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

Biemba, Godfrey; Siame, Yoram; Sichinga, Karen; MacLeod, W. Bentley

doi:10.4081/jphia.2019.1010

Cited by 7 publications

(11 citation statements)

References 11 publications

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“…Professionals' perceptions of the intersectional identities associated with substance users should be considered. Not only is substance use associated with mental illness which is also highly stigmatized ( Kapungwe et al, 2011 , Kapungwe et al, 2010 ), but substance use may additionally be associated with lower socioeconomic status, lower education, unemployment, homelessness, positive HIV status ( Biemba et al, 2020 , Parsons et al, 2015 ) or sex work ( Hargreaves et al, 2017 ). Even for professionals, these associations may influence their perspectives of substance users.…”

Section: Discussionmentioning

confidence: 99%

Substance use treatment using cultural arts and 12 steps: Curriculum training and community-led implementation in Zambia

Lorenz

Stuebing²,

Nambeye³

et al. 2022

Addictive Behaviors Reports

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Section: Discussionmentioning

confidence: 99%

Substance use treatment using cultural arts and 12 steps: Curriculum training and community-led implementation in Zambia

Lorenz

Stuebing²,

Nambeye³

et al. 2022

Addictive Behaviors Reports

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“…Self-isolating, avoiding negative questions, and social gatherings are signs of internalized stigma. Moreover, the tuberculosis patients avoid wearing a mask because society views the patients who wear masks as someone with a dangerous and contagious disease [28], [22].…”

Section: Discussionmentioning

confidence: 99%

Effects of Social Stigma on Tuberculosis Care: Case Studies in Maha Sarakham Province, Thailand

Phalasarn¹,

Promasatayaprot²,

Glangkarn³

et al. 2021

Journal of Southwest Jiaotong University

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Tuberculosis (TB) is a public health issue that relies on the participation of health networks and the care of tuberculosis patients systematically and effectively. This study aimed to investigate the effects of social stigma on continuous tuberculosis patient care. This qualitative research study employed a case study approach to investigate the effects of social stigma on the continuous tuberculosis patient care in Maha Sarakham Province, Thailand. The current study also explored tuberculosis patients’ health service information. An interview form was used as a research instrument to collect data. Interviews were conducted to collect the data from 42 tuberculosis patients and eight members of the tuberculosis caregiver community network. The research results revealed that the tuberculosis patients who received ongoing consultations and treatments from public health officers could develop positive incentives and expectations of the tuberculosis treatments. Family members had improved their supportive skills and could lower the stigma of their household patients. Consequently, people in the community built a network of mental health care and social support to reduce the stigmatization of tuberculosis patients. Counseling skills and knowledge of patient care are essential in caring for mental health patients. When people who are close to the patients develop essential skills for patient care, the stigmatization of tuberculosis patients can be reduced.

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“…One other measure assessed all three types of stigma: a report of the findings of an HIV-related legal assessment in Zambia [42]. It encompassed legal and policy, survey and qualitative data, each presented separately but analysed jointly, providing an interesting model that might be adapted for use in other countries.…”

Section: Methodsmentioning

confidence: 99%

“…Three measures assessed stigma and discrimination in law and policy. The National Commitments and Policies Instrument and the Stigma Index, both of which are widely used, include quantitative measures of stigma and discrimination in law and policy, while Biemba and colleagues provide the only mixed-methods assessment [42,43,49].…”

Section: Variety Within Framework and Measures For Stigma And Discrim...mentioning

confidence: 99%

Frameworks and measures for HIV‐related internalized stigma, stigma and discrimination in healthcare and in laws and policies: a systematic review

et al. 2022

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Introduction There is strong global commitment to eliminate HIV‐related stigma, and work in this area continues to evolve. Wide variation exists in frameworks and measures used. Methods Building on the existing knowledge syntheses, we carried out a systematic review to identify frameworks and measures aiming to understand or assess internalized stigma, stigma and discrimination in healthcare, and in law and policy. The review addressed two questions: Which conceptual frameworks have been proposed to assess internalized stigma, stigma and discrimination experienced in healthcare settings, and stigma and discrimination entrenched in national laws and policies? Which measures of these different types of stigma and discrimination have been proposed and what are their descriptive properties? Searches, completed on 6 May 2021, cover publications from 2008 onwards. The review is registered in PROSPERO (CRD42021249348), the protocol incorporated stakeholder input, and the data are available in the Systematic Review Data Repository. Results and discussion Sixty‐nine frameworks and 50 measures met the inclusion criteria. Critical appraisal figures and detailed evidence tables summarize these resources. We established a compendium of frameworks and a catalogue of measures of HIV‐related stigma and discrimination. Seventeen frameworks and 10 measures addressed at least two of our focus domains, with least attention to stigma and discrimination in law and policy. The lack of common definitions and variability in scope and structure of HIV‐related frameworks and measures creates challenges in understanding what is being addressed and measured, both in relation to stigma and efforts to mitigate or reduce its harmful effects. Having comparable data is essential for tracking change over time within and between interventions. Conclusions This systematic review provides an evidence base of current understandings of HIV‐related stigma and discrimination and how further conceptual clarification and increased adaptation of existing tools might help overcome challenges across the HIV care continuum. With people living with HIV at the centre, experts from different stakeholder groups could usefully collaborate to guide a more streamlined approach for the field. This can help to achieve global targets and understand, measure and help mitigate the impact of different types of HIV‐related stigma on people's health and quality of life.

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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

Cited by 7 publications

References 11 publications

Substance use treatment using cultural arts and 12 steps: Curriculum training and community-led implementation in Zambia

Substance use treatment using cultural arts and 12 steps: Curriculum training and community-led implementation in Zambia

Effects of Social Stigma on Tuberculosis Care: Case Studies in Maha Sarakham Province, Thailand

Frameworks and measures for HIV‐related internalized stigma, stigma and discrimination in healthcare and in laws and policies: a systematic review

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