Odimegwu Clifford O, Akinyemi Joshua O, Alabi Olatunji O
Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
AIDS Res Treat. 2017;2017:5812650. doi: 10.1155/2017/5812650. Epub 2017 Dec 27.
Nigeria has about 3.8 million people living with HIV, the second largest globally. Stigma and discrimination are major barriers to testing, treatment uptake, and adherence. In this review, we synthesized information on research studies, policies, and programmes related to HIV-stigma in Nigeria. This was with a view to identify critical areas that research and programmes must address in order to accelerate the progress towards zero (new infections, discrimination, and death) target by year 2030. Existing studies were mostly devoted to stigma assessment using varieties of measures. Research, policies, and programmes in the past two decades have made very useful contributions to stigma reduction. We identified the need for a consistent, valid, and objective measure of stigma at different levels of the HIV response. Nigeria does not lack relevant policies; what needs to be strengthened are design, planning, implementation, monitoring, and evaluation of context-specific stigma reduction programmes.
尼日利亚约有380万人感染艾滋病毒,这一数字在全球位列第二。耻辱感和歧视是检测、接受治疗及坚持治疗的主要障碍。在本综述中,我们综合了尼日利亚与艾滋病毒耻辱感相关的研究、政策和项目的信息。目的是确定研究和项目必须解决的关键领域,以便到2030年加快实现零(新发感染、歧视和死亡)目标的进程。现有研究大多致力于使用各种措施进行耻辱感评估。过去二十年的研究、政策和项目为减少耻辱感做出了非常有益的贡献。我们确定需要在艾滋病毒应对的不同层面采用一致、有效和客观的耻辱感衡量标准。尼日利亚并不缺乏相关政策;需要加强的是针对具体情况的减少耻辱感项目的设计、规划、实施、监测和评估。