Breaking Stigma Through Exposure

Stigma is an important roadblock in the way of moving children from institutions to families. As well as to ensure that children are not separated from their families unnecessarily in the first place. There are a lot of children who are affected by stigma, including but not limited to children with disabilities, children affected by HIV, children of unwed mothers, children belonging to marginalised minorities, children on the move, children living in the street, former child soldiers, survivors of child trafficking, survivors of sexual abuse, and children who have lived in ‘orphanages’. In discussions around moving children who are stigmatised in some way from institutions to families, there is often a perception that this cannot be done, it is just not safe for the children to be moved into a community that does not accept them.

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Medical Prejudice on HIV

The stigma attached to HIV/AIDS is still strong in most parts of the world, and this can have a greater debilitation effect on people who are HIV positive than their medical condition does. In a general way, I already touched on this in the blog that I wrote for World AIDS Day last December (you can find it HERE). Today I want to shine a spotlight on the way people with HIV are still discriminated against even by medical doctors, who really should know better.

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Arranging Services

Having spent some time, recently, looking at the need for individual assessment and how to go about it, it seems useful to address another step in the process of deinstitutionalisation, namely that of mapping and setting up services. In order for children to move from an institution into the community – whether this is to go live with their parents again, to be placed in a foster family or small group home, or to enter supported living – they are going to require the support of a range of services. This means that these services have to be present before the child is moved.

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World AIDS Day

When the first World AIDS Day took place, in 1988, having HIV meant getting AIDS and dying of it, quite rapidly. It was essential to raise awareness, both to try to prevent the spread of the disease and to push the medical community into coming up with effective treatments. Today, with the rapid improvement of medication to control the HIV that leads to AIDS, and with the number of AIDS deaths on the decline in many parts of the world it may seem to some people that it is no longer very necessary to shine such a light on the issue. People who have access to Anti-Retroviral Treatment (ART) can live normal lives, aside from taking medication and medical check ups, of normal length. But that is not all there is to it.

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Podcast Healthcare

In today’s podcast the wider meaning of ‘access to healthcare’ is explored. Having a doctor within travelable distance is important, but if that doctor is unable to provide the care needed, can it really be called access to healthcare? This is important because lack of access to healthcare is one of the reasons behind children being institutionalised.

The next podcast will be posted in five weeks.

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World TB Day

Yesterday was World TB Day. Tuberculosis is a healthcare issue, of course, but it is also one relevant with regards to institutional care. First of all, as long as TB still goes around, it spreads like wildfire in places where children live close together, for example in so-called orphanages.

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