Can AIDS education reduce HIV stigma? Evidence from Zimbabwe

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Authors

Njokwe, Getrude
Kijima, Yoko

Journal Title

Journal ISSN

Volume Title

Publisher

Taylor and Francis

Abstract

HIV stigma remains a barrier to HIV prevention, testing, and treatment in sub-Saharan Africa. This study uses Zimbabwe Demographic and Health Survey data to examine how education reduces HIV stigma, focusing on two key initiatives: the 1992 AIDS Action Program, which enhanced HIV awareness, and the 1980 education reform, which expanded schooling access. By addressing gaps in the literature on external HIV stigma, the study highlights education’s long-term impact on attitudes toward people living with HIV. Our findings show that the 1980 reform is associated with a 1.19-year increase in educational attainment and a 42.6% rise in secondary school attendance for children aged 2–7 years in 1980 compared to those aged 16 and older. Furthermore, each additional year of schooling after the AIDS Action Program is associated with a 12.1% reduction in the likelihood of stigmatizing people with HIV and a 12.8% increase in HIV knowledge. Stigma reduction is more pronounced among rural residents (13.3%) and women (5.9%) but is insignificant for men and urban dwellers. These results underscore the role of schools in improving public health knowledge and reducing HIV stigma, offering valuable insights for future educational and health strategies.

Description

SUPPLEMENTARY FIGURES : SUPPLEMENTARY FIGURE 1. Proportion of boys and girls in primary school. SUPPLEMENTARY FIGURE 2. Distribution of birth cohorts. Source: Zimbabwe DHS surveys. SUPPLEMENTARY FIGURE 3. Manipulation test of the running variable - Cattaneo (2016) Tests. Source: Zimbabwe 1999, 2006, 2011, and 2015 DHS Surveys. SUPPLEMENTARY FIGURE 4. Smoothness of covariates. Source: Zimbabwe 1999, 2006, 2011, and 2015 DHS Surveys. SUPPLEMENTARY FIGURE 5. Effect of the policy on women's educational attainment. Source: 1999, 2006, 2011 and 2015 DHS surveys. SUPPLEMENTARY FIGURE 6. Effect of the policy on men's educational attainment. Source: 1999, 2006, 2011 and 2015 DHS surveys.
SUPPLEMENTARY TABLES : SUPPLEMENTARY TABLE 1: Sample construction. SUPPLEMENTARY TABLE 2: Descriptive statistics. SUPPLEMENTARY TABLE 3: The impact of education on outcomes (multiple hypothesis testing). SUPPLEMENTARY 4: The impact of education on outcomes – Robustness on clustering. TABLE 5: The impact of education on HIV-related outcomes (2006 and 2011 surveys only).

Keywords

Human immunodeficiency virus (HIV), HIV stigma, Education, Fuzzy regression discontinuity design, Zimbabwe, Sustainable development goals (SDGs), SDG-03: Good health and well-being, SDG-04: Quality education

Sustainable Development Goals

SDG-03:Good heatlh and well-being
SDG-04:Quality Education

Citation

Getrude Njokwe & Yoko Kijima (2025) Can AIDS education reduce HIV stigma? Evidence from Zimbabwe, AIDS Care, 37:3, 512-524, DOI: 10.1080/09540121.2025.2453127.