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Reducing HIV Stigma & Discrimination: A Framework for Program Implementation & Measurement

Reducing HIV Stigma & Discrimination: A Framework for Program Implementation & Measurement. Actionable Drivers & Facilitators. Stigma “Marking”. Stigma Manifestations (Domains). Stigma Outcomes. Impacts. DRIVERS. Lack of Awareness Fear of HIV Infection Fear of Social Ramifications

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Reducing HIV Stigma & Discrimination: A Framework for Program Implementation & Measurement

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  1. Reducing HIV Stigma & Discrimination: A Framework for Program Implementation & Measurement Actionable Drivers & Facilitators Stigma “Marking” Stigma Manifestations (Domains) Stigma Outcomes Impacts DRIVERS • Lack of Awareness • Fear of HIV Infection • Fear of SocialRamifications • Fear of Economic Ramifications Social Judgment Quality of Life HIV Incidence HIV Prevalence Morbidity Mortality Behaviors Uptake of HIV Services Uptake of Support Services Anticipated Stigma Internalized Stigma Experienced Stigma Other Stigmas Intersecting Stigmas Discrimination HIV Stigma Institutional Cultural FACILITATORS Individual and Community

  2. Reducing HIV Stigma & Discrimination: A Framework for Program Implementation & Measurement Stigma assigned for socially discredited behaviors or characteristics Intersecting Stigmas Stigma assigned for HIV positive status or association with HIV+ person Stigma “Marking” Stigma Manifestations (Domains) Stigma Outcomes Impacts Actionable Drivers • Lack of Awareness • Of stigma • Of harmful consequences • Fear of HIV Infection • Lack of knowledge • Irrational fears • Fear of SocialRamifications • Own family • Community • Fear of Economic Ramifications • Of illness and death • Of loss of livelihood • Social Judgment • Prejudice & stereotypes regarding: • HIV status • Drug use • Sexual behavior • Sex work • Gender • Age Behaviors: Risk Behavior Disclosure Adherence Uptake of HIV Services: Testing Prevention Care Treatment Uptake of Support Services: Psychosocial Legal Economic Quality of Life HIV Incidence HIV Prevalence Morbidity Mortality Anticipated Stigma Internalized Stigma Experienced Stigma (outside legal purview) Discrimination (within legal purview) Actionable Facilitators • Institutional • Laws, policies, policy environments • Institutions (i.e. healthcare, government, schools, police, religious, media) • Individual & Community • Power • Social support • Social assertiveness • Resilience • Cultural • Gender culture • Sexual culture • Health beliefs • Ethics & morality

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