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South Africa's HIV Stigma Index 2.0 shows ongoing stigma despite progress, with many delaying or stopping treatment due to fear of judgment.
A new HIV Stigma Index 2.0 report in South Africa reveals persistent stigma and discrimination despite progress in reducing external stigma from 14.3% in 2014 to 6.1% in 2024.
While over half of people living with HIV disclosed their status to close contacts, disclosure to employers or teachers remains low.
Nearly half still experience internalized stigma, and key populations face heightened discrimination, including job loss, verbal abuse, and treatment delays.
Fear of judgment led 32.1% to delay treatment and 12.6% to stop it entirely.
Healthcare settings still report instances of stigma, including moralizing and gossip.
The report urges expanded training for health workers, stronger anti-stigma campaigns, peer support, and gender-responsive policies to improve access to care and advance HIV eradication goals.
El Índice de Estigma del VIH 2.0 de Sudáfrica muestra un estigma continuo a pesar del progreso, con muchos retrasando o deteniendo el tratamiento debido al temor a ser juzgados.