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Yet national governments need evidence on effective interventions at the individual, community and societal levels in order to strategically incorporate stigma and discrimination reduction into national AIDS plans.
Currently, the heterogeneity of stigma and discrimination reduction approaches and measurement makes it challenging to compare and contrast evaluated interventions.
The President’s Emergency Plan For AIDS Relief (PEPFAR) Blueprint, which proposes critical steps needed to achieve an AIDS-free generation, was launched in 2012 .
These steps would further advance the scientific evidence base of stigma and discrimination reduction and allow for the identification of effective interventions that could be scaled up by national governments.Some 50–60% of people living with HIV are unaware of their status. Communities most affected by the epidemic – sex workers, people who use drugs, men who have sex with men and transgender people – remain highly stigmatized.These individuals and their families are often unable to exercise their right to health, non-discrimination and freedom from violence.Beyond the healthcare setting, addressing stigma among the general community has been a focus for research, but to varying degrees of success .Much of the work has included community education campaigns associated with HIV testing, including some community mobilization strategies.
Journal of the International AIDS Society 2013, 16(Suppl 2):18893 | This JIAS special issue examining HIV-related stigma and discrimination comes at a time when we see overwhelming evidence that global solidarity and shared responsibility are transforming the vision of an AIDS-free generation.