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Stigma, HIV/AIDS and Prevention of Mother-to-Child Transmission A Pilot Study in Zambia, India, Ukraine and Burkina Faso
http://www.comminit.com/Materials/sld-4845.html
For some time now, HIV/AIDS-related stigma has been a major stumbling block in addressing HIV prevention, treatment, and care worldwide. In mid-2001, the Panos Institute Global AIDS Programme and UNICEF initiated a pilot project to explore the complexities of this stigma in greater depth. The long-term aims of this work were to promote greater understanding among policymakers and non-governmental organisations (NGOs) of the causes, expressions, and impact of such stigma and what action might be taken to reduce it. The specific aims of the pilot project were to:
Assess and provide an initial analysis of the extent of perceived and enacted stigma among health providers, those receiving care, and decision makers.
Consider stigma in general and, more specifically, that surrounding mother-to-child transmission (MTCT).
Inform a wider information programme about such stigma and the steps that can be taken to alleviate it.
This pilot research initiative was conducted in four countries: India, Ukraine, Burkina Faso, and Zambia.
This report provides a country-by-country analysis of the findings of the research in general, and a comparative analysis of the specific forms, contexts, determinants, and implications of stigma in relation to MTCT.
The Table of Contents includes:
Executive Summary
Introduction
Stigma, discrimination and denial - a brief literature overview
Research methodology
The research questions
Research sites
Zambia
India
Ukraine
Burkina Faso
Key Findings
Zambia
Forms
HIV/AIDS as a traditional disease or witchcraft
Contexts of stigma-health care settings
The family
Stigma or fatigue?
The community
The workplace
In school
Politics
Causes and impact
India
Forms
Contexts of stigma-health care settings
The family
The community
The workplace
Government and official responses
Causes and impact
Ukraine
Forms
Contexts of stigma-health care settings
The family
The community
The workplace
Causes and impact
Burkina Faso
Forms
Contexts of stigma-health care settings
The family
The community
Causes and impact
Responses to stigma and recommendations
Mother-to-child transmission of HIV
Introduction
Vertical transmission of HIV
MTCT prevention initiatives
Forms of stigma surrounding MTCT
Contexts of stigma - health care settings
The family
HIV antibody testing: consent, partner notification and disclosure
