Treatment adherence under the foucauldian perspective: knowledge/powers in tuberculosis control manuals in Brazil

Rev Gaucha Enferm. 2022 Aug 1:43:e20210075. doi: 10.1590/1983-1447.2022.20210075.en. eCollection 2022.
[Article in English, Portuguese]

Abstract

Objective: Investigate which knowledge emerges in the Tuberculosis Control Manuals and how power relations are established for treatment adherence.

Method: Documentary and qualitative research on five Manuals published between 2002 and 2019, available on the Ministry of Health's Website, based on Michel Foucault's theoretical and methodological framework.

Results: 1. Knowledge: emerges as human resource training; health surveillance actions; medicalization; and multifunctionality of nurses in addressing the social determinants of tuberculosis. 2. Power relations: occur through articulation between different subjects and establish disciplines on the body and the behavior of the person undergoing treatment.

Conclusions: Certain knowledge/powers constitute the actions of treatment adherence to tuberculosis treatment and normalize the "correct/true" way of conducting disease control. Such behaviors refer to self-responsibility, autonomy and empowerment of the subject and do not consider the countless conditions of vulnerability existing in the history of people with tuberculosis.

MeSH terms

  • Brazil
  • Humans
  • Knowledge*
  • Qualitative Research
  • Treatment Adherence and Compliance
  • Tuberculosis* / therapy