Investigating how stigma AIDS the spread of HIV infections among young women in Johannesburg and possible interventions to ameliorate the problem

Abstract

This was a qualitative case study exploring and describing the role that stigma plays in the spread of HIV among young women between the ages of 18 and 24.

The study locale was Johannesburg, South Africa. The social ecology model and radical feminism were adopted as the conceptual framework for the study. Data were collected through interviews with thirteen young women. This study intended to explore and describe HIV-related stigma, as experienced by young women living with HIV. The major findings of the study were that (a) all the participants were familiar with the notion of stigma and held the view that it made many young women vulnerable to infection; (b) stigma kept many people living with HIV (PLHIV) from accessing prevention and destigmatisation intervention programmes, as well as healthcare facilities and services; (c) there were currently very few HIV reduction and destigmatisation intervention programmes in their communities; (d) intervention programmes could be strengthened by involving PLHIV in the planning and execution of such programmes, as well as utilising HIV positive experts and (e) extant stigma prevention and destigmatisation programmes could be strengthened at family, clinics, hospitals and community levels. It is concluded that the study has made an important contribution towards closing the literature gap in the paucity of studies on the personal lived experiences of PLHIV.

In hierdie kwalitatiewe gevallestudie is die rol van stigma in die verspreiding van MIV onder jong vroue tussen die ouderdom van 18 en 24 ondersoek en beskryf. Die studie is in Johannesburg, Suid-Afrika onderneem. Die maatskaplike-ekologiemodel en radikale feminisme het die konseptuele raamwerk daarvan gevorm. Data is ingesamel deur onderhoude met dertien jong vroue te voer. Die oogmerk van die studie was om die stigma van MIV wat kleef aan jong vroue wat met MIV leef, te verken. Die volgende bevindings is gemaak: (a) al die deelnemers was vertroud met die idee van stigma. Hulle was van mening dat dit tallose jong vroue vir infeksie kwesbaar maak; (b) die stigma ontneem talle mense wat leef met MIV (MLMIV) van toegang tot nie alleen voorkomings- en destigmatiseringsprogramme nie, maar ook van gesondheidsorg en -dienste; (c) tans word weinig MIV-verminderings- en destigmatiseringsprogramme in hulle gemeenskappe aangebied; (d) intervensieprogramme kan verbeter word deur MLMIV by die beplanning en uitvoering daarvan te betrek; en (e) bestaande stigmavoorkomings- en destigmatiseringsprogramme behoort in families, klinieke, hospitale en gemeenskappe verskerp te word. Die slotsom is dat hierdie studie die leemte aan literatuur oor die persoonlike, deurleefde ervarings van MLMIV aanvul

Ona e ne e le mokgwa wa ho etsa patlsisio moo ho ithutwang ka ketsahalo e boima ka ho hlwaya dintho tse fapaneng tse amanang le yona, o fuputsang le ho hlalosa karolo e bapalwang ke sekgobo phatlallong ya HIV basading ba dilemong tsa botjha tse pakeng tsa tse 18 le 24. Phuputso e ne e etsetswa Johannesburg, Aforika Borwa. Ho nkilwe dikamano tsa batho le dintho tse fapaneng tse amang maphelo a bona le mohopolo o bontshang kgatello ya basadi e le moralo wa tshebetso. Datha e bokelletswe ka ho inthaviuwa basadi ba leshome le metso e meraro ba dilemong tsa botjha. Sepheo sa phuputso ena e ne e le ho ithuta le ho hlalosa sekgobo se amanang le HIV, jwalo ka ha se etsahalla basadi ba dilemong tsa botjha ba phelang ka HIV. Lesedi le fumanweng ka phuputso e ne e le hore (a)bankakarolo kaofela ba ne ba tseba hore sekgobo ke eng, mme ba ne ba dumela hore se entse hore batho ba bangata ba be kotsing ya ho tshwaetswa; (b) sekgobo se thibela batho ba bangata ba phelang ka HIV (PLHIV) hore ba se kene mekgweng ya kalafo e thibelang tshwaetso le ho tlosa sekgobo feela, empa le ho ya dibakeng tsa tlhokomelo ya bophelo le ho fumantshwa ditshebeletso; (c) ha jwale ho fanwa ka mekgwa e menyane haholo ya kalafo ya ho thusa ho fokotsa HIV le ho tlosa sekgobo baahing ba bona (d) mekgwa ya kalafo e sebedisetswang ho ntlafatsa boemo e ka matlafatswa ka ho kenya PLHIV tlhophisong le tshebedisong ya mekgwa eo, le ho matlafatswa ka ho sebedisa ditsebi tse nang le HIV; le (e)mekgwa e ntseng e le teng ya ho thibela le ho tlosa sekgobo e ka matlafatswa lelapeng, tleleniking, sepetlele le setjhabeng. Ho phethetswe ka hore phuputso e bile le seabo sa bohlokwa dingolweng tse fokolang tsa diketshalo tsa nnete tsa batho ba phelang ka PLHIV.