This article looks at the impact of HIV on people living with permanent physical, sensory, intellectual, or mental health disability. In particular, it considers whether AIDS messages reach disabled populations and the inequity of access to health care that they face
This handbook is designed as a guide to empower people with disabilities on rural enterprise development. It is based upon lessons learned from two FAO projects: 'Mushroom production training for disabled people in northeast Thailand' and 'Poverty alleviation throuh market generated rural employment' (better known as 'Success Case Replication (SCR)'). The handbook provides practical methodology, references, check-lists and various training resources for centres, village development workers and self-employment. It would be useful for people and organisations interested in the training of disabled people on rural enterprise development
This volume, a collaboration of Swedish SIDA and the United Nations Research Institute for Social Development (UNRISD), presents research on the social and developmental aspects of HIV and AIDS prevention and treatment. The papers highlight treatment and prevention, epidemiological analysis, stigma and discrimination, human rights, the role of the private sector, and community responses and innovative approaches to open discussion of sexuality and risk behaviour
Issue 2 of id21's Insights Health was entitled 'Delivering the goods - HIV treatment for the poor'. It presented new research from key contributors on anti-retroviral (ARV) drug delivery in developing countries. After it was published, a wide range of stakeholders participated in an email discussion. Participants were based in many different countries and included international and national policy-makers, health professionals, representatives of non-governmental and community based organizations and researchers. This is a summary of the email discussion looking at best strategies for HIV treatment delivery in developing countries, which barriers prevent poor people from accessing care, and the role of the international development community. The debate covered a broad range of topics but particularly focused on HIV treatment as a priority relative to other health and development issues, strategies for delivering treatment in resource-poor settings, the role and operation of the new Global Fund to Fight AIDS, TB and malaria and stigma as a barrier to access
Drawing on the accounts from the World banks ‘Voices of the Poor’ this booklet looks at the intimate link between health and poverty and the need for health to be central to attempts at poverty reduction. Three key lessons are: [1] People view and value their health in a holistic sense, as a balance of physical, psychological and community well-being, consistent with the WHO view of health as ‘a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity. [2] People overwhelmingly link disease and ill-health to poverty, while poverty is also seen in terms of instability, worry, shame, sickness, humiliation and powerless-ness. [3] Health is valued not only in its own right, but because it is crucial to economic survival. Other lessons include: the fact that ‘poor people’ are not homogenous and in particular women and men, and the young and old, experience poverty and ill-health quite differently. Gender differences include the fact that men access and are seen as more entitled to formal health care, while women more often draw on traditional and alternative health services or defer their own treatment. Attitudes of health staff often appalling. Humiliating treatment by health personnel who treat people as ‘worse than dogs’ was a common experience and barrier to getting treatment. Access to health facilities, rarely built in poor areas, and often too costly to access are a problem. WHO concludes that "there can be no real progress on poverty reduction, or improvement in health outcomes, unless economic and social inequities are tackled"
This paper argues the need for a new way of thinking about stigma and discrimination that acknowledges the processes that cause it and addresses them. It suggests a conceptual framework in which stigma and discrimination are seen as social processes designed to produce and reproduce inequalities and maintain social control, rather than as individual actions. It argues that under this framework there is a need for new approaches to research and for programme developments and interventions that engage societies, communities and people who experience stigma and discrimination, while also acknowledging that this needs to be accompanied by laws and policies that protect the rights of people living with HIV and those affected by the HIV/AIDS epidemic
