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ICRW 2007 Annual Report

Understanding and Challenging HIV Stigma: Toolkit for Action
(Revised Edition)

(1) Introduction
     and Module A

(2) Modules B
     and C

(3) Modules D
     and E

(4) Modules F
     and G

(5) Module H

(6) Module I

(7) Module J

(8) Moving to
     Action Module

(9) Picture
     Booklet

 

The revised edition (August 2007) builds on the original toolkit and includes new modules to address stigma as it relates to treatment, children and youth, and men who have sex with men. 

The toolkit is used by community and nongovernmental organizations throughout the developing world to facilitate discussion about the rights of positive persons and issues around gender, sexuality and morality.

The toolkit was published with the Academy for Educational Development and the International HIV/AIDS Alliance.


 

Double Stigma of HIV and TB Cripples Care, Prevention Efforts

Tuberculosis (TB) is the most common of HIV's opportunistic infections, and in many high HIV prevalence settings, this has led people to assume that TB patients also are HIV-positive.

ICRW Stigma Expert, Laura NybladeAnalysis by ICRW stigma expert Laura Nyblade and ICRW partner Virginia Bond shows that patients who exhibit visible TB symptoms often face stigmatizing behavior similar to that faced by people with HIV, such as being ostracized, publicly humiliated and shunned by family and friends.

This double stigma of TB and HIV undermines the efforts of health practitioners trying to fight both diseases. People with TB are more reluctant to seek diagnosis or medical treatment because they fear the stigma and shame, which fuels the spread of TB.

A summary of the research analysis can be found in "The Importance of Addressing the Unfolding TB-HIV Stigma in High HIV Prevalence Settings" published in the Journal of Community & Applied Social Psychology, Vol. 16.

Learn more about ICRW's work on stigma.

 

HOW TO REDUCE THE STIGMA OF AIDS

ICRW STIGMA Publications | Other Resources


Why Is Stigma Important?

The United States, other developed countries, developing nations, nongovernmental organizations and individuals collectively spend billions of dollars to fight HIV and AIDS.  Stigma has a profound impact on HIV/AIDS programs, often limiting their reach and decreasing their effectiveness.

Data suggest that fewer people seek HIV testing because they fear a positive result and the stigma that follows. People who do get tested often don't return for their results for fear of being seen at a clinic known to test for HIV.

People who are HIV-positive face social repercussions that may include:

  • Eviction from their homes;
  • Threats of physical violence;
  • Loss of property and/or other assets;
  • Abandonment by their partners; and/or
  • Poor medical care.

Stigma also affects people's willingness to disclose a positive test result to others, including their spouses.  In some cases, people know that they have HIV for years but do not tell even their most intimate partners for fear of stigma and its consequences. This can have serious repercussions for preventing further transmission of the virus.

If government and nongovernment agencies want HIV/AIDS programs to be most effective, stigma must be addressed.

ICRW STIGMA Publications:

 

Understanding and Challenging HIV Stigma: Toolkit for Action

 

Understanding and Challenging HIV Stigma:
Toolkit for Action
(Revised Edition)

(1) Introduction and Module A
(2) Modules B and C
(3) Modules D and E
(4) Modules F and G
(5) Module H
(6) Module I
(7) Module J
(8) Moving to Action Module
(9) Picture Booklet

HIV/AIDS Stigma Synthesis Report.

 

HIV/AIDS Stigma: Finding Solutions to Strengthen HIV/AIDS Programs

Stigma toolkit

Understanding and Challenging HIV Stigma: Toolkit for Action
(9.6 MB)

Common at its Core

Common at its Core: HIV-Related Stigma Across Contexts

SVRI manual

HIV & AIDS-Stigma and Violence Reduction Intervention Manual
(5.2 MB)

Measuring HIV Stigma: Results of a Field Test in Tanzania

 

Measuring HIV Stigma: Results of a Field Test in Tanzania
(2.3 MB)

 

Other Resources

 

UNAIDS, Reducing Stigma and Discrimination: a critical part of national AIDS programmes.

DFID, Taking action against Stigma and Discrimination, guidance document and supporting resources.