Transgender Communities in Thailands HIV Response Rena Janamnuaysook Tangerine Clinic Institute of HIV Research and Innovation IHRI Bangkok Thailand Symposium What is missing in the HIV response Strengthening HIV programmes for trans populations in the Global South ID: 914483
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Slide1
Key Population-led Health Services: Meaningful Engagement of Transgender Communities in Thailand’s HIV Response
Rena JanamnuaysookTangerine ClinicInstitute of HIV Research and Innovation (IHRI)Bangkok, Thailand
Symposium:
What
is missing in the HIV response?: Strengthening HIV programmes for trans populations in the Global South
19
July 2021, IAS 2021
Slide2Disclosures:Research funding: Gilead SciencesConsulting fees: Gilead Sciences and MERCK
Slide3Outlines: Definitions of Key Population-led Health
Services (KPLHS)Tangerine Clinic as part of KPLHSLessons learned
Slide4Transgender Women in Thailand:Population Size Estimation and HIV
Slide5A defined
set of HIV-related health services, focusing on specific key populations
Services are identified by the community and are, therefore,
needs-based, demand-driven, and client-centered
Delivered by trained and qualified
lay providers
, who are members of key population community
Vannakit R, et al. JIAS 2020; 23(6):e25535.
USAID LINKAGES and USAID Community Partnership
Key Population-led Health Services (KPLHS):
designed and co-delivered by KP
Slide6Key Population-led Health Services (KPLHS):
filling HIV service gaps for key population
Staff are members of KP communities
who truly understand KP’s lifestyle
Services are gender-sensitive, and
free from stigma and discrimination
Needs-based
and
client-centered
services, such as hormone monitoring, STI, legal consultation, harm reduction
Staff are
trained and qualified
in accordance with national standards
Strong
linkages
with and
high acceptance from public health sectors
Located in hot spotsFlexible service hours suitable for KP’s lifestyleOne-stop service
ACCESSIBILITY
AVAILABILITY
ACCEPTABILITY
QUALITY
Slide7Tangerine Community Health Clinic
Slide8Comprehensive Health Services for Transgender Clients
SEXUAL HEALTH SERVICES
Counseling on transition and hormone use
Hormone prescription
Hormone level monitoring
HORMONE SERVICES
Mental health support and referrals
Counseling for gender affirming surgery and referrals
Legal support and referrals
WELL-BELING SERVICES
HIV testing, syphilis testing
Condom and lubricant
Anal, cervical, neovaginal
Pap smears
High Resolution Anoscopy and Neovaginoscopy
PrEP and PEP
Same-day ARV treatment, CD4 count and viral load testing
STI treatment
Vaccination for hepatitis A, B and HPV
Neovagina care
Slide9Friends of Tangerine: Trans Social Media Influencers
Slide10Tangerine Clinic’s Service Data: Transgender Women
Data Source: USAID EpiC
Thailand, 2020
Slide11Demographic Characteristics and Risk Behaviors
Data Source: USAID
LINKAGES Thailand, 2020
Slide12Tangerine Clinic’s Service Data: Transgender Men
Data Source: USAID EpiC
Thailand, 2020
Slide13Transgender-led, integrated hormone and sexual health services in 7 community-based organizations
40
TRANS LAY PROVIDERS
11,538
HIV testing
680
PrEP users
Hormone services and/or PrEP are key elements of services
Source: USAID
LINKAGES Thailand (July 2017-June 2020)
Slide14Slide15Key population-led PrEP service mainly serving MSM
USAID LINKAGES
Project
,
September 2020.
Slide16Slide17The first PrEP campaign for transgender women in Asia, designed and produced by transgender
women
Four transgender
women selected from across Thailand to represent various styles of PrEP use in daily life
Highlight gain framing messages, rather than risk reduction messages, around PrEP use
Increase
the visibility of transgender women in Thai
healthcare system
Slide18Bus wrap
6 Lines
10 Buses
Slide19Key Population-led PrEP: Scale-up
and Sustainability
Slide20Lessons Learned Integrated gender-affirming care and trans-competent providers increase access to HIV testing,
STI, PrEP and other sexual health services.Key Population-led Health Service (KPLHS) is an approach to simplify, de-medicalize and differentiate HIV and STI service provision for transgender communities.
Task shifting and task sharing
as part of capacity building
interventions for key populations
promotes sustainable HIV
response in Thailand.
Slide21Slide22