India

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Kiran Team, Delhi, May 2017

Kiran: Livelihood Training For Mothers Living with HIV in Delhi: A Pilot Structural Mental Health Intervention

Kiran meaning ray is a collaborative study with Shalom AIDS Delhi and Open Hands Delhi is to evaluate the outcomes of a 9-month pilot integrated livelihood training intervention for 15 mothers living with HIV in Azadpur, Delhi who are enrolled in a home-based care program at Shalom AIDS Delhi Project.

The goal of the project is to enable mothers to establish and sustain self-employment activities, by training them with requisite skills to manufacture, market, and sell three products. With improved livelihood status and economic autonomy, we anticipate that mothers will report improved mental health and quality of life outcomes through specific pathways of financial stability, peer empowerment, and improved immune-functioning.  

Collaborators: Savita Duomai, Kristen Page, Kalei Hosaka, Persis Andrews, & Melanie Baker

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HIV/Gender-Based Stigma and Cognitive Depletion Among Transgender Persons Living with HIV in Delhi, India

Persons living with HIV/AIDS (PLWHA) often face multiple sources of stigma related to their illness and being identified with a socially marginalized group based (although not exclusively) on one’s gender, ethnicity, sexual identity, or economic standing. Navigating different forms of social devaluation not only takes a cumulative emotional and behavioral toll, but also consumes one’s mental resources, leaving less cognitive bandwidth for other tasks of daily living. This is particularly debilitating for persons with multiple stigmatizing identities such as transgender persons living with HIV in Delhi, India. In this pilot study of 26 transgender females (TG) living with HIV in Delhi, we hypothesize that experimentally induced thoughts of HIV and gender-based stigma will significantly reduce performances on two cognitive tests of problem solving and selective attention among HIV-seropositive TG females compared to a group of 26 HIV-seropositive cisgender (CG) females and a group of 26 HIV-seronegative cisgender female caretakers of PLWHA. Results from this study will carry potential implications for how policy and interventions can alleviate the cognitive demands imposed on PLWHA of multiple minority status in other settings.

Collaborators: Savita Duomai, Kristen Page, Ben Pyykkonen, Kalei Hosaka, Persis Andrews, & Melanie Baker