Proposal Summary


Investigator(s)

WHO Technical Officer Farrukh N A Qureshi
WHO Sri Lanka
Farrukh N A Qureshi Mail
Principal Investigator Niluka Perera
Consultant, DAST
Niluka Perera Mail
Co-Investigator(s) Nimali Fernando Wijegoonewardene
Consultant Community Physician, Ministry of Health Sri Lanka
Nimali Fernando Wijegoonewardene Mail


Title(s) and abstract

Scientific title Assessment of Stigma, Discrimination and Psychosocial Distress Among People living with HIV in Sri Lanka
Public title Assessment of Stigma, Discrimination and Psychosocial Distress Among People living with HIV in Sri Lanka
 
Background There are nearly 4100 people living with HIV in Sri Lanka currently, according to 2023 statistics of the National STD/AIDS Control Programme (NSACP). The data suggests a 48% increase in number of cases during 2022 compared to 2021. Stigma and discrimination pose significant obstacles to the prevention, treatment, care, and support of individuals affected by HIV. Stigma and discrimination can have serious consequences, including negative impacts on health, social well-being, and economic opportunities. Stigmatized individuals may avoid seeking healthcare, leading to the spread of communicable diseases like HIV and creating a significant burden on public health systems and the economy. In line with the 2025 targets laid down by UNAIDS, Sri Lanka is geared to reduce stigma and discrimination among PLHIV to less than 10% by 2025. However, an assessment of stigma and discrimination among people living with HIV in Sri Lanka, and psychological stress it has on the lives of PLHIV has not been carried out in Sri Lanka during the last five years. This assessment aims to address the critical knowledge gap to guide actions and interventions for NSACP.
Objectives To assess the stigma & discrimination associated with HIV and psychosocial distress among people living with HIV in Sri Lanka
Study Methods The assessment will be through a descriptive cross-sectional study conducted among the patients diagnosed as having HIV using a confirmatory test, irrespective of their antiretroviral treatment status, from all districts of Sri Lanka Sri Lanka. An Interviewer administered questionnaire developed and pretested using short version of Berger HIV Stigma Assessment tool and The Kessler Psychological Distress Scales (K10) will be used. The study population would be members of one the three organizations enrolling PLHIVs as well as non-members. Multi-model recruitment method will be used, to get purposive samples with 75% from memberships and 25% from nonmembers. Three data collectors drawn from PLHIV community would be trained as interviewers and three virtual data collectors will be recruited who will reach out to their previous/current clients through online means. Physical and online written consent will be obtained from respondents. The pretested data collection instrument will be coded appropriately to ensure confidentiality. Responses will be entered and analyzed using SPSS Version 21 Software.
Expected outcomes and use of results The findings will be used to suggest new interventions on addressing stigma and discrimination faced by PLHIV to the Sri Lanka HIV Funding Request to the Global Fund. PLHIV organizations and other civil society organizations that work with PLHIV individuals will be able to use the findings of this study to improve their work on addressing stigma and discrimination faced by PLHIV.
 
Keywords Stigma, PLHIV, Pshychosocial distress


Research Details

Student research No
Start Date 01-Oct-2023
End Date 31-Dec-2023
Key Implementing Institution Diversity And Solidarity Trust
Multi-country research No
Nationwide research Yes
Research Domain(s) Health Systems Research
Research field(s) HIV/AIDS
Involves human subjects Yes
  Population-Based Survey
Data Collection Primary data
Proposal reviewed by other Committee Under Review