Group Work

on
Attitudes, Practices and
Confidentiality issues in
HIV/AIDS

Dr Priyantha Batagalla
Consultant Venereologist
Work:
The participants were given pens and A4 sheets.

Few scenarios about the patients who got admitted to

your hospital were given

Write down your feelings in 3 words / sentences

about each of the given scenario in 10 minutes

Not to write your names/ any details on the answer

sheets
Scenarios
1. වාට්ටුවේ‌ප්‍රතිකාර ගන්නා HIV රෝගියකුව පරීක්ෂා
කරන ලෙස විශේෂඥ වෛද්‍යවරයා නියම කල විට
When your Consultant request you to examine a
in-ward patient who is a known HIV.
2. වාට්ටුවේ‌ප්‍රතිකාර ගන්නා එච්. අයි.වී
රෝගියකුගෙන් රුධිරය ගැනීමට ඔබට නියමිතව
ඇතිවිට
When you are asked to bleed from a known
HIV patient who is under the care of your
cubicle
Scenarios..
3. වාට්ටුවේ‌ප්‍රතිකාර ගන්නා රෝගියකු තමාගේ
ලිoගික පෙදෙසේ තුවාල ඇති බව කී විට
When an in-ward patient complains that he/she has
an ulcer in the genital area.
4.ලිoගික රෝග සායනය මගින් ඔබගේ වාට්ටුවට එච්.
අයි.වී රෝගියකු ඇතුල් කර වැඩිදුර පරීක්ෂණ සඳහා
යොමුකර ඇතිවිට
When a known HIV positive patient who was
referred from STD clinic for further investigations to
your ward
Scenarios..
5. එච්. අයි.වී රෝගියකු තමාගේරෝගී තත්වය සඟවා
ප්‍රතිකාර ගමින් සිටියෙදී ඵ්බව හෙලිවූවිට
When you get to know about a patient who is a
known HIV positive and took care without
revealing his serostatus

6. එච්. අයි.වී රෝගියකු සුළු ශල්‍යකර්මයක් සඳහා

වාට්ටුවට ඇතුල්කර ඇතිවිට
When a known HIV positive patient is referred
for surgical intervention to your ward
Scenarios..

7. A pregnant woman who is admitted for the

delivery is found to be HIV positive.

8. When you receive samples of a known HIV

patient for investigations.
Work:
Once you finish, all the papers are collected and
redistributed to different participants.

Ask to read out the responses that are written for each
statement.

Responses are categorized as positive, negative,

sympathetic, and neutral attitudes
Discussion:

carried out about different attitudes and importance

of nonjudgmental attitudes in delivering medical
healthcare and STI/HIV services to the patients/
MARPs.
Volunteers to share their experience
Think a minute!

Can you think of a time in

your life when you felt isolated
or rejected?

Why did it happen ?

Think a minute!
• How did it make you feel
when other people
isolated or rejected you?

• Did that experience

change you in anyway ?
Causes for Stigma and discrimination
Lack of information

Myths and fears about transmission

Fears about death and illness

Moral judgments and assumptions about people with

HIV
How stigma affects PLWHA

Make them feel guilty and ashamed

Prevent people from getting tested

Prevent people from getting treatment

Make people feel lonely and sad-leads to

psychological psychiatric illnesses
How stigma affects PLWHA
Prevent people from telling their partners their HIV
positive

Leads to violence

Increase school dropout rate

Make the STI/HIV problem bigger and bigger

How stigma affects PLWHA
Loss of income/livelihood

Loss of family support-Withdrawal of caregiving in the

home

Loss of marriage & childbearing options

Loss of hope & feelings of worthlessness

Loss of reputation
How stigma affects PLWHA
Social isolation

Poor care within the health sector

Fear of such prejudice -may refuse HIV testing/ to not

return for test results
Reducing stigma and discrimination
Correct misunderstandings and myths about HIV

Talk to people about the dangers of stigma and

discrimination

Be a role model by respecting and caring for people living

with HIV/AIDS

Involve people with living with HIV for discussions

Be aware of your own feelings of stigma and discrimination

Thank you