Understanding and Challenging Stigma toward ... - Pact Cambodia

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E4 Action – Writing a Code of Conduct for a “Stigma and Discrimination Free Health Facility” Example Responses: The examples below are not the required answers, and you are not expected to read them out loud. They are included to illustrate the type of responses expected and can help you identify issues you may want to raise, if they are not raised by participants. However, you should let each group come up with their own ideas. Remember: there are no right and wrong answers. Stigma and Barriers in the Clinic: MSM patients are kept waiting a long time. Other patients are served first Bureaucratic and unfriendly treatment and insulting language Health facility staff gossip about MSM patients and show their disapproval/ judging Breach confidentiality, e.g., some health facility staff tell other staff and patients about MSM patients Blaming and shaming: “You deserve to get this, because of your disgusting behavior.” Health staff lack skills and knowledge to diagnose and treat STIs triggered by anal or oral sex Health staff are uncomfortable talking about sexual practices without judgment Health staff more concerned about the MSM’s sexual orientation than dealing with the illness Some MSM patients (e.g., short hair MSM) do not reveal their sexual orientation because of fears of being stigmatized, so health workers lack the information needed to make a full diagnosis Some long hair MSM are reluctant to access health services because they have a man’s name but a woman’s appearance 258
Moving to Action Example Responses: Effects: MSM feel insulted, humiliated, and angry, and having no solutions to their health problems MSM patients stop using the clinic and do not get their STIs treated MSM have to find other forms of treatment, e.g., private doctors who treat them with more confidentiality and less stigma, or self-treatment It may affect their self-esteem/self-confidence and they may deny their sexual risk and take more risks in their sexual behavior (e.g., not using condoms) Short hair MSM find it difficult to talk openly about situation for fear they may be stigmatized 259
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Understanding and Challenging Stigm
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Acknowledgments The toolkit was dev
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Table of Contents Acronyms ........
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Contents D2. HIV Transmission and M
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Why a Toolkit on Stigma toward Men
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What is the Toolkit? What is the To
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How to Use the Toolkit The toolkit
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Sample Programs for Different Types
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The Exercises or Session Plans Each
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Tips for Facilitating Participatory
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Chapter A: Naming Stigma and Discri
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A1 Naming Stigma and Discrimination
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A2 What the Community Says, Fears,
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A5 Finding Solutions to Challenge S
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A7 Personal Experience of Being Sti
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A8 What Is the Meaning of Stigma? F
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A8 What Is the Meaning of Stigma? S
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A9 The Blame Game Facilitator’s N
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A9 The Blame Game 2. Things the com
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A9 The Blame Game 3. Report back: B
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A9 The Blame Game So how should we
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A10 When the Family Discovers that
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A11 Forms, Effects, and Causes of S
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A11 Forms, Effects, and Causes of S
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A12 How Stigma toward Men who Have
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A12 How Stigma toward Men who Have
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A13 Stigma and Discrimination towar
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Chapter B: Understanding What it Me
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B1 Breaking the Sex Taboo Facilitat
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B1 Breaking the Sex Taboo Example R
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B1 Breaking the Sex Taboo Example Q
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B1 Breaking the Sex Taboo Example R
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B2 What Do We Know about Men who Ha
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B3 What is Sex? What is Gender? Fac
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B3 What is Sex? What is Gender? Exa
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B4 Act Like a Real Man Facilitator
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B4 Act Like a Real Man Review the p
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B4 Act Like a Real Man Example Resp
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B5 Sex, Gender Identity, Gender Exp
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B6 Misconceptions about Men who Hav
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B7 Value Clarification Facilitator
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B7 Value Clarification Step: 1. Rap
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B7 Value Clarification Example of a
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Annex for Chapter B: What Do You Kn
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Chapter C: Coping with Stigma and D
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C1 Personal Experiences of Stigma F
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C1 Personal Experiences of Stigma 3
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C1 Personal Experiences of Stigma E
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C2 Strategies for Coping with Stigm
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C2 Strategies for Coping with Stigm
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C3 How to Challenge Stigma in an As
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C4 Disclosure: How to Disclose to t
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C5 Coping with Stress Facilitator
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C5 Coping with Stress 2. Discussion
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C6 Relations between Men who Have S
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C6 Relations between Men who Have S
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Page 274 and 275: Annex A: Information Sheets 1. Glos
Page 276 and 277: Annex A:1 Glossary of Terms Bisexua
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Page 280 and 281: Annex A:2 Men who Have Sex with Men
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Page 292 and 293: Annex A:5 Stigma and Discrimination
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Page 296 and 297: Annex A:6 Human Rights What are hum
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Annex B: Stigma Pictures M1 Father
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M.1 Annex B
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M.3 Annex B
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M.5 Annex B
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M.7 Annex B
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M.9 Annex B
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M.11 Annex B
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M.13 Annex B
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M.15 Annex B
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M.17 Annex B
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