Stigma as experienced by women accessing prevention of parent-to-child transmission of HIV services in Karnataka, India
Stigma as experienced by women accessing prevention of parent-to-child transmission of HIV services in Karnataka, India
复制标题
DOI：
10.1080/09540120903499212
复制
发表时间：
2010-01-01
影响因子：
1.7
通讯作者：
Cohen, Craig R.
中科院分区：
文献类型：
--
作者：
Rahangdale, Lisa;Banandur, Pradeep;Cohen, Craig R.
在印度卡纳塔克邦，2007年只有三分之一感染艾滋病毒的孕妇在分娩时通过邦政府的预防母婴艾滋病毒传播方案接受了抗逆转录病毒预防治疗。目前的定性研究探讨了与艾滋病毒相关的耻辱在卡纳塔克邦北部巴加尔科特农村地区作为获得PPTCT服务的障碍的作用，方法是对参加PPTCT方案的感染艾滋病毒的妇女、男性和女性家庭成员以及艾滋病毒服务提供者进行深入访谈和焦点小组讨论。与会者讨论了个人经历、社区对艾滋病毒的看法以及与获得预防母婴传播服务有关的决策。他们从多个方面描述了对艾滋病毒感染者的耻辱：卫生保健工作者；社区成员;家庭;和自我。与羞耻感相关的行为是基于对艾滋病毒通过个人接触传播的恐惧和道德判断。经验和/或对歧视的恐惧导致孕妇避免使用PPTCT干预措施。在这种情况下，政府、文化和历史因素被描述为许多与耻辱有关的行为的根源。基于这些形成性数据，PPTCT项目的规划者应该考虑进一步的研究和干预措施，旨在减少孕妇所经历的与hiv相关的机构和人际耻辱。
In Karnataka, India only one-third of HIV-infected pregnant women received antiretroviral prophylaxis at delivery in 2007 through the state government's prevention of parent-to-child HIV transmission (PPTCT) program. The current qualitative study explored the role of HIV-associated stigma as a barrier to access PPTCT services in the rural northern Karnataka district of Bagalkot using in-depth interviews and focus group discussions with HIV-infected women who had participated in the PPTCT program, male and female family members, and HIV service providers. Participants discussed personal experiences, community perceptions of HIV, and decision-making related to accessing PPTCT services. They described stigma toward HIV-infected individuals from multiple sources: healthcare workers; community members; family; and self. Stigma-related behaviors were based on fears of HIV transmission through personal contact and moral judgment. Experience and/or fears of discrimination led pregnant women to avoid using PPTCT interventions. Government, cultural, and historical factors are described as the roots of much the stigma-related behavior in this setting. Based on these formative data, PPTCT program planners should consider further research and interventions aimed at diminishing institutional and interpersonal HIV-associated stigma experienced by pregnant women.