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TB

Dynamic Systems Modelling of the variable factors that influence the spread and control of Tuberculosis.
by

Paul Mason

on 18 August 2015

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Transcript of TB

external donors
foreign aid
research bodies
targeted to TB
control of projects
Targeted Aid
Investment
For-Profit
Health Industry
Medical Staff
Insufficient TB treatment efforts
Insufficient TB screening efforts
Economic Conditions
Resistance to being diagnosed with TB
Resistance to diagnose TB
Education
Identify and examine any processes through which TB might be stigmatised
Stigma against TB
Home
Bars and enclosed public spaces
Workplace
Hospital
Sites of TB transmission
Experience of illness
Social constructions of ability, identity and stigma
Experiences shaped by medical technologies and corporate interests
What were the social forces that predisposesd certain individuals to be exposed to TB?
Broad consequences of diagnosis?
Illness as practice not as problem?
Examine social interaction to understand how people understand and experience illness.
Examine how people interact with and within the healthcare system.
What was the individual’s response?
What was the social response?
People with
Active TB
National investment in Health infrastructure.
Health investment priorities.
Neglect of non-TB related health issues
Neglect of TB health issues
Shortage of Medical Professionals.
Competition for Medical Professionals.
Competition between TB clinics and other places of healthcare.
Exposure risks?
Spread of TB
e.g. Pharmaceutical companies
Control of TB
Successful detection and treatment
Sufficient/Lacking?
Rates of infant mortality?
rates of maternal death?
longevity?
Basic Health Care
Social class
Social inequities
Gender
Ethnocultural background
Marginalisation
Exclusion
Othering
Social Patterns of Health and Illness
The way that health care provision is organised is related to the values that a society holds about social and individual responsibility, prevention versus cure, and the extent to which business interests are able to exert power over the constitution of disease and medical interventions.
Study of the power relations in the construction and management of TB.
Study of power relations between groups and between individuals.
Study of the inequalities that arise from the exercise of power.
Organisation of health care
Product of social, cultural and political interactions.
Contingent upon the social, cultural and historical conditions that exist at any one time.
Health knowledge is interwoven with health care practice.
Who constructs this knowledge?
Who stands to benefit from seeing TB in this way?
How might we think differently about TB?
Construction of Knowledge about TB
Medicalisation
Dominant discourses
Social control/institutional surveillance
Victim blaming/System blaming
Individualism
Media
Local Conceptualisations of health and illness
People with Active TB

Social constructions of ability, identity and stigma
Experiences shaped by medical technologies and corporate interests
How does a person’s social positioning affect their health?
What were the social forces that predisposesd certain individuals to be exposed to TB?
Broad consequences of diagnosis?
Illness as practice not as problem?
Examine social interaction to understand how people understand and experience illness.
Examine how people interact with and within the healthcare system.
What was the individual’s response?
What was the social response?
Experience of Illness
1
2
3
4
People with LTBI
People with no detected TB infection
Screening
Method
Successful
Detection
Unsuccessful
Detection
Hospitals &
Clinics
National Policy
Health
Sociology

Medical
Anthropology

Ecological
Approach
Ethnomedical
Approach
Experiential
Approach
Critical Interpretive
Approach
Applied
Approach
Anthropology of Medicine
A Dynamic Systems Modelling Approach
to the study of the control and spread of Tuberculosis
Full transcript