Educate patient about treatment compliance
Medication for the weekend must be pre-packed for collection on Fridays and responsibility allocated to
a family member to observe and sign the green card for doses taken on weekends.
Community DOT has the advantage of being more accessible and convenient to patients. A TB patient
who has far to travel for treatment is less likely to adhere to treatment and community based DOT can
be a viable alternative. In some areas, limited resources and high TB caseloads overwhelm clinics; using
community-based DOT may contribute to a more rational use of limited resources in these settings. The
treatment supporter can be a community health care worker or any community/ family member trained
to provide DOT. Integration of this work within that of the PHC ward based outreach teams (WBOT)
will allow for a sustainable community care programme. The community treatment supporters must be
accountable to the facility manager.