title: Workplace interventions to reduce HIV and TB stigma among health care workers - Where do we go from here?
abstract: Fear of stigma and discrimination among health care workers (HCWs) in South African hospitals is thought to be a major factor in the high rates of HIV and tuberculosis infection experienced in the health care workforce. The aim of the current study is to inform the development of a stigma reduction intervention in the context of a large multicomponent trial. We analysed relevant results of four feasibility studies conducted in the lead up to the trial. Our findings suggest that a stigma reduction campaign must address community and structural level drivers of stigma, in addition to individual level concerns, through a participatory and iterative approach. Importantly, stigma reduction must not only be embedded in the institutional management of HCWs but also be attentive to the localised needs of HCWs themselves.
authors.affiliation: a School of Population and Public Health , University of British Columbia , Vancouver , BC , Canada.
authors.forename: Jacob
authors.initials: J
authors.lastname: Siegel
authors.forename: Annalee
authors.initials: A
authors.lastname: Yassi
authors.forename: Asta
authors.initials: A
authors.lastname: Rau
authors.forename: Jane A
authors.initials: JA
authors.lastname: Buxton
authors.forename: Edwin
authors.initials: E
authors.lastname: Wouters
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Engelbrecht
authors.forename: Kerry E
authors.initials: KE
authors.lastname: Uebel
authors.forename: Letshego E
authors.initials: LE
authors.lastname: Nophale
mesh_terms: D015897:Comorbidity; D018849:Controlled Clinical Trials as Topic; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D015337:Multicenter Studies as Topic; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology; D009786:Occupational Health Services / Q000379:methods / Q000458:organization & administration / Q000592:standards*; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010865:Pilot Projects; D015995:Prevalence; D057545:Social Stigma; D013019:South Africa / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000453:epidemiology / Q000523:psychology*
keywords: HIV/AIDS; health care workers; stigma reduction; tuberculosis; workplace interventions