Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention: the DriSti trial

Raj, Tony; Heylen, Elsa; Nyblade, Laura; Devdass, Dhinagaran; Pereira, Matilda; Mazur, Amanda; Srinivasan, Krishnamachari

doi:10.1080/09540121.2020.1739221

Cited by 26 publications

(18 citation statements)

References 24 publications

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“…The other research shows that greater knowledge of HIV transmission misconceptions is significantly associated with lower stigma towards people living with HIV. And among urban participants, the level of higher education (high school vs. elementary school or less) (36).Efforts that can be made to prevent stigma in hiv aids groups include pre-clinical education and involving related health institutions(37) (17).Another study suggests that using M-health in India could have important implications for reducing stigma globally (38).Other principles to reduce stigma include building partnerships with institutions that are able to support their health (39).In addition, strengthening the religious aspect can support his health (40).In contrast to self-stigma, self-stigma is giving a negative assessment of oneself due to something that is not accepted or considered inappropriate to others in general.Some efforts that can be made to respond to the stigma of society include by conducting self-testing of HIV but this strategy needs to be implemented as needed(41)(42).…”

Section: Discussionmentioning

confidence: 99%

Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

Umam¹,

Pandin²

2021

Preprint

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Introduction:Human Immunodeficiency Virus (HIV) is a global health problem that is almost recorded in every country. The long-term and long-term negative impacts of HIV cases are stigma and discrimination in people with HIV (PLHIV). The purpose of this study is to find out the stigma and discrimination felt by PLHIV.Method:This study design of systematic review from 4 electronic databases namely Scopus ScienceDirect, Sage and ProQuest by using keywords tailored to Medical Subject Headings (MeSH) including "Stress", "covid", "nursing", "hospital". This study uses PICOS framework to prevent research bias and analysed using descriptive analysis.Results:The results of the analysis of the article showed from 761 articles have been identified title, abstract and full-text so that recorded 15 articles that can be reviewed. The article consists of various designs, namely RCT, cross sectional and qualitative studies. Analysis shows that stigma and discrimination are social phenomena that manifest in several social areas.Conclusion:Stigma and discrimination in people with HIV (PLHIV) is still common, stigma is carried out by the wider community to their own families. The family approach is necessary to improve well-being as well as improve the social community of the family.

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Section: Discussionmentioning

confidence: 99%

Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

Umam¹,

Pandin²

2021

Preprint

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“…Enhancing perceptions of quality of care in the public sector by reducing medication stock-outs and ensuring adequate staffing could encourage PLHIV to seek care in government facilities rather than distant, private ART centers. As stigmatizing attitudes toward PLHIV have been shown to be common among all types of health care workers in India, 32 innovative and interactive interventions including mHealth-based interventions 33 to train health care workers to engage with PLHIV respectfully could be particularly helpful. Finally, policy-makers should consider scaling-up interventions to alleviate economic hardship such as transportation incentives, food support, and microenterprise interventions.…”

Section: Discussionmentioning

confidence: 99%

The Convergence of Disclosure Concerns and Poverty Contributes to Loss to HIV Care in India: A Qualitative Study

Perlo

Colocci

Rajagopal

et al. 2020

J Int Assoc Provid AIDS Care

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In India, there is little evidence on reasons for high rates of loss to HIV care. We conducted a clinic-based qualitative study at the YR Gaitonde Centre for AIDS Research and Education to explore factors that influence loss to care. In all, 17 men and 14 women were interviewed; median age was 42 (interquartile range [IQR], 36-48) and median CD4 count was 448 (IQR, 163-609). A majority reported avoiding treatment freely available at nearby government facilities because of disclosure concerns and perceptions of poor quality. As a result, participants sought care in the private sector where they were subjected to medication and transport costs. Life circumstances causing lost wages or unexpected expenditures therefore prevented participants from attending clinic, resulting in loss to care. Improving perceptions of quality of care in the public sector, addressing disclosure concerns, and reducing economic hardships among people living with HIV may be important in reducing loss to HIV care in India.

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“…The Health Policy Project (HPP) Health Facility HIV-Stigma and Discrimination reduction training curriculum addresses barriers that arise from S&D. The HPP curriculum is based on a decade of implementation experience in Africa, South and South-East Asia, and the Caribbean [41]. It has been further adapted and implemented in a range of settings, most recently in Ghana [42], Tanzania [43,44] and other regions of the world [45,46]. The curriculum provides participatory training modules that address three key actionable drivers of HIV stigma: lack of understanding of S&D; fear of workplace HIV transmission; and clinic staff attitudes.…”

Section: Addressing Structural Stigma and Discrimination In Clinicsmentioning

confidence: 99%

The PrEPARE Pretoria Project: protocol for a cluster-randomized factorial-design trial to prevent HIV with PrEP among adolescent girls and young women in Tshwane, South Africa

et al. 2020

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Background Despite increased prevention efforts, HIV remains the leading cause of death among adolescent girls and young women in South Africa. Although research indicates important determinants of HIV acquisition at the individual and interpersonal levels, structural-level stigma and discrimination continue to be critical barriers to reaching and retaining this key population for HIV prevention and sexual and reproductive health services. Innovative and multilevel interventions are needed that can address the intersectional structural and gender issues that young women face, including stigma, alcohol and drug use, gender-based violence, and other risk factors when seeking health services. Oral pre-exposure prophylaxis (PrEP) taken daily has been found to be an effective biomedical HIV prevention tool. Testing a comprehensive gender-focused biobehavioral HIV prevention intervention that is inclusive of social ecological determinants, such as stigma and discrimination reduction in clinics, is critical for reducing HIV among adolescent girls and young women. Methods This project involves both a Community Collaborative Board and a Youth Advisory Board in helping to adapt the Young Women’s Health CoOp intervention and the Health Policy Project (HPP) Stigma and Discrimination (S&D) reduction training curriculum to the setting and population. This study uses a two-by-two factorial design with stratified randomization of 12 clinics, each with distinct catchment areas. The Young Women’s Health CoOp addresses substance use, sexual risk, violence prevention and sexual negotiation, condom demonstration, and problem solving with the following additions: knowledge of PrEP, the importance of PrEP adherence, and sexual and reproductive health. Adolescent girls and young women will be assessed with behavioral and biological measures at baseline, 3-, 6- and 9-month follow-up. The S&D reduction training is provided for all staff in the clinics randomized to this condition. Clinic staff will be surveyed at baseline, 4- and 8-month follow-up. We will recruit 900 AGYW from communities in the 12 clinic catchment areas. Discussion The study findings, if efficacious across the outcomes, will be incorporated into the gender-focused HIV prevention intervention toolkit and disseminated to inform multilevel prevention approaches. Trial registration ClinicalTrials.gov. Identifier: NCT04048551 (Recruiting). Registered: August 7, 2019 (Retrospectively registered).

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Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention: the DriSti trial

Cited by 26 publications

References 24 publications

Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

The Convergence of Disclosure Concerns and Poverty Contributes to Loss to HIV Care in India: A Qualitative Study

The PrEPARE Pretoria Project: protocol for a cluster-randomized factorial-design trial to prevent HIV with PrEP among adolescent girls and young women in Tshwane, South Africa

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