Download this publication - AIDS Data Hub

More documents

Recommendations

Info

Table of ContentsPROJECT TEAM 5ACKNOWLEDGEMENTS 6GLOSSARY 7EXECUTIVE SUMMARY 8INTRODUCTION 13PROFILE OF HIV IN MALAYSIA 14RATIONALE FOR PROJECT 19OBJECTIVES 20METHODOLOGY 20DEFINING IMPACT 21DEFINING NEEDS 23FOCUS GROUP DISCUSSIONS ON IMPACT 24SELECTION PROCESS 24FGD GUIDE 25FRAMEWORK OF ANALYSIS 26SURVEY ON NEEDS 27SELECTION PROCESS 27QUESTIONNAIRE 27FRAMEWORK OF ANALYSIS 28ETHICAL REVIEW 28PROBLEMS AND CONSTRAINTS 28SUMMARY PROFILE OF STUDY PARTICIPANTS 29FINDINGS FROM THE FGDS: “HOW HIV AFFECTS OUR LIVES” 31HEALTH IMPACT 31PHYSICAL HEALTH 31HEALTHCARE ISSUES 34HEALTH BEHAVIOUR 39Condom use 41COUNSELLING, CARE AND SUPPORT 44PSYCHO-SOCIAL IMPACT 50SOCIAL IMPACT 50Disclosure 50Relationships 53PSYCHOLOGICAL AND EMOTIONAL IMPACT 55Emotional status following diagnosis 56Current psychological and emotional status 59Self-esteem and self image 61Religious participation and/or spirituality 612
Coping 62Outlook on life 63Major concerns for the future 64ECONOMIC IMPACT 65IMPACT ON WORK AND INCOME 65IMPACT ON CAREER OPTIONS AND UPWARD MOBILITY 68ECONOMIC BURDEN OF HIV 70HIV/AIDS POLICIES, PROGRAMMES AND PLHIV PARTICIPATION 71AWARENESS OF HIV/AIDS POLICIES 71POLICY/PROGRAMME IMPLEMENTATION ISSUES 74PLHIV PARTICIPATION 77STIGMATIZATION AND DISCRIMINATION 77PERCEIVED FEAR, STIGMA AND DISCRIMINATION 85VOICES FROM THE COMMUNITY 87KNOWLEDGE OF HIV/AIDS 87TRANSMISSION 87TREATMENT/CURE FOR HIV/AIDS 88CHARACTERISTICS OF AN INFECTED PERSON 89SOURCES OF INFORMATION ON HIV/AIDS 89ATTITUDES AND PERCEPTIONS RELATED TO PLHIV 89STIGMA AND DISCRIMINATION 89ATTITUDES TOWARDS PLHIV AS NEIGHBOURS 91EMPLOYMENT FOR PLHIV 92IMPACT ON THE FAMILY 92MARRIAGE FOR PLHIV 93SCHOOLING FOR POSITIVE CHILDREN 94IMPACT ON THE NATION 94PREVENTION AND CONTROL STRATEGIES 95KNOWLEDGE ABOUT POLICY AND PROGRAMMES 95HARM REDUCTION PROGRAMME 96HIV CONTROL 97RESULTS OF THE SURVEY: “WHAT WE NEED” 99CHARACTERISTICS OF THE STUDY POPULATION 99BACKGROUND OF RESPONDENTS 99Gender 99Ethnicity 99Age 101Religion 101Marital status 101Educational attainment 102Employment status 102Family background 103Living children 104Positive family members 105TESTING 105Duration since HIV diagnosis 105How HIV status was discovered 105Pre- and post-test counselling 107Relationship with their families 1073
Page 4 and 5: Information received at the time of
Page 6 and 7: AcknowledgementsThis research is fu
Page 9: The main findings from the qualitat
Page 14 and 15: school or work, transport costs for
Page 16 and 17: is that the large majority of women
Page 18 and 19: In fact, special surveys conducted
Page 20 and 21: ObjectivesThe specific objectives o
Page 22 and 23: have been rejected by their immedia
Page 24 and 25: eport) that his/her healthcare (or
Page 26 and 27: CommunityKnowledge/awareness of HIV
Page 28 and 29: Framework of analysisA descriptive
Page 30 and 31: urban and a rural community. In all
Page 32 and 33: medication, the physical health com
Page 34 and 35: husbands working in other places wh
Page 36 and 37: (“And then, this doctor, he/she v
Page 38 and 39: their food. Nurses and their attend
