A COMMUNITY-BASED HIV STIGMA REDUCTION INTERVENTION FOR PEOPLE LIVING WITH HIV AND THEIR PARTNERS
DOI:
https://doi.org/10.25159/2520-5293/935Keywords:
community-based, HIV stigma, intervention, partnersAbstract
The diagnosis of HIV impacts the lives and the relationships of both people living with HIV (PLWH) and their partners. The researchers aimed to describe the influence of a community-based HIV stigma reduction intervention on PLWH and their partners by means of a case study as well as their lived experiences during and after the intervention in both an urban and a rural setting in the North West Province, South Africa. A qualitative holistic multiple case study design and interpretive description approach through in-depth interviews was used. Purposive voluntary sampling was used for the PLWH and snowball sampling for their partners. The case record included multiple sources. Document analysis and open coding were used for analysis. No real differences were noted between the urban and rural groups and the data was then pooled. Participants expressed experiences that were evident of a successful intervention. Follow-up interventions with PLWH and partners are suggested.
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References
Alonzo, A. & Reynolds, N. 1995. Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory. Social Science & Medicine, 41(3):303–315.
Apinundecha, C., Laohasiriwong, W., Cameron, M.P. & Lim, S. 2007. A community participation intervention to reduce HIV/AIDS stigma, Nakhon Ratchasima province, northeast Thailand.
AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, 19(9):1157–1165.
Atuyambe, L.M., Ssegujja, E., Ssali, S., Tumwine, C., Nekesa, N., Nannungi, A. et al. 2014. HIV/ AIDS status disclosure increases support, behavioural change and, HIV prevention in the long term: A case for an Urban Clinic, Kampala, Uganda. BMC Health Services Research, 14(1):1– 11. Available at http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-276 (accessed 14 April 2016).
Botma, Y., Greeff, M., Mulaudzi, M. & Wright, S. 2010. Research in health sciences. Cape Town: Heinemann.
Brown, L., Macintyre, K. & Trujillo, L. 2003. Interventions to reduce HIV and AIDS stigma: What have we learned? AIDS Education and Prevention, 15(1):49–69.
Bunn, J.Y., Solomon, S.E., Varni, M.A., Miller, C.T., Forehand, R.L. & Ashikaga, T. 2008. Urbanrural differences in motivation to control prejudice toward people with HIV/AIDS: The impact of perceived identifiability in the community. The Journal of Rural Health, 24(3):285–291.
Colombini, M., Mutemwa, R., Kivunaga, J., Stackpool Moore, L. & Mayhew, S. 2014. Experiences of stigma among women living with HIV attending sexual and reproductive health services in Kenya: A qualitative study. BMC Health Services Research, 14(1):1–9. doi: 10.1186/1472- 6963-14-412. Available at http://bmchealthservres.biomedcentral.com.nwulib.nwu.ac.za/ articles/10.1186/1472-6963-14-412#? (accessed 14 April 2016).
Creswell, J.W. 2009. Research design. London: SAGE.
Goffman, E. 1963. Stigma: Notes on the management of spoiled identity. Englewood Cliffs, N.J.: Prentice-Hall.
Greeff, M. 2009. A comprehensive community-based HIV stigma reduction and wellness enhancement intervention. SANPAD research proposal, 15 September 2009. Reference number 09/15. Unpublished.
Greeff, M., Phetlhu, D.R., Makoae, L.N., Dlamini, P.S., Holzemer, W., Naidoo, J., Kohi, T.W., Uys, L. & Chirwa, M.L. 2007. Disclosure of HIV/AIDS status: Experiences and perceptions of persons living with HIV/AIDS and nurses in five African countries. Qualitative Health Research, 18(3):311–324.
Greeff, M., Uys, L.R., Holzemer, W.L., Makoae, L.N., Dlamini, P.S., Kohi, T.W., Chirwa, M.L, Naidoo, J.R. & Phetlhu, D.R. 2008. Experience of HIV/AIDS stigma of PLWA and nurses involved in their care from five African countries. Africa Journal of Nursing and Midwifery, 10(1):78–108.
Greeff, M., Uys, L.R., Wantland, D., Makoae, L., Chirwa, M., Dlamini, P., Kohi, T.W., Mullan, J., Naidoo, J.R., Cuca, Y. & Holzemer, W.L. 2010. Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: A longitudinal study. International Journal of Nursing Studies, 47:475–486.
Heckman, T.G., Somlai, A.M., Kalichman, S.C., Franzoi, S.L. & Kelly, J.A. 2008. Psychosocial differences between urban and rural people living with HIV/AIDS. The Journal of Rural Health,
(2):138–145.
Holzemer, W.L., Uys, L.R., Makoae, L., Stewart, A., Phetlhu, R., Dlamini, P., Greeff, M., Kohi, T.W., Chirwa, M., Cuca, Y. & Naidoo, J. 2007. A conceptual model of HIV/AIDS stigma from five African countries. Journal of Advanced Nursing, 58(6):541–551.
Li, L., Wu, Z., Wu, S., Manhong, J., Lieber, E. & Lu, Y. 2008. Impacts of HIV/AIDS stigma on family identity and interactions in China. Families, Systems & Health, 26:431–422.
Mall, S., Middelkoop, K., Mark, D., Wood, R. & Bekker, L. 2013. Changing patterns in HIV/AIDS stigma and uptake of voluntary counselling and testing services: The results of two consecutive community surveys conducted in the Western Cape, South Africa. AIDS Care, 25(2):194–201.
