The Transgender Implementation Tool for the WHO key population g uidelines IRGT A Global Network of Trans Women and HIV Why IRGT IRGT was born in 2011 out of the need to differentiate Trans people from the MSM key population in UNAIDS ID: 563954
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Slide1
TransIT
The Transgender Implementation Tool for the WHO key population
g
uidelinesSlide2
IRGT A Global Network of Trans Women and HIVSlide3
Why IRGT?
IRGT was born in 2011 out of the need to differentiate Trans people from the MSM key population in UNAIDS
Trans and Gender non-conforming people have been invisible in the global response to the AIDS epidemic
Trans women are 49 times more likely to live with HIV compared with cis people
A meta-analysis showed that 19% the global trans feminine population were living with HIV, no big differences between the Global
S
outh and North
If the
epidemiology
for Trans women is still lacking – there are no data whatsoever for Trans Men or for Non Binary Trans people.
This is the main reason why the IRGT see a need to focus on Trans Women while trying to cover Trans Masculine and Non-conforming people as wellSlide4
The Road to TransIT
At the International AIDS Conference in July 2014 in Melbourne, Australia the WHO presented their
“Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations
”
In 2015 the work began with developing implementation tools in close co-operation with the four key-populations, MSM, Sex Workers, IV Drug Users and Transgender People.
TransIT was developed by UNDP, in partnership with IRGT and John Hopkins School of Public Health as well as agencies such as WHO, UNAIDS, USAID and PREPFAR. Around 90 global experts contributed.
On April 6
th
2016 the tools was launched. The tool can be downloaded from IRGT or UNDP’s websites.
Work is now going on translating TransIT in Spanish and a number of languages.
At the International AIDS Conference in Durban, South Africa July 2016 a printed version will be launched.Slide5
TransIT April 6
th
2016Slide6
TransIT
TransIT compromises some 200 pages divided into five chapters covering issues such as
Community Empowerment
Stigma, Discrimination, Violence and Human Rights
HIV Prevention and Health Services
Service Delivery Approaches
Program Management
The content has been developed and written in close co-operation with Trans experts activists in the Global South as well as the Global South as well as a number of non-trans experts.Slide7
TransIT
Chapter 1, Community Empowerment will address issues such as;
Collaborating
with trans communities in
programming
trans-led programs
and
organizations
building
organizational
and
advocacy
capacity
stigma as a barrier to
empowerment
community mobilization and sustaining social movements
Slide8
TransIT
Chapter 2,
Stigma, Discrimination, Violence & Human Rights
addresses issues like;
Transphobia and violence
Discrimination and action for legal gender
recognition
Intimate partner violence
Family, Education, Employment, Sex Work
Intimate partner violence
Legal and political stigmatization and violence
Health and
Complementary interventions and strategies
Collecting data as evidence of stigma, discrimination and violence Slide9
TransIT
Chapter 3, Services covers a long range of issues;
HIV prevention, diagnosis, treatment and care continuum
Principles for providing trans-competent health services
HIV-related interventions and other essential health-sector interventions
Condoms and lubricants
,
Pre-exposure prophylaxis (PrEP
) and
Post-exposure prophylaxis (PEP
)
Harm reduction interventions
,
Sexual and reproductive health
,
Sexually transmitted infections
HIV testing
services,
HIV treatment and
care and
HIV and hormonal therapy
Prevention and management of co-infections and co-morbidities Slide10
TransIT
Chapter 4,
Service Delivery
Approaches touches on subjects such as;
Creating an appropriate clinical services environment
Designing trans-specific behavioural interventions
Adapting behavioural interventions developed for other populations
Condom and lubricant programming
Implementing community-led outreach
Building coalitions and
alliances
Safe
spaces,
establishing
and operating safe spaces
Social media and social isolation
as well as
Quality assurance and online safety
Slide11
TransIT
Chapter 5, Program Management covers among others;
issues for designing and managing HIV and STI
programs
serving trans people
Planning HIV and STI and other
programs
with trans communities
Collecting and
analyzing
strategic
information and
Developing tailored interventions
Developing tailored interventions
Systems improvement, social norm change and increased sustainability
Capacity-building within service-providers and implementing organizations
Training
staff,
Staff development
and
Establishing a supervision systemSlide12
Thank you!