International AIDS Society


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Abstract



HIV/AIDS: stigma, discrimination and strategy for care delivery

Thapa B.1

Background: In Nepal, HIV/AIDS situation is getting worst over time. It is considered as curse of God and a social stigma in Nepal, particularly in the rural area. HIV positives and their families face huge social discrimination in the community, also from healthcare providers community people refuse to support the affected. Thus are bound to hide their HIV condition to get out of this problem. Many NGOs are working with this issue and trying to overcome the situation by providing care and support to the affected person and their families.
Method: This qualitative study was conducted in rural Nepal to assess of the impact of HIV/AIDS to the families and to the community. 27 families (HIV positive and deceased) from 4 districts were interviewed about their sufferings, and recommendations to overcome the sufferings. The interview also included healthcare providers to know their views for better services in future.
Result: The affected people were highly condemned by the community. The families were not allowed to take part in the social gatherings, more or less isolated, not permitted to buying from the market, even to allowed to take water from common sources. Majority of the health care providers working in the area were very nervous to support them. They were afraid of getting infection as well as not dare to support the families as they didn’t want to go against the opinion of community. Health workers always prefer to refer them to the tertiary hospitals.
Conclusions: There is panic about HIV/AIDS in the community; stigma and discrimination are reflection of fear. To support the HIV affected and their families, awareness among general population is essential, health care providers should be trained on Universal Precaution. Government and social welfare organization should take initiative to support and long term rehabilitation of the families.





4th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Abstract no. CDB523


Suggested Citation
" Thapa B. HIV/AIDS: stigma, discrimination and strategy for care delivery. : 4th IAS Conference on HIV Pathogenesis, Treatment and Prevention: Abstract no. CDB523"