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Nursing Ethics
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HIV and AIDS Stigma Violates Human Rights in Five African Countries

Thecla W Kohi

Muhimbili University College of Health Sciences, Dar Es Salaam, Tanzania, tkohi{at}muchs.ac.tztheclakohi@yahoo.com

Lucy Makoae

National University of Lesotho, Maseru, Lesotho

Maureen Chirwa

Kamuzu College of Nursing, University of Malawi, Lilongwe, Malawi

William L Holzemer

University of California, San Francisco, CA, USA

Deliwe RenéPhetlhu

North-West University, Johannesburg, South Africa

Leana Uys

University of Kwa-Zulu-Natal, Durban, South Africa

Joanne Naidoo

University of Kwa-Zulu-Natal, Durban, South Africa

Priscilla S Dlamini

University of Swaziland, Mbabane, Swaziland

Minrie Greeff

North-West University, Johannesburg, South Africa

The situation and human rights of people living with HIV and AIDS were explored through focus groups in five African countries (Lesotho, Malawi, South Africa, Swaziland and Tanzania). A descriptive qualitative research design was used. The 251 informants were people living with HIV and AIDS, and nurse managers and nurse clinicians from urban and rural settings. NVivoTM software was used to identify specific incidents related to human rights, which were compared with the Universal Declaration of Human Rights. The findings revealed that the human rights of people living with HIV and AIDS were violated in a variety of ways, including denial of access to adequate or no health care/services, and denial of home care, termination or refusal of employment, and denial of the right to earn an income, produce food or obtain loans. The informants living with HIV and AIDS were also abused verbally and physically. Country governments and health professionals need to address these issues to ensure the human rights of all people.

Key Words: acquired immunodeficiency syndrome • Africa • discrimination • HIV • human rights • stigma

Nursing Ethics, Vol. 13, No. 4, 404-415 (2006)
DOI: 10.1191/0969733006ne865oa


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