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`Dying Twice'

A Multi-level Model of the Roots of AIDS Stigma in Two South African Communities

London School of Economics, UK, c.campbell{at}lse.ac.uk

Yugi Nair

University of KwaZulu-Natal, South Africa

Sbongile Maimane

University of KwaZulu-Natal, South Africa

Jillian Nicholson

KwaZulu-Natal, South Africa

We highlight the complex interplay of psychological and social factors driving AIDS stigma, drawing on a study of community responses to HIV/AIDS in two communities in KwaZulu-Natal, South Africa. We draw on 120 semi-structured interviews and focus groups, in which open-ended topic guides were used to explore community responses to HIV/AIDS. Drivers of stigma included fear; the availability and relevance of AIDS-related information; the lack of social spaces to engage in dialogue about HIV/AIDS; the link between HIV/AIDS, sexual moralities and the control of women and young people; the lack of adequate HIV/AIDS management services; and the way in which poverty shaped people's reactions to HIV/AIDS. We discuss the implications of our findings for stigma-reduction programmes.

Key Words: AIDS • dialogue • interventions • morality • poverty • stigma

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