HIV disclosure in South Africa: Enabling the gateway to effective response

The sheer scale of the HIV/AIDS epidemic in sub-Saharan Africa has finally led to an expanded global response. South Africa, a nation where more than 5 million people are estimated to be HIV infected, has established large scale prevention and treatment programmes. Disclosure of one’s HIV status is...

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Autores principales: Norman, Amy, Chopra, Mickey, Kadiyala, Suneetha
Formato: Artículo preliminar
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2005
Materias:
Acceso en línea:https://hdl.handle.net/10568/160734
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author Norman, Amy
Chopra, Mickey
Kadiyala, Suneetha
author_browse Chopra, Mickey
Kadiyala, Suneetha
Norman, Amy
author_facet Norman, Amy
Chopra, Mickey
Kadiyala, Suneetha
author_sort Norman, Amy
collection Repository of Agricultural Research Outputs (CGSpace)
description The sheer scale of the HIV/AIDS epidemic in sub-Saharan Africa has finally led to an expanded global response. South Africa, a nation where more than 5 million people are estimated to be HIV infected, has established large scale prevention and treatment programmes. Disclosure of one’s HIV status is an essential part of behaviour modification, access to HIV treatment and management programmes and for decreasing levels of community stigma. We examined the possible causes for widely differing rates of disclosure in two South African communities of similar ethnic and cultural mix. Qualitative interviews were carried out in 18 households with 25 individuals, and thematic analsyses was undertaken. Findings included the negotiation of HIV disclosure, the ‘unburdening’ of a positive status, and the ability to become involved in community activism and leadership. In both communities, disclosure was the catalyst for access to a variety of important, and often essential resources required to respond effectively to the impact of HIV/AIDS-related shocks. HIV positive people in the community with higher rates of disclosure had greater access formal institutional support through local NGOs and government social services and greater opportunities to take a positive leadership role as HIV positive individuals in the community. The creation of an enabling, resource-rich environment for HIV disclosure holds the potential to form a virtuous cycle whereby individuals are more likely to disclose, thus offering personal and community benefits, and further perpetuating disclosure at all levels within society.
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spelling CGSpace1607342025-11-06T06:03:39Z HIV disclosure in South Africa: Enabling the gateway to effective response Norman, Amy Chopra, Mickey Kadiyala, Suneetha hiv/aids infectious diseases The sheer scale of the HIV/AIDS epidemic in sub-Saharan Africa has finally led to an expanded global response. South Africa, a nation where more than 5 million people are estimated to be HIV infected, has established large scale prevention and treatment programmes. Disclosure of one’s HIV status is an essential part of behaviour modification, access to HIV treatment and management programmes and for decreasing levels of community stigma. We examined the possible causes for widely differing rates of disclosure in two South African communities of similar ethnic and cultural mix. Qualitative interviews were carried out in 18 households with 25 individuals, and thematic analsyses was undertaken. Findings included the negotiation of HIV disclosure, the ‘unburdening’ of a positive status, and the ability to become involved in community activism and leadership. In both communities, disclosure was the catalyst for access to a variety of important, and often essential resources required to respond effectively to the impact of HIV/AIDS-related shocks. HIV positive people in the community with higher rates of disclosure had greater access formal institutional support through local NGOs and government social services and greater opportunities to take a positive leadership role as HIV positive individuals in the community. The creation of an enabling, resource-rich environment for HIV disclosure holds the potential to form a virtuous cycle whereby individuals are more likely to disclose, thus offering personal and community benefits, and further perpetuating disclosure at all levels within society. 2005 2024-11-21T09:51:48Z 2024-11-21T09:51:48Z Working Paper https://hdl.handle.net/10568/160734 en Open Access application/pdf International Food Policy Research Institute Norman, Amy; Chopra, Mickey; Kadiyala, Suneetha. HIV disclosure in South Africa: Enabling the gateway to effective response. RENEWAL Working Paper. International Food Policy Research Institute (IFPRI). https://hdl.handle.net/10568/160734
spellingShingle hiv/aids
infectious diseases
Norman, Amy
Chopra, Mickey
Kadiyala, Suneetha
HIV disclosure in South Africa: Enabling the gateway to effective response
title HIV disclosure in South Africa: Enabling the gateway to effective response
title_full HIV disclosure in South Africa: Enabling the gateway to effective response
title_fullStr HIV disclosure in South Africa: Enabling the gateway to effective response
title_full_unstemmed HIV disclosure in South Africa: Enabling the gateway to effective response
title_short HIV disclosure in South Africa: Enabling the gateway to effective response
title_sort hiv disclosure in south africa enabling the gateway to effective response
topic hiv/aids
infectious diseases
url https://hdl.handle.net/10568/160734
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