Comprehensive Package for Reducing Stigma and Discrimination in Health Facilities

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development (USAID), Health Policy Project


The PDFs of this tool are:

1. Training guide
2. User’s guide
3. Resources for administrators”

To support health facility staff in recognizing and challenging stigma and discrimination within health facilities and creating a safe, enabling environment for staff and patients, including people living with HIV and other key populations, such as men who have sex with men, transgender individuals, sex workers, and people who inject drugs.

Type of Document:
A comprehensive package of tools, on how to assess, train, and sustain stigma-free services. Includes a standardized questionnaire for measuring HIV stigma and discrimination among health facility staff, a facilitator’s training guide for a stigma-free health facility, and a resource guide for administrators for achieving stigma-free health facilities and HIV services.

Audience Intended:
For the overall package, health workers, health facility managers, researchers, but primarily those working in health facilities at all levels. Training to be conducted by facilitators—which is flexible but should generally be with one person who is a health worker and another who is a PLHIV or member of a key population group—who then train health facility staff.

Populations Experiencing Stigma and/or Discrimination:
People living with HIV, men who have sex with men, sex workers, people who inject drugs, and transgender individuals.

Stigma and/or Discrimination:
Both – but stigma is the primary focus.

Assess and/or Address:

Package contains flexible implementation options. See page 2 of the training tool for more comprehensive overview. The modular approach allows each trainer to package the training to suit his/her audience, the workplace context, and the amount of time available. A complete course on stigma over two to three days…A series of short two-hour sessions over
33 several weeks or months…A short intensive course of one or two days, reinforced with one- to two-hour follow-up sessions…A stigma component (two to three sessions) within a larger training course on HIV… The context for this training can also vary widely. The training could take a number of different forms…[See p.2 PDF]

Emphasis on stigma. Current and active. Also see for other links to videos, etc.

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