Examining the Actions of Faith-Based Organizations and their Influence on HIV/AIDS-Related Stigma: a Case Study of Uganda

RESUMO

Background: Stigma and discrimination are widely recognized as factors that fuel the HIV/AIDS epidemic. Uganda's success in combating HIV/AIDS has been attributed to a number of factors; including political; religious and societal engagement and openness - actors that combat stigma and assist prevention efforts. Objectives: Our study aimed to explore perceptions of Uganda-based key decision-makers about the past; present and optimal future roles of FBOs in HIV/AIDS work; including actions to promote or dissuade stigma and discrimination. Methods:We analyzed FBO contributions in relation to priorities established in the Global Strategy Framework on HIV/AIDS; a consensus-based strategy developed by United Nations Member States.Thirty expert key informants from 11 different sectors including faith-based organizations participated in a structured interview on their perceptions of the role that FBOs have played and could most usefully play in HIV/AIDS prevention; care and support. Results: Early on; FBOs were perceived by key informants to foster HIV/AIDS-related stigma and discrimination. Respondents attributed this to inadequate knowledge; moralistic perspectives; and fear relating to the sensitive issues surrounding sexuality and death. More recent FBO efforts are perceived to dissuade HIV/AIDS-related stigma and discrimination through increased openness about HIV status among both clergy and congregation members; and the leadership of persons living with HIV/AIDS. Conclusions: Uganda's program continues to face challenges; including perceptions among the general population that HIV/AIDS is a cause for secrecy. By virtue of their networks and influence; respondents believe that FBOs are well-positioned to contribute to breaking the silence about HIV/AIDS which undermines prevention; care and treatment efforts