Skip to main content
Article thumbnail
Location of Repository

"We, the AIDS people. . .": how antiretroviral therapy enables Zimbabweans living with HIV/AIDS to cope with stigma

By Catherine Campbell, Morten Skovdal, Claudius Madanhire, Owen Mugurungi, Simon Gregson and Constance Nyamukapa

Abstract

We studied the impact of antiretroviral treatment availability on AIDS stigma through interviews with 118 antiretroviral treatment users, AIDS caregivers, and nurses in Zimbabwe. Treatment enables positive social and economic participation through which users can begin to reconstruct their shattered sense of social value. However, stigma remains strong, and antiretroviral treatment users remain mired in conflictual symbolic relationships between the AIDS people and the untested. To date, the restoration of users’ own sense of self-worth through treatment has not reduced fear and sexual embarrassment in framing community responses to people living with HIV/AIDS. Much remains to be learned about the complex interaction of economic and psychosocial dimensions of poverty, treatment availability, and conservative sexual moralities in driving AIDS stigma in specific settings

Topics: BF Psychology, RA0421 Public health. Hygiene. Preventive Medicine
Publisher: American Public Health Association
Year: 2011
DOI identifier: 10.2105/AJPH.2010.202838
OAI identifier: oai:eprints.lse.ac.uk:32170
Provided by: LSE Research Online

Suggested articles

Citations

  1. (2011). 1010 | Framing Health Matters | Peer Reviewed | Campbell et al.
  2. (1990). AIDS and its Metaphors. doi
  3. (1934). and Society From the Standpoint of a Social Behaviorist. Chicago: doi
  4. (2010). Available at: http://www.
  5. Coping with HIV-related stigma in five African countries. doi
  6. (2007). Critique of early models of the demographic impact of HIV/AIDS in sub-Saharan Africa based on contemporary empirical data from Zimbabwe. doi
  7. (2009). De Vries NK. Stigma of people with HIV/AIDS in Sub-Saharan Africa: a literature review. J Trop Med. doi
  8. (2010). Global Report - UNAIDS report on the global AIDS epidemic, UNAIDS. Available at: http:// www.unaids.org/globalreport/Global_report.htm Accessed doi
  9. Good hospital’: nurse and patient perceptions of good clinical care for HIV positive people on antiretroviral treatment in rural Zimbabwe. doi
  10. (2003). HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med. doi
  11. HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review. doi
  12. (2002). HIV/AIDS and prevention of mother-to-child transmission in Zambia. Eval Program Plann. doi
  13. (1902). Human Nature and the Social Order.
  14. (2005). I have an evil child in my house’’: stigma and HIV/AIDS management in a South African community. Am J Public Health. doi
  15. identity and resistance among people living with HIV in South Africa. doi
  16. (2009). Just like fever’’: a qualitative study on the impact of antiretroviral provision on the normalisation of HIV in rural Tanzania and its implications for prevention. BMC Int Health Hum Rights. doi
  17. (2001). Making Social Science Matter: Why Social Inquiry Fails and How it Can Count Again.N e w York: doi
  18. Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Global Health.I n press. doi
  19. (2003). Moving Beyond the Margins: A Narrative Analysis of the Life Stories of Women Living With HIV/ AIDS in Khayelitsha. Cape Town, South Africa: Centre for Social Science Research,
  20. of Health and Child Welfare. Zimbabwe National HIV and AIDS Estimates. Harare: Zimbabwe Ministry of Health and Child Welfare;
  21. (2010). Organization for Economic Co-operation and Development. African economic outlook 2003/2004-22 Country Studies: Zimbabwe.
  22. (2009). Organization, United Nations Program on HIV and AIDS, United Nations Children’s Fund. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector. doi
  23. Organization. World Health Statistics doi
  24. Orphan competent communities: a framework for community analysis and action. Vulnerable Child Youth Stud. doi
  25. (2009). Scaling up stigma? The effects of antiretroviral roll-out on stigma and HIV testing. Early evidence from rural Tanzania. Sex Transm Infect. doi
  26. (2010). Self Stigma and HIV/AIDS’’. The Correspondent.
  27. (2007). Statistical Office. Zimbabwe Demographic Health Survey 2005/6. Harare: Zimbabwe Central Statistical Office;
  28. (1963). Stigma: Notes on the Management of Spoiled Identity. doi
  29. Suffering, shame, and silence: the stigma of HIV/AIDS. doi
  30. (1994). The boundaries of the self and the unhealthy other: reflections on health, culture and AIDS. Soc Sci Med. doi
  31. (2005). The loss of property rights and the collapse of Zimbabwe.
  32. (2008). The stigma factor: biggest hurdle to combat HIV/AIDS. Washington Times.
  33. The Struggle for Recognition: The Moral Grammar of Social Conflicts. doi
  34. (2001). Thematic networks: an analytic tool for qualitative research. Qual Res. doi
  35. Understanding and addressing AIDS-related stigma: from anthropological theory to clinical practice in Haiti. doi
  36. Unravelling the contexts of stigma: from internalisation to resistance to change. doi
  37. (2005). We are not fresh’’: HIVPositive Women Talk of Their Experience of Living With Their Spoiled Identity. Cape Town, South Africa: Centre for Social Science Research,
  38. (2003). Working With Ambivalence: Finding a Positive Identity for HIV/AIDS in South Africa. Cape Town, South Africa: Centre for Social Science Research, UCT;
  39. you’re from Brixton?’ The struggle for recognition and esteem in a stigmatized community. doi
  40. (2009). Young carers as social actors: coping strategies of children caring for ailing or ageing guardians in Western Kenya. Soc Sci Med. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.