Updated on June 6, 2024


Created on September 16, 2018


eMocha is an online platform for video Directly Observed Therapy.

Tested By
  • Baltimore City Health Department
  • Harris County Public Health
  • University of Colorado
Content Partners


Product Description

eMocha is a video Directly Observed Therapy tool.

It is a HIPAA-compliant mobile app that lets patients record a video of themselves taking their meds and send it to their care provider. It aims to help people comply with their medication regimens and reduce the risks that are associated with failing to take the prescribed medication.

Using the apps, patients report side effects or symptoms and record every dose of medication using the emocha smartphone app. Care providers are also able to communicate with patients and review their progress from the eMocha web platform.

Target SDGs

SDG 3: Good Health and Well-Being

SDG 9: Industry, Innovation and Infrastructure

Target Users (Target Impact Group)

Public Sector Agencies, NGOs

Distributors / Implementing Organizations

Implementing organizations and partners:

  • Maryland Innovation Initiative
  • BioHealth Innovation
  • Kapor Capital
  • NIH - National Institute of Drug Abuse
  • NIH - National Institute on Minority Health and Health Disparities
Other implementing organizations: Baltimore City Health Department, Harris County Public Health, Fresno, Merced and Contra Costa counties.

Manufacturing/Building Method


Intellectural Property Type


User Provision Model

Users can download the app for free in Google Play.

Distributions to Date Status

10,000+ app installs according to Google Play as of 2020.

Telecommunication service required

Mobile Internet, WiFi

Level of connection service needed

3G, 4G

Additional features required


Device(s) required

Smartphone, Tablet

Permanent network connectivity required (Y/N)


Two way communication (Y/N)


Usage rate (%)


Literacy support (Y/N)


Languages available


Operating system and version

Android 4.1 and up

Power requirements


eHealth application

Monitoring tool

Design Specifications

eMocha is a smartphone application that allows patients to indicate symptoms and record themselves taking their medication. The patient can then securely submit this information to the eMocha server, where a clinician can then observe and confirm medication adherence using the eMocha web interface. The system also includes a notifications feature to remind patients to take their medication and inform providers about important patient-reported events. The app can be accessed from the Play Store for users while implementing organization have access to a web interface where they can monitor patient data. The app allows for:

  • Dose-by-dose tracking using video Directly Observed Therapy (DOT).
  • Patient-doctor communication.
The application of the app is majorly where Directly Observed Therapy is needed in order to enforce adherence to medication regimen.

Product Schematics

Technical Support

Provided by the manufacturer.

Replacement Components




Manufacturer Specified Performance Parameters

eMocha seeks to enforce dose by dose adherence, amplify the patient engagement, focus resources, reduce costs, and improve outcomes.

Vetted Performance Status

eMocha has been implemented in Harris County (TX) and Baltimore (MD). Data is actively being gathered on usability, patient adherence, and cost savings at four Maryland health departments with support from an NIH grant. miDOT is also being used in an adherence-related study of Hepatitis C Virus in Denver, CO. miDOT will soon be tested in Pune and Bangalore, India. In a National Institute of Minority Health and Health Disparities Small Business Innovation Research grant across 3 Maryland public health departments, 100% of patients successfully completed tuberculosis treatment.


No known safety hazards are related to this product.

Complementary Technical Systems


Academic Research and References

Hatef, E., Sharfstein, J., Labrique, A., 2018, Innovation and Entrepreneurship: Harnessing the Public Health Skill Set in a New Era of Health Reforms and Investment. Journal of Public Health Management and Practice, 2, 99-101.

Bollinger, R., et al., 2011,  Building a Global Health Education Network for Clinical Care and Research. The Benefits and Challenges of Distance Learning Tools. Lessons Learned from the Hopkins Center for Clinical Global Health Education. Infectious Disease Clinics , Volume 25 , Issue 2 , 385 – 398.

Veronica N., Kalengé, S., Kelley, J., Wilson, A., Muliira, J., Nabirye, R., Glass, N., Bollinger, R., Stella, A.,  Chang, L., 2021, Research Capacity–Building Program for Clinicians and Staff at a Community-Based HIV Clinic in Uganda: A Pre/Post Evaluation. Journal of the Association of Nurses in AIDS Care, Volume 23, Issue 5, 2012, Pages 431-441, ISSN 1055-3290

Hoffman, J. A., Cunningham, J.R., Suleh, A.J., Sundsmo, A., Dekker, D., Vago, F., Munly, K., Igonya, E. K., Hunt-Glassman, J., 2010, Mobile direct observation treatment for tuberculosis patients: a technical feasibility pilot using mobile phones in Nairobi, Kenya. Am J Prev Med. 2010 Jul; 39(1):78-80.

“Scene.” n.d. Scene Health. Accessed June 6, 2024. https://www.scene.health/

“About Us – Scene.” n.d. Scene Health. Accessed June 6, 2024. https://www.scene.health/about-us

Waldman, Tyler. 2014. “Health Department Launches TB Trial with Emocha App.” Technical.Ly. October 22, 2014. https://technical.ly/startups/emocha-midoc-tuberculosis-baltimore/ 

Gantz, Sarah. 2016. “Emocha Mobile Health Lands New Contracts for Its Medication Monitoring App.” Baltimore Sun, August 30, 2016. https://www.baltimoresun.com/2016/08/30/emocha-mobile-health-lands-new-contracts-for-its-medication-monitoring-app/

“Spotlight by Scene Health.” n.d. Google.Com. Accessed June 6, 2024. https://play.google.com/store/apps/details?id=com.emocha

“Patient Engagement.” n.d. AiCure. Accessed June 6, 2024. https://www.aicure.com/

“?Dosecast: My Pill Reminder App.” n.d. App Store. Accessed June 6, 2024. https://apps.apple.com/us/app/dosecast-my-pill-reminder-app/id365191644

“Goal 4.” n.d. Sdgs.Un.Org. Accessed June 6, 2024. https://sdgs.un.org/goals/goal4

emocha Health. 2019. “Our Solution.” Emocha Health. June 27, 2019. https://emocha.com/our-solution/

Waldman, Tyler. 2014. “Health Department Launches TB Trial with Emocha App.” Technical.Ly. October 22, 2014. https://technical.ly/startups/emocha-midoc-tuberculosis-baltimore/

“Scene Health Resource Center.” n.d. Scene Health. Accessed June 6, 2024. https://www.scene.health/resources#opioid

Compliance with regulations

HIPAA-compliant mobile app. emocha also integrates with existing Electronic Medical Record (EMR) systems using XML medical data format.

Evaluation methods

Solution tested by partner organizations: Pathway Healthcare case studies for opioid use disorder Harris County, Texas has used emocha for active and latent TB treatment with over 400 patients since 2014 Massachusetts General Hospital case studies for HCV treatment Baltimore City, Philadelphia, and Washington, D.C. case studies for HIV and PrEP treatments

Other Information

Case studies. Emocha was awarded the Small Business Innovation Research (SBIR) award by NIH.

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