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Transgender People and HIV

Corporate author: 
WHO
Publication details: 
Geneva, WHO, 2015
Abstract:

This technical brief summarizes essential information and existing WHO recommendations for HIV prevention, diagnosis, treatment and care among transgender populations. It highlights WHO recommendations on HIV prevention, diagnosis,treatment care and needs of transgender people. Transgender-specific HIV data are limited.

The majority of the published literature focuses on transgender women, given the documented heavy burden of HIV disease they bear. While this document will address HIV among transgender people, it contains limited information about transgender men, reflecting the imbalance of HIV burden and data ontransgender women. While many transgender people identify as either male or female, some individuals express gender identities that do not fit within this binary. HIV data on people with non-binary identities are lacking, and, therefore, are not discussed separately in this technical brief.

A technical brief on HIV among transgender youth, published in 2014, is referenced in this document where relevant. This technical brief is intended as a resource for governments, donors and implementers to help them identify what needs to be done to address HIV among transgender people.

It begins with a summary of the epidemiologic data an then moves directly to a consolidation of recommendations pertaining to transgender people and HIV. All recommended interventions for transgender people should be voluntary, without coercion or force, and informed consent ensured. It is informed by a values and preferences study of transgender people themselves, and it includes illustrative case examples. The brief concludes with a discussion of the gaps in evidence and suggested steps to fill those gaps. All recommended interventions for transgender people should be voluntary, without coercion or force, and informed consent ensured.