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Beyond the medical-informational model: Recasting the role of communication in tuberculosis control

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  • Waisbord, Silvio

Abstract

Although communication has recently gained increased recognition in tuberculosis (TB) control programs, current thinking and practice remains boxed within the epistemological boundaries of the "bio-medical" model. The latter posits that information about transmission and care is crucial to promote early diagnosis and treatment. However, when populations confront a series of socio-cultural and structural barriers to access TB care, medical knowledge and awareness alone cannot effectively promote ideal practices. The article suggests that communication programs need to adopt a "social rationality" perspective based on nuanced understanding of community experience of TB. Suggestions are offered about how communication contributes to addressing challenges in TB control.

Suggested Citation

  • Waisbord, Silvio, 2007. "Beyond the medical-informational model: Recasting the role of communication in tuberculosis control," Social Science & Medicine, Elsevier, vol. 65(10), pages 2130-2134, November.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:10:p:2130-2134
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    References listed on IDEAS

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    1. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
    2. Tang, Shenglan & Squire, Stephen Bertel, 2005. "What lessons can de drawn from tuberculosis (TB) Control in China in the 1990s?: An analysis from a health system perspective," Health Policy, Elsevier, vol. 72(1), pages 93-104, April.
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    1. Shi, Lizheng & Liu, Jinan & Xu, Lingzhong, 2010. "Factors associated with health education delivery by rural doctors for tuberculosis patients in Shandong Province, China," Health Policy, Elsevier, vol. 95(1), pages 57-61, April.
    2. Rachel M Anderson de Cuevas & Najla Al-Sonboli & Nasher Al-Aghbari & Mohammed A Yassin & Luis E Cuevas & Sally J Theobald, 2014. "Barriers to Completing TB Diagnosis in Yemen: Services Should Respond to Patients' Needs," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-8, September.

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