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PACT’s Directly Observed Therapy (DOT) program was created in response to the needs of persistently ill PACT participants whose adherence to treatment regimens and medical condition failed to improve even with intensive case management. Participants in DOT receive daily visits from a community health promoter, who ensures that each patient consistently takes his or her once-a-day anti-retroviral medications. In addition to helping improve medication compliance, community health promoters support their patients’ struggles with barriers to adherence such as depression, substance abuse, and social isolation. The overarching goal of the DOT program is to assist participants by helping them develop the skills necessary to adhere to treatment regimens.
A large majority of DOT patients see marked improvement in key medical indicators shortly after beginning the program and soon have renewed hope for the future. PACT is working to accommodate an increasing demand for services and to expand this cost effective, life-saving adherence intervention system to other communities.
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Send Feedback to: Sara Cleveland at scleveland@partners.org
This page was last modified on 2/10/2008
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