DOTS (Directly Observed Treatment, Short-
Course)
DOTS (directly observed treatment, short-course), also known as TB-DOTS, is the name
given to the tuberculosis control strategy recommended by the World Health
Organization.[1] According to WHO, "The most cost-effective way to stop the spread of TB in
communities with a high incidence is by curing it. The best curative method for TB is known as
DOTS."[2]
DOTS has five main components:
Government commitment (including political will at all levels, and establishment of a
centralized and prioritized system of TB monitoring, recording and training)
Case detection by sputum smear microscopy
Standardized treatment regimen directly of six to nine months observed by a healthcare
worker or community health worker for at least the first two months
A drug supply
A standardized recording and reporting system that allows assessment of treatment results