TB Notes Newsletter
No. 2 , 2008
TB ETN Cultural Competency Workgroup Update
A new feature of each monthly TB ETN Cultural Competency
Workgroup call is to highlight one of the many resources that are
available, either on the Cultural Competency Resource list developed
by the Workgroup or on a new resource that is relevant to the group.
In November 2007, Beth Kingdon of Minnesota reviewed a website
called Healthy Roads Media. This site
contains information on many different health topics, including
seven materials on current topics related to TB that have been
translated into Arabic, French, Korean, Russian, Somali, Spanish, Tagalog, and Vietnamese. The site is free and also has podcasts that
can be downloaded for use on MP3 players.
On the December 2007 workgroup call, Margaret Rohter from
Illinois described the Henry J. Kaiser Family Foundation website.
The Foundation’s main website provides access to reports, fact
sheets, surveys, and resources on minority health disparities and
cultural competency. The site is geared towards policymakers, the
media, and the general public. There are weekly reports on health
disparities and the latest news, data, and information about
HIV/AIDS, TB, and malaria worldwide. International maps with global
health facts are available to download as well as rights-free video
footage. There is a wealth of information and resources that could
be useful for World TB Day activities. The Foundation also provides
weekly updates via an electronic mailing list.
Eva Moya from the US-Mexico border area of Texas presented the
TB Photovoice Project in
January 2008. Photovoice is a process by which people can identify
and improve TB-related problems in their communities through a
specific photographic technique. It entrusts cameras into the hands
of people to enable them to act as recorders and potential catalysts
for social action and change in their own communities. The mission
of the project is to increase awareness of the global burden of TB
and advocate for its elimination. The project began in 2004 and
since then has identified four communities around the world where
persons affected by TB are assisting in disseminating information
about TB. Eva has personally been involved in the US-Mexico border
project. Other communities supporting Photovoice include South
Carolina; Rio de Janeiro, Brazil; and the Thai-Vietnam border area.
Photovoice uses the immediacy of the visual image and accompanying
stories to promote an effective, participatory means of sharing
expertise to raise awareness about TB.
Cultural Competency Tip:
The road to cultural competency is long; here are some suggested
ways to begin. Berlin and Fowkes suggest the LEARN model guidelines:
- Listen with sympathy and understanding to the
patient's perception of the problem.
- Explain your perceptions of the problem and your strategy
- Acknowledge and discuss the differences and similarities
between these perceptions.
- Recommend treatment while remembering the patient's
- Negotiate agreement. It is important to understand the
patient's explanatory model so that medical treatment fits in their
Berlin EA, Fowkes WC. Teaching framework for cross-cultural care:
Application in Family Practice. West J Med.
—Submitted by Margaret Rohter, MPH
Public Health Educator
Cook County Department of Public Health
Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
Please send comments/suggestions/requests
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333