Our health workers use this system to verify patient attendance and prevent the development of drug resistant TB strains, which can develop when patients miss doses. E-Compliance Suite uses low-cost tablets connected to a fingerprint and/or iris scanner to verify patient attendance and digitizes attendance records, which are stored in a central server. The system alerts patients and health workers via SMS whenever a scheduled dose is missed, and facilitates a much quicker and more reliable follow-up.
- Elimination of human error
- Transparency in accounting and supervision
- Digitization of records
- Increases productivity and reduction of manpower costs
The cost of hardware and installation for each eCompliance unit is estimated at $222 for an 18 month lifespan, and the tablets normally last longer than that. Internet connection, maintenance, and troubleshooting is $276 for the 18 months,bringing the total cost to $498. Based on actual patient load in OpASHA, the cost of treating each patient for DST/normal TB thus is $14.
eCompliance has been rolled out for nearly 28,740 TB patients so far in India, Cambodia, Uganda, Dominican Republic and Kenya. It has already recorded over 776,112 transactions. 139 eCompliance units are now functional.
Columbia University, Earth Institute, and the Millennium Villages replicated eCompliance in Uganda, resulting in “a staggering improvement” in patient treatment adherence according to Professor Yanis Ben Amor. In India also, the results are amazing, with reduction in default rate by 12 times compared to the figure reported by a WHO consultant in India.
Operation ASHA and Microsoft Research conducted an exhaustive study on stakeholder perception of our technologies. The study proved that all stakeholders, including health workers and supervisors, easily accepted the technology.
The success of eCompliance (which was built with initial support from Microsoft Research) was tweeted by none other than Bill Gates in December 2012.
— Bill Gates (@BillGates) December 7, 2012
Proper use of eCompliance improves adherence, reduces default in TB treatment, improves treatment success rate, and reduces cost for financial sustainability. A win-win situation for all!