A Brief, Standardized Tool for Measuring HIV-related Stigma among Health Facility Staff: Results of Field Testing in China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis

December 2013 - Structural Prevention

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Nyblade, L., Jain, A., Benkirane, M., et al. Journal of the International AIDS Society (November 2013), Vol. 16 Suppl. 2, p. 18718.

The authors described an international collaboration to develop, test, and refine two tools for measuring HIV stigma among health care providers, focusing on the first tool, a questionnaire that measures drivers of HIV-related stigma within health facilities. Early findings demonstrated the feasibility of a standardized stigma measurement tool that is applicable across diverse settings and health worker cadres, and showed that stigma remains widespread. The collaboration entailed developing a pool of questions through a comprehensive literature search; implementing a content-development workshop in which 22 experts, including people living with HIV (PLHIV), reviewed and prioritized the items finally chosen for inclusion; field-testing in the six countries between February 2012 and January 2013; and analyzing data to evaluate performance and refine as needed. Workshop participants were asked to identify gaps in current measures. They noted that health facility policies and stigma towards key populations were two gaps, and developed related questions to fill them. Future research should assess the tool’s performance over time, and in other high-prevalence settings, to expand measurement of stigma toward key populations; but this brief questionnaire, currently available in five languages, can be used now to help address HIV stigma in facilities and ensure that PLHIV receive quality, stigma-free care.

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