The technological imperative in tuberculosis care and prevention in Vietnam

Paul H. Mason, Chris Lyttleton, Guy B. Marks, Greg J. Fox

Research output: Contribution to journalArticleResearchpeer-review

Abstract

A monocausal bacteriological understanding of infectious disease orients tuberculosis control efforts towards antimicrobial interventions. A bias towards technological solutions can leave multistranded public health and social interventions largely neglected. In the context of globalising biomedical approaches to infectious disease control, this ethnography-inspired review article reflects upon the implementation of rapid diagnostic technology in low- and middle-income countries. Fieldwork observations in Vietnam provided a stimulus for a critical review of the global rollout of tuberculosis diagnostic technology. To address local needs in tuberculosis control, health managers in resource-poor settings are readily cooperating with international donors to deploy novel diagnostic technologies throughout national tuberculosis programme facilities. Increasing investment in new diagnostic technologies is predicated on the supposition that these interventions will ameliorate disease outcomes. However, suboptimal treatment control persists even when accurate diagnostic technologies are available, suggesting that promotion of singular technological solutions can distract from addressing systemic change, without which disease susceptibility, propagation of infection, detection gaps, diagnostic delays, and treatment shortfalls persist.

LanguageEnglish
Number of pages14
JournalGlobal Public Health
DOIs
Publication statusE-pub ahead of print - 17 Aug 2019

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Vietnam
Tuberculosis
Technology
Communicable Diseases
Cultural Anthropology
Disease Susceptibility
Public Health
Health
Infection

Cite this

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The technological imperative in tuberculosis care and prevention in Vietnam. / Mason, Paul H.; Lyttleton, Chris; Marks, Guy B.; Fox, Greg J.

In: Global Public Health, 17.08.2019.

Research output: Contribution to journalArticleResearchpeer-review

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