Tackling HIV-related Stigma andDiscrimination in South Asia

Stangl, Anne ; Carr, Dara ; Brady, Laura ; Eckhaus, Traci ; Claeson, Mariam ; Nyblade, Laura

World Bank

关键词: ABUSE;    ACQUIRED IMMUNODEFICIENCY SYNDROME;    ADOLESCENTS;    ADVOCACY CAMPAIGN;    ADVOCACY CAMPAIGNS;   

DOI  :  10.1596/978-0-8213-8449-7
RP-ID  :  55841

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Although HIV prevalence in South Asia isrelatively low, the epidemic is growing among marginalizedgroups, including sex workers, injection drug users, men whohave sex with men, and transgender communities. Despiteprevention and other efforts to reduce high-risk behaviorssuch as unprotected sex, buying and selling of sex, andinjecting drug use, HIV vulnerability and risk remain high.This problem is partly due to a widespread failure torespond adequately to key social drivers of HIV: stigma anddiscrimination. Stigmatizing attitudes in the generalpopulation and discriminatory treatment by actors rangingfrom health providers to local policy makers intensify themarginalization of vulnerable groups at highest risk,driving them further from the reach of health services andmuch-needed prevention, treatment, care, and support. Dailyharassment and abuse also cause health problems andadversely affect mental health, thereby leading todepression, social isolation, and an array of adversesocioeconomic outcomes related to HIV and AIDS. The SouthAsia Region Development Marketplace1 (SARDM) took aninnovative and unique approach to addressing these gaps andneeds through its 2008 development marketplace,"tackling HIV and AIDS stigma and discrimination."Part one of this reports describes key findings and lessonslearned that emerged across the 26 implementers. Part twocontains case studies for six of the implementers, offeringa more in-depth look at the lessons and challenges ofintervening against stigma and discrimination. Part threeprovides summaries of all 26 projects.