Tracking child tuberculosis treatment adherence using national digital ID

The World Health Organisation classifies Papua New Guinea as a high-burden tuberculosis country. Children account for about 26% of reported cases. Many of these patients stop treatment due to stigma and social barriers. As a result, “lost-to-follow-up” cases continue to spread TB.

This use case proposes to use SevisPass and Sevis Wallet to solve this problem. When a child visits a clinic, staff verify the child’s identity through SevisPass and link the child's medical records to their SevisPass profile using the Medical Record Number (MRN). After this, every test, treatment decision, and visit to a healthcare center can be tracked via the child's SevisPass.

Health workers track adherence through regular check-ins. If a child misses any check-ins, workers respond quickly and trace them. When mandatory visits are completed, the system transfers incentives to caregivers through linked bank accounts. This approach can improve outcomes for nearly 400,000 children in Papua New Guinea.