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With a blister pack, the cost of material and labor is 20 to 30 percent cheaper than with clamshells.
The pills are the kind that come in a "blister" pack, which contains 21 active, hormone-containing pills and seven inactive pills, which women take to help stay on track.
Proof that a tablet is never just a tablet, but is hope sealed in a blister pack, all wrapped in the powerfully healing sense that someone takes you seriously – that your pain matters and that, by extension, so do you.
The company has already experimented with the idea in six African countries, from Mali to Kenya to Madagascar, when selling its previous version of the drug combination, which was separate pills of each drug in a blister pack.
"We've seen a lot of small, high-value products moving away from what would have been two to three years ago a clamshell, to today what is a blister pack or blister board," said Lorcan Sheehan, the senior vice president for marketing and strategy at ModusLink, which advises companies like Toshiba and HP on their supply chains.
Things that you can knock up in your sitting room or buy five for a pound in a blister pack by the newsagent's till are not good candidates for this: we don't try to regulate bleach and ammonia cleaners, even though mixing them together makes a potentially fatal poison gas.
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At a cost of about 7 cents each, affixing one TTI to a blister-pack flat containing 8 or 10, 10 IU-vials would add less than 10% to the unit cost.
For the artemether-lumefantrine arm additional components to assess adherence included an empty blister pack, a pill count on the basis of tablets remaining in the blister pack, care givers' reported dosing schedule, and care givers' report on whether tablets were given after food.
A third-party blinding method was employed, where each patient was blindfolded and provided with a single lozenge (from an opaque blister pack) in the clinic by an independent member of the investigational staff who was not involved in the study assessments.
Repackaging of tablets in a modified blister pack was also greatly appreciated by both VHWs and the women.
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