Community acceptance of COVID-19 and demystifying stigma in a severely affected population in Ghana
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Ghana Med j
Abstract
Objective: We assessed the level of community acceptance of COVID-19, identified and implemented strategies to
demystifying stigma in a severely affected population in Tema.
Design and Setting: We conducted a cross-sectional study to assess stigma among the Tema community, then iden tified and implemented interventions to demystify COVID-19 stigma. We interviewed positive cases, their contacts,
contact tracers, case management team members, and community members who shared their first hand experiences
and knowledge on the current pandemic.
Intervention: Based on the information received, we came up with ways of reducing stigma and implemented them
in their community.
Main Outcome: Stigma demystified
Results: Cases and contacts reported being avoided, discriminated against, insulted or had derogatory words used on
them by family, friends, work colleagues or the community. Cases and their contacts stated that stigmatisation was
fueled by the presence of COVID -19 branded vehicles and security officials at their homes or workplaces. Stakeholder
engagement, education and extensive sensitisation of community members were implemented to reduce stigma.
Conclusion: We observed deeply entrenched stigma to COVID - 19 positive patients and their contacts in the com munity. Health care response mechanisms such as the presence of security personnel with contact tracers and case
managers and the use of COVID -19 branded vehicles fueled stigma. A multifaceted approach through the engagement
of key stakeholders, training of health workers and extensive education and community sensitisation was essential in
reducing stigma.
Description
Research Article
Keywords
Stakeholders, COVID-19, Ghana, stigma, community