Stigma Reduction Training Improves Healthcare Provider Attitudes Toward, and Experiences of, Young Marginalized People in Bangladesh
Autor: | Eileen Yam, Nargis Sultana, Julie Pulerwitz, Scott Geibel, Tarik Hossain, Sharif M.I. Hossain, Lucy Stackpool-Moore, Reena Yasmin, Barbara Friedland, Shongkour Roy, Brady Burnett-Zieman, Najmus Sadiq |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Attitude of Health Personnel Sexual Behavior Sexual and reproductive health and rights Social Stigma Psychological intervention Stigma (botany) HIV Infections 03 medical and health sciences Young Adult 0302 clinical medicine Intervention (counseling) Surveys and Questionnaires Health care Medicine Humans 030212 general & internal medicine Bangladesh Stereotyping 030505 public health Reproductive Rights business.industry Public Health Environmental and Occupational Health Stigma reduction Sex Work Psychiatry and Mental health Cross-Sectional Studies Patient Satisfaction Family medicine Pediatrics Perinatology and Child Health Cohort Customer satisfaction Female 0305 other medical science business |
Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 60(2S2) |
ISSN: | 1879-1972 |
Popis: | Working with health providers to reduce HIV stigma in the healthcare setting is an important strategy to improve service utilization and quality of care, especially for young people who are sexually active before marriage, are sexual minorities, or who sell sex. A stigma reduction training program for health providers in Bangladesh was evaluated.A cohort of 300 healthcare providers were given a self-administered questionnaire, then attended a 2-day HIV and sexual and reproductive health and rights training (including a 90-minute session on stigma issues). Six months later, the cohort repeated the survey and participated in a 1-day supplemental training on stigma, which included reflection on personal values and negative impacts of stigma. A third survey was administered 6 months later. A cross-sectional survey of clients age 15-24 years was implemented before and after the second stigma training to assess client satisfaction with services.Provider agreement that people living with HIV should be ashamed of themselves decreased substantially (35.3%-19.7%-16.3%; p.001), as did agreement that sexually active young people (50.3%-36.0%-21.7%; p.001) and men who have sex with men (49.3%-38.0%-24.0%; p.001) engage in "immoral behavior." Young clients reported improvement in overall satisfaction with services after the stigma trainings (63.5%-97.6%; p.001).This study indicates that a targeted stigma reduction intervention can rapidly improve provider attitudes and increase service satisfaction among young people. More funding to scale up these interventions is needed. |
Databáze: | OpenAIRE |
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