RT Book, Section
A1 Beckham, S. Wilson
A1 Sauerwalt, Eli
A1 Elfer, Katherine N.
A1 Harfouch, Omar
A1 Baral, Stefan
A2 Keuroghlian, Alex S.
A2 Potter, Jennifer
A2 Reisner, Sari L.
SR Print(0)
ID 1184177373
T1 Health Needs and Service Delivery Models for Transgender Communities in Low- and Middle-Income Countries
T2 Transgender and Gender Diverse Health Care: The Fenway Guide
YR 2022
FD 2022
PB McGraw Hill
PP New York, NY
SN 9781260459937
LK accessmedicine.mhmedical.com/content.aspx?aid=1184177373
RD 2024/04/19
AB This  chapter  focuses  on  transgender  and  gender  diverse  (TGD)  communities  in  low-  and  middle-income  countries  (LMIC)  and  explores  both  key  differences  in  the  communities  compared  with  higher  resource  areas  as  well  as  issues  that  are  similar  across  settings.  Data  suggest  there  are  no  fewer  TGD  people  in  LMIC  compared  with  higher  resource  countries,  and  their  health  care  needs  are  similar.  However,  given  pervasive  and  intersectional  stigma,  it  is  harder  to  conduct  research  about  and  provide  health  care  to  TGD  in  LMIC.  Therefore,  there  are  less  data  on  TGD,  their  health,  and  effective  service  models  in  LMIC.  Nevertheless,  providers  and  implementers  must  consider  stigma  and  discrimination  when  designing  and  delivering  evidence-based  and  high-quality  services.  This  chapter  discusses  some  of  the  roles  of  intersectional  stigma  and  violence,  including  stigma  related  to  gender,  sexual  behavior,  and  HIV/AIDS;  then  highlights  issues  of  sexual  health,  infectious  disease,  mental  health,  and  substance  use  that  are  particular  to  TGD  people  in  LMIC.  The  chapter  then  discusses  service  models  for  affirming  health  care  for  TGD  people  and  concludes  with  a  case  study  about  TGD  health  care  for  individuals  in  Lebanon.