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Understanding tuberculosis and its control : anthropological and ethnographic approaches

Author: Helen MacDonald; Ian Harper, (Anthropologist)
Publisher: Abingdon, Oxon ; New York, NY : Routledge, an imprint of the Taylor & Francis Group, 2020. ©2020
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Print version:
Macdonald, Helen.
Understanding Tuberculosis and Its Control : Anthropological and Ethnographic Approaches.
Milton : Routledge, ©2019
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Helen MacDonald; Ian Harper, (Anthropologist)
ISBN: 9780429853739 0429853734 9780429457104 0429457103 9780429853722 0429853726 9780429853715 0429853718
OCLC Number: 1117630584
Notes: Absent or insufficient health services in areas with high tuberculosis incidence
Description: 1 online resource (295 pages)
Contents: Cover; Half Title; Title Page; Copyright Page; Table of contents; Figures; Tables; Contributors; 1 Introduction: Persistent pathogen; Biomedical history becomes global history; Anthropological approaches to studying TB; Broadening the definition of the social; Biomedical citizenship and the socially incurable; Other socialities; Global/local interfaces; Concluding thoughts; Notes; Works cited; 2 'I wish one of these patients would sue us': Malpractice at the policy level and how Romania is not treating ... ; Methodology; TB as a social disease: social causes and social barriers to treatment What is to blame for poor M/XDR-TB treatment outcomes in Romania?Diagnostics; Treatment; Social, economic and psychological support; TB and the legal environment in Romania; 'Buy them bus tickets!'; Even free is expensive: compassionate use donations; Bootlegging M/XDR-TB treatment; Conclusion: if we are failing the 'easy' patients, what becomes of those with social and economic vulnerabilities?; Afterword; Acknowledgements; Notes; Works cited; 3 'Where is the state?': Tuberculosis strategies in Ghana; Tuberculosis in Ghana: an historical perspective Nzema area: health system and tuberculosis in the Jomoro District'."Culture" as obstacle to biomedicine'; From local interpretations to the denial of disease; Conclusions: the obscuring force of 'culture'; Notes; Works cited; 4 'Time standing still': Nurses, temporality and metaphor in a paediatric tuberculosis ward in Cape Town, South Africa; Introduction; Setting the scene; 'Hospital time'; Patient life; Nurses: 'You must take the time'; Gift: time standing still/'stuck' in time; Carlito: running out of time; The enduring significance of metaphor; Concluding thoughts: time standing still NotesWorks cited; 5 'It's also the system': Republican dilemmas in French tuberculosis prevention; Introduction; Method and locality; Street-level bureaucracy; Investigating contacts; 'We are nurses; we are not from the police': subtle distinctions; 'For me, it's also the system': republican dilemmas; 'I completely let go': professional ethics in practice; Conclusion; Notes; Works cited; 6 Using local statistics to tinker with TB treatment in a central Indian clinic; Introduction; 'Therapeutic anarchy': TB treatment options in India; Jan Swasthya Sahyog: community-based medicine Everyone loves numbersJan Swasthya Sahyog loves numbers, too; Concluding comments; Notes; Works cited; 7 Community DOTS and beyond: Tackling the collective processes that (re)produce tuberculosis in Rio de Janeiro; Introduction; Recent history of DOTS in Brazil; The beginning of DOTS implementation in Rio de Janeiro; A community approach to DOTS and tuberculosis care in Rio de Janeiro; The initiatives of the municipality; The initiatives of the Global Fund project for tuberculosis; Limits of the community approach to DOTS in Rio de Janeiro; The story of Caio; Precarious life conditions
Responsibility: edited by Helen Macdonald and Ian Harper.

Abstract:

Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an anthropological lens. Drawing on ethnographic case studies from China, India, Nepal, South Africa, Romania, Brazil, Ghana and France, the volume considers: the relationship between global and national policies and their unintended effects; the emergence and impact of introducing new diagnostics; the reliance on and use of statistical numbers for representing tuberculosis, and the politics of this; the impact of the disease on health workers, as well as patients; the rise of drug-resistant forms; and issues of attempted control. Together, the examples showcase the value of an anthropological understanding to demonstrate the broader bio-political and social dimensions of tuberculosis and attempts to deal with it.

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