<p>Bodling, S. & Larsson, S. (2010).<em> A descriptive study of how people with HIV/AIDS in Cambodia experience attitudes regarding the disease from people around them. </em>Essay for bachelor degree in Public Health 15 hp, Department of Occupational and Public Health, University of Gävle.<em></em></p><p>Cambodia is the most HIV-afflicted country in Southeast Asia. The level of knowledge about the virus among the people is low and because of the poor conditions few people have access to testing and treatment. The HIV/AIDS epidemic has been followed by a stigmatization against people living with the disease and negative attitudes are common. The aim of this study was to identify self-perceived attitudes experienced by people living with HIV/AIDS in Lvea Em, Cambodia.</p><p>In this study, a qualitative interview method was used. Ten interviews were conducted with ten Cambodian men and women, aged 25-48 years. They lived in different villages in the district of Lvea Em, outside Phnom Penh. The contact-organization Asian Outreach Cambodia (AOC) provided us with the informants. Most interviews were conducted in the informant’s own homes. One of the staff from the AOC also worked as an interpreter during the interviews. Since HIV/AIDS can be a sensitive topic, particular consideration was given to ethical considerations. To evaluate the results from the study a content analysis was used.</p><p>The results showed that there are several negative attitudes connected to people living with HIV/AIDS. The main reason for negative attitudes seems to be fear of contagion. The result also showed some positive attitudes that derive from having HIV, like the discovery of love and care from family members and strengthening of the relationship to them. The results indicate that it is important to target the main underlying causes for stigmatization against people living with HIV/AIDS, but also that it is necessary to focus on the positive attitudes that do exist towards them. We wish that this study may contribute a little in the future work to eliminate the stigma and negative attitudes and also in the work to bring forward and increase the positive attitudes.</p>

Bodling, S. &amp; Larsson, S. (2010). A descriptive study of how people with HIV/AIDS in Cambodia experience attitudes regarding the disease from people around them. Essay for bachelor degree in Public Health 15 hp, Department of Occupational and Public Health, University of Gävle. Cambodia is the most HIV-afflicted country in Southeast Asia. The level of knowledge about the virus among the people is low and because of the poor conditions few people have access to testing and treatment. The HIV/AIDS epidemic has been followed by a stigmatization against people living with the disease and negative attitudes are common. The aim of this study was to identify self-perceived attitudes experienced by people living with HIV/AIDS in Lvea Em, Cambodia. In this study, a qualitative interview method was used. Ten interviews were conducted with ten Cambodian men and women, aged 25-48 years. They lived in different villages in the district of Lvea Em, outside Phnom Penh. The contact-organization Asian Outreach Cambodia (AOC) provided us with the informants. Most interviews were conducted in the informant’s own homes. One of the staff from the AOC also worked as an interpreter during the interviews. Since HIV/AIDS can be a sensitive topic, particular consideration was given to ethical considerations. To evaluate the results from the study a content analysis was used. The results showed that there are several negative attitudes connected to people living with HIV/AIDS. The main reason for negative attitudes seems to be fear of contagion. The result also showed some positive attitudes that derive from having HIV, like the discovery of love and care from family members and strengthening of the relationship to them. The results indicate that it is important to target the main underlying causes for stigmatization against people living with HIV/AIDS, but also that it is necessary to focus on the positive attitudes that do exist towards them. We wish that this study may contribute a little in the future work to eliminate the stigma and negative attitudes and also in the work to bring forward and increase the positive attitudes.

