CDC Logo Tuberculosis Information CD-ROM   Image of people
jump over main navigation bar to content area
TB Guidelines
Surveillance Reports
Slide Sets
TB-Related MMWRs and Reports
Education/Training Materials
Ordering Information


U.S. Department of Health and Human Services


This is an archived document. The links are no longer being updated.

TB Notes 2, 2004

TB Education and Training Network (TB ETN)

Cultural Competency

The Cultural Competency Subcommittee, co-chaired by Genevieve Greeley of Utah and Savitri Tsering of Wisconsin, is composed of volunteers from TB programs across the country. The group is dedicated to promoting cultural competency among members of TB ETN. During monthly conference calls members propose ideas for projects and discuss issues related to TB ETN.

This year the group has the following plans:

  • Assist the TB ETN conference planning committee in identifying speakers and presentations on improving cultural competency in TB programs.
  • Continue to enhance the cultural competency resource database that is available from Heather Joseph ( New materials (Web sites, articles, reports, assessment tools, professional contacts) for inclusion in the resource list are always appreciated.
  • Share and review assessment tools for use in evaluating the cultural appropriateness of materials. While the group is careful not to endorse any particular methodology or guideline, it hopes to make cultural competency tools available to TB control programs to assist them in the evaluation of materials.
  • Contribute knowledge and expertise in reviewing a draft Cultural Competency Program Assessment Toolkit under development by the CDC.
  • Submit cultural competency tips from a number of sources for inclusion in each edition of TB Notes.

The committee wants to share the following Cultural Competency Tip:

Based on Kleinman, Eisenberg, and Good’s questions for eliciting patient health beliefs, the following is a series of exploratory questions for assessing patient perceptions about TB:1

  • What do you think causes TB?
  • What problems will your illness cause you?
  • Why do you think you got sick when you did?
  • What does TB do to your body?
  • How severe do you feel your illness is?
  • What treatment do you think you should receive for TB?
  • What are the most important results you hope to receive from treatment?
  • What are the main problems your illness has caused you?
  • What do you fear about your illness?
  • How do your family members or close friends feel about your TB? 

—Submitted by the TB ETN Cultural Competency Committee
TB Education and Training Network


1. CDC. Improving Patient Adherence to Tuberculosis Treatment. Atlanta, GA: US Department of Health and Human Services; 1994.


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

Please send comments/suggestions/requests to:, or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333