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While DOT alone has not been shown to improve treatment outcomes, there are a number of other benefits of DOT including:

  • An accurate assessment of the degree of adherence

  • A greater assurance that the medications have actually been ingested

  • A greater certainty that the patient is actually receiving the prescribed medications

  • Adverse drug effects and other complications can be recognized quickly and managed appropriately

  • The need for additional social support can be identified more easily

  • Other problems experienced by patients with tuberculosis (such as under-nutrition, poor housing, and loss of income) can be identified more easily
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