Page 40 and 41: “Because we take drugs….no time
Page 42 and 43: The same claim to 100% condom use w
Page 44 and 45: in asking them to use condoms, even
Page 46 and 47: “Normally…..normally, memang ma
Page 48 and 49: (“But I continued using at that t
Page 50 and 51: “Buat pada permulaannya, saya mem
Page 52 and 53:
However, not all experiences with d
Page 54 and 55:
yang amat sangat. Tak pernah I rasa
Page 56 and 57:
long term fears and anxieties. The
Page 58 and 59:
“The first time I heard from the
Page 60 and 61:
handset, I too, have handset. Some
Page 62 and 63:
have been turning to God since and
Page 64 and 65:
felt I’m indecent. But, at one ti
Page 66 and 67:
would certainly want to continue wo
Page 68 and 69:
(Transgender, 53 yrs, Upper seconda
Page 70 and 71:
“Sometimes I didn’t get enough
Page 72 and 73:
positively portray people living wi
Page 74 and 75:
“After my diagnosis...I’ll pay
Page 76 and 77:
not know or might not want to be bo
Page 78 and 79:
(UNAIDS 2005).(UNAIDS 2000):The fac
Page 80 and 81:
“…bawak saya pergi hospital. An
Page 82 and 83:
erpindah ke tempat lain makin lama.
Page 84 and 85:
pada HIV itu, dia nampak penagih. S
Page 86 and 87:
(Male, 49yrs, University education,
Page 88 and 89:
However this association with the n
Page 90 and 91:
“…..depends on who is the perso
Page 92 and 93:
(“I …my experience society will
Page 94 and 95:
(“Can…can marry, no problem. Bu
Page 96 and 97:
Harm Reduction programmeSome urban
Page 98 and 99:
(“In my opinion such campaign sta
Page 100 and 101:
Table 2aDistribution of Respondents
Page 102 and 103:
female sex workers (seven out of 13
Page 104 and 105:
NO. OF LIVING PARENTSNobody 7 1 1 2
Page 106 and 107:
tested in drug rehabilitation cente
Page 108 and 109:
GroupsDUHetero-SexuallyInfectedMenT
Page 110 and 111:
y the Ministry of Health (74.2%) or
Page 113 and 114:
Child CareYes, often 0 0 0 1 0 1 0
Page 115 and 116:
GroupsDUHetero-SexuallyInfectedMenT
Page 117 and 118:
Figure 5: Percentage of Respondents
Page 119 and 120:
GroupsTable 12aEmotional Problems E
Page 121 and 122:
Stigmatization and how it has affec
Page 123 and 124:
GroupsTable 15How They Cope With Th
Page 125 and 126:
Table 18Percentage Of Respondents W
Page 127 and 128:
esponsible for their families. As m
Page 129 and 130:
In this study, it took more effort
Page 131 and 132:
eing transgender and sex worker whe
Page 133 and 134:
denies them social and economic opp
Page 135 and 136:
working towards their future, who c
Page 137 and 138:
ReferencesAidsmeds.com (2006). Curr
Page 139 and 140:
Sen G, George A, Ostlin P (2002). E
Page 141 and 142:
Annex II: FGD Guide for PLHIV Group
Page 143 and 144:
♦ Spouse: marital/sexual relation
Page 145 and 146:
I. Attitudes and Perceptions relate
Page 147 and 148:
I. HIV/AIDS Knowledge‣ What did y
Page 149 and 150:
Annex V: Rapid Needs Assessment Que
Page 151 and 152:
Types of support or responsibilityM
Page 153 and 154:
Please tick (√)one onlyIf yes,ple
Page 155 and 156:
more help would be useful for you i
Page 157 and 158:
Annex VI: Ethics Approval Letter157
show all

Download this publication - AIDS Data Hub

Create successful ePaper yourself

Delete template?

Save as template?