Stigma and Discrimination Experienced by People Living with HIV/AIDS at Health Care Facilities

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Recommended: health effects of HIV stigma.

This study explored the prevalence of stigma and discrimination against PLHA in healthcare settings.
Poverty level was high among the study participants, with 21% reporting an income below the International Poverty line of 1.25USD per day, whereas another 44% were earning less than 2USD per day. This can both be a driver to get HIV/AIDS as well as a consequence of being HIV-positive. Poverty makes individuals vulnerable to HIV, while those who are diagnosed as HIV-positive are vulnerable to fall into poverty. (22)
Majority (67%) of the sample were aged between 21 and 40 years, which is economically the most productive age group. A report by WHO (23) has described HIV/AIDS as a challenge to both health and development.
One third of the respondents were tested without consent in this study. A study across Asia (8) reported that in China, Bangladesh and Sri Lanka more than 60% respondents had been tested without their consent. Paxton et al (24) found that only 52% of the respondents had given informed consent before testing. This is not only unethical (25) but it can also be detrimental to further treatment and prevention measures. (26) Testing without consent can lead to lack of taking up treatment, prevention and support services. (25,26) A study in India (24) found that individuals who were tested against their consent were more vulnerable to discrimination.
WHO defines key components for HIV testing services as informed consent, confidentiality, counselling (both pre and post-test) and direct referral to prevention, care and treatment services. (26) As a result of testing without consent, pre-test counselling is also missed. WHO recognises testing and pre-test counselling as the entry points to HIV care, prevention and support s...

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...,2012).
19. Bhattacharya, G . Health care seeking for HIV/AIDS among South Asians in the United States. Health & Social Work, (2004): 106-115.
20. World Bank. HIV/AIDS in Pakistan. (2008): Available at http:// site resources. worldbank.org/INTSAREGTOPHIVAIDS/Resources/496350-1217345766462/ HIV-AIDS-brief-Aug08-PK.pdf.
21. Pakistan Bureau of statistics. Household Integrated Economic Survey (HIES) 2007-08. Available at: http://www.pbs.gov.pk/node/325
22.Taraphdar P, Guha RT, Haldar D, Chatterjee A, Dasgupta A, Saha B, et al. Socioeconomic consequences of HIV/AIDS in the family system. Niger Med J. 2011; 52:250–253.
23. WHO. Health and Sustainable Development Key Health Trends. (n.d.): Available at: http://www.who.int/mediacentre/events/HSD_Plaq_02.2_Gb_def1.pdf
24. Paxton S, Gonzales G, Uppakaew K, et al. AIDS-related discrimination in Asia.AIDS Care 2005;17:413-424.

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