Health Policy Project

The Health Policy Project ended in 2016. Work continued under Health Policy Plus (HP+) until 2022.


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Getting to “Stigma-Free” HIV Services in St. Kitts and Nevis: Survey Results
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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

Date: 9/30/2013


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.       

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HIV    Stigma and Discrimination    Caribbean Region  
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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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