{"id":19084,"date":"2024-06-21T16:27:33","date_gmt":"2024-06-21T13:27:33","guid":{"rendered":"https:\/\/react-aph.org\/?p=19084"},"modified":"2024-06-21T16:27:34","modified_gmt":"2024-06-21T13:27:34","slug":"navigating-stigma-in-healthcare-the-case-from-nm","status":"publish","type":"post","link":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/","title":{"rendered":"Navigating stigma in healthcare: the case from North Macedonia"},"content":{"rendered":"\n<p>Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.<\/p>\n\n\n\n<p>During the initial consultation, the gastroenterologist took Aleksandar&#8217;s medical history and determined that a colonoscopy was necessary to investigate his gastritis issues further. <strong>However, when Aleksandar informed the doctor about his ART regimen and undetectable viral load, the doctor reconsidered and decided to prescribe oral medication instead.<\/strong> The doctor suggested that it would be better to attempt to resolve the problem with tablets first. He advised Aleksandar that if the tablet therapy did not help within a month, then a colonoscopy would be required. The doctor pointed out that a colonoscopy could not be performed at their clinic because of Aleksandar\u2019s HIV status. Instead, he recommended that the procedure should be done at the Infectious Disease Clinic, citing that such interventions had been performed there in the past.<\/p>\n\n\n\n<p>After a month of tablet therapy, Aleksandar&#8217;s symptoms persisted. He was informed that the Infectious Disease Clinic no longer performed colonoscopies. <strong>Faced with this situation, Aleksandar decided to undergo a colonoscopy at a private health facility without disclosing his HIV status.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Also read:<\/strong><\/h3>\n\n\n\n<p><strong><a href=\"https:\/\/react-aph.org\/en\/resolving-sounseling-shallenges-in-the-ost-program\/\" target=\"_blank\" rel=\"noreferrer noopener\">Resolving\u00a0\u0441ounseling\u00a0\u0441hallenges in the OST\u00a0program in Montenegro<\/a><\/strong><\/p>\n\n\n\n<p><strong><a href=\"https:\/\/react-aph.org\/en\/protecting-your-rights-and-dignity-supporting-a-client-of-ost\/\" target=\"_blank\" rel=\"noreferrer noopener\">Protecting your rights and dignity: supporting a client of OST in Ukraine<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems. During the initial consultation, the gastroenterologist took Aleksandar&#8217;s medical history and determined that a colonoscopy was necessary to investigate his gastritis issues [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":19081,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[80],"tags":[470,465,466],"acf":{"countries":[7538],"partnerskij_material":false,"url_better":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Navigating stigma in healthcare: the case from North Macedonia - REAct<\/title>\n<meta name=\"description\" content=\"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Navigating stigma in healthcare: the case from North Macedonia\" \/>\n<meta property=\"og:description\" content=\"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/\" \/>\n<meta property=\"og:site_name\" content=\"REAct (Rights \u2013 Evidence \u2013 Actions)\" \/>\n<meta property=\"article:published_time\" content=\"2024-06-21T13:27:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-21T13:27:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1800\" \/>\n\t<meta property=\"og:image:height\" content=\"1259\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"velyunsky\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Navigating stigma in healthcare: the case from North Macedonia\" \/>\n<meta name=\"twitter:description\" content=\"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"velyunsky\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/react-aph.org\/#website\",\"url\":\"https:\/\/react-aph.org\/\",\"name\":\"REAct (Rights \u2013 Evidence \u2013 Actions)\",\"description\":\"REAct - monitoring cases of violation of the rights of key communities\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/react-aph.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#primaryimage\",\"url\":\"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg\",\"contentUrl\":\"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg\",\"width\":1800,\"height\":1259,\"caption\":\"Photo: freepik.com\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#webpage\",\"url\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/\",\"name\":\"Navigating stigma in healthcare: the case from North Macedonia - REAct\",\"isPartOf\":{\"@id\":\"https:\/\/react-aph.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#primaryimage\"},\"datePublished\":\"2024-06-21T13:27:33+00:00\",\"dateModified\":\"2024-06-21T13:27:34+00:00\",\"author\":{\"@id\":\"https:\/\/react-aph.org\/#\/schema\/person\/13938bed4f61f65cf69956f761f434c4\"},\"description\":\"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.