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HIV/AIDS is a chronic disease that has increased and will continue to increase. Most health care workers will one way or another come into contact with it. The purpose of this literature review was to describe factors contributing to nurses' attitudes towards patients with HIV/AIDS. Sixteen articles were analyzed and quality assessed. The results revealed gaps in knowledge among nurses. A high level of knowledge and care experience of patients with HIV/AIDS had a positive impact on the approach and a reduced fear of infection. Nurses with relatives/friends who were worried about infection were less likely to care for HIV/AIDS patients. Material Shortage had a negative impact on nurses and it could lead to patients not receiving the care they needed, in part due to the nurses fear of contamination. Nursing approach and willingness to care was also dependent on how patients were infected. A strong desire to get more education, support and training was with the nurses to increase the security and willingness to care. / HIV/AIDS är en kronisk sjukdom som har ökat och kommer fortsätta öka. Med anledning av det kommer de flesta inom sjukvården på ett eller annat sätt att komma i kontakt med den. Syftet med denna litteraturstudie var att beskriva faktorer som bidrar till sjuksköterskors förhållningssätt gentemot patienter med HIV/AIDS. Sexton artiklar har analyserats och kvalitetsgranskats. Resultatet visade på kunskapsluckor hos sjuksköterskorna. En hög kunskapsnivå och vårderfarenhet av patienter med HIV/AIDS hade positiv inverkan på förhållningssättet och en minskad rädsla för smitta. Sjuksköterskor med anhöriga/vänner som var oroliga för smitta var mindre benägna att vårda HIV/AIDS-patienter. Materialbrist hade en negativ inverkan på sjuksköterskorna och det kunde leda till patienter inte fick den vård de behövde, bland annat beroende på sjuksköterskornas rädsla för smitta. Sjuksköterskornas förhållningssätt och villighet att vårda var också beroende av hur patienterna smittats. En stark önskan att få mer utbildning, stöd och träning fanns hos sjuksköterskorna för att öka tryggheten och villigheten att vårda.

Introduktion: Nyligen utkomna rapporter visar en ökning i incidensen för nya HIV-infektioner i Thailand och HIV är fortfarande ett av de största hälsoproblemen. Anledningarna till denna utveckling är flera och HIV/AIDS-relaterad stigmatisering och diskriminering poserar som en av de största. Syfte: Syftet med föreliggande arbete var att undersöka karaktärsdragen gällande HIV/AIDS relaterad stigmatisering och diskriminering bland thailändska universitetsstudenter, samt att undersöka förekomsten av eventuella skillnader mellan könen. Metod: En deskriptiv tvärsnittsstudie genomfördes på ett universitet i Prathomthani provinsen, Thailand. Ett bekvämlighetsurval användes. 150 studenter, både män och kvinnor, deltog och svarade på frågor om karaktärsdragen gällande HIV/AIDS-relaterad stigma och diskriminering. Resultat: En låg nivå av rädsla för smittöverföring och sjukdom observerades av majoriteten av studenterna, även om bristande kunskap gällande smittöverföring observerades. Både hög och låg associering med skam, skuld och dom rapporterades och mest utmärkande var frågorna för kvinnliga prostituerade och promiskuitet.  Även lågt personligt stöd för diskriminerande åtgärder och principer, och lågt stöd för upplevelse av samhällets inverkan av diskriminerande åtgärder eller politik rapporterades. Slutsats: Studenterna hade en låg nivå av rädsla för smittöverföring och sjukdom, dock uppvisades bristande kunskap gällande smittöverföring. Studenterna rapporterade hög nivå av skam, skuld och dom relaterat till kvinnlig prostitution. Resultaten implicerar behov av vidare interventionsprogram med fokus på kunskap. / Introduction: Resent reports indicate an increasing incidence rate of HIV in Thailand and it is still one of the main public health problems. The reasons for this development depend on many different factors where HIV/AIDS-related stigma and discrimination acts as one of the major ones. Aim: The aim of this study was to examine the characteristics of HIV/AIDS-related stigma and discrimination among Thai university students and to investigate if there is any difference in the characteristics with regard to gender. Method: A cross-sectional descriptive study was conducted at a university in Prathomthani Province, Thailand. A convenience sample was used. The 150 students, both male and female, participated to answer questions concerning the characteristics of HIV/AIDS-related stigma and discrimination. Results: Fear of transmission and disease was reported rather low level by the majority of the students, though inaccurate knowledge regarding transmission was observed. The level of shame, blame and judgment were low and high, most distinctive concerning women prostitutes and promiscuity. Low levels of personal support of discriminatory actions and policies, and perceived community support of discriminatory actions or policies were reported. Conclusion: The students had a low amount of fear of transmission and of the disease, though they still demonstrated a lack of knowledge regarding transmission. Women prostitutes related to shame blame and judgment were reported high level by the students. The results imply the need for further intervention programs focusing on information.

