The ambivalence of stigma and the double-edged sword of HIV/AIDS intervention in Burkina Faso

Gausset, Quentin; Mogensen, Hanne Overgaard; Yaméogo, Wambi Maurice Evariste; Berthé, Abdramane; Konaté, Blahima

doi:10.1016/j.socscimed.2011.11.044

Cited by 34 publications

(27 citation statements)

References 40 publications

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“…The separation may have been a consequence of rejection by the partner, or widowhood may have been one of the causes of stigmatization. Our observations are similar to those reported in a study performed in Burkina Faso [18]. …”

Section: Discussionsupporting

confidence: 93%

“…Self-stigmatization was less important in Mauritania, compared to other countries included in the MATCH study (Malawi, Ouganda and Kenya) and Burkina Faso [18, 22]. In other African countries, self-sigmatization was the most frequent form of stigma experienced by PLWHA.…”

Section: Discussionmentioning

confidence: 84%

“…In our study, stigma and discrimination in interpersonal relationships were the major form experienced by PLWHA. This form of stigma and discrimination seems to be more predominant in Mauritania than in other West African countries, such as Burkina Faso and Senegal, where studies have reported the prevalence of stigma in interpersonal relationships of 18% and 40%, respectively [18, 21]. The reason behind the importance of stigma and discrimination in interpersonal relationships observed in PLWHA in Mauritania may be due to the conception of the pathology itself by the population as a shameful disease since HIV is mainly transmitted by the sexual route in Africa.…”

Section: Discussionmentioning

confidence: 99%

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Forms of Stigma and Discrimination in the Daily Lives of HIV-Positive Individuals in Mauritania

Boushab

Fall-Malick

Basco

2017

TOAIDJ

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Summary:People living with HIV/AIDS (PLWHA) are often discriminated against in their daily lives. The objective of this descriptive and transversal study was to describe the experiences of PLWHA followed at a specialized outpatient center in Nouakchott to assess the forms of stigma from the perspective of those who suffer from discrimination.Methods:All HIV-positive patients over the age of 18 years who were aware of their HIV status and provided consent to participate in the study were included from June 1 to 29, 2015. Data collection was conducted using a pre-tested questionnaire.Results:A total of 210 PLWHA were interviewed. Men accounted for 54% of the sample population with a sex ratio of 1.2. About half of respondents were married (51%) and resided in Nouakchott (55%). Subjects who had never attended school represented 42% of the cases. Among our respondents, 64% knew their HIV status for over a year and admitted that they refused to reveal this information to any person. The distribution of forms of stigma experienced by PLWHA by demographic category was, in descending order, stigma in interpersonal relationships (78%), self-stigma (20%), and stigma in health services (2%). There was a significant association between the form of stigma and marital status (p = 0.007) and between the form of stigma and knowledge of HIV status for a period greater than one year (p = 0.02).Conclusion:The forms of stigma can be sources of discrimination and are a major obstacle to reintegration and support of PLWHA. This creates a vicious circle that, on the one hand, leads to the suffering, marginalization, and isolation of PLWHA, and on the other hand, has deleterious effects on their family and social relationships, self-esteem and self-confidence.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Forms of Stigma and Discrimination in the Daily Lives of HIV-Positive Individuals in Mauritania

Boushab

Fall-Malick

Basco

2017

TOAIDJ

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“…The portrayal of HIV as a grossly disfiguring disease resulted in individuals relating an HIV-positive test to a death sentence [31][32][33]. Research indicates that people continue to have ambiguous feelings about physical contact with HIV-positive people and that HIV stigma is still unintentionally reinforced by campaigns addressing HIV/AIDS [34].…”

Section: Construction Of Hivmentioning

confidence: 99%

The Contextual Environmental Factors Shaping Disclosure of HIV Status across Populations Groups in Sub-Saharan Africa

Madiba¹

2017

HIV/AIDS - Contemporary Challenges

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“…Mais la stigmatisation n’a pas totalement disparu, dans un contexte de réduction significative de la prévalence. De plus, les mesures de lutte contre la stigmatisation semblent ambivalentes et difficiles à évaluer notamment du fait de l’absence de données précises, approfondies et actualisées, concernant son ampleur [15]. Les premières données quantitatives sur la stigmatisation au Burkina Faso sont récentes et mettent en évidence des niveaux élevés de stigmatisation de la part de la population envers les PVVIH et d’autostigmatisation chez celles-ci.…”

Section: Introductionunclassified

La stigmatisation des PVVIH en Afrique : analyse de ses formes et manifestations au Burkina Faso

Ky-Zerbo¹,

Desclaux²,

Jf³

et al. 2014

Santé Publique

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Résumé Introduction l’impact négatif de la stigmatisation sur la prévention du VIH et la prise en charge a été documenté. La stigmatisation a été analysée au plan qualitatif au Burkina Faso, où la prévalence VIH est faible (1 %). Des mesures quantitatives sont encore nécessaires pour identifier les formes et manifestations majeures de la stigmatisation. Méthodologie dans le cadre de l’étude MATCH (Multi-country African Study on Testing and Counselling for HIV), une étude transversale a été conduite auprès de personnes ayant déjà fait le test VIH. Les personnes séropositives ont été interrogées sur les conséquences du résultat VIH+. Leur vécu de la stigmatisation a été évalué à travers 20 indicateurs de manifestations de la stigmatisation, regroupés en trois formes de stigmatisation/discrimination. Résultats au total 219 PVVIH ont été recrutées. L’autostigmatisation est la forme majeure de stigmatisation. Elle est estimée dans cette étude à 46 % comparativement à la stigmatisation dans les relations interpersonnelles évaluée à 40 % et la stigmatisation dans les services de santé qui est de 11 %. L’expérience de la stigmatisation dans les relations interpersonnelles est davantage rapportée par les PVVIH qui ont partagé leur résultat, celles qui ont un faible niveau de scolarisation, les veufs/veuves ou séparés, et les membres d’association. La stigmatisation dans les services de santé est rapportée plus souvent par les membres d’associations. Conclusion les programmes de prise en charge doivent, parallèlement à l’extension des antirétroviraux, intégrer un volet psychologique plus adapté aux besoins. Les activités d’appui psychosocial ciblant davantage l’individu doivent être développées, surtout au sein des associations.

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The ambivalence of stigma and the double-edged sword of HIV/AIDS intervention in Burkina Faso

Cited by 34 publications

References 40 publications

Forms of Stigma and Discrimination in the Daily Lives of HIV-Positive Individuals in Mauritania

Forms of Stigma and Discrimination in the Daily Lives of HIV-Positive Individuals in Mauritania

The Contextual Environmental Factors Shaping Disclosure of HIV Status across Populations Groups in Sub-Saharan Africa

La stigmatisation des PVVIH en Afrique : analyse de ses formes et manifestations au Burkina Faso

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