HIV Stigma and Discrimination: Perspectives and Personal Experiences of Healthcare Providers in Yogyakarta and Belu, Indonesia.
HIV Stigma and Discrimination: Perspectives and Personal Experiences of Healthcare Providers in Yogyakarta and Belu, Indonesia.
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艾滋病毒的污名和歧视：在印度尼西亚的日益卡塔和贝鲁的医疗保健提供者的观点和个人经验。
DOI：
10.3389/fmed.2021.625787
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发表时间：
2021
影响因子：
3.9
通讯作者：
Mwanri L
中科院分区：
文献类型：
--
作者：
Fauk NK;Ward PR;Hawke K;Mwanri L
羞辱和歧视是全球艾滋病毒/艾滋病感染者（PLWHA）因其艾滋病毒状况而面临的主要挑战。作为一个更大的定性研究的一部分，在印尼的日惹和贝卢，使用92 PLWHA（52名女性，40名男性）和20个医疗服务提供者的深入访谈，本文介绍了20个医疗服务提供者的观点和个人经验，有关艾滋病毒的耻辱和歧视对PLWHA在这两个研究设置。医疗服务提供者是从提供HIV相关医疗服务的医疗机构中招募的，采用滚雪球抽样技术。定性框架分析用于指导数据分析。健康耻辱和歧视框架指导了调查结果的概念化和讨论。调查结果提出了医疗保健提供者的观点和观点，即艾滋病毒的耻辱和歧视对PLWHA仍然发生在家庭，社区和医疗机构。这反映在负面标签、个人物品分开、回避、拒绝治疗以及卫生保健提供者、家庭和社区成员拒绝艾滋病毒/艾滋病感染者。一些医疗服务提供者报告说，他们本人对艾滋病毒/艾滋病感染者进行了污名化和歧视。据报告，缺乏对艾滋病毒的了解、害怕感染艾滋病毒、个人价值观、宗教思想和社会文化价值观和规范，是这种与艾滋病毒有关的耻辱和歧视背后的驱动因素或促成因素。调查结果表明，必须继续对家庭、社区成员和保健提供者进行艾滋病毒/艾滋病教育，以提高认识，并确保为艾滋病毒/艾滋病感染者建立健康和专业的支持系统。研究结果表明，需要加强医疗保健或艾滋病毒护理系统的改善，以充分满足艾滋病毒感染者的需求，这可能有助于他们早期开始艾滋病毒治疗，并更好地坚持和保留治疗，以增加分化簇4（CD 4）计数并抑制病毒载量。今后还需要开展研究，探讨政府和非政府机构在改善向新诊断艾滋病毒感染者和艾滋病毒/艾滋病感染者提供保健服务方面可以发挥的作用。
Stigma and discrimination are major challenges facing People Living with HIV/AIDS (PLWHA) globally due to their HIV status. As part of a larger qualitative study in Yogyakarta and Belu, Indonesia, using in-depth interviews with 92 PLWHA (52 women, 40 men) and 20 healthcare providers, this paper describes perspectives and personal experiences of the 20 healthcare providers, relating to HIV stigma and discrimination toward PLWHA in both study settings. The healthcare providers were recruited from healthcare facilities providing HIV-related healthcare services, using a snowball sampling technique. A qualitative framework analysis was used to guide data analysis. Health stigma and discrimination framework guided the conceptualisation and discussion of the findings. The findings presented the views and perspectives of healthcare providers that HIV stigma and discrimination toward PLWHA still occurred within families, communities and healthcare settings. These were reflected in negative labelling, separation of personal belongings, avoidance, denial of treatment and rejection of PLWHA by healthcare providers, family and community members. Some healthcare providers reported that they had personally stigmatised and discriminated against PLWHA. A lack of knowledge about HIV, fear of contracting HIV, personal values, religious thoughts and sociocultural values and norms, were reported as drivers or facilitators behind this HIV-related stigma and discrimination. The findings indicate the importance of continued HIV/AIDS education for families, community members and healthcare providers, to raise awareness and to ensure that healthy and professional support systems are in place for PLWHA. The findings indicate the need to enhance improvement within the healthcare or HIV care system to adequately address the needs of PLWHA, which may facilitate their early initiation of HIV treatment and better treatment adherence and retention to increase Cluster of Differentiation 4 (CD4) count and suppress viral load. Future studies are also needed to explore the role that government and non-government institutions can play in improving health service delivery for people newly diagnosed with HIV and those living with HIV/AIDS.
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DOI：
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发表时间：
2017-11-01
影响因子：
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