Measuring the Degree of S&D in Kenya: An Index for HIV/AIDS Facilities and Providers
|James Kamau, Paul Odundo, and Julius Korir of KETAM|
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HIV/AIDS-related stigma and discrimination (S&D) is a major impediment to effective and sustained responses to prevention, treatment, and care; and, thus, an appropriate index is needed to gauge changes in types and levels of S&D. Against this background, the USAID Interagency Working Group on S&D Indicators developed specific tools to measure S&D in communities, facilities/providers, and among people living with HIV (PLHIV). The tools focus on specific aspects of S&D, including existence, awareness, and enforcement of policies; demonstration of nondiscriminatory attitudes; and reporting on nondiscriminatory care, blame, shame, and fear of casual contact with PLHIV. These aspects formed the basis for designing indicators that were used to construct an S&D index for facilities/providers based on a weighted average of the indicators.
The objective of this study was to field test the tools in the Kenyan context, focusing on facilities and providers of health services. A non-probability multistage sampling method was adopted to select five provinces out of the total eight provinces in Kenya, including two provinces with the highest prevalence of HIV. A similar procedure was adopted to select the districts for the studyżout of which facilities and providers were selected for interviews. The providers and facilities, respectively, were later stratified by ownership (e.g., public, private, FBO/NGO) and level of HIV and AIDS care (e.g., comprehensive care centers (CCCs), semi-CCCs, and voluntary counseling and testing (VCT) clinics).
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|Document Type:||Assessment Tools/Indices|
|No. of Pages:||77|
|Keywords:||S&D or Human Rights, PLHIV, GIPA, HIV/AIDS|