The Health Policy Project has ended, but work continues under a new USAID five-year project, Health Policy Plus (HP+).
Author(s): National AIDS Programme/Ministry of Health, University of the West Indies HIV/AIDS Response Programme, and the Health Policy Project
Primary Language: English
The results of a survey of health facility staff in St. Kitts and Nevis, conducted by the University of the West Indies, the St. Kitts and Nevis Ministry of Health, and the USAID- and PEPFAR-funded Health Policy Project (HPP), illustrated that key drivers of stigma and discrimination in health facilities (fear of HIV infection, negative attitudes and facility environment, including policy) are present across all levels of staff, both medical and non-medical. HPP organized a participatory analysis of the evidence and dissemination of the results among health facility staff to promote reflection and propel a sense of urgency to reduce stigma in the health setting. Baseline evidence provided a tool to motivate staff and policymakers to measurably improve services. Recommendations developed by the healthcare workers focus on a range of training suggestions including who, when, and how to strengthen capacity through training of health and auxiliary staff; and policy development strategies. They urged a call to action based on human rights and a professional obligation to provide equitable, quality services to all. The discussion and recommendations highlight the effectiveness of a participatory approach to data analysis to inform action.