DOI: 10.21045/2071-5021-2018-59-1-7
1Ruziev M.M., 2Bandaev I.S., 3Son I.M., 2Raupov F.O.
1Republican Center for AIDS Prevention and Control,
Ministry of Health and Social Protection of the Republic of Tajikistan;
Dushanbe, Tajikistan
2The Republican Training and Clinical Center for Family
Medicine, Ministry of Health and Social Protection of the Republic of
Tajikistan; Dushanbe, Tajikistan
3Federal Research Institute for Health Organization and
Informatics of Ministry of Health of the Russian Federation; Moscow,
Russia
Contacts: Ruziev Murodaly, e-mail:
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Information about authors: Son I.M., http://orcid.org/0000-0001-9309-2853
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.
Abstract
In recent years, Tajikistan has undertaken a number of measures aimed
at developing a legislative framework to control spread of HIV/AIDS and
reduce stigma and discrimination against HIV-infected people. However,
the level of stigma and discrimination in the society remains high.
The purpose of the study was to analyze forms of stigma and discrimination in the society against people living with HIV.
Methods. Social survey was implemented in large cities
and districts of the three regions of the Republic of Tajikistan. The
data were collected using a standardized questionnaire containing both
closed and open questions. The survey was conducted among health
professionals; teachers of secondary education institutions; law
enforcement and judicial authorities (lawyers and judges); service
workers; religious figures; mass media specialists; representatives of
administrative bodies of the local authorities (Khukumats) and people
living with HIV.
Results. About 45% of the respondents noted that there
are various forms of stigma and discrimination in Tajikistan now. The
most vulnerable to stigma associated with HIV are children and women.
In the opinion of people living with HIV, they feel most
discriminated by people around. A high level of discrimination towards
people living with HIV, in their opinion, manifests itself while getting
employment and receiving health care. About 40% of HIV-infected people
noted that they experience different forms of discrimination in the
family.
Discussion. The study showed that the existing high
level of stigma in Tajikistan results in people living with HIV
discrimination. The problem of stigma and discrimination of people
living with HIV is yet to be solved by many countries of the world. It
can be handled by implementation of programs aimed at restraining stigma
to reduce social isolation and increase adherence to HIV treatment.
Conclusion. In general, there is a positive trend among
population that people living with HIV have the right to work; however
in those sectors that people deal almost daily with (education, health
and social services), there is a relatively high level of
discrimination.
Key words: stigma; discrimination; people living with HIV; social survey
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