HIV-related stigma is a life-altering phenomenon. The consequence of the stigmatization process sets apart stigmatized person(s) as a distinct category, leading to various forms of disapproval, rejection, exclusion, labeling, stereotyping, and discrimination. Stigma of HIV-positive people in Botswana is a complex social phenomenon associated with the disease itself and the behaviors that lead to infection. This is a synthesis paper based on the literature review on HIV- and AIDS-related stigmatization of HIV-positive people in Botswana and in-depth interviews with people living with HIV and AIDS (PLWHAs). I examine the literature on HIV- and AIDS-related stigmatization and subsequent discrimination and the implications for intervention programs for people living with HIV and AIDS. The findings from the literature and in-depth interviews show that HIV-AIDS-related stigma is deeply embedded in societal structures and culture which promote nonacceptance of those branded HIV positive. This often is reinforced at a practical level by pervasive negative attitudes toward PLWHAs. Recommendations argue for the adoption of Healthy Relationship. This intervention seeks to promote and strengthen decision-making skills among PLWHAs and programs that promote destigmatization of, and tolerant attitudes toward, PLWHAs.
This article examines views of Batswana faith healers on medication and Christian medical mission in a context where official health policy generally does not recognize alternative health systems. It is based on fieldwork among Batswana designed to establish the impact of religion on those who seek healing and on health providers. Overall, the study established that faith healers do not discourage their clients from taking modern medication. They strongly believe, however, that faith healing contributes significantly to healing and health and needs to be recognized in the country’s health policy; they support and encourage collaboration between themselves and modern medical practitioners.
Most of the adolescents living with HIV and AIDS were born prior to the introduction of the Antiretroviral Therapy in Botswana. This cohort had just reached adolescence and it was imperative to understand their sexuality and 26 ALWHA aged 15 to 19 years, their parents/guardians and health care providers participated in the study. An elicitation survey was conducted among this group followed by Focus Group Discussions. In-depth interviews were conducted among 8 and 25 parents/guardians and health care providers respectively. Thematic content analysis was adopted to analyze the data. The following themes were derived: difficulty to disclose one’s HIV-infected status, parents/guardians failure to discuss sexuality issues with adolescents, mode of HIV transmission, sexual activity and inactivity, sex education, sexual violations, conscripted intimacy, and the right to sexual relations. The same issues were expressed by parents/guardians and health care providers. Sexuality education needs to be incorporated and strengthened at both nursing curricula and at policy level. Programes that reinforce parent- child communication should be instituted and strengthened at community, institutional and national levels.
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