\",\"breadcrumb\":{\"@id\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f\",\"item\":\"https:\/\/react-aph.org\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Response stories\",\"item\":\"https:\/\/react-aph.org\/category\/reagirovanie\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Navigating stigma in healthcare: the case from North Macedonia\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/react-aph.org\/#\/schema\/person\/13938bed4f61f65cf69956f761f434c4\",\"name\":\"velyunsky\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/react-aph.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/563311067d0cffb8e52b02ac68d23353?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/563311067d0cffb8e52b02ac68d23353?s=96&d=mm&r=g\",\"caption\":\"velyunsky\"},\"url\":\"https:\/\/react-aph.org\/en\/author\/velyunsky\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Navigating stigma in healthcare: the case from North Macedonia - REAct","description":"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/","og_locale":"en_US","og_type":"article","og_title":"Navigating stigma in healthcare: the case from North Macedonia","og_description":"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.","og_url":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/","og_site_name":"REAct (Rights \u2013 Evidence \u2013 Actions)","article_published_time":"2024-06-21T13:27:33+00:00","article_modified_time":"2024-06-21T13:27:34+00:00","og_image":[{"width":1800,"height":1259,"url":"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg","type":"image\/jpeg"}],"author":"velyunsky","twitter_card":"summary_large_image","twitter_title":"Navigating stigma in healthcare: the case from North Macedonia","twitter_description":"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.","twitter_image":"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg","twitter_misc":{"Written by":"velyunsky","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebSite","@id":"https:\/\/react-aph.org\/#website","url":"https:\/\/react-aph.org\/","name":"REAct (Rights \u2013 Evidence \u2013 Actions)","description":"REAct - monitoring cases of violation of the rights of key communities","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/react-aph.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#primaryimage","url":"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg","contentUrl":"https:\/\/react-aph.org\/wp-content\/uploads\/2024\/06\/navigating-stigma-in-healthcare-the-case-from-north-macedonia.jpg","width":1800,"height":1259,"caption":"Photo: freepik.com"},{"@type":"WebPage","@id":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#webpage","url":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/","name":"Navigating stigma in healthcare: the case from North Macedonia - REAct","isPartOf":{"@id":"https:\/\/react-aph.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#primaryimage"},"datePublished":"2024-06-21T13:27:33+00:00","dateModified":"2024-06-21T13:27:34+00:00","author":{"@id":"https:\/\/react-aph.org\/#\/schema\/person\/13938bed4f61f65cf69956f761f434c4"},"description":"Aleksandar (name changed), from North Macedonia, who is living with HIV and has an undetectable viral load due to antiretroviral therapy (ART), was referred to a gastroenterohepatology clinic because of long-standing gastritis problems.","breadcrumb":{"@id":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/react-aph.org\/en\/navigating-stigma-in-healthcare-the-case-from-nm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"\u0413\u043b\u0430\u0432\u043d\u0430\u044f","item":"https:\/\/react-aph.org\/en\/"},{"@type":"ListItem","position":2,"name":"Response stories","item":"https:\/\/react-aph.org\/category\/reagirovanie\/"},{"@type":"ListItem","position":3,"name":"Navigating stigma in healthcare: the case from North Macedonia"}]},{"@type":"Person","@id":"https:\/\/react-aph.org\/#\/schema\/person\/13938bed4f61f65cf69956f761f434c4","name":"velyunsky","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/react-aph.org\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/563311067d0cffb8e52b02ac68d23353?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/563311067d0cffb8e52b02ac68d23353?s=96&d=mm&r=g","caption":"velyunsky"},"url":"https:\/\/react-aph.org\/en\/author\/velyunsky\/"}]}},"_links":{"self":[{"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/posts\/19084"}],"collection":[{"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/comments?post=19084"}],"version-history":[{"count":5,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/posts\/19084\/revisions"}],"predecessor-version":[{"id":19089,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/posts\/19084\/revisions\/19089"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/media\/19081"}],"wp:attachment":[{"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/media?parent=19084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/categories?post=19084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/react-aph.org\/en\/wp-json\/wp\/v2\/tags?post=19084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}