in Indonesia, due to its high morbidity and mortality rates. Tuberculosis is caused by bacteria from the Mycobacterium group, specifically Mycobacterium Tuberculosis. Although TB can be cured with appropriate therapy, the relatively long treatment duration of 6 to 9 months often poses a challenge for patients to remain compliant with the treatment regimen. The success of TB therapy heavily depends on patients' adherence to treatment. Given the importance of monitoring medication intake during the recovery period, strategies are needed to improve patient adherence, one of which is through the use of information technology in healthcare services. This application is designed to improve TB patient adherence at the UPTD Puskesmas Sambas in Sibolga City. The system was developed using the Rapid Application Development (RAD) method, which includes the stages of requirements planning, design workshop, and implementation. For monitoring patient medication, the Video Observed Treatment (VOT) method is used, where patients record their medication intake process, which is then verified by healthcare workers to ensure adherence to the treatment schedule. VOT enables remote monitoring without direct interaction, thereby saving time and costs for both patients and healthcare workers. Testing results indicate that the application can monitor tuberculosis patients' medication adherence through video reports during medication consumption. The system was designed using Android Studio with the Java programming language, Firebase Database, and Firestore cloud storage. The integration of this technology successfully replaces the Directly Observed Treatment (DOT) method, providing a modern solution to support digital transformation in healthcare services. This research resulted in a mobile-based Tuberculosis Patient Treatment Monitoring system that is expected to support healthcare workers in monitoring treatment in a more effective and efficient manner
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