This brief provides an overview of the three-phased HP+ “total facility” approach to stigma and discrimination reduction in health facilities. This evidence-based, adaptable, and scalable package has proven successful in generalized and concentrated epidemic settings and can be tailored to address stigma toward any population. HP+ piloted the approach in Ghana, including a focus on key populations (sex workers, people who inject drugs, and men who have sex with men), and Tanzania, including a focus on stigma toward youth. An endline evaluation showed that significant reductions in drivers and manifestations of stigma and discrimination among health facility staff were achieved in both countries, as well as the transformation of facility environments and improved quality of care.
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