scholarly journals PERCEPTIONS OF STIGMA AND DISCRIMINATION IN HEALTH CARE SETTINGS TOWARDS SUB-SAHARAN AFRICAN MIGRANT WOMEN LIVING WITH HIV/AIDS IN BELGIUM: A QUALITATIVE STUDY

2016 ◽  
Vol 49 (5) ◽  
pp. 578-596 ◽  
Author(s):  
Agnes Ebotabe Arrey ◽  
Johan Bilsen ◽  
Patrick Lacor ◽  
Reginald Deschepper
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Hiv Positive ◽  
Migrant Women ◽  
Health Care Settings ◽  
Stigma And Discrimination ◽  
Women Living With Hiv ◽  
African Migrant ◽  
Sub Saharan ◽  
Living With Hiv

SummaryStigma and discrimination within health care settings remain a public health challenge across diverse cultural environments and may have deleterious effects on mental and physical health. This study explores the causes, forms and consequences of HIV-related stigma and discrimination among migrant sub-Saharan African women living with HIV in Belgium. A qualitative study was conducted with 44 HIV-positive sub-Saharan African migrant women between April 2013 and December 2014 in health care settings in Belgium. Data were analysed using thematic content analysis. Twenty-five of the women reported overt stigma and discrimination and fifteen reported witnessing behaviours that they perceived to be stigmatizing and discriminatory in health care settings. The themes that emerged as to the causes of stigma and discrimination were: public perceptions of migrants and HIV, fear of contamination and institutional policies on HIV management. Reported forms of stigma and discrimination included: delayed or denied care, excessive precautions, blame and humiliation. The consequences of stigma and discrimination were: emotional stress, inconsistent health-care-seeking behaviour and non-disclosure to non-HIV treating personnel. Stigma and discrimination in health care settings towards people with HIV, and more specifically towards HIV-positive sub-Saharan African migrant women, impedes sustainable preventive measures. Specialized education and training programmes for non-HIV health care providers require in-depth investigation.

scholarly journals “It’s My Secret”: Fear of Disclosure among Sub-Saharan African Migrant Women Living with HIV/AIDS in Belgium

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0119653 ◽  
Author(s):  
Agnes Ebotabe Arrey ◽  
Johan Bilsen ◽  
Patrick Lacor ◽  
Reginald Deschepper
Keyword(s):  
Migrant Women ◽  
Women Living With Hiv ◽  
African Migrant ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals A qualitative study of the perspectives of Sub-Saharan African migrant women with HIV/AIDS and their caregivers on treatment and care in Belgium

2016 ◽  
Vol 3 (1) ◽  
pp. 1236480
Author(s):  
Agnes Ebotabe Arrey ◽  
Johan Bilsen ◽  
Patrick Lacor ◽  
Reginald Deschepper ◽  
Albert Lee
Keyword(s):  
Qualitative Study ◽  
Migrant Women ◽  
African Migrant ◽  
Women With Hiv ◽  
Sub Saharan ◽  
Hiv Aids

scholarly journals Stigma and discrimination within the Ethiopian health care settings: Views of inpatients living with human immunodeficiency virus and acquired immune deficiency syndrome

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Befekadu S. Wodajo ◽  
Gloria Thupayagale-Tshweneagae ◽  
Oluwaseyi A. Akpor
Keyword(s):  
Health Care ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Health Care Settings ◽  
Stigma And Discrimination ◽  
Immunodeficiency Virus ◽  
Living With Hiv ◽  
Acquired Immune Deficiency

Background: Stigma and discrimination attached to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) have been recognised as a major obstacle to HIV prevention, treatment, care and support throughout the world. Stigma and discrimination are more devastating when they occur in health care settings where it is least expected.Aim: To explore the factors attributable to stigma and discrimination of people living with HIV in two Ethiopian rural hospitals on what they thought of health care professionals (HCPs) attending to them.Methods: A qualitative exploratory approach was used. Data collection was by means of audio-taped interview and Tesch’s content analysis approach was used. The sample size for this study was determined by saturation of data and consisted of 16 participants who were people living with HIV admitted as inpatients to the two selected hospitals in Amhara region of Ethiopia.Results: Participants’ views were grouped into: fear of contact, delay of services, substandard services, denial of care, impoliteness of health care providers, breach of confidentiality and poor patient follow-up for persons infected with HIV.Conclusion: The health care settings have been recognised as one of the contexts where HIV and AIDS-related stigmatisation and discrimination can occur. Hospital policies and institutional support should be tailored to embrace people living with HIV as the provision of institutional support is imperative in creating a good working environment and improving the commitment of HCPs so as to enable them to provide holistic care for people living with HIV and AIDS (PLWHA) without discrimination.

