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Tackling HIV Stigma What works?

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2 STIGMA: THE WHAT, WHERE AND HOW<br />

3. Counselling and support for people living with or<br />

affected by <strong>HIV</strong><br />

Support can help people living with or affected by<br />

<strong>HIV</strong> to recognise and deal with self-stigma and to<br />

build resilience to experiences of and perceptions<br />

of stigma.<br />

4. Contact with affected groups<br />

This involves linking the target group for the<br />

intervention with people living with or affected<br />

by <strong>HIV</strong>.<br />

5. Structural change e.g. change in public policy<br />

For example, introducing laws to protect people<br />

living with <strong>HIV</strong> from stigma and discrimination as well<br />

as the structural processes to ensure that people<br />

can access their rights.<br />

2.4 Using the <strong>HIV</strong> stigma framework to design<br />

a strategy for stigma reduction<br />

The diagram in Fig.2 below shows some of the<br />

things to consider when designing an <strong>HIV</strong> stigma<br />

intervention strategy.<br />

There may be more than one answer to each of<br />

these questions. The key to the success of a<br />

strategy is to ensure that the approach taken is<br />

effective in making the desired changes where<br />

intended – and the best way to do this is to make<br />

use of existing evidence.<br />

Where and with<br />

whom are we trying to<br />

have an effect? e.g. society;<br />

communities; organisations; social<br />

net<strong>works</strong>; families; individuals<br />

such as people living with or<br />

affected by <strong>HIV</strong>...<br />

Intervention<br />

strategy<br />

<strong>What</strong> are we trying to<br />

affect to achieve change?<br />

e.g. stereotypes; knowledge of<br />

<strong>HIV</strong>; knowledge of <strong>HIV</strong>-related<br />

stigma; discrimination; punitive<br />

laws; gender norms...<br />

How are we going to<br />

achieve this? e.g. providing<br />

information; skills-building;<br />

increasing empathy through<br />

stories; contact with affected<br />

groups; counselling...<br />

Fig.2 The where, what and how of an intervention strategy for stigma<br />

6 NAT<br />

<strong>Tackling</strong> <strong>HIV</strong> stigma: <strong>What</strong> <strong>works</strong>?

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