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Representations of MDR and XDR-TB in South African newspapers

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  • Daku, Mark
  • Gibbs, Andrew
  • Heymann, Jody

Abstract

The emergence of drug-resistant tuberculosis has brought with it diverse perspectives concerning the way in which the disease should be managed. The media is an important source of these perspectives, as they perform the dual role of reflecting and shaping public discourse. In this study, we are interested in how the media presents multi-drug resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in South Africa, where both variants are a growing public health concern. We examined newspaper content from 310 South African newspaper articles from February 2004 to July 2009 that discussed MDR-TB and XDR-TB. Newspaper articles were collected from the Dow Jones Factiva database and imported into QDA Miner v3.2.1 for analysis. Using Attride-Stirling’s thematic network analysis method, articles were analyzed according to themes, sub-themes, and thematic networks. This analysis identified two main dimensions: causes of MDR/XDR-TB and treatment approaches/solutions. Causes of MDR/XDR-TB revolved around three main global themes: i) patient-centred causes (32.6%); ii) lack of infection control procedures (18.7%); and iii) health systems failures (19.4%). Treatment approaches or solutions to tackling MDR/XDR-TB focused on i) patient targeted solutions (38.4%); ii) improving infection control (12.3%); iii) systems restructuring (10.6%); and iv) new diagnostic and therapeutic options (10%). Our analysis identifies a trend in the South African media to identify a broad range of causes of MDR/XDR-TB, while emphasizing that treatment approaches should be directed primarily at the individual. Of particular importance is the fact that such a perspective runs contrary to the World Health Organization's (WHO) recommendations for approaching the TB epidemic, in particular by insufficiently addressing systemic and social drivers of the epidemic. Due to the media's potential influence on policy formation, how the media presents issues – especially issues pertaining to emerging public health concerns – should warrant more attention.

Suggested Citation

  • Daku, Mark & Gibbs, Andrew & Heymann, Jody, 2012. "Representations of MDR and XDR-TB in South African newspapers," Social Science & Medicine, Elsevier, vol. 75(2), pages 410-418.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:2:p:410-418
    DOI: 10.1016/j.socscimed.2012.02.039
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    References listed on IDEAS

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    1. Djankov, Simeon & McLiesh, Caralee & Nenova, Tatiana & Shleifer, Andrei, 2003. "Who Owns the Media?," Journal of Law and Economics, University of Chicago Press, vol. 46(2), pages 341-381, October.
    2. Bissell, Paul & May, Carl R. & Noyce, Peter R., 2004. "From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions," Social Science & Medicine, Elsevier, vol. 58(4), pages 851-862, February.
    3. Putnam, Robert D., 1988. "Diplomacy and domestic politics: the logic of two-level games," International Organization, Cambridge University Press, vol. 42(3), pages 427-460, July.
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    Cited by:

    1. Degeling, Chris & Kerridge, Ian, 2013. "Hendra in the news: Public policy meets public morality in times of zoonotic uncertainty," Social Science & Medicine, Elsevier, vol. 82(C), pages 156-163.

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