Discriminatory practices of health workers towards people living with HIV/AIDS in Sokoto, Nigeria

2012 ◽  
Vol 4 (9) ◽  
Author(s):  
Umar A. S.
Keyword(s):  
Health Workers ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
People Living With Hiv ◽  
Key Population ◽  
Living With Hiv ◽  
Hiv Aids

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.

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
Keyword(s):  
Health Workers ◽  
People Living With Hiv ◽  
Legal Environment ◽  
Environment Assessment ◽  
Hiv Test ◽  
Catchment Areas ◽  
Health Association ◽  
Related Stigma ◽  
Living With Hiv ◽  
Hiv Aids

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.

scholarly journals Psikoedukasi “Bidan Cerdas” untuk Menurunkan Stigma terhadap Orang dengan HIV/AIDS (ODHA)

2019 ◽  
Vol 3 (2) ◽  
pp. 93
Author(s):  
Adhesatya Ningsih Moodoeto ◽  
Esti Hayu Purnamaningsih
Keyword(s):  
Health Workers ◽  
Negative Impact ◽  
People Living With Hiv ◽  
Mixed Design ◽  
Post Test ◽  
Living With Hiv ◽  
Experimental Group ◽  
Hiv Aids

Lack of knowledge about HIV /AIDS makes people including health workers stigmatize people living with HIV (PLWHA). It has a negative impact on PLWHA because of the constraints of quality of service, lowering of health, reluctance of VCT, and non-compliance of ARVs. The aim of this research to reduce the stigma of midwives against PLWHA through psychoeducation program of "Bidan Cerdas". Subject of this research is midwife. This research uses the experiment design of Non Random Untreated Kontrol Group Design with Dependent Pretest and Posttest Samples. Stigma to PLWHA measurement uses stigma scale developed by Genberg, et., al (2009). The research hypothesis was tested with Mixed Design ANOVA. The results of the analysis in the experimental group showed p<0.05 in Pre Test to Post Test, and p<0.05 on Post Test data to Follow Up. It concluded that psychoeducation program of "Bidan Cerdas" can reduce stigma against PLWHA.

scholarly journals SIKAP MASYARAKAT PADA ODHA DI DESA SERANGKAT KABUPATEN BENGKAYANG PROVINSI KALIMANTAN BARAT

2017 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Uti Rusdian ◽  
Agung Waluyo ◽  
Riri Maria
Keyword(s):  
Phenomenological Study ◽  
Health Workers ◽  
Public Attitudes ◽  
Sampling Technique ◽  
People Living With Hiv ◽  
Cultural Perspective ◽  
Purposive Sampling ◽  
The Public ◽  
Living With Hiv ◽  
Hiv Aids

Abstract: Public Attitudes On People Living With Hiv/Aids In The Serangkat Village Of Bengkayang District Development Of West Kalimantan Province. Public attitudes have an impact to all aspects of the lives of people living with HIV/ AIDS (PLWHA), including their health status. This study aims to explore in depth about public attitudes on PLWHA. Phenomenological study with in-depth interviews and researcher field notes to 8 participants are use with purposive sampling technique. The results of thematic analysis found five themes, namely the public attitude of the PLWHA, knowledge and perceptions about HIV / AIDS, the meaning of religion, cultural perspective, and support and community expectations. Basically, the community (in the place of research) has been positive to PLWHA especially those who have existed in their neighborhood because of pity and high social unity. The influence of public leaders,  dogma,  traditions and  sense of community  influence the formation of public attitudes. The necessary support from government and health workers for the active role of the public, especially the provision of information, structuring prevention systems, as well as policies for the poor and neglected.Abstrak: Sikap Masyarakat Pada Odha Di Desa Serangkat Kabupaten Bengkayang Provinsi Kalimantan Barat. Sikap  masyarakat  berdampak  pada  segala  aspek  kehidupan  ODHA  termasuk status kesehatannya. Penelitian ini bertujuan mengeksplorasi secara mendalam tentang sikap masyarakat pada ODHA. Studi fenomenologi dengan wawancara mendalam dan catatan lapangan peneliti terhadap 8 partisipan yang terjaring berdasarkan tekhnik purposive sampling. Hasil tematik analisis ditemukan 5 tema yaitu sikap masyarakat pada ODHA, pengetahuan dan persepsi tentang penyakit HIV/AIDS, makna ajaran agama, pandangan budaya, dan dukungan serta harapan masyarakat. Masih terdapat persepsi yang kurang tepat yang didasari oleh pengetahuan yang belum memadai tentang konsep HIV/AIDS. Namun, pada dasarnya, masyarakat (ditempat penelitian) telah bersikap positif kepada ODHA khususnya yang pernah ada dilingkungan tempat tinggal mereka karena rasa kasihan dan kebersamaan sosial yang tinggi. Pengaruh tokoh masyarakat, ajaran agama, tradisi dan rasa kebersamaan berpengaruh terhadap pembentukan sikap masyarakat. Diperlukan dukungan dari pemerintah dan petugas kesehatan terhadap peran aktif masyarakat khususnya pemberian informasi, penataan sistem penanggulangan, serta kebijakan untuk masyarakat miskin dan terlantar.

