South Africa: Reaching for Zero Discrimination in Healthcare

press release

1 March is Zero Discrimination Day, a day to celebrate diversity and strengthen our resolve for inclusive societies free from discrimination and inequality. The impact of stigma and discrimination has been catastrophic in the fight against HIV/AIDS. When discrimination occurs in healthcare facilities or at the hands of healthcare workers, the provision of quality care is compromised. The experience in consequence undermines access to sustained care, adherence to HIV treatment, and the adoption of HIV-preventative behaviours for those most vulnerable to HIV.

The Joint United Nations Programme on HIV/AIDS (UNAIDS) has stated that "over thirty years into the [HIV] epidemic, stigma remains high ... and access to justice in the context of HIV is very low." In order to combat stigma and discrimination in healthcare facilities, research indicates that interventions need to focus on individual, environmental and policy levels. A lack of clear policies and guidance relating to HIV-positive patients and other vulnerable groups reinforces discriminatory behaviours amongst healthcare workers. To be effective, such policies need to be routinely monitored and implemented.[1] Access to justice and redress for patients who experience discrimination in healthcare is therefore an important component of reducing stigma and discrimination and in the fight against HIV and AIDS.

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