Stigma and Discrimination

 

World AIDS Day 2002: Live and Let Live

 

Stigma is not something new. Stigma has existed a long, long time back. The Holy Bible tells us of how people with leprosy were treated.

It has its origins deep within the structure of a society as a whole, and the norms and values that govern every day life.

 

Stigma has been described as a “quality that significantly discredits” an individual in the eyes of others. 

It also has important consequences for the way in which individuals come to see

themselves.

                                                                                                           

Stigmatization is a process that devaluates a person.

HIV related stigma builds upon and reinforces earlier negative thoughts. People with HIV/AIDS are often believed to have deserved their condition because they did something wrong . By wrong doings we often refer to sex or particular lifestyle or sexual practices that people have.

We tend to stereotype people and associate HIV infection with a particular sexual behaviour. While it is true that the more partners we have our risk to HIV infection increases, it is unfair to point fingers.

What about the child who is born HIV infected, the young girl or boy who has abstained, and through his/her first relationship has become infected?  What about the person who got HIV through rape or abuse?

We often say, “I ti pe rode…”.  Does anyone really want to have HIV/AIDS?

 

Often we use stigmatization statements without really thinking .

 Eg. “Be get manyer ou’n meg! Ou pa ganny sa move malad?

The word “AIDS” here is not mentioned but implied.

 

Stigma is also demonstrated through our action. eg: Not wanting to sit next to someone suspected of having HIV/AIDS, or even next to their children.

The way we look at people as if we are stripping them naked. Our silence when someone who may be HIV positive walks past us.

 

Our looks, body language say a great deal.

 

Discrimination and stigma go hand in hand because one reinforces the other. Discrimination is a violation of human right because it denies people living with HIV/AIDS of their basic rights, eg right to health care, housing, employment.

 

Why do people who are or think they are HIV-negative stigmatize those who are known or suspected to be HIV-positive?

 

As explained earlier, stigma is based on value judgment, of what is right and what is wrong.  “I’M OK BUT YOU ARE NOT OK”. We point fingers. We learn these things in every day life… to accept or to reject.

Often fear and ignorance play are large part in propagating stigmatization of persons living with HIV and AIDS.

  • Fear because AIDS is still fairly new. We have talked about AIDS as a deadly disease that has no cure. While this is true we have to bear in mind the effect it has on the community.

AIDS is mostly associated with homosexuals and prostitutes or people who are promiscuous.

  • Ignorance where people lack information about the disease.

 

What can people do instead of stigmatizing?

 

  • Learn the fact about HIV/AIDS

  • Talk to people living with HIV/AIDS and get to understand them better

  • Join a support group

  • Analyze their own behaviour and find out about their own status.

  • Be the Christian or religious person they proclaim to be.

 

What can PLWHAs do to reduce stigmatization?

 

  • Access care. Now that treatment is available, AIDS does not necessarily have to be a deadly disease. Help change that image.

  • Counselling and support to build up morale and self esteem.

  • Join other PLWHAs and become a strong body.

  • Learn more about HIV/AIDS

  • Be an educator on HIV/AIDS

 Why is stigmatization a concern?

  • Stigma and discrimination hurt those who are infected their families and friends.

  • It lowers the self esteem and self worth of people

  • It discourages people living with HIV from fulfilling their potentials and behaving responsibly.  PLWHAs may not want to get involved in activities that will put their identity at risk, eg NGO work.

  • It promotes denial.  PLWHAs may not want to be associated with HIV/AIDS. (once tested, they may not come for follow up or even the confirmatory test.

Since there is denial, they may put their own lives and the lives of others at risk.

eg. A HIV positive mother may choose to breastfeed her baby so as not to arouse suspicion. A HIV positive partner may choose not to use a condom so as not to have to answer questions from his/her partner.

  • It adds fuel to the HIV epidemic. People are afraid to come forward to get tested because they fear the reaction of others if they discover they are HIV positive.

  • It prevents people from seeking care as they may not want to be seen going to CDCU.

  • It prevents the infected and affected to assist in prevention and advocacy work.

 

In other words, stigmatization and discrimination add fuel to the HIV/AIDS epidemic.

 

Therefore, Live and Let Live!

 

   gm 25/11/02 

   

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