The world’s understanding of HIV/AIDS is grounded in biomedicine and shaped by cognitive psychology. Both biomedicine and cognitive psychology bonded with historically top-down development mechanisms to create ‘prevention’ strategies that obscured from vision the root causes of the pandemic. Within this hierarchy, bio-medicine and the cognitive psychological conception of human beings silenced indigenous voices and experiences of communities fighting HIV/AIDS. This is most certainly true in the case of Sub-Saharan Africa. This research explores the emergence of the Community Capacity Enhancement – Community Conversations prevention approach that places community dialogue, and the voices of communities, at the forefront of the battle to end HIV/AIDS and deconstruct and challenge the forms of structural violence that hold prevalence rates in their place. Within these spaces, oral traditions, indigenous knowledge, and resistance illustrate new and complex pictures of the viruses’ socio-economic impact and provide new foundations for community generated movements to curb the virus.

The world’s understanding of HIV/AIDS is grounded in biomedicine and shaped by cognitive psychology. Both biomedicine and cognitive psychology bonded with historically top-down development mechanisms to create ‘prevention’ strategies that obscured from vision the root causes of the pandemic. Within this hierarchy, bio-medicine and the cognitive psychological conception of human beings silenced indigenous voices and experiences of communities fighting HIV/AIDS. This is most certainly true in the case of Sub-Saharan Africa. This research explores the emergence of the Community Capacity Enhancement – Community Conversations prevention approach that places community dialogue, and the voices of communities, at the forefront of the battle to end HIV/AIDS and deconstruct and challenge the forms of structural violence that hold prevalence rates in their place. Within these spaces, oral traditions, indigenous knowledge, and resistance illustrate new and complex pictures of the viruses’ socio-economic impact and provide new foundations for community generated movements to curb the virus.

<p>The school environment presents a valuable opportunity for the identification, monitoring and support of children made vulnerable by HIV/AIDS and poverty. Many children are caring for parents suffering from AIDS related illnesses and/or they are the main breadwimnner of the household. As a reult of HIV/AIDS and poverty therefore, children might be dropping out of school, or their ability to performadequately at school might be significantly reduced. The main aim of this study was to use a case study approach to explore and describe support provision in a South African formal school, examining in particular, the relative significance of leadership, organisational development and gender-related matters in addressing the needs of children made vulnerableby HIV/AIDS and poverty.The availability and quality of this support is analysed within the context of the Western Cape Education Department (WECD) transforming itself from a system focussed on controlling schools to a system focused on supporting schools.</p>

