PROJECT RESPECT: Reducing HIV-related Stigma and Discrimination for Most at Risk Populations in Health Care Facilities
According to the data of Stigma Index survey (2013), 11% of interviewed PLWH faced stigma and discrimination (S&D) in the healthcare sector. These data are further proven by the frequent cases where PLWH apply to the regional offices of the Network seeking protection of their rights to medical care. Most often, the refusal of healthcare staff to provide services to PLWH is related to the lack of knowledge about HIV infection and the biased attitude stemming from this unawareness.
The Project is aimed to reduce HIV-related S&D among the key affected populations (KAPs), including people living with HIV (PLWH) and people who inject drugs (PWID) among healthcare workers.
The Project envisages: development and approval of PLWH-friendly policies, including the referral of patients who experienced stigma and discrimination in healthcare facilities; pre- and post-graduate training of doctors and nurses on provision of medical care to PLWH; awareness campaigns and information materials on combating HIV and AIDS in Ukraine.
The USAID RESPECT Project is being implemented by the Network with the financial support of the United States Agency for International Development (USAID).
General description of the Project
Main tasks of the Project:
- To develop and implement the policies friendly to PLWH and KAPs representatives in selected health care facilities in pilot regions.
- Develop and implement training modules for the prevention and reduction of HIV-related stigma and discrimination in pre- and postgraduate medical education institutions for doctors and nurses.
- To strengthen the capacity of the All-Ukrainian Network of PLWH and its executive partners to reduce HIV-related stigma and discrimination among healthcare workers.
RESPECT project in the cascade of services
- Ministry of Health of Ukraine.
- SE “Ukrainian Center for Socially Dangerous Diseases Control of the Ministry of Health of Ukraine”.
- Department of Health of Lviv Oblast State Administration.
- Department of Health of Kyiv City State Administration.
- Department of Health of Kyiv Oblast State Administration.
- Department of Health of Kryvyi Rih City State Administration.
- Department of Health of Cherkasy City State Administration.
- Department of Health of Cherkasy Oblast State Administration.
- AUCO “All-Ukrainian Network of PLWH”.
- Kyiv City Branch of the All-Ukrainian Network of People Living with HIV/AIDS.
- Lviv Oblast Branch of the All-Ukrainian Network of People Living with HIV/AIDS.
- Kryvyi Rih city branch of the All-Ukrainian Network of People Living with HIV/AIDS.
- Cherkasy Oblast Branch of the All-Ukrainian Network of People Living with HIV/AIDS.
- NGO “Association of Family Physicians of Kyiv”.
- All-Ukrainian NGO “Ukrainian Association of Family Medicine”.
- 38 healthcare facilities in pilot regions (Kyiv, Kryvyi Rih, Lviv, Cherkasy) implemented gender-sensitive policies, friendly to the PLWH and male and female clients from among KAPs, the policies against discrimination of PLWH and KAPs, documents about the universal HIV precautions at the workplace, PEP and medical waste utilization.
- 4 658 of healthcare workers of pilot healthcare facilities took part in 202 trainings on reducing stigma and discrimination towards the PLWH and KAPs representatives (training manual «Forming tolerant attitude of healthcare workers towards people living with HIV and representatives of the key affected populations»).
- 250 family doctors participated in 12 professional development for the family doctors «Management of patients with HIV/AIDS by family doctors» (family doctors from Kyiv, Cherkasy, Chernihiv, Zhytomyr, Lviv, Dnipropetrovsk, Poltava, Odesa, Kirovohrad and Mykolayiv oblasts).
- The level of HIV-related stigma associated HIV infection threat has been reduced by 14% among healthcare workers and the level of knowledge about HIV transmission among health workers has increased from 54% to 64% (see “Results of assessing the reduction of HIV-related stigma and discrimination towards PLWH and representatives of KAPs in pilot health facilities in Kyiv and Lviv”).
- Information materials developed and disseminated among the pilot healthcare facilities in the regions, in particular: booklet «Patient’s guide to countering stigma and discrimination», booklet «Guide for the patients of healthcare facilities» and RESPECT project posters.
- Information campaign on countering stigma and discrimination against HIV-positive people “I am not a zero!”. 297 light boxes in 22 cities of Ukraine and 141 information poster were placed on the streets of cities and in medical institutions of 6 largest cities of Ukraine. On December 1, 2015 All-Ukrainian competition of cell-phone social videos was held.
Oksana Bryzhovata, Head of the Innovative Programs Department
Phone: +38 (044)467 75 67