3211.0 - "It becomes more difficult when people don’t empathize with us": Exploring COVID-19 stigmatization and its ecological impact on survivors in Nepal
Program: Early-Career Professional
Author: Ashley Hagaman
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Abstract
Background
The COVID-19 pandemic has had a profound impact on the psychological well-being of individuals, with stigma emerging as significant issues faced by COVID-19 survivors. This study aimed to explore multidimensional components of stigma faced by COVID-19 survivors in Eastern region of Nepal.
Methods: The study was conducted using qualitative research methodology in the Eastern region of Nepal. In-depth interviews were conducted with fifteen COVID-19 survivors over the phone. Thematic analysis was used to identify themes and sub-themes related to how participants experienced and negotiated multiple forms of stigma.
Results
The findings emphasize the complex and multi-layered nature of COVID-19 stigma, which includes social rejection, self-perceived stigma, discrimination from family and friends, and taunting or negative labelling from community members. Participants were forced into quarantine at hotels despite facing financial hardships, and COVID-19 survivors were removed by the police. This situation led to a loss of trust, reduced confidence, and negative effects on physical health, mental health, and overall well-being. The factors driving stigma and discrimination include a lack of knowledge and awareness about COVID-19 infection, screening, and treatment; fear of co-infection and its potential consequences; a fragile healthcare system; inadequate policies; a failure to address myths and misconceptions; and insufficient knowledge and skills to prepare for and respond to the pandemic, including dealing with stigmatization.
Conclusion
Mass education and awareness initiatives play a key role for enhancing understanding disease transmission, prevention, and control measures to address the individual, interpersonal and systemic stigma and discrimination.