Issues and Challenges of HIV/AIDS Prevention and Treatment Programme in Nepal

Wasti, Sharada Prasad; Simkhada, Padam; Randall, Julian; Teijlingen, Edwin van

doi:10.5539/gjhs.v1n2p62

Cited by 16 publications

(36 citation statements)

References 13 publications

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“…14,17 Participants noted too, the difficult geographical topography which creates problems in providing adequate prevention and care facilities in rural areas. 14 Service providers suggested the provision of government funding to expand services to rural areas and the provision of mobile services to visit remote areas.…”

Section: Accessmentioning

confidence: 99%

Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal

Mahato

Burgess

2014

SE Asia J. Pub. Health

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HIV/AIDS has emerged as a serious epidemic in Nepal, concentrated amongst the most-at-risk populations. Voluntary Counseling and Testing (VCT) is a proven strategy for the prevention and management of HIV/AIDS especially in developing countries. Given that the utilization of VCT is low in Nepal, it is important to understand the barriers and challenges that Nepal is facing in the provision and utilization of these services. This study aimed to provide recommendations for policy makers to improve the utilization of VCT services in Nepal. A qualitative study of VCT health service providers and government officials was undertaken in 4 cities of Nepal. Sixteen interviews, three joint interviews and one focus group discussion were conducted, audio recorded and transcribed verbatim. Data were then analyzed using a thematic analysis framework and major themes were identified. Various barriers including sociocultural issues, geography, the presence of stigma and discrimination faced by people with HIV/AIDS and a lack of knowledge and awareness were identified as important factors limiting the utilization of VCT services. Current government efforts to improve VCT service provision, although promising, require ongoing development. Systemic barriers included the sustainability of the temporary NGO VCT services, lack of staff and training, inadequate monitoring and evaluation and limited access to services for people living in rural areas. To increase the sustainability and utilization of VCT services, the Government can intervene in a number of areas including the integration of VCT services with existing primary health care services and addressing ongoing education and quality assurance.

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Section: Accessmentioning

confidence: 99%

Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal

Mahato

Burgess

2014

SE Asia J. Pub. Health

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“…However, although awareness building can increase knowledge, there is no guarantee that it will reduce stigma (because lack of education is not the principal trigger). And as I have pointed out elsewhere (Beine, 2002;Beine, 2003), and other authors have confirmed (Nepal & Ross, 2010;Wasti, 2009), the resident elements of our "awareness building" messages can, if we are not careful, actually reinforce and strengthen stigma (by instantiating existing cultural schemata) rather than reducing it. My point here is that knowledge (i.e.…”

Section: Aids-related Stigmamentioning

confidence: 76%

“…Many scholars working in the area of HIV and AIDS in Nepal have identified stigma as a serious problem needing more understanding and attention (Beine, 2001;Beine, 2003;Jha & Madison, 2009;Mahat & Eller, 2009;Nepal & Ross, 2010;Silverman et al, 2007;Sing et al, 2005: USAID, 2004Wasti et al, 2009). In a paradoxical twist, several authors now even suggest that stigma related to HIV and AIDS has actually been amplified by the very prevention models that were implemented to reduce it (Beine, 2001;Beine, 2003;Nepal & Ross, 2010;Wasti, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…"open discussion," condom as the answer to all, etc.) in the Nepali cultural context and are beginning to advocate for approaches that take culture seriously (and use it) in the equation (Beine, 2003;Wasti, 2009;Pokhrel, 2008). In the late 1990s I set out to define a cultural model of HIV and AIDS in Nepal.…”

Section: Using Culture To Reduce Stigmamentioning

confidence: 99%

“…In a paradoxical twist, several authors now even suggest that stigma related to HIV and AIDS has actually been amplified by the very prevention models that were implemented to reduce it (Beine, 2001;Beine, 2003;Nepal & Ross, 2010;Wasti, 2009). As a result of this paradox, many are now recognizing the need to take culture seriously and are advocating for the use of culturally informed prevention models (USAID, 2004;Wasti, 2009;Poudel et. al., 2005).…”

Section: Introductionmentioning

confidence: 99%

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Causes of HIV and AIDS Stigmatization in Nepal: a Proposed Model to Reduce Stigma

Beine¹

2011

GJHS

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Stigma related to HIV and AIDS in Nepal is an issue that requires better understanding. Some prevention efforts, because of lack of cultural understanding, have paradoxically amplified the problem they were intended to reduce. In this paper I set out to identify the causes of stigma related to HIV and AIDS in Nepal and propose a prevention model that makes use of culture to reduce this more effectively.

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Social Determinants of Poor Knowledge on HIV Among Nepalese Males: Findings from National Survey 2011

Khanal¹,

Adhikari²,

Karkee

2013

J Community Health

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Since the first case detection in Nepal in 1988, the number of cases of Human Immunodeficiency Virus (HIV) are increasing. Limited studies exist concerning the knowledge on HIV among the Nepalese men. This study aimed to examine the social determinants of poor knowledge on HIV among Nepalese men aged 15-49 years based on Nepal Demographic and Health Survey (NDHS), 2011. This study is based on the secondary data of NDHS 2011. HIV knowledge was assessed by using structured qustionnaire. A Chi square test followed by logistic regression was performed to find the association of social determinants with outcome variables. Of the 3,991 participants, 1,217 (30.5%) had comprehensive knowledge and the majority (69.5%) had poor knowledge on HIV. More than half (54.6%) reported that mosquito bite can transmit HIV and 26.5% reported that sharing food can transmit HIV. Respondents who were uneducated [aOR 10.782; 95% CI (6.673-17.421)], were manual workers [aOR 1.442; 95% CI (1.152-1.804)], were poor [aOR 1.847; 95% CI (1.350-2.570)]; lived in the the Eastern region [aOR 2.203(1.738-2.793)], or in the Mountain [aOR 1.542; 95% CI (1.132-1.864)]; did not read newspaper/magazine at all [aOR 1.454; 95% CI (1.142-1.851)] and did not listen to the radio at all [aOR 1.354; 95% CI (1.046-1.752)] were likely to have poor knowledge of HIV. HIV prevention programs should include men incorporating appropriate educatoinal intervention to increase their knowledge.

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Issues and Challenges of HIV/AIDS Prevention and Treatment Programme in Nepal

Cited by 16 publications

References 13 publications

Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal

Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal

Causes of HIV and AIDS Stigmatization in Nepal: a Proposed Model to Reduce Stigma

Social Determinants of Poor Knowledge on HIV Among Nepalese Males: Findings from National Survey 2011

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