{"id":4333,"date":"2026-10-12T11:23:53","date_gmt":"2026-10-12T04:23:53","guid":{"rendered":"https:\/\/malariaperdhaki.org\/?p=4333"},"modified":"2026-10-23T15:11:27","modified_gmt":"2026-10-23T08:11:27","slug":"memahami-akar-dan-siklus-stigma-hiv-tb-dan-malaria","status":"publish","type":"post","link":"https:\/\/malariaperdhaki.org\/en\/2026\/10\/12\/memahami-akar-dan-siklus-stigma-hiv-tb-dan-malaria\/","title":{"rendered":"Understanding the Roots and Cycle of Stigma Around HIV, TB, and Malaria"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><em>HIV, tuberculosis (TB), and malaria can be treated and controlled. However, stigma still discourages many people from getting tested or causes them to drop out of treatment midway. The fear of being judged\u2014both in the surrounding community and within healthcare facilities\u2014leads to late case detection and patients becoming<\/em>lost to follow up<em>).<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">HIV\/AIDS, tuberculosis (TB), and malaria\u2014collectively known as ATM\u2014are still frequently accompanied by misconceptions and stigma regarding their transmission and treatment. People living with these conditions also face the risk of privacy violations and unequal treatment at healthcare service facilities. Therefore, eliminating stigma is critical to achieving the elimination of ATM by 2030.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All three diseases can be managed and their transmission prevented. However, misunderstandings breed prejudice and an \"us versus them\" mindset that can lead to discrimination\u2014ranging from unequal service to refusal of medical care. Concerns about being judged cause patients to delay or avoid returning for treatment. As a result, diagnosis and treatment are delayed, health conditions worsen, and new transmissions can occur. Trust in healthcare facilities weakens, program targets are hindered, and societal stereotypes grow stronger, causing the cycle of stigma to persist. The Ministry of Health of the Republic of Indonesia has published Technical Guidelines for the Elimination of Stigma and Discrimination in Healthcare Facilities since 2012 as a reference for providing services that respect patient dignity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stigma does not appear out of nowhere. It grows from multiple layers, ranging from individual perspectives to institutional regulations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The first layer exists within healthcare workers themselves. Misinformation\u2014such as the belief that HIV can be transmitted through a handshake\u2014frequently triggers excessive fear. The impact is visible in practice: staff use excessive personal protective equipment, limit physical contact, or even refuse to provide services. Judgment toward patients can also be influenced by personal values and experiences that are not managed professionally.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The social environment also shapes these perspectives. Cultural and religious norms in society influence how a disease is perceived. The media plays a major role as well. Inaccurate news coverage and stigmatizing terms reinforce stereotypes. Conversely, person-first language that puts humanity ahead of the disease\u2014such as \"people living with HIV\" instead of \"HIV sufferers\"\u2014has been proven to help erode stigma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the healthcare facility level, issues are often systemic. Standard procedures that differentiate patients without a scientific basis still exist. Training and supervision are minimal, while workloads remain high. Under such conditions, discriminatory practices gradually become normalized.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The outermost layer consists of policies and social structures. Regulations that restrict or criminalize specific groups, power dynamics imbalances, and poverty cause stigma to become deeply rooted and difficult to break.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stigma generally does not stem from bad intentions, but rather from erroneous beliefs and habits that are taken for granted. Breaking this cycle requires enhancing the competence of healthcare workers, patient-centered communication, policies that protect patient rights, and an inclusive organizational culture.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fundamentally, every patient is entitled to care that respects their dignity regardless of their background, and every clinical decision should be based on medical need and professional standards, not prejudice.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Eliminating stigma in healthcare facilities cannot be placed solely on the shoulders of healthcare workers. Behavioral change among staff must be supported by firm leadership, policies that uphold patient rights, responsive services, and cross-sector collaboration.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(Photo by <a href=\"https:\/\/www.pexels.com\/photo\/close-up-shot-of-two-people-holding-hands-6860375\/\">Tima Miroshnichenko<\/a> from Pexels)<\/p>","protected":false},"excerpt":{"rendered":"<p>HIV, tuberkulosis (TB), dan malaria dapat diobati dan dikendalikan. Namun, stigma masih membuat banyak orang enggan memeriksakan diri atau berhenti berobat di [&hellip;]<\/p>\n","protected":false},"author":262829457,"featured_media":4334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Memahami Akar dan Siklus Stigma HIV, TB, dan Malaria","jetpack_seo_html_title":"Memahami Akar dan Siklus Stigma HIV, TB, dan Malaria","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"page_builder":"","_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[4830544],"tags":[],"class_list":["post-4333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-berita-artikel"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgoAQX-17T","jetpack-related-posts":[{"id":4408,"url":"https:\/\/malariaperdhaki.org\/en\/2026\/10\/23\/mengikis-stigma-untuk-mengobati-hiv-tb-dan-malaria\/","url_meta":{"origin":4333,"position":0},"title":"Mengikis