PLHIV Stigma Index in Nepal

3.7 Experience of Stigma and Discrimination at Health FacilitiesA total of seven per cent of the respondents had reportedly been denied health services, includingdental care, because of their HIV status (Figure 3.4).Figure 3.4 Denial of health services, including dental care, to PLHIV (N = 837)There is a wide variation among the respondents belonging to different geographical locationsin terms of the denial of health services, including dental care. As compared to other regions,respondents from the Eastern and Central regions had reported a higher percentage of suchinstances.Table 3.11 Denial of health services, including dental care, according to development regions100.078.9Denied health services,including dental careEastern Central WesternMid-WesternFar-WesternTotal80.0Yes (%) 12.4 14.7 4.3 1.8 1.1 7.3%60.040.020.03.33.60.413.9No/Not applicable (%) 87.6 85.3 95.7 98.2 98.9 92.7N 153 190 258 57 179 837The study found that respondents have reportedly been denied family planning services (3%)and SRH services (2%) because of their HIV status (Table 3.12).Table 3.12 Denial of family planning and reproductive health services0.0NeverAs compared to other risk groups, a higher proportion of FSWs and IDUs had reportedlyexperienced denial of health services. The percentages for the denial of health services,including dental care, according to risk groups are shown in Table 3.10.Table 3.10 Denial of health services, including dental care, according to risk groupsOnce(%)A few times(%)Often(%)Never(%)IDUs 7.3 8.5 — 75 164FSWs 3.2 — 3.2 51.6 31Migrants 1.5 3.1 — 78.4 194MSM — — — 77.2 57Never belonged to the abovementionedgroupsOnceA fewtimesOftenNotapplicable3.1 3.5 0.8 84 256Other (Refugee/Indigenous group) 3.5 0.9 — 85.1 114NDenial of family planning servicesMaleFemaleTGpersonYes (%) 2.3 2.9 7.4 2.7TotalNo/Not applicable (%) 97.7 97.1 92.6 97.3N 400 412 27 839Denial of sexual and reproductive health servicesYes (%) 2.8 1.0 7.4 2.0No (%) 97.2 99.0 92.6 98.0N 399 404 27 830The following table (Table 3.13) illustrates the percentages of PLHIV who had been deniedfamily planning services and SRH services by region.Total 3.3 3.6 0.4 78.9 83730 31