Stigma in Rural Areas

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• Stigma in Rural Areas

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PUBLIC HEALTH DISTRICT 3 DELTA/HILLS

• ATTALA
• BOLIVAR
• CARROLL
• HOLMES
• HUMPHREYS
• LEFLORE
• MONTGOMERY
• SUNFLOWER
• WASHINGTON
• Grenada (District I)

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GLH/Magnolia Medical Clinic

• Greenwood Leflore Hospital (GLH) serves as a
  public non-profit county-owned health care
  facility
• Currently owns 15 clinics which include 1 charity
  staffs over 800 employees, 64 physicians and
  20 volunteers
• Houses 248 licensed beds
• Magnolia Medical Clinic is administered by (GLH)
  opened its doors in July 1997
• - Initial funding in October 2000 of 400,000
• per year for three years
• - Staffs 1 physician 1 nurse practitioner 2
  LPN
• Case managers 1 program
  coordinator
  
• Part-time Data Clerk, Receptionist
  and Office
• Manager

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Magnolia Clinical Staff
Sylvia Crutchfield Nurse Practitioner
MARSHELL MCDOWELL NURSE CASE MANAGER
JACQUELINE RATLIFF ADHERENCE/CQI MANAGER
Patients
PATRICIA WARE PROGRAM COORDINATOR
YOLANDA WILLIAMS DATA ENTRY
Contractual Nutritionist L. Gasmido Psychiatrist C
. Glenn Transportation R. Roach
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Learning Objectives

• Participants will be able to define stigma
  related to HIV/AIDS.
• Participants will be able to describe HIV/AIDS
  stigma in rural communities and how it influences
  recruitment and retention of people in care.
• Participants will be able to discuss the impact
  of not addressing stigma within rural
  communities.
• Participants will be able to discuss ways to
  reduce stigma

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What is stigma and where did it get its origin?

• mark of shame or discredit
• -People of color, IV drug users or immigrants
• preconceived judgment of members of a certain
  race, ethnicity, gender, religion, or group
• -Gay men in New York City and Los Angeles in the
  early 80 known as (GRID) gay related immune
  deficiency later known to us as AIDS

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Stigmas as related to HIV/AIDS Ranks (Guilty by
association)

• Anyone infected with HIV/AIDS
• Care giver of people living with AIDS.
• Homosexuals/Lesbians
• IV drug users

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Rural stigma level of care Scale

• PLWA that contracted the disease through blood
  transfusion deserve the best care
• PLWA that were infected unknowingly deserve the
  better care
• PLWA that were infected knowingly through sexual
  contact deserve nothing

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End Results of Stigma

• Fear continue to be the leading cause of none
  treatment
• Shame Destroy the family name
• Health Insurance Low socio- economic (No
  Insurance)
• Income Little or no monies for (Cost of living)

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EMANCIPATING STIGMAS

• NAME OF AGENCY
• LOCATION AND ENTRANCE/EXITS
• STAFF ATTITUDES
• PROVIDE HOLISTIC CARE APPROACH
• INCREASE CULTURAL DIVERSED STAFF
• RID THE PHOBIAS AND ISMS

Because We Care
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• EVEN THE ROCKS PRAY FOR A CURE

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Because We Care
Q Acontact Patricia Ware, Program
CoordinatorGLH/Magnolia Medical Clinic1413
Strong AvenueGreenwood, MS 38930 email
pware_at_glh.orgPH [phone] FAX (662)
459-1203
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Additional Sources

• http//hab.hrsa.gov
• www.NMAC.org
• http//www.cdc.gov/hivresources/fact sheets