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Bertrand, S' Calvel, C' TouretteTurgis, C'

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HIV/AIDS = disease as punishment or from supernatural causes; PLWHIV = aggressive and wicked; ... Violation of principles of confidentiality and enlightened consent. ... – PowerPoint PPT presentation

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Title: Bertrand, S' Calvel, C' TouretteTurgis, C'


1
  • Bertrand, S.Calvel, C.Tourette-Turgis, C.

2
  • PLWHIV guilty of bad behavior, deviants from
    social, moral and religious norms
  • HIV/AIDS disease as punishment or from
    supernatural causes
  • PLWHIV aggressive and wicked
  • PLWHIV poor and impoverished

3
  • The health workers admitted not treating equally
    infected and non infected people
  • 64 of interviewed health workers state that
    they recognize the disease by physical signs
    (rashes, fatigue, thinness)

4
  • Reserved and cold welcome
  • Bad language
  • Avoidance of physical contact
  • Priority given to other patients
  • Refusal of care
  • Violation of principles of confidentiality and
    enlightened consent.

5
  • Synergy of several techniques derived
  • from social psychology
  • Social influence (power of authority, group
    influence)
  • Information and education
  • The Mere Exposure Effect
  • Group dynamics.

6
  • 2 raising awareness sessions, 90 minutes each
  • Carried out at a two month interval by specially
    trained actors
  • Organized for groups of 15 to 20 staff members of
    the same health center
  • Multi-disciplinary intervention team
  • Governmental, medical and religious authorities
    (health center Director, pastor, Vodoo priest)
  • Civil society representatives (jurist,
    psychologist, journalist)
  • A person living with HIV (Member of PLWHIV
    association)

7
  • Its not necessary to treat him, hes going to
    die.
  • A care provider must inform the partner of a HIV
    positive person.
  • PLWHIV are wicked.
  • An HIV positive woman mustnt have children.
  • Dont cry, I am not responsible for your
    disease.

8
  • Debate of the sentences
  • Arguments for different points of view
  • Each expert intervenes according to his/her area
    of expertise
  • And.Changes observed in participant opinions

9
  • Introduction of 1 PLWHIV and listening to his/her
    testimony
  • The 3 phases of the testimony
  • My story, my life and healthcare journey
  • What I have learned from discovering my HIV
    status
  • What I want to share with others
  • Questions which the person living with HIV
    answers honestly
  • and the personnel reconsider their stereotypes
    related to HIV

10
  • Round table on difficult situations that
    individual had encountered in their practice
  • The personnel recognize discriminatory practices
    in their work
  • And they are able to change their intended
    behavior

11
  • During the debate of issues/questions
  • In the form of games
  • Improvement in knowledge base

12
  • Done over several sessions
  • Work to address the stereotypes and prejudices of
    the speakers themselves!
  • Improvement in knowledge base
  • Techniques for facilitating discussions
  • Strengthening of PLWHIVs self-esteem.

13
  • Two different ways to measure showed
  • Changes in the prejudices, stereotypes and
    behaviors of health center personnel
  • Slight change in the social representation of HIV

14
  • Two main reasons that this tool is important to
    fight against discrimination and stigmatization
  • Enables changes in stereotypes and especially in
    behaviors within health centers
  • Could be adapted for use in other settings
    (workplace, school..)

15
  • Bertrand, S.Calvel, C.Tourette-Turgis, C.
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