Developing a Theory-Based Intervention to Reduce HIV-Related Stigma in a Community in Northern Thailand Pubblico
Sriprapha, Yuthana (2012)
Abstract
HIV-related stigma is a complex phenomenon that affects different stakeholders in different ways and at different levels. Both people living with HIV/AIDS (PLWHA) and the community are affected by stigma, albeit in different ways. In Thailand, instrumental stigma, i.e. fear of infection, is more common than symbolic stigma, i.e. negative attitudes toward PLWHA, because behaviors associated with HIV are not stigmatized behaviors in Thailand. Social status is likely to influence susceptibility to instrumental stigma in Thailand. In terms of socioeconomic status, less powerful individuals seem to be more vulnerable to stigma and its consequences than the more powerful. Instrumental HIV-related stigma in Thailand can also be present in the form of resource-based stigma especially in communities with limited resources. In summary, HIV-related stigma in Thailand can be characterized as arising from fear of infection and influenced by socioeconomic power.
A multi-level intervention program is proposed in this special study project to reduce HIV-related stigma and ultimately improve the quality of life of PLWHA. Hope House, a faith-based organization in Northern Thailand, and Wang Tao village, the neighboring community of Hope House, are the chosen site where the program will be implemented. The program aims to reduce internalized stigma in PLWHA residents of Hope House by increasing their self-esteem and to decrease instrumental stigma in the community by means of an education program. By empowering PLWHA residents to the level of self- reliance, it should also lessen the degree of resource-based stigma in PLWHAs and people in the community. An HIV/AIDS education program that increases the opportunity for community members to interact with PLWHAs is also envisaged to reduce instrumental stigma. Activities that encourage communication between people in the community and PLWHA residents should reduce stigma in both groups and thus improve the quality of life in PLWHA residents of Hope House.
Table of Contents
Table of Contents
CHAPTER 1: INTRODUCTION...1
1.1 Introduction and Rationale...1
1.2 Hope House: Background...4
1.3 Problem Statement...6
1.4 Purpose Statement...6
1.5 Research Question...7
1.6 Significance Statement...7
1.7 Methodology...8
1.8 Definition of Terms...8
CHAPTER 2: LITERATURE REVIEW...10
2.1 Status of HIV/AIDS Epidemics in
Thailand...10
2.2 HIV/AIDS Stigma...12
2.3 HIV/AIDS Stigma Measures...14
2.4 Impacts of HIV/AIDS Stigma...15
2.4.1 Impacts on PLWHA individual...16
2.4.2 Impacts on the uninfected, including family and
community...16
2.4.3 Impact on epidemic control and healthcare...17
2.5 Characteristics of HIV/AIDS Stigma in
Thailand...18
2.6 Interventions to Help Reduce HIV/AIDS Stigma...18
2.7 Role of Religions (Buddhism and Christianity) to Help Reduce
HIV/AIDS Stigma in Thailand...21
CHAPTER 3: PRODUCT PROJECT...24
3.1 Current Situation and Need
Statement...24
3.2 Conceptual Framework...26
3.3 Activities for PLWHA Residents of Hope House...27
3.3.1 Activities to encourage networking with
other care programs for PLWHA...27
3.3.2 Activities to promote self-esteem and strengthen individual
capacity...28
3.3.3 Activities to provide spiritual support and encourage
spiritual well-being...30
3.3.4 Activities to promote community connection...31
3.4 Activities for Wang Tao Village Community...33
3.4.1 Activity to provide HIV information to the
community...33
3.4.2 Activity to promote communication and contact with
PLWHAs...33
3.5 Impact of Activities...34
3.6 Evaluation...35
CHAPTER 4: DISCUSSION AND CONCLUSION...36
REFERENCES...39
APPENDIX A...45
APPENDIX B...48
About this Master's Thesis
School | |
---|---|
Department | |
Degree | |
Submission | |
Language |
|
Research Field | |
Parola chiave | |
Committee Chair / Thesis Advisor | |
Partnering Agencies |
Primary PDF
Thumbnail | Title | Date Uploaded | Actions |
---|---|---|---|
Developing a Theory-Based Intervention to Reduce HIV-Related Stigma in a Community in Northern Thailand () | 2018-08-28 14:55:39 -0400 |
|
Supplemental Files
Thumbnail | Title | Date Uploaded | Actions |
---|