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From businesswoman to banana vendor: mental health implications of HIV stigma in Tanzania.

HIV-related stigma can be broadly classified into physical, social, verbal, and institutional discrimination (Fig. 1). It has been shown to have a negative impact on medication adherence, mental health, and disclosure of HIV status [2–4]. In Tanzania, 4.7% of the population ages 15–49 are living with HIV/AIDS [5]. Approximately 63–83% of people living with HIV/AIDS (PLWA) are receiving antiretroviral therapy (ART) – there is a significant opportunity to improve access and adherence [6]. During a recent field visit to Mwanza, Tanzania for research and teaching projects, our team met Anne, a 54-year-old Tanzanian woman with HIV, whose life experiences reinforce the impact of HIV-related stigma in the developing world. An interview was conducted in Swahili and then translated into English, forming the basis for this field note (A pseudonym is used to protect privacy.).