Setting the Stage

1
Setting the Stage

• Workshop on Stigma Measurement

2
History

• Growing recognition of issue programs
• Need for measurement and indicators
• USAID Stigma and Discrimination Working Group
  (SDIWG)
• Tanzania Stigma Indicators Field Testing Group
  (ICRW, MUCHS, Synergy, Tulane Univ)

3
Frame Work Key Dimensions

• Underlying Causes
• Fear of casual transmission and refusal of
  contact with PLHA
• Values shame, blame, judgment
• Behaviors Enacted stigma (discrimination)
• Disclosure Proxy measure for stigma. Link
  between stigma and prevention, access to
  services, care, support
• Laws and Policies

4
Tanzania Field Test

• 2004-2005
• Methods
• Reliability
• Validity
• Factor analysis

5
Sample

• Population-based/community (n978)
• Health care providers (n100)
• People living with HIV and AIDS (n218)

6
Today and Next Steps

• Share with you recommendations from Tanzania
  Field Test
• Provide a framework that can be adapted to your
  particular setting
• Stimulate discussion and sharing today and going
  forward

7
Agenda

• 3.00-3.30 Individual and group exercise
  Reflections on own program, objectives and
  measurement needs (30mins)
• 3.30-3.45 Coffee Break (15 mins)
• 3.45-4.30 Mini presentations clarifying
  questions on each of the dimensions
• Fear knowledge
• Shame and Blame
• Enacted Stigma
• Disclosure
• 4.30-440 Methods
• 4.40-5.00 General Group Discussion

8
Frame Work Key Dimensions

• Underlying Causes
• Fear of casual transmission and refusal of
  contact with PLHA
• Values shame, blame, judgment
• Behaviors Enacted stigma (discrimination)
• Disclosure Proxy measure for stigma. Link
  between stigma and prevention, access to
  services, care, support
• Laws and Policies