HIV Specialist - June 2021 - 45

Dr. Matin with
his Principal, his
colleagues, staff
and wife at his
Voluntary Retirement
farewell ceremony
at MGM Medical
College, Jamshedpur,
Jharkhand, India
and surgery patients (90 to 99%), and stating that people who acquired
HIV through sex or drugs 'got what they deserved' (50 to 83%).
The treating HIV care providers also experience stigma, including
Dr. Khan at work
myself. I have lost an estimated 25 percent of my general non-HIV
patients because they don't want a doctor that treats people they
consider " dirty. "
Several studies in India have shown that
experiences or fear of being stigmatised are
significantly associated with a delay in seeking
care, with people particularly worried
about having their positive status disclosed
to others without their consent. HIV stigma
fears have also been reported to lead to
suboptimal adherence, missed appointments,
and delays in getting prescriptions refilled,
thereby interfering with viral suppression.
Gender inequality
There is a need for greater access, analysis
and applied use of data within the national
HIV response. We need more trained staff
to monitor the epidemic. There are also
challenges associated with tracking people
through the continuum of HIV diagnosis to
care and treatment. It is particularly challenging
to get " lost " patients back into the
treatment system.
Women living with HIV are reluctant to
access healthcare for fear of discrimination
and marginalisation, leading to a
disproportionate death rate in HIV among
women.
Data issues
There is a need for greater access, analysis
and applied use of data within the national
HIV response. We need more trained staff
to monitor the epidemic. There are also
challenges associated with tracking people
through the continuum of HIV diagnosis to
care and treatment. It is particularly challenging
to get " lost " patients back into the
treatment system.
WWW.AAHIVM.ORG HIVSPECIALIST JUNE 2021 45
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HIV Specialist - June 2021

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