Presentation on theme: "Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys L. Ramakrishnan1, P. Goswami1, T. Subramaniam2,"— Presentation transcript:
1 Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveysL. Ramakrishnan1, P. Goswami1, T. Subramaniam2, S. Mathew1, S. Ramanathan1, B. George1, R. Adhikary3, M.K. Mainkar4, R.S. Paranjape41FHI 360, India, New Delhi, India2National Institute of Epidemiology (NIE),ICMR, Chennai, India3FHI 360, Washington, Washington DC, United States4National AIDS Research Institute-ICMR, Pune, India
2 BackgroundA 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 2004Program focus was on peer education, condom promotion, STI clinical services, community mobilization and advocacy for rights against marginalizationCurrent 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 locationsA total of 404 respondents in Round 1 and 403 in Round 2 were sampled across five districts: Chennai, Coimbatore, Dharmapuri, Madurai, SalemMaduraiSalemCoimbatoreChennaiDharmapuri
4 SummaryCondom use (at last sex) declined between IBBA rounds with all partners; consistent condom use increased with regular and casual partners, but statistically not significantPeer contacts increased over the two rounds however STI clinic visits declinedPrevalence of HIV remained unchanged between rounds; Syphilis prevalence declined significantlyAdditional behavior change communication strategies and structural interventions are needed to reduce risk of HIV and STIs among Transgender in Tamil Nadu
5 AcknowledgementThe 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
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