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Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys L. Ramakrishnan 1, P. Goswami 1, T. Subramaniam.

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Presentation on theme: "Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys L. Ramakrishnan 1, P. Goswami 1, T. Subramaniam."— Presentation transcript:

1 Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys L. Ramakrishnan 1, P. Goswami 1, T. Subramaniam 2, S. Mathew 1, S. Ramanathan 1, B. George 1, R. Adhikary 3, M.K. Mainkar 4, R.S. Paranjape 4 1 FHI 360, India, New Delhi, India 2 National Institute of Epidemiology (NIE),ICMR, Chennai, India 3 FHI 360, Washington, Washington DC, United States 4 National AIDS Research Institute-ICMR, Pune, India

2 Background A prevention program for Transgender (TG) (Hijra or Aravani) was implemented in parallel to the program for MSM populations, across 14 districts of Tamil Nadu, India since 2004 Program focus was on peer education, condom promotion, STI clinical services, community mobilization and advocacy for rights against marginalization Current analysis examines outcomes among Aravani after program implementation, based on two rounds of cross- sectional bio-behavioral survey data (IBBA) collected in (Round 1) and 2009 (Round 2) Probability based sampling approach was used to recruit respondents from street and home based locations A total of 404 respondents in Round 1 and 403 in Round 2 were sampled across five districts: Chennai, Coimbatore, Dharmapuri, Madurai, Salem Madurai Salem Coimbatore Chennai Dharmapuri

3 Key Results

4 Summary Condom use (at last sex) declined between IBBA rounds with all partners; consistent condom use increased with regular and casual partners, but statistically not significant Peer contacts increased over the two rounds however STI clinic visits declined Prevalence of HIV remained unchanged between rounds; Syphilis prevalence declined significantly Additional behavior change communication strategies and structural interventions are needed to reduce risk of HIV and STIs among Transgender in Tamil Nadu

5 Acknowledgement The collection and analysis of data presented hereby were conducted as part of the Avahan evaluation strategy and were supported by the Bill & Melinda Gates Foundation

6 THANK YOU


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