Potential initiators of HIV-related stigmatization: Ethical and programmatic challenges for PMTCT programs

Developing World Bioethics

Volumn 8, Issue 1, 2008, Pages 43-50

  Thorsen, Viva C ^a   Sundby, Johanne ^b   Martinson, Francis ^b  

^a UNIVERSITY OF OSLO   (Norway)

^b NONE

Author keywords

HIV related stigmatization; Malawi; PMTCT; Stigma

Indexed keywords

ADULT; AFRICA SOUTH OF THE SAHARA; ARTICLE; ARTIFICIAL MILK; BOTTLE FEEDING; BREAST FEEDING; CONFIDENTIALITY; DISEASE TRANSMISSION; FEMALE; HEALTH CARE QUALITY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HUMAN RIGHTS; MALAWI; MOTIVATION; PATIENT PARTICIPATION; PREGNANCY; PREGNANCY COMPLICATION; PSYCHOLOGICAL ASPECT; SOCIAL PSYCHOLOGY; STATISTICS;

ADULT; AFRICA SOUTH OF THE SAHARA; BOTTLE FEEDING; BREAST FEEDING; CONFIDENTIALITY; DISEASE TRANSMISSION, VERTICAL; FEMALE; HIV INFECTIONS; HUMAN RIGHTS; HUMANS; INFANT FORMULA; MALAWI; MOTIVATION; PATIENT PARTICIPATION; PREGNANCY; PREGNANCY COMPLICATIONS, INFECTIOUS; PROGRAM EVALUATION; STEREOTYPING;

HUMAN IMMUNODEFICIENCY VIRUS;

EID: 40249110163     PISSN: 14718731     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1471-8847.2008.00227.x     Document Type: Article

References (29)

