99DOTS
Everwell Health Solutions
Solution Overview & Benefits
99DOTS wraps each TB pill blister in a simple envelope that conceals a unique, unpredictable phone number behind each dose. When a patient dispenses and takes a dose, they reveal and call the number for free—automatically signaling adherence. Health workers monitor adherence via online dashboards, receive alerts for missed doses, and provide targeted follow-up—making supervision scalable and patient-centered.
Benefits:
- Extremely low cost and scalable in low-resource settings
- No smartphone required—works with basic mobile phones
- Real-time adherence tracking via calls, SMS reminders, and web dashboards
- Enables differentiated care by prioritizing outreach to patients who miss doses
- Open-source design and flexible packaging (envelopes or stickers) adapt to local TB supply chains
History & Development
Conceived at Microsoft Research and later developed by Everwell Health Solutions and partners, 99DOTS launched around 2014–2015 as a digital adherence technology for TB in India.
Expanded to serve over 500,000 TB patients across India and deployed in several other countries in Asia and Africa. Adapted over time to support other health conditions (e.g. HIV, mental health) and various messaging platforms (SMS, USSD, IVR).
Availability
- Available: India, Uganda, Myanmar, Tanzania, Ethiopia, South Africa, the Philippines, and Ukraine.
- Open source toolkit—national programs or NGOs can adopt and implement at minimal cost; packages and messaging systems remain low-tech and locally sourced.
- Price: contact solution provider, depends on packaging production and access to SMS infrastructure
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