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  • Can be observed by physicians, nurses or trained community supporters.
    • Generally DOT by a family member is not recommended due to the complex interpersonal family relationships that may affect acceptance or adherence.
    • However it may be deemed appropriate in certain circumstances.

  • May include incentives and enablers (such as food or transportation) for the adherent patient and/or the health care worker who supervises treatment.
    • This can increase motivation for both the patient and the supervisor.
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