APPENDICES
Toolkit: Scaling Up HIV-Related Legal Services
f Locally available treatments, their efficacy and side-effects and the need for disease monitoring. g Physical needs, disabilities experienced by people with advanced HIV disease, for example access requirements for home-bound, mobility impaired or visually impaired clients. h Psychosocial needs: counselling, mental health, care and support. i Local epidemiology. j Social, biological and cultural drivers of the epidemic (e.g. gender-based violence, condom use, high rates of sexually transmitted infections, mobility, male circumcision). k Vulnerability of specific populations, for example people who use illicit drugs, sex workers, men who have sex with men, transgender populations, prisoners, women and children. l Stigma and discrimination, including different levels of stigma faced by drug users, sex workers, men who have sex with men and transgender populations. 2
HIV and human rights. a Explanation of the AIDS paradox and the human rights-based approach to HIV. b Description of key populations’ history of human rights abuses, poor police relations, experiences of mistreatment by the legal system. c How the protection of human rights underpins effective prevention, care, support and treatment.
Module 2: CLIENTS WITH HIV 1 Confidentiality. a Confidentiality belongs to the client and is maintained at the client’s request and for the client’s protection–not because HIV is shameful. b Sensitivity of the client’s attendance at a specialized HIV service. c Client records: details recorded, use of coded information, security of the storage of paper and electronic records. d Court appearances, need for client instructions regarding the closure of courts or non-publication orders, and possible media coverage. e How information is shared within the legal service. f Women’s fear of violence or other reprisals if an attendance at a legal service is disclosed to the husband/family. 2
Non stigmatizing personal conduct. a Body language and personal comfort in engaging with clients. b Shaking hands, offering refreshments. c Empathizing with clients. d Use of non-stigmatizing language (avoid referring to clients as victims or sufferers, avoid judgemental language regarding a person’s choice to engage in sex work or use illicit drugs). 55