scholarly journals NURSING EXPERIENCE IN TREATING PEOPLE WITH HIV/AIDS AT ADVENTIST HOSPITAL BANDUNG

2019 ◽  
Vol 7 (1) ◽  
pp. 466-474
Author(s):  
Alma Tauji A. Rimbing ◽  
Palupi Triwahyuni
Keyword(s):  
Nursing Care ◽  
Health Workers ◽  
People Living With Hiv ◽  
Snowball Sampling ◽  
Good Communication ◽  
Nursing Experience ◽  
Care Services ◽  
Living With Hiv ◽  
Female Nurses ◽  
Hiv Aids

Introduction: Health workers that are the most faced by people living with HIV (PLWHA) is a nurse. According to UNAIDS, 2016 reluctance of health workers to reach out to the population of PLWHA can limit HIV prevention and care services for PLWHA this statement also supported by the researcher experience of feeling reluctance to reach out to PLWHA patients. That is why the researcher is interested to do this research.   Methods: This study uses qualitative methods with the phenomenology approach. There are 6 informants on this research which is female nurses with minimum of working experience in Bandung Adventist Hospital for 2 years or above and working in medical hospital ward. The data are gathered using snowball sampling and in-depth interview. Coallizi’s method are used to analyze the interview results.   Results: From this research can be found that the informant has knowledge of HIV/AIDS disease, being acceptance to care for PLWHA, providing nursing care of thoroughly, and can establish good communication despite facing obstacles such as patients who would not open up.   Discussion: This research can be an input to enhance the sense of empathy in providing nursing care in patients people living with HIV/AIDS.

scholarly journals Stigma of People Living with HIV/AIDS

2020 ◽  
Vol 4 (2) ◽  
pp. 154
Author(s):  
I Gede Juanamasta ◽  
Nursalam Nursalam ◽  
Ferry Efendi ◽  
Rio Ady Erwansyah
Keyword(s):  
Health Workers ◽  
Great Influence ◽  
People Living With Hiv ◽  
Complex Problems ◽  
Health Need ◽  
Living With Hiv ◽  
Hiv Aids

People living with HIV have many complex problems in their lives. Internal problems concern bio-psycho-socio-spiritual, while external problems concern the views and attitudes of others towards themselves. Negative views from other people formed long ago will give a bad stigma to people with HIV. The stigma of society has a great influence, not only affecting citizens but also health workers. This study aims to review the results of research related to stigma inherent in the community, especially nurses to people with HIV. The researcher sought the results of other studies through several databases including ProQuest, Scopus, Science Direct, PubMed, Medline, Springer link and Elsevier. Keywords to search literature include "stigma", "nurse" and "people with HIV". The results obtained were as many as 14 journals. Many studies have been carried out for prevention, treatment, and support for people with HIV / AIDS. But along with advances in the field of health need to continue to do problems related to people with HIV / AIDS.

scholarly journals Stigma dan diskriminasi serta strategi koping pada orang dengan HIV dan AIDS (ODHA) di kota Medan, Sumatera Utara

