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conceptualized, i) HIV fear-based stigma; i.e., fear of casual transmission and associated stigmatizing attitudes led health workers to treat these patients differently, and ii) HIV value-based stigma Gonadorelin (acetate) side effects mainly because of adverse values / social judgments and associations among HIV and particular behaviors and groups, for instance sex workers and injection drug users. Other studies have described similar attitudes [36,44,46]. Therefore, we conclude that such attitudes are popular in Vietnamese and other contexts and are shared by numerous other men and women, such as wellness workers. Stigma has been identified to possess a important negative influence on the degree of job satisfaction [43,48]. A study in China showed that wellness workers who observed a larger level of discrimination against PLHIV in society have been a lot more probably to report becoming a victim of stigmatization and discrimination. This suggests that social norms and environment play a vital part in forming these attitudes towards overall health workers. This locating also implies that stigma reduction is title= pnas.1222674110 important to promoting a higher top quality of care [33]. A study in five African nations identified perceived stigma as the strongest HA-1100 msds predictor of job dissatisfaction major to nurses' intending to migrate to other countries [43]. Overall health workers in South Africa reported feeling a lack of expert respect, were labeled as incompetent by other (non-HIV) physicians, and lacked recognition from the public for the `good and stressful job' that they do, hence "creating an impetus to leave the HIV work" [49]. Consequently, stigma may well contribute towards the well being workforce shortage in HIV service organizations, which suggests that methods are essential to boost retention [50] and job satisfaction [43]. Job satisfaction title= ajim.22419 is much more typically explained by components including salaries, operating conditions, availability of supplies, and possibilities for advancement. The present study demonstrates that job dissatisfaction is partly as a result of stigma. The study suggests that stigma reduction amongst health workers and society as a whole will strengthen job satisfaction. Immediate actions could be the provision of more data; education and communication in mass media to improve the public image of HIV services, as well asimprovement of perform security, hence creating overall health workers functioning inside the area feel that their function is valued and protected.Motivation factorsThis study revealed some exciting findings regarding the nature of function within HIV service organizations, suggesting that this can be potentially satisfying work. Participants had been motivated to operate in this area mainly because of its humanitarian nature, their sympathy for other people, their eagerness to assist, along with the encouragement they received from society. They had been inte.P://www.biomedcentral.com/1472-6963/12/Page 10 ofa punishment for practicing socially unacceptable behaviors have been attitudes that came up within the interviews and discussion groups. The "social evils" attitude is distinctive to the Vietnamese context and refers to sex function and drug use. "Social evils" and HIV happen to be closely connected since the beginning from the epidemic mainly because the key government priority was to decrease the spread from the infection by combating sex operate and drug use [47]. In a study on stigma and discrimination toward HIV-positive individuals in wellness facilities in Vietnam, Khuat et al.