Curt - learning you are HIV-positive | AVERT
Remember that an HIV diagnosis doesn't have to stop you living a full and healthy life. With the right treatment and care, you can expect to live. Studies in South Africa explore the sources and outcomes of stigma, and its impacts on the To address this gap we examine children's representations of AIDS-affected .. Sometimes they [AIDS-affected children] do not have time to go to school one child drew an AIDS-affected child holding her head) or crying ( e.g. Fig. So far, we have worked with HIV-positive participants, drawn from seven cities Many more can be seen on the Through Positive Eyes website. .. I contracted HIV through a rape situation when I was 18, with somebody who I was dating at . is the first time I've told a person that she is HIV-positive and she doesn't cry.
As well as healthcare staff, there are lots of HIV organisations, peer support groups and online forums that might provide you with support at this time.
Talking to a trusted friend or family member can also help you process your feelings. You may have good days and bad days, but give yourself time to get used to the news of your diagnosis and to learn about what it means for you. I don't really remember much about the day or the month or two following. I do remember sitting in my doctor's office as she told me I was HIV positive. I remember looking at the painting on the wall.
I became instantly numb and everything became a blur. Sometimes different treatments interact with each other, so your healthcare professional needs to know what other drugs you might be taking. Do I need to start treatment? The latest guidelines recommend that all people who are diagnosed with HIV should start treatment straight away. Take your time to feel prepared and find out more about starting HIV treatment. I was speechless, frozen in time.
Rape gangs targeting whites in Zimbabwe - Telegraph
I couldn't believe it. I couldn't stop crying It has been six years and my boyfriend — now husband — has stayed by my side. He is currently negative and we have four kids together. Just because you are positive doesn't mean you have to put your life on hold.
To select participants for the qualitative interviews, we stratified the baseline survey sample into a combination of eight demographic categories according to gender, age younger participants years and older participants yearsand partner status single or coupled.
We felt it was important to have representation across these demographic categories because we anticipated that they would influence participants' experiences with HIV risk, HIV testing and HIV stigma. We randomly selected approximately two participants per demographic category in each of the African communities and one participant per category in each of the Thai communities because more Thai communities were included in the trial.
In total, participants were interviewed across all 5 sites at baseline including in Soweto, in Vulindlela, in Tanzania, in Thailand and in Zimbabwe. Participants will be interviewed four times throughout the study period at baseline and 6-months, months and 30 months after the intervention launch.
The data presented in this paper were drawn from the baseline qualitative, collected between January, and October, Data collection methods The in-depth interviews were semi-structured based on a standard field guide that was used across the four countries.
The field guide outlined topics for discussion. Trained local interviewers conducted minute in-depth interviews in the local language. The guide had questions to explore perceived, enacted and experienced HIV stigma and discrimination in the communities.
Global information and education on HIV and AIDS
We did not ask participants to reveal their own HIV status; however, during the course of the interview six participants from Vulindlela, two participants from Soweto, one participant from Zimbabwe and one participant from Thailand disclosed that they were HIV positive.
To the extent that these HIV positive participants were comfortable, the interviewers asked them about their experiences living with HIV in their communities, including the perceived attitudes and behaviors of people towards them. Data processing and analysis The interviews were audiotaped, transcribed and translated into English.
Interviews were then computerized and coded in Atlas. Thematic data analysis was conducted in two phases. Within each topical code we had between four and 11 sub-codes. We trained coders at each site to conduct the topical coding. In the case of the data on stigma, often relevant information in the interview transcripts would appear within discussions about other topics such as HIV testing or HIV risk.
Rape gangs targeting whites in Zimbabwe
Coders were trained to double code text with a stigma code in the event that this occurred. Each interviewer completed a coding certification process at the end of the training. To be certified each coder had to code two sample interviews. We compared their coding against coded templates created by the Qualitative Directors. If there were errors in the coding we provided the interviewers with additional coding training and then had them repeat the certification process with another template.
Ongoing quality of the coding was monitored during regular data merge cycles. We developed coding definitions and rules for the interpretive codes, and then we coded the topical code reports with the interpretive codes.
Example of interpretive codes that we applied included fear of transmission, fear of death, and family providing care and support. Three researchers applied the interpretive codes to the stigma data, each working independently on the data from different sites. We met regularly to talk about the coding and in that process further refined the interpretive code list.
Data were synthesized and compared across the five sites by reviewing the interpretive code reports. We had two data analysis workshops with the Qualitative Directors to discuss and refine our understanding of the interpretively coded data. The study was approved by the South African, Tanzanian, Zimbabwean, Thai, and US-based institutional review boards representing each site. Results By comparing the data across the sites we identified interesting variations and commonalities in the expression of stigma and discrimination, the factors that contribute to stigma and discrimination, and the factors that protect PLWHA from stigma and discrimination.
Expressions of Stigma When we asked participants how they feel about PLWHA, most participants initially described sympathetic or neutral attitudes. The sympathy that participants felt was usually associated with the suffering that they witnessed among PLWHA in their communities.
Some won't have people to care for them and their children will stop going to school. Upon further probing and presentation of personal narratives, participants revealed less compassionate attitudes. Blame, othering, and disgust were the stigmatizing attitudes described most often by participants. The blame was often accompanied by anger and resentment because of the demands that PLWHA placed on family members who were responsible for their care.
Associating HIV with an accident implied that there is an element of chance to getting infected. Like an accident, it can happen to anyone at any time, and there is little one can do to avoid the risk. I don't know maybe I am laughing at this person while I might have it.
There was also less tolerance for individuals who became infected through injecting drug use IDUand then continued to use drugs after diagnosis. They were afraid and disgusted by the physical symptoms that they witnessed. And it's the thing that is disgusting.
Some got pimples and wounds, it made people disgust. People can't accept it. The behaviors, or acts of discrimination, that were mentioned most often by participants included social isolation, gossip, and public shaming. The isolation almost exclusively happened at the end stages of their illness when the physical deterioration of PLWHA was most acute, as this participant describes in Soweto: They don't want to be involved and assist where they can.
Just like in the past people with leprosy were isolated from the others. Right now HIV positive people are not necessarily chased away from home premises but they are isolated within the homestead.
In several interviews, participants talked about how in the past, HIV positive community members were socially isolated and not allowed to participate in social events such as funerals. But now it's like normal. In the past, if HIV infected persons went to a funeral, no one dared to eat with them because they were afraid. Laugh Now they're all like normal. Community members speculated about who was infected with HIV, and how they may have become infected.
Gossip was usually triggered by visible signs and symptoms of AIDS.