Roles and Responsibilities
of DAPCU respect to stigma and discrimination
·
Strategies for reduction of stigma.
·
What are the services accessible to reduce stigma.
·
In the health care setting.
·
District administration and its department.
·
In the community setting.
·
Please share any achievement in reducing stigma and
discrimination.
Some strategies for reduction of stigma :
·
AIDS is a life threatening disease that a person carries the HIV
virus throughout his/ her life till death. Now days such disease has created a
morbid fear in the mind of common people as such no permanent remedy has
developed in medical science. Stigma is a social attitude / thought emerges
from own culture and belief. In view of the above DAPCU has taken some
strategies to reduce the stigma in different situation. Stigma stands in the
following situations/ levels :
a.
Community level.
b.
Family based.
c.
Health care situation.
d.
Religion & Culture.
e.
Media.
f.
Educational Institution.
g.
Work place (Corporate / industrial sector, where group of people
work together).
h.
Administration (where some duty bearers have ill attitude towards
the HIV infected people in discharging their services).
DAPCU has made the following strategies to
reduce the stigma in different level as follows:
Community level campaign:
a.
Campaign for AIDS for NO AIDS.
b.
IEC/ Advocacy.
c.
Sensitization workshop on HIV/AIDS.
d.
Fixing hoardings on HIV/ TB/STD.
e.
ARSH training to adolescent girls.
Besides that DAPCU has made the following
action plan to reduce the stigma in different levels…..
1.
Need assessment.
2.
Vulnerable Mapping.
3.
Strengthening service delivery structures.
4.
Targeted intervention strategies.
5.
Condom promotion.
6.
Developing health seeking behaviour.
7.
Family strengthening programme.
8.
Farming Red Ribbon club.
Other strategies/ services are being planned
to reduce stigma, especially health, education and administration level.
o
Priority on hospice care.
o
Priority on palliative care.
o
Day care, home care, hospital care and hospice care.
o
Counselling through ICTC and other service delivery points like
DOTS Centre, EID Centre, Link ART/ ART Centre, STD clinic, Doctors clinic to
the patients and his/ her family members.
o
Sensitization training to all the health care providers in the
hospital.
o
School AIDS education programme.
o
Awareness through Red Ribbon Club.
o
Blood safety programme.
o
Health camp and STI screening programme.
o
Observing World AIDS Day by the responsibility / involvement of
District administration.
o
Convergence with different line Depts. and make aware the duty
bewares.
o
In the DAPCC review meeting, any topics/ issues related to
HIV/AIDS are discussed to the members of the committee.
o
Work place intervention like awareness/ workshop in different
factories / industries/ corporate sectors.
o
Advocacy to different stakeholders/ civil society partners/ Govt.
officials through mainstreaming.
o
Media sensitization programme for writing on stigmatizing and no
discriminating words.
o
Focussing on moralizing writings.
o
Motivating people for not engaging in high risk behaviour.
o
Providing administration and service providers with correct
information on HIV/AIDS.
o
Campaign for togetherness in melas/ religious place/ cultural
festivals.
o
Folk campaign/ Radio jingle playing.
o
Walling/ painting leaflets and its promotion in community level.
o
Involving the HIV affected people in the social benefit scheme as
they think their rights rather discouragement. All the above strategies are the
ongoing process of DAPCU to reduce the stigma and discrimination in different
levels.
EXPERIENCE
–I.
Two school going orphan CLHIV were victimised
with stigma during their school. DAPCU and TI partner and District
Administration made the awareness programme in the concerned school, on
HIV/AIDS, after that the school and the students accepted the children as
normal.
This was happened in Barabhagia sasan under
Bhadrak Block.
EXPERIENCE
– II.
One family and the patient were discriminated
by the villagers due to stigma in the Guamal village under Tihidi Block. After
the massive awareness programme in that particular village, on HIV/ AIDS with
the help of PRI members, the villagers accepted that family and treated them as
normal.
Stigma
always facilitates discrimination. Due to stigma, people suffer from
discrimination. Once stigma is reduced, the discrimination cannot be happen.
Everyone behaves to HIV/AIDS affected people differently and does not accept
them as normal only due to stigma. Stigma is harmful but Discrimination is more
painful. Stigma is the cause but Discrimination is its effect.
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