scholarly journals A Mixed Methods Study of Anticipated and Experienced Stigma in Health Care Settings Among Women Living with HIV in the United States

2019 ◽  
Vol 33 (4) ◽  
pp. 184-195 ◽  
Author(s):  
Whitney S. Rice ◽  
Bulent Turan ◽  
Faith E. Fletcher ◽  
Tessa M. Nápoles ◽  
Melonie Walcott ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Mixed Methods ◽  
The United States ◽  
Mixed Methods Study ◽  
Health Care Settings ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa

2021 ◽  
Vol 11 ◽  
Author(s):  
Ruby Mcharo ◽  
Tessa Lennemann ◽  
John France ◽  
Liseth Torres ◽  
Mercè Garí ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Sub Saharan Africa ◽  
Single Type ◽  
Molecular Diagnostic ◽  
Hiv Positive ◽  
Low Grade ◽  
Women Living With Hiv ◽  
Sub Saharan ◽  
Hiv Women ◽  
Living With Hiv

BackgroundWomen living with HIV in sub-Saharan Africa are at increased risk to develop cervical cancer (CC), which is caused by persistent infection with 13 oncogenic human papilloma viruses (HR-HPVs). It is important to accurately identify and target HIV-positive women at highest risk to develop CC for early therapeutic intervention.MethodsA total of 2,134 HIV+ and HIV− women from South-West Tanzania were prospectively screened for cervical cancer and precancerous lesions. Women with cervical cancer (n=236), high- and low-grade squamous intraepithelial lesions (HSIL: n=68, LSIL: n=74), and without lesion (n=426) underwent high-resolution HPV genotyping.ResultsEighty percent of women who were diagnosed with HSIL or LSIL were living with HIV. Any lesion, young age, HIV status, and depleted CD4 T cell counts were independent risk factors for HPV infections, which were predominantly caused by HR-HPV types. While multiple HR-HPV type infections were predominant in HIV+ women with HSIL, single-type infections predominated in HIV+ CC cases (p=0.0006). HPV16, 18, and 45 accounted for 85% (68/80) and 75% (82/110) of HIV+ and HIV− CC cases, respectively. Of note, HPV35, the most frequent HPV type in HSIL-positive women living with HIV, was rarely detected as a single-type infection in HSIL and cancer cases.ConclusionHPV16, 18, and 45 should receive special attention for molecular diagnostic algorithms during CC prevention programs for HIV+ women from sub-Saharan Africa. HPV35 may have a high potential to induce HSIL in women living with HIV, but less potential to cause cervical cancer in single-type infections.

scholarly journals Mapping the evidence of intimate partner violence among women living with HIV/AIDS in sub-Saharan Africa: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e041326
Author(s):  
Mengistu Meskele ◽  
Nelisiwe Khuzwayo ◽  
Myra Taylor
Keyword(s):  
Intimate Partner Violence ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Women Living With Hiv ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

ObjectivesThe present study undertakes a scoping review aimed to map the evidence of intimate partner violence (IPV) against women living with HIV/AIDS in Africa.DesignWe used the online database to identify papers published from 1 January 2009 to 1 April 2019, from which we selected 21 articles from Uganda, Nigeria, Kenya, South Africa, Zambia, Ethiopia, Cameroon, Tanzania and Swaziland that used IPV as an outcome variable among women living with HIV/AIDS.Data sourcesPubMed, MEDLINE, EBSCO host, Google Scholar.Eligibility criteriaWe included women who were aged 15 years and above, living with HIV/AIDS in sub-Saharan Africa.Data extraction and synthesisWe conducted the abstract screening with two independent reviewers. We also performed full-text screening. We used the six methodological frameworks proposed by Arksey and O'Malley. The Mixed Method Appraisal Tool was used to determine the quality of the studies. We used NVIVO software V.12 to undertake a thematic analysis.ResultsOf the studies, the majority, 57.1%, reported cross-sectional results. In comparison, 23.8% examined qualitative studies, 9.5% were clinical trials, 4.8% were cohort studies and the remaining 4.8% covered grey literature. This review revealed evidence of IPV experience among women with HIV/AIDS, evidence of how HIV status disclosure influences IPV, proof of the association of sociodemographic characteristics with IPV and implications for practice. Moreover, the review revealed that following the serostatus disclosure, there is evidence of heightened risk for IPV.ConclusionsThis study found evidence of IPV among women living with HIV/AIDS. The HIV-positive women were at considerable risk of IPV after disclosure of their serostatus to a male partner. Therefore, further research is needed to promote action to reduce IPV among HIV-positive and HIV-negative women and to determine healthcare workers’ IPV screening experience.

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