Abstract

Stigma related to HIV and AIDS in Nepal is an issue that requires better understanding. Some prevention efforts, because of lack of cultural understanding, have paradoxically amplified the problem they were intended to reduce. In this paper I set out to identify the causes of stigma related to HIV and AIDS in Nepal and propose a prevention model that makes use of culture to reduce this more effectively.

Highlights

  • In the seminal work on stigma, sociologist Erving Goffman (1963) defined stigma as an “attribute that is deeply discrediting” and that reduces its bearer “from a whole and usual person to a tainted, discounted one” (p.3)

  • In this paper I set out to identify the causes of stigma related to HIV and AIDS in Nepal and propose a prevention model that makes use of culture to reduce this more effectively

  • In this paper I set out to identify the causes of stigma related to HIV and AIDS in Nepal and propose a prevention model that makes use of culture to reduce stigma related to HIV and AIDS more effectively

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Summary

Introduction

In the seminal work on stigma, sociologist Erving Goffman (1963) defined stigma as an “attribute that is deeply discrediting” and that reduces its bearer “from a whole and usual person to a tainted, discounted one” (p.3). AVERT (2010), the international AIDS charity, defines AIDS-related stigma and discrimination as “prejudice, negative attitudes, abuse and maltreatment directed at people living with HIV and AIDS (Note 1). They can result in being shunned by family, peers and the wider community; poor treatment in healthcare and education settings; an erosion of rights; psychological damage; and can negatively affect the success of HIV testing and treatment” (Introduction section, note 1). Several authors even suggest that stigma related to HIV and AIDS has been amplified by the very prevention models that were implemented to reduce it (Beine, 2001; Beine, 2003; Nepal & Ross, 2010; Wasti, 2009). In this paper I set out to identify the causes of stigma related to HIV and AIDS in Nepal and propose a prevention model that makes use of culture to reduce stigma related to HIV and AIDS more effectively

The causes of and responses to stigma in Nepal
Using culture to reduce stigma
The suggested model
General audience messages
Highest risk groups
Findings
Conclusions

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