Manyedi, M.E. 2007. Coping with stigma by women whose partners died of AIDS. PhD thesis, North
West University (NWU), Potchefstroom, South Africa
Masquillier, C., Wouters, E., Mortelmans, D. & le Roux Booysen, F. 2015. The impact of community support initiatives on the stigma experienced by people living with HIV/AIDS in South Africa. AIDS and Behavior, 19:214–222.
Naidoo, J.R., Uys, L.R., Greeff, M., Holzemer, W.L., Makoae, L., Dlamini, P., Phetlhu, R.D., Chirwa, M. & Kohi, T. 2007. Urban and rural differences in HIV/AIDS stigma in five African countries. African Journal of AIDS Research, 6(1):17–23.
Obermeyer, C.M., Baijal, P. & Pegurri, E. 2011. Facilitating HIV disclosure across diverse settings: A review. American Journal of Public Health, 101(6):1011–1023.
Prinsloo, C.D. 2015. A mixed method study of a community-based HIV stigma reduction ‘hub’ network. PhD thesis, North West University (NWU), Potchefstroom, South Africa.
Pulerwitz, J. & Bongaarts, J. 2014. Tackling stigma: Fundamental to an AIDS-free future. The Lancet. Global Health, 2(6):311–312.
Russell, S., Zalwango, F., Namukwaya, S., Katongole, J., Muhumuza, R., Nalugya, R. & Seeley, J. 2016. Antiretroviral therapy and changing patterns of HIV stigmatisation in Entebbe, Uganda. Sociology of Health & Illness, 38(1):58–72. doi: 10.1111/1467-9566.12341.
Sallar, A.M. & Somda, D.A. 2011. Homosexuality and HIV in Africa: An essay on using entertainment education as a vehicle for stigma reduction. Sexuality & Culture, 15:279–309.
Salter, M.L., Go, V.F., Nguyen Le, M., Gregowski, A., Ha, T.V., Rudolph, A., ... Quan, V.M. 2010. Influence of perceived secondary stigma and family on the response to HIV infection among injection drug users in Vietnam. AIDS Education and Prevention, 22(6):558–570.
Sengupta, S., Strauss, R.P., Miles, M.S., Roman-Isler, M., Banks, B. & Corbie-Smith, G. 2010. A Conceptual model exploring the relationship between HIV stigma and implementing HIV clinical trials in rural communities of North Carolina. North Carolina Medical Journal, 71(2):113–122.
Siyam’kela. 2003. Siyam’kela measuring HIV/AIDS related stigma: A report on the fieldwork leading to the development HIV/AIDS stigma indicators and guidelines. Policy Project, South Africa: Centre for the Study of AIDS. University of Pretoria; United States Agency for International Development; Chief Directorate: HIV, AIDS, TB, Department of Health. Available at http:// www.csa.za.org (accessed 13 November 2013).
Sowell, R.L. & Phillips, K.D. 2010. Understanding and responding to HIV/AIDS stigma and disclosure: An international challenge for mental health nurses. Issues in Mental Health Nursing, 31:394–402.
Statistics S.A. 2013. Midyear population estimates. Available at http://www.statssa.gov.za/ publications/statsdownload.asp?PPN=P0302&SCH=5500 (accessed 22 September 2014).
SA Statistics. 2016a. Kagisano Molopo: Census 2011. Available at http://www.statssa.gov.za/?page_ id=993&id=kagisanomolopo-municipality (accessed 31 March 2016).
SA Statistics. 2016b. Tlokwe City Council: Census 2011. Available at http://www.statssa.gov. za/?page_id=993&id=tlokwe-city-council-municipality (accessed 31 March 2016).
Taylor, C. 2001. Scaling up for social development. Sussex: ILEIA. United Nations Development
Programme (2000) Human Development Report 2000. New York, NY: UNDP.
Thorne, S. 2008. Interpretive description. Walnut Creek, CA: Left Coast Press.
Turan, J.M., Bukusi, E.A., Onono, M., Holzemer, W.L., Miller, S. & Cohen, C.R. 2011. HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: Results from the MAMAS study. AIDS and Behavior, 15:1111–1120.
UNAIDS. 2014. Global AIDS epidemic facts and figures. Available at http://www.unaids.org/en/ resources/presscentre/factsheets (accessed 22 September 2014).
Uys, L., Chirwa, M., Kohi, T., Greeff, M., Naidoo, J., Makoae, L., Dlamini, P., Durrheim, K., Cuca, Y. & Holzemer, W.L. 2009. Evaluation of a health setting-based stigma intervention in five African countries. AIDS Patient Care and STDs, 23(12):1059–1066.
Valerian, J., Derlega, B.A., Winstead, K.G., Julianne, S. & William, N. 2002. Perceived HIV-related stigma & disclosure to relationship partners after finding out about the seropositive diagnosis. Journal of Health Psychology, 7(4):415–432.
Weiss, R.A. 1993. How does HIV cause AIDS? Science Magazine, 260(5112):1273–1279.
Wu, S., Wu, Z., Ling, L., Coa, H., Yan, Z. & LiI, J. 2008. A brief HIV stigma reduction intervention for service providers in China. AIDS Patient Care and STDs, 22(6):513–520.
Yin, R.K. 2009. Case study research. 4th Edition. London: SAGE.
Zeelen, J., Wijbenga, H., Vintges, M. & De Jong, G. 2010. Beyond silence and rumour: Storytelling as an educational tool to reduce the stigma around HIV/AIDS in South Africa. Health Education, 110(5):382–398.
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Accepted 2016-04-25
Published 2016-10-04
