10.5 Directly Observed Treatment

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Directly Observed Treatment (DOT) is a very important component in the internationally recommended policy package for TB control (DOTS strategy). Community or home-based directly observed treatment (DOT) is recommended over health facility-based DOT or unsupervised treatment. DOT administered by trained health-care workers is recommended over DOT administered by family members or unsupervised treatment. DOT means that an observer watches the patient swallowing their drugs, which is essential to ensure correct and complete treatment and recovery from TB. This ensures that the patient takes the right anti-TB drugs, in the right doses, at the right intervals and for the right period. This also gives an opportunity for patient counselling as well as early detection of adverse drug reactions if any. All patients, irrespective of the treatment category, should receive all doses of the anti-TB drugs under DOT.