Empathy and avoidance in treating patients living with HIV/AIDS (PLWHA) among service providers in China

ObjectiveTo assess AIDS stigmatising attitudes and behaviours by prevention of mother-to-child transmission (PMTCT) service providers in primary healthcare centres in Lagos, Nigeria.DesignCross-sectional survey.SettingThirty-eight primary healthcare centres in Lagos, Nigeria.ParticipantsOne hundred and sixty-one PMTCT service providers.Outcome measuresPMTCT service providers’ discriminatory behaviours, opinions and stigmatising attitudes towards persons living with HIV/AIDS (PLWHAs), and nature of the work environment (HIV/AIDS-related policies and infection-control guidelines/supplies).ResultsReported AIDS-related stigmatisation was low: few respondents (4%) reported hearing coworkers talk badly about PLWHAs or observed provision of poor-quality care to PLWHAs (15%). Health workers were not worried about secondary AIDS stigmatisation due to their occupation (86%). Opinions about PLWHAs were generally supportive; providers strongly agreed that women living with HIV should be allowed to have babies if they wished (94%). PMTCT service providers knew that consent was needed prior to HIV testing (86%) and noted that they would get in trouble at work if they discriminated against PLWHAs (83%). A minority reported discriminatory attitudes and behaviours; 39% reported wearing double gloves and 41% used other special infection-control measures when providing services to PLWHAs. Discriminatory behaviours were correlated with negative opinions about PLWHAs (r=0.21, p<0.01), fear of HIV infection (r=0.16, p<0.05) and professional resistance (r=0.32, p<0.001). Those who underwent HIV training had less fear of contagion.ConclusionsThis study documented generally low levels of reported AIDS-related stigmatisation by PMTCT service providers in primary healthcare centres in Lagos. Policies that reduce stigmatisation against PLWHA in the healthcare setting should be supported by the provision of basic resources for infection control. This may reassure healthcare workers of their safety, thus reducing their fear of contagion and professional resistance to care for individuals who are perceived to be at high risk of HIV.

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Examining the Perceptions of Service Providers for Persons Living with HIV/AIDS in Rural Localities

Journal of HIV/AIDS & Social Services ◽

10.1300/j187v04n03_03 ◽

2006 ◽

Vol 4 (3) ◽

pp. 7-23

Author(s):

Brenda J. Eastman ◽

Bernard H. Lieving ◽

Shelia Grant Bunch

Keyword(s):

Service Providers ◽

Persons Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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Immigrant Women Living with Hiv/Aids: Their Barriers as Experienced by Service Providers

10.32920/ryerson.14662020 ◽

2021 ◽

Author(s):

Jane Wangari Karago-Odongo

Keyword(s):

Hiv Infection ◽

Religious Beliefs ◽

Service Providers ◽

Immigrant Women ◽

Structural Factors ◽

Immigration Status ◽

Women Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

A review of statistics on HIV infection in Canada shows that the rates of HIV infection are on the rise among immigrants. Like other newcomers in Canada, immigrants living with or affected by HIV/AIDS seek services from various agencies serving immigrants. The purpose of this study is to identify and highlight barriers experienced by service providers when dealing with immigrants and particularly immigrant women who are living with HIV/AIDS. Some of the barriers they experienced include stigma, denial, fear, and discrimination, as well as socio-cultural and religious beliefs, economic and structural factors like immigration status, racism, marginalization and language.

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A Qualitative Approach to the Mental Health Care Needs of People Living with HIV/AIDS in Victoria

Australian Journal of Primary Health ◽

10.1071/py02041 ◽

2002 ◽

Vol 8 (3) ◽

pp. 30

Author(s):

Maria Teresa Dawson ◽

Paul Grech ◽

Brendan Hyland ◽

Fiona Judd ◽

John Lloyd ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

Health Services ◽

Service Providers ◽

People Living With Hiv ◽

Health Care Needs ◽

Care Needs ◽

Living With Hiv ◽

Hiv Aids

This article reports on the findings of the qualitative stage of a larger project on the mental care needs of people with HIV/AIDS and mental illness (Tender T1176 Department of Human Services, Mental Health Branch, Victoria - Research on the Mental Health Care Needs of People with HIV/AIDS and Mental Illness). The purpose of the larger research was to evaluate the needs and treatment requirements of persons with HIV/AIDS, who also suffer from mental health problems, with a view to developing proposals for improving existing service delivery in Victoria, Australia. The qualitative stage was designed to complement and elucidate data obtained through the quantitative stages of the project. Thirty in-depth open-ended interviews were carried out with service providers including HIV physicians, general practitioners, psychiatrists, clinical and managerial staff of Area Mental Health Services, Contact Tracers and forensic mental health services staff, as well as representatives of community groups such as People Living with HIV/AIDS and Positive Women and carers. The interviews explored the perspective of both service providers and users of such services with respect to needs for psychiatric care and service delivery, ease of access or barriers to mental health services, and the perceived strengths and weaknesses in current service provision. This paper presents the main findings and recommendations submitted to the funding body.