2020 ◽  
Vol 13 (4) ◽  
pp. 396-401
Author(s):  
Eva Kartika Hasibuan ◽  
Novita Aryani ◽  
Galvani Volta Simanjuntak
Keyword(s):  
Health Workers ◽  
Psychological Impact ◽  
Sampling Technique ◽  
Phenomenological Approach ◽  
People Living With Hiv ◽  
Health Provider ◽  
Purposive Sampling ◽  
Stigma And Discrimination ◽  
Living With Hiv ◽  
Hiv Aids

People living with HIV/AIDS (PLWHA), battling stigma, discrimination and coping strategies  in  Medan, IndonesiaBackground: People living with HIV/AIDS have a multiple problem, PLWHA has a decreased physical abilities effect immunodeficiency, but also having a psychological and social problems also increase their burden. The health provider should be a place for PLWHA to get the right information about HIV/AIDS, but they follow to stigmatize and discriminate against them.Purpose: To describe coping PLWHA face up to stigma and discrimination in health provider.Methods: A qualitative with a descriptive phenomenological approach with population of this research was people living with HIV/AIDS (PLWHA) in Medan, Indonesia. The number of samples was of 10 respondent  by purposive sampling technique. The criteria of the sample were PLWHA get treatment for ≥ 6 months and able to communication in Indonesia is well. Data collected with in-depth interviews and analysis by  Nvivo version 12.0 trial.Result: Finding that four themes, the first; get stigmatize and discriminate from health workers, second; have a psychological impact, third; continue treatment to the health provider and fourth; Hoping in health services well.Conclusion: People living with HIV/AIDS (PLWHA) in Medan Indonesia still having a positive coping to face stigma and discrimination in health provider and they keep continue to get treatment in health provider.. Keyword: People Living With HIV/AIDS (PLWHA); Battling; Stigma; Discrimination; Coping StrategiesPendahuluan: Pelayanan kesehatan yang seharusnya menjadi tempat orang dengan HIV/AIDS mendapatkan pengobatan dan informasi yang benar mengenai penyakitnya, justru ikut menstigma dan mendiskriminasikan mereka.Tujuan: Untuk menggambarkan stigma, koping dan harapan ODHA di pelayanan kesehatan.Metode: Penelitian kualitatif dengan pendekatan fenomenologi deskriptif dengan populasinya  orang dengan HIV/AIDS (ODHA) di Kota Medan. Jumlah partisipan sebanyak 10 orang yang diambil dengan teknik purposive sampling. Pengumpulan data dengan wawancara mendalam dan data dianalisis dengan menggunakan software N.Vivo versi 12 trial.Hasil: Di dapatkan  empat  tema yaitu 1) Pernah mendapatkan stigma dan diskriminasi dari petugas kesehatan, 2) Pernah mengalalami dampak secara psikologis, 3) Tetap melanjutkan pengobatan ke pelayanan kesehatan, 4) Harapan pada layanan kesehatan.Simpulan: Orang dengan HIV/AIDS ODHA di kota Medan masih memiliki koping yang positif  dalam menghadapi stigma dan diskriminasi sehingga ODHA tetap melanjutkan pengobatan di pelayanan kesehatan. 

scholarly journals The Intervention Programs To Reduce Stigma And Discrimination In People Living With HIV/ AIDS (PLWHA)

2020 ◽  
Vol 14 (2) ◽  
pp. 112
Author(s):  
Wahyu Wirawan Triyono ◽  
Fitra Arsy Nur Cory'ah
Keyword(s):  
General Public ◽  
Health Workers ◽  
Phenomenological Approach ◽  
People Living With Hiv ◽  
Design Data ◽  
Stigma And Discrimination ◽  
Related Stigma ◽  
Search Data ◽  
Living With Hiv ◽  
Hiv Aids

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.

scholarly journals Experiences of people with HIV/AIDS (PLWHA) at the critical condition due to AIDS

