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Section II. Presentations and Panel Discussion
Welcome Address: Opening Remarks
Welcome Address: Behavioral and Social Science Research in Tuberculosis Control
Keynote Session: When Sacred Cows Become the Tigerís Breakfast: Defining A Role for the Social Sciences in Tuberculosis Control
Keynote Session: Behavior, Society and Tuberculosis Control
Preliminary Results from the Tuberculosis Behavioral and Social Science Literature Review
Neighborhood Health Messengers: Using Local Knowledge, Trust, and Relationships to Create Culturally Effective Tuberculosis Education and Care for Immigrant and Refugee Families
Psychosocial, Social Structural, and Environmental Determinants of Tuberculosis Control
Community Perspectives in Tuberculosis Control and Elimination: The Personal Experiences of Patients and Providers Panel Discussion
Group Discussion of Themes and Issues from Day One
Breakout Group Sessions I: Identifying Research Gaps and Needs
Turning Research into Practice Panel Discussion
Sharpening the Focus on Turning Research into Practice: The Promise of Participatory Research Approaches
Two CDC Models from HIV Prevention: Replicating Effective Programs and Diffusion of Effective Behavioral Interventions
Effective Intervention for Asthma
Potential Funding Opportunities
Closing Remarks: Maintaining the Momentum on Development of a Tuberculosis Research Agenda
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The Tuberculosis Behavioral and Social Science Research Forum Proceedings

Section II. Presentations and Panel Discussions


Keynote Session: When Sacred Cows Become the Tigerís Breakfast: Defining A Role for the Social Sciences in Tuberculosis Control

Jessica Ogden, Ph.D.
Technical Specialist, International Center for Research on Women

Day 1, Morning Session

Dr. Ogden presented a critical perspective on public health and TB control paradigms. Her presentation described a multi≠disciplinary approach to TB control that combines the strengths of the medical sciences with those of the behavioral and social sciences. Her proposed approach was informed by lessons learned from directly observed therapy short-course (DOTS) programs for TB treatment in India.

Dr. Ogden proposed a shift away from some of the ďsacred cowsĒ of classical public health thinking that emphasize disease control and elimination toward a social science paradigm focusing on the interactions among disease control personnel, individual patients, and the cultural and social contexts in which they live. At the level of the patient, such a paradigm emphasizes care, with particular attention to developing trust and fostering patient-provider partnerships. Outcomes in TB treatment and control are also strongly influenced by social and cultural contexts, including social structures within households, communities, and the policy-making environment. For example, social and cultural influences may determine who can adopt the sick role (and when), the range of treatment options available, and the extent to which a person can access and adhere to treatment.

A multidisciplinary, multilevel approach that takes into account the respective influences and roles of patients, communities, and households, as well as programs, providers, and policies can help to answer the following questions related to TB:

  • Why donít patients come for treatment?
  • Why do they only come when itís too late?
  • Why donít they complete their therapy?
  • How can we make our programs accessible and acceptable?
  • How can we meet the health needs of the community?
  • How can we involve communities as participants in their own health?

Answering such questions in ways that address the multiple levels of influence is a critical step in improving TB control programs and the outcomes that they are able to achieve.

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Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

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