Standardization and localization in tuberculosis control
in Global health and the new world order
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This chapter discusses the tension between standardization and localization in efforts to control tuberculosis (TB); between programmatic considerations and responding to individual care needs, including particular TB strains, co-morbidities, personal pharmaceutical histories or socio-economic circumstances. Drawing on science and technology studies methodology, including a focus on how standards are made to work, the chapter uses anthropological and sociological literature on the DOTS (Directly Observed Therapy, Short-Course) strategy and examples from fieldwork at multi-drug resistant tuberculosis (MDR-TB) treatment sites in India in the 2000s to examine this tension. Standardized disease control programmes employing drugs, such as DOTS, are often portrayed as struggling with inherent dilemmas between standardization and localization. However, as this chapter shows, such emphasis obscures the productive roles that standards can play. They can act as facilitators in local negation and adaption of global disease control strategies, serving as communicative tools between different actors on different levels.

Global health and the new world order

Historical and anthropological approaches to a changing regime of governance

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