%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Ky-Zerbo, O.
%A Desclaux, Alice
%A Some, J. F.
%A El Asmar, K.
%A Msellati, Philippe
%A Obermeyer, C. M.
%T La stigmatisation des PVVIH en Afrique : analyse de ses formes et manifestations au Burkina Faso = HIV/AIDS stigma in Africa : analysis of its forms and manifestations in Burkina Faso
%D 2014
%L fdi:010062411
%G FRE
%J Santé Publique
%@ 0995-3914
%K Life change events ; Disease management ; HIV seropositivity ; Social stigma ; Burkina Faso
%K BURKINA FASO
%M ISI:000340319000012
%N 3
%P 375-384
%U https://www.documentation.ird.fr/hor/fdi:010062411
%> https://www.documentation.ird.fr/intranet/publi/depot/2019-08-22/010062411.pdf
%V 26
%W Horizon (IRD)
%X Introduction: Negative impact of stigma on HIV care and prevention is documented. Qualitative approaches were used to describe its importance in Burkina Faso (1% of HIV prevalence) and need to be completed by quantitative estimations of the main manifestations and categories of stigma. Methodology: During the MATCH study (Multi-country African Study on Testing and Counselling for HIV) conducted in 2007-2008, 219 people tested HIV positive (PLWHA) were interviewed by means of a quantitative questionnaire. One of the topics concerned their experience of the consequences of HIV positive results using 20 items on stigma manifestations, classified into 3 categories: stigma in health care services (7 items), interpersonal stigma (10 items) and internal stigma (3 items). Results: Internal stigma is the major category experienced by PLWHA in Burkina Faso (46%) compared to 40% for interpersonal stigma and 11% for stigma in health care facilities). PLWHA who disclosed their HIV result, widows or separated persons, those with a lower level of education, PLWHA who joined community-based organizations are more likely to experience interpersonal stigma. Stigma in health care facilities is more frequently reported by PLWHA who joined community-based organizations. Internal stigma affects all PLWHA, with no significant differences in terms of age categories or gender. Conclusion: Antiretroviral scaling-up programmes must integrate more adapted psychology support aspects. Psychosocial activities, targeting persons and not groups, must be part of PLWHA care in Burkina Faso, especially in community-based organizations.
%$ 052