PLHIV Stigma Index in Nepal

Table 3.13 Denial of family planning and reproductive health services according todevelopment regionsEastern Central WesternMid-WesternFar-WesternTotalDenied family planning servicesYes (%) 3.2 2.1 1.5 1.8 5.0 2.7No/Not applicable (%) 96.8 97.9 98.5 98.2 95.0 97.3N 154 187 260 57 181 839Denied sexual and reproductive health servicesYes (%) 4.5 1.6 2.3 — 0.6 2.0No (%) 95.5 98.4 97.7 100.0 99.4 98.0Chapter 4N 154 190 262 57 167 8303.8 Experienced Stigma and Discrimination for Reasons other than HIV StatusCertain groups face discrimination because of their categorization into particularcommunities of the society; this is reflected in the figure below. This suggests that stigmaand discrimination to these groups are prevalent irrespective of their HIV status. Stigma anddiscrimination was reported to be the highest for IDUs (19%) and migrant workers (19%) ascompared to other groups (Figure 3.5).Figure 3.5 Experienced stigma and/or discrimination for reasons other than HIVstatus (N = 758)Self-StigmaMen who have sex with menRefugee or asylum seekerTransgender person223Sex worker5Member of an indigenous group10Migrant workerInjecting drug user1919None of the above – it was because of otherreasons410 1020%30 40 50The results from the current study clearly indicate that PLHIV are facing stigma anddiscrimination at various levels of the society and this stigma and discrimination variesonly in terms of their intensity. Unfortunately, the PLHIV, irrespective of their gender, age,occupation, etc., face stigma and/or discrimination on a daily basis by other people at thefamily level, community level, workplace, educational institutional and unfortunately even at32 health facilities.33