Stature, resilience and community integration. Predictors of stigma and discrimination faced by categories of MARPs: Lessons for MARPs-targeting interventions in Uganda

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Muyunga Thomas[1], Okimait David[2], Oryongatum George[3], Ssekaayi Micheal[4], Martin Golooba.[5]

BACKGROUND:

This study of two groups randomized 409 participants’ susceptibility to stigma and discrimination in turn affecting appropriate and targeted HIV response. The regular attributes group (RAG) versus non-regular attributes group (NRAG). The RAG consisted: fisher-folk, long distance truckers, uniformed services (including private security firms), persons in long term relations and young persons. The NRAG: MSM, sex-workers, substance users and PLHIV.
METHODS:

Participants in NRAG (n=209) and RAG (n=200) were analyzed. The following attributes were assessed: (i) Visible in stated category of MARPs; (ii) earn a regular income (iii) location of physical address of home or work; (iv) sharing in community events (funerals, relating with other residents, parties, prayers, at-least a neighbour calls in regularly, bear witness for redress, potential for community leadership positions); (v)  ever faced an identity-related act of discrimination and stigma (vi) the composite of attributes (i), (ii) and (iii) and (iv); (vii) the composite of attributes (i) and (v).

RESULTS:

A total of 409 participants (200 in the RAG group and 209 in the NRAG group) were followed (mean, 18 months). For attribute (i) 172 events occurred in RAG and 13 events in NRAG.  For attribute (ii), 133 events occurred in the RAG and 20 in NRAG. For attribute (iv) 200 events occurred in RAG and 35 in NRAG. For attribute (vi) 190 events occurred for RAG and 95 for NRAG. For attribute (vii) 72 events occurred for RAG and 150 for NRAG.

CONCLUSIONS:
Stature influences disproportionate vulnerability faced by MARPs. Empowerment will promote equitable redress.



[1] CEO, MARPS IN UGANDA
[2] Social worker, MARPS IN UGANDA
[3] Social worker, MARPS IN UGANDA
[4] Social worker, MARPS IN UGANDA
[5] Well-male mobiliser, MARPS IN UGANDA

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