Reducing AIDS-related stigma and discrimination in Indian hospitals

Mahendra, Vaishali Sharma; Gilborn, Laelia; George, Bitra; Samson, Luke; Mudoi, Rupa; Jadav, Sarita; Gupta, Indrani; Bharat, Shalini; Daly, Celine Costello

doi:10.31899/hiv2.1027

Cited by 49 publications

(70 citation statements)

References 8 publications

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“…Studies show that HIV-related stigma in this context is pernicious, and that its physical and mental health consequences to patients can be damaging [3-7]. Reducing HIV-related stigma in health settings should be a leading priority for health care managers.…”

Section: Reviewmentioning

confidence: 99%

Combating HIV stigma in health care settings: what works?

Nyblade

Stangl

Weiss

et al. 2009

Journal of the International AIDS Society

436

391

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The purpose of this review paper is to provide information and guidance to those in the health care setting about why it is important to combat HIV-related stigma and how to successfully address its causes and consequences within health facilities. Research shows that stigma and discrimination in the health care setting and elsewhere contributes to keeping people, including health workers, from accessing HIV prevention, care and treatment services and adopting key preventive behaviours.Studies from different parts of the world reveal that there are three main immediately actionable causes of HIV-related stigma in health facilities: lack of awareness among health workers of what stigma looks like and why it is damaging; fear of casual contact stemming from incomplete knowledge about HIV transmission; and the association of HIV with improper or immoral behaviour.To combat stigma in health facilities, interventions must focus on the individual, environmental and policy levels. The paper argues that reducing stigma by working at all three levels is feasible and will likely result in long-lasting benefits for both health workers and HIV-positive patients. The existence of tested stigma-reduction tools and approaches has moved the field forward. What is needed now is the political will and resources to support and scale up stigma-reduction activities throughout health care settings globally.

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Section: Reviewmentioning

confidence: 99%

Combating HIV stigma in health care settings: what works?

Nyblade

Stangl

Weiss

et al. 2009

Journal of the International AIDS Society

436

391

View full text Add to dashboard Cite

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“…These efforts have pointed towards the need for developing interventions that place emphasis on the individuals, facility environments and policies [16, 21]. …”

Section: Introductionmentioning

confidence: 99%

Testing the efficacy of an HIV stigma reduction intervention with medical students in Puerto Rico: the SPACES project

Production¹

2013

Journal of the International AIDS Society

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IntroductionStigma associated with HIV has been documented as a barrier for accessing quality health-related services. When the stigma manifests in the healthcare setting, people living with HIV receive substandard services or even be denied care altogether. Although the consequences of HIV stigma have been documented extensively, efforts to reduce these negative attitudes have been scarce. Interventions to reduce HIV stigma should be implemented as part of the formal training of future healthcare professionals. The interventions that have been tested with healthcare professionals and published have several limitations that must be surpassed (i.e., lack of comparison groups in research designs and longitudinal follow-up data). Furthermore, Latino healthcare professionals have been absent from these intervention efforts even though the epidemic has affected this population disproportionately.MethodsIn this article, we describe an intervention developed to reduce HIV stigma among medical students in Puerto Rico. A total of 507 medical students were randomly introduced into our intervention and control conditions.ResultsThe results show statistically significant differences between the intervention and control groups; intervention group participants had lower HIV stigma levels than control participants after the intervention. In addition, differences in HIV stigma levels between the groups were sustained for a 12-month period.ConclusionsThe results of our study demonstrate the efficacy of the modes of intervention developed by us and serve as a new training tool for future healthcare professionals with regard to stigma reduction.

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“…9 Studies on stigmatized and discriminatory attitudes toward PLHIV among health care providers (HCPs) have been conducted in some countries. 3,[10][11][12][13][14][15] Some studies found that the levels of stigmatized and discriminatory attitudes were high among HCPs, including HIV testing without informed consent, verbal abuse/gossip, designating patients as HIV positive on charts or in wards, verbally harassing, isolating HIV-positive patients, denial of treatment and using gloves during all interactions. 2,11,14,15 Studies from different countries found that various factors affect stigmatized and discriminatory attitudes toward PLHIV among HCPs.…”

mentioning

confidence: 99%

“…3,[10][11][12][13][14][15] Some studies found that the levels of stigmatized and discriminatory attitudes were high among HCPs, including HIV testing without informed consent, verbal abuse/gossip, designating patients as HIV positive on charts or in wards, verbally harassing, isolating HIV-positive patients, denial of treatment and using gloves during all interactions. 2,11,14,15 Studies from different countries found that various factors affect stigmatized and discriminatory attitudes toward PLHIV among HCPs. Studies in Bangladesh demonstrated that the factors associated with high level of stigmatized and discriminatory attitudes among the HCPs were irrational fears of HIV transmission, working in teaching hospital rather than in nonteaching hospital and diagnostic centers, low level of education, and being male.…”

mentioning

confidence: 99%

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HIV-related stigmatized attitudes among health care providers in Aceh, Indonesia: The findings from a very low HIV case-load region

Harapan

Khalilullah

Anwar

et al. 2015

Polish Annals of Medicine

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Available online xxxKeywords: Stigmatized attitude Health care worker Health care setting Stigma PLHIV a b s t r a c t Introduction: Study of HIV-related stigmatized and discriminatory attitudes is predominantly conducted in the regions with high HIV prevalence; therefore, understanding about stigmatized and discriminatory attitudes dynamic in the region with a very low HIV prevalence is needed. Aim: To identify the levels of stigmatized attitudes toward people living with HIV (PLHIV)and their predictors among health care providers (HCPs) in Aceh, the lowest HIV prevalence province in Indonesia.Material and methods: A cross-sectional study was conducted in seven regencies in Aceh.Structured questionnaires were used to collect data from 589 HCPs (doctors, nurses, midwifes and supporting staffs). Univariate analyses including one-way analysis of variance, ttest and correlation test were performed according to data type. Multiple linear regression was conducted to identify the predictors of stigmatized attitudes. Results and discussion:The level of HIV-stigmatized attitudes among HCPs in Aceh was high.Univariate analysis revealed that location, experience of direct contact with PLHIV, knowledge on HIV transmission and prevention, value-driven stigma and overestimated risk to HIV transmission were associated significantly with stigmatized attitudes levels (P < 0.05).

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Reducing AIDS-related stigma and discrimination in Indian hospitals

Cited by 49 publications

References 8 publications

Combating HIV stigma in health care settings: what works?

Combating HIV stigma in health care settings: what works?

Testing the efficacy of an HIV stigma reduction intervention with medical students in Puerto Rico: the SPACES project

HIV-related stigmatized attitudes among health care providers in Aceh, Indonesia: The findings from a very low HIV case-load region

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