India’s national tb programme: The struggle for innovation and control

Mark Nichter

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter presents a case illustrating how innovation in national health programmes is undermined when agenda setting and branded global health programmes are adopted but not adapted during policy transfer for biopolitical reasons. Briefly described is a multi-centred community-based research project mounted to develop a culturally sensitive, bottom-up TB education programme and patient screener designed to identity patients at high risk for treatment default. Instead of receiving encouragement, the efforts of a group of highly trained clinician researchers having years of experience treating TB patients were dismissed by members of India’s National TB programme responsible for implementing the WHO DOTS programme. Paradoxically, such research was being called for by other WHO related programmes and the necessity for such research was recognized by other members the national TB programme. In short, an opportunity was lost for implementing DOTS in a more ‘patient-centred’ and ‘people-centred’ manner.

Original languageEnglish (US)
Title of host publicationUnderstanding Tuberculosis and its Control
Subtitle of host publicationAnthropological and Ethnographic Approaches
PublisherTaylor and Francis
Number of pages21
ISBN (Electronic)9780429853739
ISBN (Print)9781138314276
StatePublished - Jan 1 2019

ASJC Scopus subject areas

  • General Social Sciences


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