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Understanding and Challenging Stigma toward ... - Pact Cambodia

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Naming<br />

<strong>Stigma</strong><br />

<strong>toward</strong><br />

MSM<br />

3. Summary: Bring the session to a close by summarizing the main points<br />

which participants have made during the exercise. In giving your summary you<br />

may use some of the following points, if they have not already been mentioned<br />

by participants.<br />

Because of your religion or upbringing you may believe that men having sex<br />

with men is wrong, but it is not okay to stigmatize MSM.<br />

<strong>Stigma</strong>tizing MSM fuels the HIV epidemic. It makes MSM hide their situation<br />

<strong>and</strong> take less care about their sexual health, making them more vulnerable to<br />

getting HIV.<br />

<strong>Stigma</strong>tizing MSM defeats your own m<strong>and</strong>ate as a health care worker. If you<br />

stigmatize MSM, they will stop using the clinic <strong>and</strong> their health will be negatively<br />

affected. If so, you are failing in your role as a health worker.<br />

The health care providers’ code of conduct requires us to treat all patients<br />

without exception.<br />

We are not saying that the moral values are wrong. We are saying that health<br />

workers’ judging of MSM is wrong. This form of stigma has to be stopped, i.e.,<br />

condemning MSM as undeserving of our support <strong>and</strong> health care.<br />

<strong>Stigma</strong>tizing MSM results in their feeling cut off from family, community, <strong>and</strong><br />

health services. This lowers their self-esteem <strong>and</strong> undermines their ability to<br />

take positive action to manage their health. As a result, MSM may take less<br />

care about their use of condoms <strong>and</strong> put themselves at risk of getting HIV.<br />

Once they get HIV, MSM are doubly stigmatized (for being MSM <strong>and</strong> for living<br />

with HIV), <strong>and</strong> this affects their ability to care for their own health <strong>and</strong> others’<br />

health. MSM may hide their status from their partners (male <strong>and</strong> female) <strong>and</strong><br />

continue having unprotected sex <strong>and</strong> this allows HIV to continue to spread.<br />

If we are to fight HIV, we have to stop calling MSM “bad people.” MSM are<br />

not bad people. In many parts of the world MSM are accepted as part of the<br />

community. This removes the moral condemnation. MSM are simply regarded<br />

as having a different sexual orientation, not having failed morally.<br />

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