Change-Over-Time: A Comprehensive Community-Based HIV Stigma Reduction and Wellness Enhancement Intervention

Wednesday, 1 August 2012: 11:10 AM

Christa Chidrawi, HonBA (Psych), HonBTh, MA (Psychiatric, Nursing)
Africa Unit for Transdisciplinary Health Research, North-West University, Potchefstroom, South Africa


The objectives of this study were to test the change-over-time in HIV stigma and psychosocial wellbeing in PLHA and PLC, as well as health behaviour of PLHA. The context within which this study have been undertaken included aspects of HIV stigma and implications thereof for PLHA and PLC, psychosocial wellbeing, health care behaviour and a quest for a Comprehensive Community-based HIV Stigma Reduction and Wellness Enhancement Intervention that will effect sustainable change-over-time in terms of HIV stigma reduction and wellness enhancement.


A quantitative single system design with a pre-test and four three monthly repetitive post-test measures were conducted. A survey and selected validated instruments were used. The design quantitatively tested change-over-time following an intervention. The same samples as mentioned in the previous study were utilized. Descriptive statistical analysis were done using SPSS version 15.


Descriptive statistics of outcome measures will be reported on for each of the five measured periods. A repeated measure of variance analysis will show the change-over-time in the three dependant variables (HIV stigma, psycho social wellbeing and HIV health behaviour).


Socioeconomic aspects of HIV impact on the welfare of the total community. Psychosocial wellbeing is more than a good feeling inside some individuals and might be one of the keys to unlocking the power of individuals and communities with regards to community-based HIV stigma reduction. Collective engagement by communities and employment of innovative community-based processes (Bakhtin, 2007) could possibly ensure more effective HIV stigma reduction and more accurate utilization of limited and shared resources in Africa.