Fear of stigma and discrimination could prevent people from coming forward for HIV testing, treatment and care as Fiji responds to its growing HIV crisis.

Dr Jason Mitchell says increased media attention on the HIV situation has also seen some people turning against communities affected by the virus.

He says this includes people living with HIV, as well as groups considered most at risk of infection.

Dr Mitchell says Fiji needs a community-wide effort to address stigma and discrimination, rather than leaving the responsibility solely to the Ministry of Health.

He says faith-based organisations, which have strong connections across communities, have an important role to play in changing attitudes towards HIV.

Dr Mitchell is also concerned about what he describes as a growing “vigilante approach” to the HIV situation on social media.

He says Fiji cannot afford to create an environment where people are afraid to use health services because they fear being judged, exposed or discriminated against.

He says people need to feel safe, protected and supported when accessing testing, treatment and care.

Dr Mitchell says he will be asking the Subcommittee of Cabinet to consider having the HIV Board use provisions under the HIV Act dealing with stigma, discrimination and privacy.

He says these provisions need to be enforced as Fiji responds to the current crisis.

Children and adolescents are also among those he says are particularly vulnerable to the effects of stigma and discrimination.

Dr Mitchell is calling for greater community involvement in the response and urging the media to report responsibly, warning against targeting individuals or communities.

He says Fiji has been dealing with HIV for more than 30 years and the country now needs to take greater responsibility, both individually and as a community, in addressing stigma and discrimination.