Title:
Factors that influence stigmatisation and discrimination against persons living with HIV in the healthcare delivery system of Ghana
Authors:
Amoako, Evelyn
Year:
2016
PAGE:
ix, 53
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
HIV, AIDS, Stigma, Discrimination, Healthcare, PLHIV
Abstract:
Background: HIV-related stigma and discrimination have been recognized as obstacles to healthcare and quality of life of persons living with HIV. Paradoxically, stigmatisation and discrimination also occur in the healthcare delivery system where individuals undergo HIV counselling and testing and persons living with HIV receive care and treatment. Objective: To critically analyse the factors influencing continued stigmatisation and discrimination against persons living with HIV in their interaction with the healthcare delivery system of Ghana and propose recommendations to curb this phenomenon. Methodology: A narrative literature review of published literature on HIV-related stigma and discrimination in the healthcare delivery system of Ghana was conducted. Stangl et al’s “HIV stigma reduction framework” was used to analyse the findings. Findings: Findings were grouped into conceptualizations of stigma and discrimination; underlying reasons; manifestations; impact and interventions to address stigma and discrimination within the healthcare delivery system of Ghana. HIV-related stigma in the healthcare delivery system was related to individual attributes of health workers, institutional policies, sociocultural and structural environment. Multiple stigma was experienced socially marginalized populations who were HIV-positive. Conclusion: The study demonstrates that HIV-related stigma and discrimination in the healthcare delivery system are reinforced by broader social processes, organization of service delivery, policies, societal beliefs and norms. Stigma-reduction interventions should incorporate these inherent factors to make them effective. Recommendations: HIV-related stigma interventions in the healthcare delivery system should be multifaceted and take into consideration individual, social and structural factors such as legislation and policies contributing to it. Stakeholder involvement in the design of interventions is key to its effectiveness.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
Ghana, Republic of
Region:
West Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Amoako
Document type:
Thesis/dissertation
File:
J5GmKEE6vb_20170424141900768.pdf