Improved patient drug compliance using SMS
This idea has been mentioned a lot, but I just ran across Computainer on a Uganda listserv. CompuTainer recently announced SIMmed at the 3rd South African AIDS Conference. The technology uses SMS and USSD messaging to track and monitor patient compliance in taking chronic medication such as TB medication, ARV medication, Diabetic medication, Cardio medication and other chronic medication.
With 47% of patients simply forgetting to take medication and a further 33% not taking medication because they feel well we find an issue in medication compliance. With the ongoing struggle against drug resistant strains the introduction of SIMmed has resolved compliance issues.
I don’t have a copy of the report, but according to the listserv posting, in a recently completed trial in TB clinics in South Africa the compliance ratios were raised from between 20% and 60% to a staggering 85% to 93%. Cure rates were raised from a dismal 65% to above 91%.
The info on the SIMpill is copied here:
A pill bottle which, when opened, delivers an SMS text message to a central server. The SMS contains a unique pill box ID number as well as some information about the battery status of the pill box. Each SMS is time stamped. The central server receives the incoming SMS and, if it is within the time tolerances set for the pill box sending the message is simply stored for statistical purposes.