Investigating how stigma AIDS the spread of HIV infections among young women in Johannesburg and possible interventions to ameliorate the problem
Imenda, Mwenda Sitwala
This was a qualitative case study exploring and describing the role that stigma plays
in the spread of HIV among young women between the ages of 18 and 24.
The study locale was Johannesburg, South Africa. The social ecology model and radical
feminism were adopted as the conceptual framework for the study. Data were
collected through interviews with thirteen young women. This study intended to
explore and describe HIV-related stigma, as experienced by young women living with
HIV. The major findings of the study were that (a) all the participants were familiar with
the notion of stigma and held the view that it made many young women vulnerable to
infection; (b) stigma kept many people living with HIV (PLHIV) from accessing
prevention and destigmatisation intervention programmes, as well as healthcare
facilities and services; (c) there were currently very few HIV reduction and
destigmatisation intervention programmes in their communities; (d) intervention
programmes could be strengthened by involving PLHIV in the planning and execution
of such programmes, as well as utilising HIV positive experts and (e) extant stigma
prevention and destigmatisation programmes could be strengthened at family, clinics,
hospitals and community levels. It is concluded that the study has made an important
contribution towards closing the literature gap in the paucity of studies on the personal
lived experiences of PLHIV.; In hierdie kwalitatiewe gevallestudie is die rol van stigma in die verspreiding van MIV
onder jong vroue tussen die ouderdom van 18 en 24 ondersoek en beskryf. Die studie
is in Johannesburg, Suid-Afrika onderneem. Die maatskaplike-ekologiemodel en
radikale feminisme het die konseptuele raamwerk daarvan gevorm. Data is ingesamel
deur onderhoude met dertien jong vroue te voer. Die oogmerk van die studie was om
die stigma van MIV wat kleef aan jong vroue wat met MIV leef, te verken. Die volgende
bevindings is gemaak: (a) al die deelnemers was vertroud met die idee van stigma.
Hulle was van mening dat dit tallose jong vroue vir infeksie kwesbaar maak; (b) die
stigma ontneem talle mense wat leef met MIV (MLMIV) van toegang tot nie alleen
voorkomings- en destigmatiseringsprogramme nie, maar ook van gesondheidsorg en
-dienste; (c) tans word weinig MIV-verminderings- en destigmatiseringsprogramme in
hulle gemeenskappe aangebied; (d) intervensieprogramme kan verbeter word deur
MLMIV by die beplanning en uitvoering daarvan te betrek; en (e) bestaande
stigmavoorkomings- en destigmatiseringsprogramme behoort in families, klinieke,
hospitale en gemeenskappe verskerp te word. Die slotsom is dat hierdie studie die
leemte aan literatuur oor die persoonlike, deurleefde ervarings van MLMIV aanvul; Ona e ne e le mokgwa wa ho etsa patlsisio moo ho ithutwang ka ketsahalo e boima
ka ho hlwaya dintho tse fapaneng tse amanang le yona, o fuputsang le ho hlalosa
karolo e bapalwang ke sekgobo phatlallong ya HIV basading ba dilemong tsa botjha
tse pakeng tsa tse 18 le 24. Phuputso e ne e etsetswa Johannesburg, Aforika Borwa.
Ho nkilwe dikamano tsa batho le dintho tse fapaneng tse amang maphelo a bona le
mohopolo o bontshang kgatello ya basadi e le moralo wa tshebetso. Datha e
bokelletswe ka ho inthaviuwa basadi ba leshome le metso e meraro ba dilemong tsa
botjha. Sepheo sa phuputso ena e ne e le ho ithuta le ho hlalosa sekgobo se amanang
le HIV, jwalo ka ha se etsahalla basadi ba dilemong tsa botjha ba phelang ka HIV.
Lesedi le fumanweng ka phuputso e ne e le hore (a)bankakarolo kaofela ba ne ba
tseba hore sekgobo ke eng, mme ba ne ba dumela hore se entse hore batho ba
bangata ba be kotsing ya ho tshwaetswa; (b) sekgobo se thibela batho ba bangata ba
phelang ka HIV (PLHIV) hore ba se kene mekgweng ya kalafo e thibelang tshwaetso
le ho tlosa sekgobo feela, empa le ho ya dibakeng tsa tlhokomelo ya bophelo le ho
fumantshwa ditshebeletso; (c) ha jwale ho fanwa ka mekgwa e menyane haholo ya
kalafo ya ho thusa ho fokotsa HIV le ho tlosa sekgobo baahing ba bona (d) mekgwa
ya kalafo e sebedisetswang ho ntlafatsa boemo e ka matlafatswa ka ho kenya PLHIV
tlhophisong le tshebedisong ya mekgwa eo, le ho matlafatswa ka ho sebedisa ditsebi
tse nang le HIV; le (e)mekgwa e ntseng e le teng ya ho thibela le ho tlosa sekgobo e
ka matlafatswa lelapeng, tleleniking, sepetlele le setjhabeng. Ho phethetswe ka hore
phuputso e bile le seabo sa bohlokwa dingolweng tse fokolang tsa diketshalo tsa nnete
tsa batho ba phelang ka PLHIV.
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