >10% of total required doses to be taken despite
counselling efforts
What is 3HR? What is a point-of-care rapid
iNTP New TB Tools 3HR is a form of TB Preventive Treatment (TPT)
diagnostic equipment ?
by giving daily Isoniazid (H) and Rifampicin (R) A point-of-care rapid (PCR) diagnostic equipment
for three months to halt progression of TB using the Trunat machine is used for detection of TB and
infection to active disease rifampicin resistance to provide real-time transmittal of TB
test results to patients, physicians and referring facilities.
Super 3HR
Who are eligible for 3HR? Tanggal Bacteria
Power How does this machine work?
Adults and children, all ages This can be placed at peripheral health centres to replace 
- Adults - (close contacts, PLHIV, and high risk clinical groups) sputum smear microscopy as the initial diagnostic test for TB
- Children - Ensure dose adjustment for children based on age X-ray may be used as a screening tool for confirmatory testing
and weight with Truenat
Specimen referral networks may be needed to allow for further
 horter
S Point-of-Care Special Precaution for 3HR: Drug Susceptibility Test (DST)
Rapid Truenat is not a replacement for existing Xpert networks
oral regiment - Women on estrogen-containing oral contraceptive pills
for TPT - 3HR Diagnostic - People Living with HIV (PLHIV) on certain ARVs
Equipment - With liver disease or history of liver disease What are the limitations of the machine?
Important:
Initial drug resistance test
Do not reintroduce 3HR if there is a major ADR requiring need to discontinue 3HR Electricity still required for charging the batteries
More manual steps than the Xpert MTB/RIF test

Ultraportable
Digital What is the appropriate dosage?
Adherence
What is an Ultra-portable Chest Xray
Chest Xray Children and Computer-Aided Design/Artifiicial
Technology using = or
with Artificial Video Observed
Weightband 4-7 kg 8-11 kg 12-15 kg 16-24 kg >25 kg Intelligence (CAD/AI)?
Intelligence Treatment RH 75/50 mg FDC* 1 2 3 4 Use adult
formulations A light and compact Ultraportable Chest Xray that can be used
*Dispersible tablets will be dissolved only in water with at least 50 ml volume and in Out-of-hospital settings and a place without a power source.
recommended to be consumed within 10 minutes. For older children, it can be
swallowed directly. A tool for triaging and screening that can also serve as a human
reader in identifying people presumed to have TB.
Adults
Weightband 25-37 kg 38-54 kg 55-70 kg >70 kg CAD/AI is a computer-aided detection (CAD)
software that uses Artificial Intelligence
RH 150/75 mg FDC 2 3 4 5 Technologies to aid TB diagnosis

Who can be screened using UP-CXr?


When is the appropriate time to take 3HR? 15 years old and above, male and female regardless of TB
Preferred daily time of the patient to ensure doses are signs and symptoms and risk factors.
remembered Pregnant women (May be done with caution)

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