1. [Malawi] National AIDS Commission. 2003. HIV/AIDS in Malawi: Estimates of the Prevalence of Infection and the Implications. Lilongwe: National AIDS Commission. Available at: http://www.synergyaids.com/documents/MAL_AIDS.pdf [Accessed 26 Dec 2007].
2. United Nations Children's Fund (UNICEF). 2004. HIV/AIDS and Children: Prevention of Parent-to-child Transmission of HIV/AIDS. New York, NY: UNICEF. Available at; http://www.unicef.org/aids/index_preventionMTCT.html [Accessed 26 Dec 2007].
3. K.M. De Cock et al. Prevention of Mother-to-Child HIV Transmission in Resource-Poor Countries: Translating Research into Policy and Practice. JAMA 2000 283 : 1175 1182.
4. A. Medley et al. Rates, Barriers and Outcomes of HIV Serostatus Disclosure among Women in Developing Countries: Implications for Prevention of Mother-to-Child Transmission Programmes. Bull World Health Organ 2004 82 : 299 307.
5. C. Kilewo et al. HIV Counseling and Testing of Pregnant Women in Sub-Saharan Africa: Experiences from a Study on Prevention of Mother-to-Child HIV-1 Transmission in Dar Es Salaam, Tanzania. J Acquir Immune Defic Syndr 2001 28 : 458 462
6. Painter et al. Women's Reasons for Not Participating in Follow Up Visits before Starting Short Course Antiretroviral Prophylaxis for Prevention of Mother to Child Transmission of HIV: Qualitative Interview Study. BMJ 2004 329 : 543 547
7. Lowrance et al. Assessment of a National Monitoring and Evaluation System for Rapid Expansion of Antiretroviral Treatment in Malawi. Trop Med & Int Health 2007 12 : 377 381
8. Ntata. Equity in Access to ARV Drugs in Malawi. J Soc Aspects HIV/AIDS 2007 4 : 564 574
9. Dlamini et al. Verbal and Physical Abuse and Neglect as Manifestations of HIV/AIDS Stigma in Five African Countries. Public Health Nurs 2007 24 : 389 399.
10. B.G. Link J.C. Phelan. Stigma and Its Public Health Implications. Lancet 2006 367 : 528 529
11. Parker P. Aggleton. HIV and AIDS-related Stigma and Discrimination: A Conceptual Framework and Implications for Action. Soc Sci Med 2005 57 : 13 24.
12. J. Lwanda. 2004. Politics, Culture, and Medicine in Malawi: Historical Continuities and Ruptures with Special Reference to HIV/AIDS. Zomba: Kachere Series.
13. Malawi Network of People Living with HIV/AIDS (MANET+). 2003. Voices for Equality and Dignity: Qualitative Research on Stigma and Discrimination Issues as They Affect PLWHA in Malawi. Lilongwe: MANET+. Available at: http://www.policyproject.com/pubs/countryreports/MALA_MANET_FGD.pdf [Accessed on 1 Nov 2007].
14. S. Rankin et al. Donkey Work: Women, Religion, and HIV/AIDS in Malawi. Health Care Women Int 2005 26 : 4 16.
15. T. Lindgren et al. Malawi Women and HIV: Socio-cultural Factors and Barriers to Prevention. Woman Health 2005 41 : 69 86
16. Major L. O'Brien. The Social Psychology of Stigma. Annu Rev Psychol 2005 56 : 393 421.
17. General Assembly of the United Nations (UN). 1948. Universal Declaration of Human Rights. New York, NY: UN: Article 12 states that 'No one shall be subjected to arbitrary interference with his privacy, family, home or correspondence, nor to attacks upon his honour and reputation. Everyone has the right to the protection of the law against such interference or attacks'; United Nations. 1976. International Covenant on Civil and Political Rights. New York: UN: Article 17 states that 'No one shall be subjected to arbitrary or unlawful interference with his privacy, family, home or correspondence, nor to unlawful attacks on his honour and reputation'; Council of Europe. 1950. The European Convention on Human Rights. Rome: Council of Europe: Article 8 states that 'Everyone has the right to respect for his private and family life, his home and his correspondence.'
18. See University of North Carolina Project (UNC Project). 2007. UNC at Chapel Hill in Malawi. Chapel Hill, NC: University of North Carolina. Available at: http://www.id.unc.edu/Malawi/about.htm [Accessed 1 Nov 2007].
19. University of North Carolina Project (UNC Project). 2007. Current and Proposed Programs in Malawi. Chapel Hill, NC: University of North Carolina. Available at: http://www.id.unc.edu/Malawi/studies_research.htm [Accessed 1 Nov 2007].
20. M. De Bruyn S. Paxton. HIV Testing of Pregnant Women - What is Needed to Protect Positive Women's Needs and Rights? Sex Health 2005 2 : 143 151
21. Gielen et al. Women's Lives after an HIV-positive Diagnosis: Disclosure and Violence. Matern Child Health J 2000 4 : 111 120.
22. National Statistical Office [Malawi], ORC Macro. 2001. Malawi: Demographic and Health Survey 2000. Zomba: National Statistical Office/Calverton, MD: ORC Macro.
23. V. Bond, E. Chase P. Aggleton. Stigma, HIV/AIDS and Prevention of Mother-to-Child Transmission in Zambia. Eval Program Plann 2002 25 : 347 356
24. Manuela de Paoli, R. Manongi K.I. Klepp. Counsellors' Perspectives on Antenatal HIV Testing and Infant Feeding Dilemmas Facing Women with HIV in Northern Tanzania. Reprod Health Matters 2002 10 : 144 156
25. Doherty et al. Effect of the HIV Epidemic on Infant Feeding in South Africa: 'When They See Me Coming with the Tins They Laugh at Me'. Bull World Health Organ 2006 84 : 90 96.
26. United States Agency for International Development (USAID). 2005. Malawi-Food Insecurity. #1 (Fiscal Year 2006). Washington, DC: USAID.
27. A. Hadjipateras. 2004. Unraveling the Dynamics of HIV/AIDS-related Stigma and Discrimination: The Role of Community-based Research: Case Studies of Northern Uganda and Burundi. Kampala: HASAP Publication. Available at: http://www.acord.org.uk/stigma.pdf [Accessed 15 July 2007].
28. Joint United Nations Programme on HIV and AIDS (UNAIDS). 2007. UNAIDS' Terminology Guidelines. Geneva: UNAIDS. Available at: http://data.unaids.org/ pub/Manual/2007/20070328_unaids_terminology_guide_en.pdf [Accessed 2 Nov 2007]; See also Panos Institute & United Nations Children's Fund, op. cit. note 4.
29. C.A. Varga, G.G. Sherman S.A. Jones. HIV-disclosure in the Context of Vertical Transmission: HIV-positive Mothers in Johannesburg, South Africa. AIDS Care 2005 18 : 952 960.