scholarly journals Towards an AIDS free generation: Is stigma still an issue in Zambia? Results from a legal environment assessment of the HIV/AIDS/TB program of the Churches Health Association of Zambia

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Godfrey Biemba ◽  
Dhally M. Menda ◽  
Yoram Siame ◽  
Karen Sichali Sichinga ◽  
William Macleod

This paper reports on HIV related stigma based on results from an HIV legal environment assessment (LEA) within the Churches Health Association of Zambia HIV/AIDS program. We conducted 9 Focus Group Discussions and 20 Key Informant Interviews with key HIV/AIDS stakeholders that included representatives from network of Zambian people living with HIV. We administered a Survey Questionnaire to 337 people living with HIV (PLHIV) and 233 health workers. Quantitative data were analyzed using SAS v9.4; qualitative data was analyzed using QRS NVIVO version 11.0 Pro. Internalized stigma ranged between 20.8% and 31.8% of PLHIV; more among females than males. About one third (31%, n=104)) of the 337 participants reported that they were aware of being gossiped once, a few times, or often; more among females than males. 62.3%, 63.1%, and 55.1% of the 233 health workers said it was somewhat true or certainly true that in their catchment areas, PLHIV struggle to have an HIV test because of stigma, were hesitant to start ART due to stigma; told them that they had challenges taking their ARVs because of stigma respectively.

2020 ◽  
Vol 14 (2) ◽  
pp. 112
Author(s):  
Wahyu Wirawan Triyono ◽  
Fitra Arsy Nur Cory'ah

The case of HIV / AIDS is still a global problem and a serious concern from all parties, especially in Central Lombok. HIV/AIDS-related stigma and discriminatory attitudes deter the effectiveness of HIV/AIDS  prevention and care programs. The Intervention efforts that have been  by Central Lombok  for the mobile VCT program through Communication, Information and Education on PLWHA (People Living with HIV/AIDS), Static VCT Programs and Internal In House Training Programs in Praya Hospital and others.This research examines the stigma and discrimination associated with interventions made by the Central Lombok. This type of research is qualitative with a phenomenological approach design, data collection through in-depth interviews and document search. Data analysis with data reduction, data presentation, conclusion drawing and verification. The results revealed that their  PLWHA had experienced stigma and discrimination, health workers and the general public had positive and negative views related to still, they discriminated who were in the community. The conclusion in this research is that stigma and discrimination against PLWHA are still prevalent in the community and intervention efforts made in providing advocacy to health workers, the general public has been endeavored to reduce these problems.


2019 ◽  
Vol 24 (9) ◽  
pp. 1100-1110 ◽  
Author(s):  
Wei Wang ◽  
Ningxi Yang ◽  
Xiaoyan Li ◽  
Han Xiao ◽  
Mengting Gao ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.


Author(s):  
Kresna Abdi Parela

Communication Strategy Voluntary Counseling Test ( VCT ) Living with HIV / AIDS (PLWHA ) General Hospital Dr . Saiful Anwar ( RSSA ) HIV / AIDS is still one of the dreaded disease by a large part of society , because they still consider HIV / AIDS as a deadly disease , there is no cure and the disease is a curse . This is caused due to an incorrect myths about HIV / AIDS . Due to the myth, making people living with HIV / AIDS ( PLWHA ) are stigmatized and discrimination . Stigma and discrimination are two things that are often experienced by people living with HIV . Because of the stigma and discrimination that people living with HIV be afraid , afraid to open up for fear of being shut excluded so that people living with HIV and people living with HIV closure that makes HIV / AIDS is difficult to detect its spread . To overcome these problems , one of which is through Voluntary Counseling Test ( VCT ) . VCT counseling is an activity that provides psychological support , information and knowledge of HIV / AIDS , prevent the transmission of HIV, promote responsible behavior change, treatment and ensure solving various problems associated with HIV / VCT AIDS.Ada in two stages, namely the stage of Pre- Test and Post- Tests . In the Pre- test counseling is done stage by providing information about HIV / AIDS , prevention , transmission and window period . Pre- test counseling provides knowledge about the benefits of HIV testing , testing for decision making , and planning for issues facing HIV . After HIV Testing and Counseling Pre PLWHA PLWHA undergo the HIV test will undergo stages of post counseling where PLHIV will be conditioned to accept the results of the HIV test , get information about what to do if the results of his HIV test is positive or negative , and most importantly so that people living with HIV do not become stress , depression and despair. VCT is run by counselors who are trained and experienced in this study bidangnya.Pada researchers conducted a study using qualitative methods to the three counselors that have been set using purposive sampling method and data captured through interviews and counseling in VCT observasi.Ketika Pre Test and post- test , the counselor needs a communications strategy that will be used to affect people living with HIV in order to receive the message delivered by the counselor and the main thing is to change the behavior of people living with HIV. Based on the results of research conducted by the researchers of the communication strategy VCT Pre Test and Post- Test in Dr. Saiful Anwar Hospital Malang against people living with HIV , it was found that the result is a persuasive communication strategies used by counselors when doing koneling to PLWHA HIV Testing Pre and Communication , Information andEducation (CIE ) is a communication strategy that is used by counselors when counseling Post- test counseling is done by the counselor was tailored to what the existing problems in people living with HIV with the ultimate goal , namely a change in the behavior of people living with HIV.


Author(s):  
Thomas Obinchemti Egbe ◽  
Cynthia Adanze Nge ◽  
Hermann Ngouekam ◽  
Etienne Asonganyi ◽  
Dickson Shey Nsagha

We determined the level, type of stigma, and risk factors associated with stigmatization of people living with HIV/AIDS (PLWHA) by conducting a cross-sectional study from April to June 2018 in 3 HIV treatment centers in the Kumba Health District (KHD), Cameroon. We reviewed hospital registers, conducted focus group discussions, and administered structured questionnaires. For data analysis, we used the Statistical Package for Social Sciences version 20.0. We recorded a total stigma index score of 59.1. Internal stigma (odds ratio [OR] 2.91; 95% confidence interval [CI]: 1.74-4.98) was common in PLWHA. Also, younger age <30 years (adjusted OR [AOR]: 0.39; 95% CI: 0.17-0.94) was linked with stigma reduction while low level of education (AOR: 1.74; 95% CI: 1.02-2.97) increased the stigma level. HIV-related stigma is pervasive in the lives of PLWHA, with most of them having internal stigmatization. Appropriate health education on HIV will be crucial in reducing stigmatization in the KHD.


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