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Home » Guest Column » K.K. Abraham
 
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"Let’s Fight the Attitudes"
K. K. Abraham
 
The most important challenge in any person’s life after getting infected with HIV is how to conquer the multitude of fears. One of them, probably the next only to the fear of death, is the fear of stigma and discrimination. With adequate information and counselling, the fear of death can be easily overcome. Fear of stigma, however, lingers on. Some times, forever. In the last ten years of my life as a person living with HIV/AIDS, the most disturbing instances I keep in mind are that of discrimination than of death. People mercilessly beaten to death, people thrown out of jobs, people abandoned midway on surgery tables, people denied emergency care even when they are in extreme trauma, people denied access to family property, people denied shelter, people pushed to destitution…it is ruthless and cruel. I have lost friends to HIV/AIDS, but I have lost many more, in terms of their abandoning hopes of life, to stigma and discrimination.
 
Why do people stigmatise HIV and discriminate people living with HIV? In my view, it is mainly because of the lack of information and corrective institutional mechanisms besides the judgmental socio-cultural climate and the false sense of invincibility of people. The answer is to inform people: demonstrate to people that HIV is like any other illness; that it is not immorality that causes HIV/AIDS, but the vulnerabilities arising out of socio-economic and cultural reasons; that HIV/AIDS does not mean death and that by treating HIV/AIDS positive persons like normal human beings, nobody is at risk. To back it up, we need to institutionalise legal mechanisms for punishing those who discriminate people with HIV/AIDS. Through a combination of such efforts, western societies have been able to drastically reduce the practice of stigma and discrimination. Not coincidentally, same societies have also been able to effectively control the spread of the epidemic.
 
Stigma and discrimination is therefore also closely linked with the availability and quality of treatment facilities. Because of the way people are told about their status and the lack of counselling and support, persons living with HIV remain silent about their status. As this is a vicious cycle, there is reluctance among positive people to disclose their status. One of the major mechanisms to reduce stigma and discrimination is, therefore, to provide a human face to the epidemic. Positive speakers from INP+ and other state level networks are in a way attempting to provide the same. It does not stop with this. There should also be a mechanism to promote and protect the rights of people living with HIV.
 
Stigma and discrimination is therefore also closely linked with the availability and quality of treatment facilities. Because of the way people are told about their status and the lack of counselling and support, persons living with HIV remain silent about their status. As this is a vicious cycle, there is reluctance among positive people to disclose their status. One of the major mechanisms to reduce stigma and discrimination is, therefore, to provide a human face to the epidemic. Positive speakers from INP+ and other state level networks are in a way attempting to provide the same. It does not stop with this. There should also be a mechanism to promote and protect the rights of people living with HIV.
 
HIV does not kill instantly. Stigma does.
 
(All the views expressed in this column are entirely that of the author)
 
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