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The Micro Dynamics of Support Seeking

The Annals of the American Academy of Political and Social Science ◽

10.1177/0002716213475775 ◽

2013 ◽

Vol 647 (1) ◽

pp. 83-101 ◽

Cited By ~ 6

Author(s):

Celeste Watkins-Hayes

Keyword(s):

Social Support ◽

Middle Class ◽

Low Income ◽

Service Providers ◽

Hiv Positive ◽

People Living With Hiv ◽

Women Living With Hiv ◽

Hiv Positive Women ◽

Living With Hiv ◽

Hiv Aids

Previous literature suggests that AIDS Service Organizations (ASOs) play an important support role in the lives of impoverished women living with HIV. Less is known about the dynamics of institutional support for middle-class women living with HIV/AIDS, who are assumed to possess a broader base of resources to address their diagnosis. Using qualitative data collected from a racially and economically diverse group of HIV-positive women in Chicago, this article compares how low-income and middle-class women utilize ASOs and reveals how the women’s divergent approaches to availing themselves of institutional resources have important implications for their social and economic coping. For example, associating with ASOs can be status-improving for impoverished women and status-diminishing for middle-class women. As a result, middle-class women report a less robust network of social service providers and people living with HIV/AIDS on whom they rely for HIV-related information and social support, making them vulnerable to HIV-specific social isolation. In sum, the ways that HIV-positive women deploy institutional ties to negotiate their HIV/AIDS status differs markedly depending on socioeconomic status, suggesting that the role of class in gathering social support may be more complex than previously understood.

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“I understand just a little…” Perspectives of HIV/AIDS service providers in South Africa of providing mental health care for people living with HIV/AIDS

AIDS Care ◽

10.1080/09540121.2011.608790 ◽

2012 ◽

Vol 24 (3) ◽

pp. 319-323 ◽

Cited By ~ 23

Author(s):

Sumaya Mall ◽

Katherine Sorsdahl ◽

Leslie Swartz ◽

John Joska

Keyword(s):

Mental Health ◽

South Africa ◽

Health Care ◽

Mental Health Care ◽

Service Providers ◽

People Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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Changing access to mental health care and social support when people living with HIV/AIDS become service providers

AIDS Care ◽

10.1080/09540121.2014.940269 ◽

2014 ◽

Vol 27 (2) ◽

pp. 176-181 ◽

Cited By ~ 4

Author(s):

Alan Tai-Wai Li ◽

Joshua Wales ◽

Josephine Pui-Hing Wong ◽

Maureen Owino ◽

Yvette Perreault ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Health Care ◽

Mental Health Care ◽

Service Providers ◽

People Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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CARE GIVING RESPONSIBILITES FOR CHILDREN LIVING WITH HIV/AIDS in CITY OF BANDUNG

Journal Sampurasun Interdisciplinary Studies for Cultural Heritage ◽

10.23969/sampurasun.v2i2.141 ◽

2017 ◽

Vol 2 (2) ◽

pp. 119

Author(s):

Ayi Haryani

Keyword(s):

Cultural Values ◽

Service Providers ◽

Nuclear Family ◽

Extended Family ◽

Limited Availability ◽

Care Giving ◽

Survival And Development ◽

Living With Hiv ◽

Hiv Aids

Objective: The HIV/AIDS epidemy on Children have devastating impacts on the survival and development of the children. Limited availability and access to government services, stigma and discrimination, as well as the absence and declining abilities of parents in meeting the needs of the children living with HIV/AIDS (CLWHA) raises the risk for those children to experience severe neglect. The purpose of this study is to examines the responsibilities of child care and to identify those who carry out the role of parenting for children with HIV/AIDS in Bandung. Methods: This study applies descriptive method, with a qualitative approach. Indept Interviews conducted on social workers in four service providers institutions for people with HIV / AIDS in the city of Bandung. Results: 29 out of 46 (56%) CLWHA that gets assistance from service providers have lost one or both parents. There are 17 couples of PLWHA parents and caregivers could not fully functions as providers for the needs of their children, due to their health conditions that gradually decreased, complexity of their drug regimens, stigma and fear that associated with death, and also have to care for their families. There is only 11 parents who continue to carry out their parenting responsibilities and roles. While 35 of CLWHA, sequentially, cared by grandparents, or aunts/uncles as relatives that most widely taken over the responsibilities and roles of caregiving. They do this with the main reason for the absence and the inability of parents because of health problems, behavioral, and economic capacity of the family. The existence of strong emotional bond amongs the extended family, and the intention to protect family honors also has prevents family from handing over the childcare to outsiders, which then prevents the child from being abandoned. Conclusion: This study showed that limited availability and adequacy of governmental services, stigma and disriminasi, absenteeism and the poor capacity of the parents, does not directly cause severe neglect for CLWHA. Traditional cultural values related to extended family life have strengthened the role of the nuclear family and relatives to maintain their parenting responsibilities on children of their relatives.

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