These alarming findings should prompt policy makers and program implementers to shift the focus of programs from raising general awareness to educating women about how HIV/AIDS is transmitted. Furthermore, rigorous efforts should be made to provide the most disadvantaged groups, including women of younger ages, with lower education, and from poor households with accurate information and adequate access to limited resources.
SUMMARYThis study evaluates the effects of family planning message broadcast on radio and TV on the probability of modern contraception utilization in post-Soviet Central Asia. Viewing family planning messages on TV improves the chances of using modern contraception for a woman who actually saw the messages by about 11 and 8 per cent in Kyrgyzstan and Tajikistan, respectively. If every woman in Kyrgyzstan and Tajikistan had an opportunity to watch a family planning message on TV, then the likelihood of using modern contraception would have improved by 10 and 7 per cent in Kyrgyzstan and Tajikistan, respectively. By contrast, the effect of hearing family planning messages on radio is not significant in both countries.
Introduction: Despite having one of lowest rates of newly diagnosed HIV infections among former Soviet countries, Tajikistan has a substantial level of discriminatory attitudes towards people living with HIV/AIDS (PLWHA). While initial attempts were made to explore discriminatory attitudes of a wide range of professionals, women’s general attitudes towards PLWHA received less scholarly attention. Employing a nationally representative sample from the 2000 and 2005 Multiple Indicator Cluster Surveys (MICS), sociodemographic determinants of HIV-related discriminatory attitudes of women aged 15-49 in Tajikistan were identified and examined over time.Methods: A representative sample included 5,453 women of reproductive age from the capital city and four regions of Tajikistan. Two dichotomized scenarios representing the agreement to let an HIV-infected teacher continue teaching in school and the willingness to buy food from an HIV-infected cashier were constructed. Univariate and multivariable analyses of HIV-related discriminatory attitudes were obtained using Stata 14.Results: Insignificant but positive changes were observed in the women’s attitudes between 2000 and 2005. Logistic regression models showed that negative attitudes were associated with the lack of knowledge of HIV/AIDS prevention methods, endorsement of HIV/AIDS transmission misconceptions, and never having been tested for HIV (p≤0.001). Women living in the rural areas, married, with lower education, and from low income households were less tolerant towards PLWHA.Conclusions: The data from Tajikistan underscore the persistence of HIV-related discriminatory attitudes among low socioeconomic status women. The study findings can be potentially used to target the disadvantaged groups and guide the design and implementation of programs that promote voluntary HIV-testing, raise awareness about HIV/AIDS prevention methods, and help dispel transmission misconceptions.
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