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IBEKWE         OGOCHUKWU               ALEXANDER
IBEKWE OGOCHUKWU ALEXANDER
Combating HIV/AIDS Stigma, a Global Challenge
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Combating HIV/AIDS Stigma, a Global Challenge

Global AIDS numbers have dropped dramatically, but that is only half the battle won. Stigma towards HIV-positive Person needs to be countered if the threat of AIDS is to be overcome.

An Indian soldier discovers he is HIV-positive and is forced to deal with the termination of his services. An HIV-positive pregnant woman from West Bengal has a sticker plastered on her forehead by hospital staff; she is isolated in the ward and refused the urgent medical attention she needed. A couple is stoned, branded outcast by there community because they are HIV-positive. A HIV-positive woman aborts her own baby because hospital staff refuses to assist her. This intense stigma can be painful to endure.

The good news is that the number of people contracting HIV infection is dropping, worldwide. A few months ago, UNAIDS, releases its AIDS Epidemic Update for 2007, said new data show global HIV prevalence (the percentage of people living with HIV) has leveled off and the number of new infections has fallen, in part as a result of the impact of HIV programme.

Nigeria now ranks second among nations with the largest number of people living with HIV (www.globalhealth.org). Taking the optimistic arithmetic apart, the experiences of ordinary people living with HIV tell another story. Stigma and not surveillance, is the biggest problem.

A 25-year-old boy from Obosi Anambra State commits suicide to escape the stigma piled on, because of in proper counseling during testing. Private hospitals and laboratories pose a big challenge in compacting HIV/AIDS related Stigma in the rural area of Nigeria. Not only that some of them do not have up to date equipment in diagnosis, they are lacking information about HIV/AIDS where by causing psychological trauma to any body that passes through them which might result to suicide mission.

Stigma is hard to track and its impact even harder to measure. There is a need to generated data on stigma by including surveys on HIV/AIDS knowledge, attitudes and behavior. Overall acceptance measured through indicators like willingness to care for a positive person or accept a positive person, even associate with positive person is also needed.

Those vulnerable to and are experiencing social stigma and discrimination will be puzzled if they were told that awareness and knowledge about HIV/AIDS is higher than before. Awareness is not translating into tolerance or a shedding of stigma.
Protection against HIV and preventing its spread is certainly a key message, but protection using stigma and alienation will go nowhere. It is always challenging to fight for legislation and better policy outcomes. Nigeria is working on a law against discrimination of HIV-positive person. But laws and policies cannot be substitutes for a humane approach.

December 18, 2007 | 5:46 AM Comments  0 comments

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