Internalized stigma among people living with HIV/AIDS (PLHA) is prevalent in Bangladesh. A better understanding of the effects of stigma on PLHA is required to reduce this and to minimize its harmful effects. This study employed a quantitative approach by conducting a survey with an aim to know the prevalence of internalized stigma and to identify the factors associated with internalized stigma among a sample of 238 PLHA (male=152 and female=86) in Bangladesh. The findings suggest that there is a significant difference between groups with the low and the high-internalized HIV/AIDS stigma in terms of both age and gender. The prevalence of internalized stigma varied according to the poverty status of PLHA. An exploratory factor analysis (EFA) found 10 of 15 items loaded highly on the three factors labelled self-acceptance, self-exclusion, and social withdrawal. About 68% of the PLHA felt ashamed, and 54% felt guilty because of their HIV status. More than half (87.5% male and 19.8% female) of the PLHA blamed themselves for their HIV status while many of them (38.2% male and 8.1% female) felt that they should be punished. The male PLHA more frequently chose to withdraw themselves from family and social gatherings compared to the female PLHA. They also experienced a higher level of internalized stigma compared to the female PLHA. The results suggest that the prevalence of internalized stigma is high in Bangladesh, and much needs to be done by different organizations working for and with the PLHA to reduce internalized stigma among this vulnerable group.

This article was published in the Reproductive Health Matters [ © 2011 Reproductive Health Matters. ] and the definite version is available at : http://dx.doi.org/10.1016/S0968-8080(11)37551-9 The Journal's website is at: http://www.rhm-elsevier.com/article/S0968-8080(11)37551-9/abstractIn Bangladesh, the formal public health system provides few services for common sexual and reproductive health problems such as white discharge, fistula, prolapse, menstrual problems, reproductive and urinary tract infections, and sexual problems. Recent research has found that poor women and men resort to informal providers for these problems instead. This paper draws on interviews with 303 providers and 312 women from two rural and one urban area of Bangladesh from July 2008 to January 2009. Both informal and formal markets played an important role in treating these problems, including for the poor, but the treatments were often unlikely to resolve the problems. Providers ranged from village doctors without formal training to qualified private practitioners. The health system is heavily marketised and boundaries between "public" and "private" are blurred. There exists a huge, neglected domain of sexual and reproductive health needs which are a source of silent suffering and for which there are no trained health staff providing treatment in government facilities. The complexity of this situation calls for engaged debate in Bangladesh on how to improve the quality of existing services, discourage or prevent obviously harmful practices, and develop financing mechanisms to enable women to access effective treatment, regardless of the source, for these neglected problems.Publishe

Abstract:Background: Poor occupational health and safety damages many lives and livelihoods which impedes economic growth. Poor and unsafe work conditions are both a cause and consequence of extreme poverty. Both reinforce each other negatively. The significance of occupational health and safety is particularly strong in countries like Bangladesh where it is not addressed or explored much. Methods: This study focuses on urban and peri-urban Bangladesh drawing from: 15 Life History (LH) interviews with people who became disabled during work, 10 in-depth interviews with vulnerable workers in high risk environments; and key informant interviews (KII) with five senior management officials in high risk workplaces. Result: Other studies have also been consulted on occupation safety in rural and urban Bangladesh. Findings confirm that extreme poor people are not only disproportionately drawn into high risk and unhealthy jobs but also the accidents and health problems that arise from these jobs exacerbate poverty. Employers were found to be reluctant to take responsibility for workers and any support offered to injured workers was mainly done out of charity. Sub-contracting was found to be potentially harmful practice of the business/industry owners which makes workers more vulnerable. Conclusion: The paper concludes that occupational health and safety in Bangladesh should be a higher priority in discussions of extreme poverty, its consequences and its solutions.

Why do the poor stay poor? And, crucially, why are their children likely to be poor and end up poor later in life? This is a familiar question in the fields of development, social policy and economics alike. Bangladesh has seen notable successes in reducing poverty, and yet, addressing the transfer of deprivations and disadvantages within and between generations still poses a major challenge for policy-makers. To date, literature on inter-generational poverty remains dominated by large quantitative panel data. By contrast, this study draws on a unique qualitative dataset of 72 extreme poor households across Bangladesh, examining how inter- and intra-generational bargains generate extreme poverty. It is argued that, while poverty is transferred inter-generationally, it is not transferred equally. Rather, transferred disadvantages are shaped by persistent forms of deprivation, discrimination and a household-level political economy that is highly gendered. The inter-generational transfer of poverty should be seen as a dynamic and negotiated process that is crucially shaped by intra-generational bargains.

Motivation: Many mainstream welfare theories developed by social scientists and applied by economists and policy-makers underestimate families' roles in providing welfare to citizens. This is surprising given that the family constitutes one of the main welfare pillars across typologies of the welfare state.Purpose: This article seeks to explore the role of the family as a welfare pillar with an ageing perspective. We aimed to test whether the family serves as a space for negotiations to improve wellbeing and achieve security in the absence of effective formal mechanisms Methods and approach: Applying the framework of "informal security regimes," this article draws on 37 life-history interviews collected from older persons living in extreme poverty in Bangladesh. Recurring themes are identified and analysed to explore the relationship between family and wellbeing/security. Findings: We find that family relationships are often central in the pursuit of security. This shows how welfare delivery in low and middle-income countries (LMICs), in this case Bangladesh, is deeply rooted in reciprocal family systems where all members actively fulfil moral and material expectations.Pursuing this collective goal can take different forms relative to each member's physical and mental capacity, position, gender, and age. Building on the empirical evidence,