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27 March 2018 Photo Earl Coetzee
Research focus on HIV and TB stigma among healthcare workers
Posters reading, “Let’s Stop Stigma” urge healthcare workers to ”Be kind to yourself. Be kind to others.” Pictured here are Dr Asta Rau, Director of CHSR&D and Dr Michelle Engelbrecht, deputy director of the centre.

Researchers working on an internationally funded project are tackling a key occupational health issue: HIV and TB stigma among Free State healthcare workers. They developed and rolled out interventions to decrease stigma and will soon measure the effects. 
In this four-year project, UFS researchers from the Centre for Health Systems Research and Development (CHSR&D) are partnering with Antwerp University and the Free State Department of Health.  

Stigma is like an invisible mark 
A project leader at the CHSR&D, Dr Asta Rau, says most research on stigma in public health focuses on HIV stigma towards patients. Little is done on stigma among healthcare workers themselves. 
Dr Rau says that stigma undermines people’s dignity and causes them suffering. It can even stop them from seeking healthcare. Stigma threatens the health of healthcare workers and the stability of the health system, which is already under strain due to personnel shortages. 

Interventions to make a difference

The research identified two types of stigma - external stigma that can be seen around us, e.g. in the way healthcare workers speak about or treat one another and internal stigma that happens when healthcare workers take this ‘outside’ stigma and turn it inward on themselves. 

Dr Rau says the interventions involve training healthcare workers about what stigma is and how to go about reducing it. “We give them the knowledge and tips on how to communicate when they encounter stigma. It is up to them to then use that to fight stigma.” A communication campaign with posters and branded social marketing materials supports the training. The campaign uses a single slogan: ”Let’s Stop Stigma” and urges healthcare workers to ”Be kind to yourself. Be kind to others."

News Archive

UFS professor receives international recognition for exceptional ethical values
2015-10-02

“You grow so fond of them,” Prof André Venter,
Head: Department of Paediatrics and Child Health,
says while doing his rounds with patients.
Prof Venter recently received the award for health professions
from the international organisation, Unashamedly Ethical.

“You are such a pretty baby,” Prof André Venter, Head: Department of Paediatrics and Child Health at the University of the Free State, whispers to a baby lying stretched out in her neonatal cradle.

He uses his fingertips to free her legs and arms carefully from the monitors and wires attached to her.

“See how much you have grown,” he says, tapping with his finger on her file. 1.2 kg - her weight indicates. 

In one of the other children’s wards, he joins a mother sitting with her sick baby. Speaking about the baby’s operation coming up within the next few months, he gives her an encouraging pat on the shoulder.

He visits yet another mother who is practising kangaroo care on her baby, and asks to hold the baby for a while.

“Gosh, you’re so nice and warm, let doctor hold you for a while,” he says, hugging the premature baby to his chest.

Prof Venter greets and thanks the nursing staff at the end of his ward rounds.

“Everything is not always good, but one can try to plan for the future from the challenges,” he says. “One should never concentrate on the immediate problem too much, but lift the morale of those using our services, those providing the services, and those who come here for training.”

It is this kind of passion and outlook that earned Prof Venter an ethical award from the international organisation, Unashamedly Ethical. The award, which was made in the health professions category, recognises doctors for exceptional ethical values and for going the extra mile in alleviating the suffering of humanity.

“I am humbled at being honoured for something I see as my passion and actually take for granted. I am also touched that people from outside noticed and nominated me for this,” he says.

He talks about his young patients again: “I learn so much from them each day. Children are so resistant to negative things. I grow so fond of them that I forget they have to go home some time.”

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