Closing the adherence gapthrough intelligent patient monitoring
The Pearl is an SMS and WhatsApp-based platform that supports HIV patients in Southeast Asia with medication reminders, appointment follow-ups, and periodic symptom check-ins — meeting patients where they already are.
FAQs
400%RISE IN HIV CASES IN THE PHILIPPINES SINCE 2010
Less than 50%ART ADHERENCE RATES IN LOW-RESOURCE CLINIC SETTINGS
98%MOBILE PHONE PENETRATION ACROSS SOUTHEAST ASIA
Effective treatment exists. Reaching patients is the challenge.
The Philippines is experiencing one of the world's fastest-growing HIV epidemics. New infections have risen dramatically over the past decade, concentrated among young men who have sex with men (MSM) in urban centres.
Antiretroviral therapy (ART) works. With consistent adherence, patients can achieve undetectable viral loads and live full lives. But adherence is fragile — and in under-resourced clinic settings, follow-up is nearly impossible at scale.
Research programmes have demonstrated that SMS-based check-ins improve adherence. What's missing is a sustainable, clinic-facing infrastructure that can operate beyond the research context.
Missed Appointments
Patients disengage silently. Without automated follow-up, clinics have no scalable way to identify and re-engage those at risk of dropping out of care.
Stigma & Privacy
In-person contact carries disclosure risk. An SMS-first model respects patient privacy while maintaining the consistent touchpoints that sustain adherence.
Medication Fatigue
Daily ART regimens demand consistency over years. Reminders and positive reinforcement are proven interventions — but require infrastructure clinics rarely have.
Clinical Bandwidth
Nurses and counsellors are stretched thin. Automated monitoring flags only those patients who need human intervention, protecting clinical time for complex cases.
Simple for patients. Powerful for clinicians.
The Pearl powered by Adela Technologies
Patient Enrolment
Clinics register patients via a simple web dashboard. The Pearl sends a welcome message and confirms consent via SMS or WhatsApp in the patient's preferred language.
NO APP INSTALL REQUIRED
Automated Check Ins
Patients receive daily medication reminders, appointment confirmations, and periodic symptom check-ins. Responses are automatically logged and triaged by risk level.
CONFIGURABLE FREQUENCY
Clinician Dashboard
Flagged patients surface automatically. Clinicians see who has missed doses, missed appointments, or reported concerning symptoms — without reviewing every message.
ESCALATION ALERTS
FAQs
Medication Reminders
1
Daily or twice-daily ART reminders with customisable timing. Patients confirm receipt with a single reply. Non-response triggers automated follow-up escalation.
Appointment Reminder
2
Configurable check-in questionnaires (monthly or quarterly) covering side-effect symptoms, mental health indicators, and general wellbeing. Clinician-designed protocols.
Risk-Based Escalation
3
Responses are automatically classified by risk level. High-risk flags surface immediately in the clinical dashboard. Low-risk patients continue on automated pathways.
Outcomes Report
4
Adherence rates, engagement trends, and retention metrics exportable for clinical reporting, grant applications, and program evaluation.
Interested in learning more?
We are actively seeking research partners, clinical advisors, and implementation partners for the 2027 Philippines pilot. If you work in HIV care, global health, or infectious disease research — we'd love to hear from you.
