Towards a health-enabling working environment - developing and testing interventions to decrease HIV and TB stigma...

Area of Science:

• Public Health
• Occupational Health
• Health Policy

Background:

• Healthcare workers (HCWs) face significant occupational risks from tuberculosis (TB).
• The human immunodeficiency virus (HIV) epidemic exacerbates TB risks due to their intertwined epidemiology.
• Stigma surrounding HIV and TB deters HCWs from seeking essential care, worsening health workforce shortages.

Purpose of the Study:

• To scientifically assess the extent and sources of HIV and TB-related stigma among HCWs.
• To develop and test evidence-based interventions for reducing HIV and TB stigma in public hospitals.
• To address the critical issue of stigma impacting HCWs' health and the healthcare system.

Main Methods:

• A stratified cluster randomised controlled trial (RCT) design was employed.
• Validated stigma scales measured variables among HCWs in eight hospitals, randomly assigned to intervention or control groups.
• Interventions included Social and Behavioural Change Communication (SBCC) at individual, community, and socio-structural levels, with qualitative data collection.

Main Results:

• The study aims to generate essential data on stigma prevalence and sources among HCWs.
• Interventions are designed to be innovative, replicable, and beneficial in reducing stigma.
• The research addresses stigma across the entire hospital workforce and workplace.

Conclusions:

• The project will provide crucial information on HIV and TB stigma among HCWs.
• It will implement and test novel stigma-reduction strategies within the South African public health sector.
• Addressing stigma is vital for protecting HCW health and improving healthcare delivery.