On Cue Compliance
Country of Operation
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Higher middle-income (60-80%)
- High-income (80-100%)
Reminders to take daily medication are an effective means to ensure drug regime adherence, which is critical for diseases like TB, where 99% of those infected can be cured with proper medication compliance.
Key program components
The SIMpill solution is designed to help ensure compliance. SIMpill works by equipping a pill bottle with a SIM card and transmitter. When the pill bottle is opened, an SMS message is sent to a designated healthcare worker. If the pill bottle is not opened when expected, the patient gets a text message reminder to take the medication. If the patient then fails to comply, the health worker is prompted to call or visit to encourage the taking of medication.
A 2007 pilot in South Africa to test the system’s efficacy yielded impressive results. The pilot showed that with SIMpill, 90% of patients complied with their medication regimen, compared to the typical 22% to 60% compliance rate without the system. The solution is now available worldwide.