Department of Surgery, Washington University School of Medicine, WA, USA.
Med Anthropol Q. 2013 Jun;27(2):292-311. doi: 10.1111/maq.12028. Epub 2013 Jun 26.
In Zambia, the burden of HIV-related diseases such as tuberculosis has received substantial international attention. Zambians experience and participate in a range of globally produced programs to manage TB and cure TB sufferers. Guided by WHO's Directly Observed Treatment, Short-course protocol, TB treatment regimens now emphasize adherence to medications as the primary way to achieve cure. This article aims to understand how adherence models enter into the daily lives of children who live with and care for adult TB patients in an area disproportionately affected by the disease. I suggest that children domesticate adherence models, using them as strategies to safeguard identities, relationships, livelihoods, and futures that are increasingly under threat in the age of HIV. They draw on TB treatment and the hope and agency it affords to hold onto a version of childhood in which they are cared for by adults who will advocate for their well-being.
在赞比亚，艾滋病毒相关疾病（如结核病）的负担引起了国际社会的高度关注。赞比亚人参与并经历了一系列旨在管理结核病和治愈结核病患者的全球性项目。在世界卫生组织直接观察短程治疗方案的指导下，结核病治疗方案现在强调坚持药物治疗是实现治愈的主要方法。本文旨在了解在受疾病影响不成比例的地区，与成年结核病患者共同生活和照顾他们的儿童如何将坚持治疗的模式融入日常生活。我认为，儿童将坚持治疗模式内化，将其作为保护身份、关系、生计和未来的策略，因为在艾滋病毒时代，这些都越来越受到威胁。他们借鉴结核病治疗以及它所带来的希望和能动性，来维持一种他们被关爱他们的成年人照顾的童年生活，而这些成年人会倡导他们的福祉。