Background: Swaziland, a country in Sub-Saharan Africa, with an HIV prevalence of 26 % amongst 15-49 year olds. The nurses work conditions are heavily affected by the high prevalence of HIV/AIDS and of the increasing workload. Moral distress can have implications on the nurse’s social, physical, emotional and psychological wellbeing and can also serve as a wake-up call in morally questionable situations. Aim: To describe moral distress among nurses working with people living with HIV/AIDS in Swaziland. Method: A qualitative semi-structured interview study was carried out at two health clinics in Swaziland. Five nurses who in their daily work interact with patients living with HIV/AIDS were interviewed. Data was analysed using content analysis with an inductive approach as presented by Elo and Kyngäs. Results: The results were divided into two main themes of contributing and protecting factors. Contributing factors were: strain of heavy workload and shortages, powerless over ones work situation, guilt over not doing enough, expectations on being the perfect nurse and work not being recognised. Protecting factors were: providing beneficial care brings meaning and having a supportive and appreciative work environment. Discussions: The results of the study are reviewed in the light of the lifeworld perspective theory. Nurses’ sense of identity is discussed as well as experiences of high expectations, powerlessness and protecting factors such as meaningfulness and peer support. / Bakgrund: Swaziland är ett land söder om Sahara som har en HIV-prevalens på 26 % bland 15-49 åringar. Sjuksköterskors arbetsvillkor har påverkats markant av den höga HIV/AIDS-prevalensen och den höga arbetsbelastningen. Moralisk stress kan påverka sjuksköterskans sociala, fysiska, emotionella och psykiska välbefinnande och kan fungera som en väckarklocka i moraliskt svåra situationer. Syfte: Att beskriva moralisk stress bland sjuksköterskor som arbetar med personer som lever med HIV/AIDS i Swaziland. Metod: En kvalitativ semi-strukturerad intervjustudie genomfördes på två hälsokliniker i Swaziland. Fem sjuksköterskor intervjuades som i sitt dagliga arbete kommer i kontakt med patienter som lever med HIV/AIDS. Innehållsanalys med induktiv ansats enligt Elo och Kyngäs användes för att analysera data. Resultat: Resultatet delades upp i bidragande och skyddande faktorer. Bidragande faktorer var: påfrestning av tung arbetsförda och bristande resurser, maktlöshet över ens arbetssituation, skuld över att inte göra tillräckligt, förväntningar att vara den perfekta sjuksköterskan och att inte uppskattas för sitt arbete. Skyddande faktorer var: att ge gynnsam vård skänker mening samt att ha ett arbetsklimat som stöttar och uppmuntrar. Diskussion: Studiens resultat diskuteras utifrån ett livsvärldsperspektiv. Sjuksköterskornas upplevelse av identitet, höga förväntningar, maktlöshet samt skyddande faktorer såsom meningsskapande och stöd från kollegor diskuteras.

Denna kandidatuppsats undersöker vilka upp­fattningar sjuksköterskor och homo­sexuella män har kring reglerna för blodgivning, med inriktning på att homosexuella män i praktiken inte får donera blod. Studien har genomförts med kvalitativ intervju som metod. Resultatet framhäver att mina informanter klassificerat blod och människor olika, där både utländskt blod och svenskt blod rangordnas efter potentiell risk för smitta. Sjuksköterskorna och de homosexuella männen hanterar även reglerna olika, där sjuksköterskorna lägger ett större fokus på att skydda de som ska få blodet. Samtidigt anser de i likhet med de homosexuella männen att reglerna är diskriminerande och bygger på fördomar om att homosexuella män skulle bete sig mer riskfyllt än andra i samband med smitta. Egentligen går det inte med säkerhet att veta om någon är ärlig när de besvarar hälsodeklarationen som ska hjälpa blodcentralen att sålla bort olämpliga donatorer. Bloddonation från homosexuella män går att se från olika håll och är därför ett komplext ämne utan ett lätt svar, då tekniken inte kan upptäcka smitta omedelbart från smittillfället. Däremot framhäver mina informanter att alla bör bli bedömda efter individuellt beteende istället för kollektivt. Exempelvis bör homosexuella män i monogama förhållanden få donera blod. / This Bachelor Thesis investigates the perceptions nurses and homosexual men, respectively, have concerning the rules for blood donation, focusing on the fact that homosexual men in practice aren't able to donate blood. The study was conducted using qualitative interviews. The results emphasise that my informants classify blood and people differently, where both foreign and Swedish blood are rated on potential risk of infection. Nurses and homosexual men also handle the various rules differently, the nurses placing greater focus on protecting receivers of blood. At the same time nurses, like the homosexual men, find the rules discriminatory and based on the prejudice that homosexual men have a riskier lifestyle than others relating to infection. In reality, there can be no certainty in knowing if someone is honest when answering the health declaration which is meant to help the blood bank weed out unsuitable donors. The issue of blood donation by homosexual men can be approached from different angles and is therefore a complex topic without an easy solution, especially since current testing cannot detect the HIV virus immediately after transmission. In contrast, my informants emphasise that everyone should be judged on individual behaviour instead of collectively; for example, homosexual men in monogamous relationships should also be able to donate blood.