The Role Of Stigma And Discrimination In Increasing The Vulnerability Of Children And Youth Infected With And Affected By Hiv Aids

This report forms part of a project funded by the W. K. Kellogg Foundation to implement a strategy for the care of orphans and vulnerable children in Botswana, South Africa, and Zimbabwe with a review of the available scientific information on interventions aimed at children, families, households, and communities.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

This book focuses on the issues encountered by children and young people who are living with HIV/AIDS. It examines their lived experiences associated with HIV/AIDS, and studies groups of children and youngsters from around the globe. Connecting empirical information with real-life situations, the book brings together results from empirical research that relates to these children and young people. Its chapters can be used as evidence for health care providers to implement socially and culturally appropriate services to assist individuals and groups of children and young people who are living with HIV/AIDS in many societies. Many of these young people are from the most marginalized and vulnerable groups; and many have been orphaned by the death of their HIV-positive parents. Marginalized young people such as refugees, migrants and street children are most at risk due to the use of illicit drugs, their exposure to unprotected sex (in exchange for food, money and protection), and stigma associated with their marginalized lives. The impact that HIV/AIDS has on the opportunities for these young people to be able to lead healthy adult lives is considerable. This book gives a voice to these children and young people and advances our understanding of their lived experiences and needs.

Protecting Childhood in the AIDS Pandemic provides lessons from experts around the world on how to transform the outcomes of children affected by HIV/AIDS. It examines which public policies and programs best meet the full range of children's needs, from medical care to social support and from infancy to adolescence.

Africa's Orphaned and Vulnerable Generations: Children affected by AIDS shows how the AIDS epidemic continues to affect children disproportionately and in many harmful ways, making them more vulnerable than other children, leaving many of them orphaned, and threatening their survival. Released by UNICEF, UNAIDS and PEPFAR (The US President's Emergency Program for AIDS Relief), the report contains new and improved research on orphans and vulnerable children, including what governments, NGOs, the private sector and the international community can do to better respond.

The book shows that while gender inequalities in society are driving aspects of the HIV epidemic, democratic learning environments informed by evidence-based policy, implemented with leadership for transforming deeply held values and beliefs regarding sexual behaviour and sexuality can be empowering.