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They show that fear-based combined with social stigma reduction intervention was far more Are planned, but we're not aware of something in specific. helpful than an intervention mostly focused on fear alone title= bcr-2013-202552 [45]. This suggests that social norms and atmosphere play an important part in forming these attitudes towards wellness workers. This acquiring also implies that stigma reduction is title= pnas.1222674110 important to advertising a greater high-quality of care [33]. A study in 5 African nations identified perceived stigma because the strongest predictor of job dissatisfaction leading to nurses' intending to migrate to other nations [43]. Well being workers in South Africa reported feeling a lack of professional respect, have been labeled as incompetent by other (non-HIV) medical doctors, and lacked recognition from the public for the `good and stressful job' that they do, as a result "creating an impetus to leave the HIV work" [49]. Hence, stigma may contribute towards the overall health workforce shortage in HIV service organizations, which suggests that strategies are essential to boost retention [50] and job satisfaction [43]. Job satisfaction title= ajim.22419 is more typically explained by aspects which include salaries, operating situations, availability of supplies, and possibilities for advancement. The present study demonstrates that job dissatisfaction is partly resulting from stigma. The study suggests that stigma reduction among overall health workers and society as a complete will strengthen job satisfaction. Immediate actions could be the provision of far more information; education and communication in mass media to improve the public image of HIV services, also asimprovement of function security, therefore producing well being workers operating inside the location feel that their function is valued and safe.Motivation factorsThis study revealed some fascinating findings relating to the nature of perform within HIV service organizations, suggesting that this is potentially satisfying function. Participants were motivated to work in this location for the reason that of its humanitarian nature, their sympathy for others, their eagerness to assist, plus the encouragement they received from society.P://www.biomedcentral.com/1472-6963/12/Page ten ofa punishment for practicing socially unacceptable behaviors have been attitudes that came up within the interviews and discussion groups. The "social evils" attitude is unique towards the Vietnamese context and refers to sex function and drug use. "Social evils" and HIV have already been closely associated because the beginning on the epidemic mainly because the principle government priority was to cut down the spread on the infection by combating sex operate and drug use [47]. In a study on stigma and discrimination toward HIV-positive patients in overall health facilities in Vietnam, Khuat et al. conceptualized, i) HIV fear-based stigma; i.e., worry of casual transmission and related stigmatizing attitudes led overall health workers to treat these patients differently, and ii) HIV value-based stigma mainly because of negative values / social judgments and associations amongst HIV and certain behaviors and groups, for example sex workers and injection drug customers. They show that fear-based combined with social stigma reduction intervention was far more effective than an intervention mostly focused on fear alone title= bcr-2013-202552 [45]. Other research have described similar attitudes [36,44,46]. Therefore, we conclude that such attitudes are common in Vietnamese as well as other contexts and are shared by a lot of other people today, including health workers.