2017 ◽  
Vol 5 (4) ◽  
pp. 1357
Author(s):  
I Made Sukarja ◽  
Endang Sutedja ◽  
. Nursiswati ◽  
I Wayan Sukawana ◽  
I Made Sundayana
Keyword(s):  
Critical Condition ◽  
Opportunistic Infections ◽  
Health Workers ◽  
Pneumocystis Carinii ◽  
Critical Conditions ◽  
People Living With Hiv ◽  
Psychological Burden ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

Background: PLWHA who suffered critical condition and being treated in intensive care the majority (84%) due to Pneumocystis carinii pneumonia, 47% experienced respiratory failure, sepsis, 12% and 11% neurologic disease. The death rate PLHIV patients treated in intensive reaches 83%. Of all patients passing through a critical phase, 27% survived for 1 year, 18% survive the second year, 13% survived 3 years and 11% last more than four years. They have the experience that need to be explored in a comprehensive manner to provide support to people living with HIV else.Methods: This research was conducted through qualitative research with phenomenological approach that focuses on the depth of the process through in-depth interviews on 10 participants. Participants in this study were HIV-positive people who visit the Polyclinic Teratai Hasan Sadikin Hospital in Bandung. Recruitment of participants was done by purposive sampling with criteria for inclusion namely 1) PLHIV been treated in hospital with critical conditions, 2) Ability to communicate with tray, 3) People who say they remember past experiences related to the care in critical condition.Results: The data were analysed to identify themes about the experiences of people living with HIV during critical condition. The results found six themes namely: 1) experiencing emotional response, 2) striving to overcome the feelings and the impact of illness, 3) closer to God, 4) undergoing their destiny as People Living with HIV/AIDS (PLWHA), 5) received support and prayers of people around, and 6) has a hope of a cure.Conclusions: PLWHA treated in a critical condition experience threat of death from opportunistic infections and had the psychological burden of disease due to the stigma of HIV/AIDS. This makes them slumped physically and psychologically, thus they felt helpless. The recommendation from the results of this research is that communities, families and health workers should provide a support system to people living with HIV in order to increase life expectancy due to a collapsed condition and hopelessness.

scholarly journals Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charles Batte ◽  
John Mukisa ◽  
Natalie Rykiel ◽  
David Mukunya ◽  
William Checkley ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
People Living With Hiv ◽  
Specific Information ◽  
Patient Centered ◽  
Middle Income ◽  
Education Delivery ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background The prevalence of hypertension is increasing among people living with HIV/AIDS (PLWHA) in low- and middle-income countries (LMICs). However, knowledge of the complications and management of hypertension among PLWHA in Uganda remains low. We explored the acceptability of implementing hypertension (HTN) specific health education by community health workers (CHWs) among PLWHA in rural Uganda. Methods We conducted a qualitative study consisting of 22 in-depth interviews (14 PLWHA/HTN and 8 CHWs), 3 focus group discussions (FGDs), 2 with PLWHA/HTN and 1 with CHWs from Nakaseke district, Uganda. Participants were interviewed after a single session interaction with the CHW. Data were transcribed from luganda (local language) into English and analyzed using thematic analysis. We used Sekhon’s model of acceptability of health Interventions to explore participants’ perceptions. Results Participants believed CHWs utilized easy-to-understand, colloquial, non-technical language during education delivery, had a pre-existing rapport with the CHWs that aided faster communication, and had more time to explain illness than medical doctors had. Participants found the educational material (PocketDoktor™) to be simple and easy to understand, and perceived that the education would lead to improved health outcomes. Participants stated their health was a priority and sought further disease-specific information. We also found that CHWs were highly motivated to carry out the patient-centered education. While delivering the education, CHWs experienced difficulties in keeping up with the technical details regarding hypertension in the PocketDoktor™, financial stress and patient questions beyond their self-perceived skill level and experience. PLWHA/HTN had challenges accessing the health facility where the intervention was delivered and preferred a household setting. Conclusions Hypertension patient-centered education delivered by CHWs using the PocketDoktor™ was acceptable to PLWHA and hypertension in Nakaseke area in rural, Uganda. There is need for further studies to determine the cost implications of delivering this intervention among PLWHA across LMIC settings.

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