Improving hospital-based quality of care in Vietnam by reducing HIV-related stigma and discrimination

Abstract

To address HIV-related stigma and discrimination, and improve the quality of care in the healthcare setting in Vietnam, the Institute for Social and Development Studies, the International Center for Research on Women, and the Horizons Program conducted intervention research in four hospitals. The study team conceptualized two fundamental causes of HIV-related stigma: 1) fear of casual transmission; and 2) negative values/social judgments and associations between HIV and certain behaviors and groups, such as sex workers and injecting drug users. Both intervention strategies successfully reduced stigma and discrimination toward HIV-positive patients in these healthcare settings. The findings show that addressing stigma and discrimination in the healthcare setting can contribute to improving the quality of health care for HIV-positive patients. Further, effective approaches to reduce stigma and discrimination in healthcare settings need to address the hospital environment and reach all hospital workers

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