Stigma untuk Mengobati HIV, TB, dan Malaria","author":"Komunikasi Malaria Perdhaki","date":"23 October 2026","format":false,"excerpt":"Obat untuk HIV, tuberkulosis (TB), dan malaria sudah tersedia dan bisa didapat gratis di fasilitas kesehatan. Lalu, mengapa masih banyak yang terlambat berobat? Penghalangnya sering kali bukan urusan medis, melainkan stigma. Stigma tidak harus berupa hinaan terang-terangan. Cukup merasa dipandang negatif atau khawatir diperlakukan buruk, seseorang bisa menunda periksa berbulan-bulan\u2026","rel":"","context":"In &quot;Berita &amp; Artikel&quot;","block_context":{"text":"Berita &amp; Artikel","link":"https:\/\/malariaperdhaki.org\/en\/category\/berita-artikel\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/10\/pexels-minan1398-1222949.jpg?fit=1200%2C772&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/10\/pexels-minan1398-1222949.jpg?fit=1200%2C772&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/10\/pexels-minan1398-1222949.jpg?fit=1200%2C772&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/10\/pexels-minan1398-1222949.jpg?fit=1200%2C772&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/10\/pexels-minan1398-1222949.jpg?fit=1200%2C772&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":4317,"url":"https:\/\/malariaperdhaki.org\/en\/2026\/10\/07\/penanganan-hiv-aids-di-ntt-putus-penularan-dan-hapus-stigma\/","url_meta":{"origin":4333,"position":1},"title":"HIV\/AIDS Response in NTT: Breaking Transmission and Eliminating Stigma","author":"Komunikasi Malaria Perdhaki","date":"07 October 2026","format":false,"excerpt":"Penyebaran HIV\/AIDS harus ditangani secara serius agar tidak menjadi beban kesehatan masyarakat jangka panjang. 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Berdasarkan laporan Radio Republik Indonesia (RRI), kelompok\u2026","rel":"","context":"In &quot;Berita &amp; Artikel&quot;","block_context":{"text":"Berita &amp; Artikel","link":"https:\/\/malariaperdhaki.org\/en\/category\/berita-artikel\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/sourmarb-1C9E2xeQX-E-unsplash.jpg?fit=1200%2C675&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/sourmarb-1C9E2xeQX-E-unsplash.jpg?fit=1200%2C675&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/sourmarb-1C9E2xeQX-E-unsplash.jpg?fit=1200%2C675&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/sourmarb-1C9E2xeQX-E-unsplash.jpg?fit=1200%2C675&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/sourmarb-1C9E2xeQX-E-unsplash.jpg?fit=1200%2C675&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3803,"url":"https:\/\/malariaperdhaki.org\/en\/2026\/07\/09\/menembus-stigma-menghapus-rasa-malu-dan-cemas-dalam-pemeriksaan-hiv\/","url_meta":{"origin":4333,"position":2},"title":"Breaking Through Stigma: Eliminating Shame and Anxiety in HIV Testing","author":"Komunikasi Malaria Perdhaki","date":"09 July 2026","format":false,"excerpt":"Menembus Stigma: Menghapus Rasa Malu dan Cemas dalam Pemeriksaan HIV MALARIA PERDHAKI-JAKARTA. 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Ada\u2026","rel":"","context":"In &quot;Berita &amp; Artikel&quot;","block_context":{"text":"Berita &amp; Artikel","link":"https:\/\/malariaperdhaki.org\/en\/category\/berita-artikel\/"},"img":{"alt_text":"Menembus Stigma: Menghapus Rasa Malu dan Cemas dalam Pemeriksaan HIV","src":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/07\/bermix-studio-Gg6OrxUotLQ-unsplash.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/07\/bermix-studio-Gg6OrxUotLQ-unsplash.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/07\/bermix-studio-Gg6OrxUotLQ-unsplash.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/07\/bermix-studio-Gg6OrxUotLQ-unsplash.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/07\/bermix-studio-Gg6OrxUotLQ-unsplash.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":4196,"url":"https:\/\/malariaperdhaki.org\/en\/2026\/09\/18\/layanan-inklusif-dan-kolaborasi-kunci-penanggulangan-hiv-aids\/","url_meta":{"origin":4333,"position":3},"title":"Inclusive Services and Collaboration: The Key to Combating HIV\/AIDS","author":"Komunikasi Malaria Perdhaki","date":"18 September 2026","format":false,"excerpt":"Layanan Inklusif dan Kolaborasi: Kunci Penanggulangan HIV\/AIDS Human immunodeficiency virus (HIV) adalah virus yang menyerang sistem kekebalan tubuh manusia. 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Pada fase akut, gejala belum\u2026","rel":"","context":"In &quot;Berita &amp; Artikel&quot;","block_context":{"text":"Berita &amp; Artikel","link":"https:\/\/malariaperdhaki.org\/en\/category\/berita-artikel\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/nappy-ClTrcu5sj-M-unsplash.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/nappy-ClTrcu5sj-M-unsplash.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/nappy-ClTrcu5sj-M-unsplash.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/nappy-ClTrcu5sj-M-unsplash.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/malariaperdhaki.org\/wp-content\/uploads\/2026\/09\/nappy-ClTrcu5sj-M-unsplash.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":2766,"url":"https:\/\/malariaperdhaki.org\/en\/2026\/02\/20\/ssr-pspp-waikabubak-dorong-pemerintah-desa-terbitkan-regulasi-penanggulangan-atm\/","url_meta":{"origin":4333,"position":4},"title":"SSR PSPP Waikabubak Encourages Village Governments to Issue Regulations on ATM Prevention","author":"Komunikasi Malaria Perdhaki","date":"20 February 2026","format":false,"excerpt":"SSR PSPP Waikabubak Dorong Pemerintah Desa Terbitkan Regulasi Penanggulangan ATM SSR PSPP Waikabubak Gelar Rapat Kordinasi Libatkan Lintas Sektor MALARA PERDHAKI-SUMBA BARAT. 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