The impact of HIV stigma in accessing sexual health services among black sub-Sahara African woman and gay men: a systematic literature review

For many years HIV related stigma and denial has characterized the pandemic and presented a major challenge to the uptake of HIV testing, prevention and normalization among black sub-Sahara African (BSSA) women and gay men. The challenges have had a ripple effect on the access to sexual health services and resources within the communities in question. This article reviews literature on the types of HIV stigma and its impact in accessing sexual health services and resources by the aforesaid communities. Furthermore the article will review literature on attempts made to de-mystify HIV stigma in order to increase its uptake among the groups in question. The findings from the literature suggest that HIV stigma remains a big challenge to the uptake of HIV testing and access to sexual health services including resources among different social groups under consideration in this article. Despite the efforts to normalize HIV testing, including access to sexual health services and resources, HIV stigma has tended to take a new complex dimension and has proved hard to disappear. In addition to the current efforts to end HIV stigma there is need to understand more about the forms, contexts and social construction of HIV stigma and sexual health seeking behavior in different communities, if we are to succeed in our endeavor to control the epidemic