TransIT The Transgender Implementation Tool for the WHO key population guidelines

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 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 South 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 well

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 6th 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.

TransIT April 6th 2016

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.

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

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 Legal and political stigmatization and violence Health and Complementary interventions and strategies Collecting data as evidence of stigma, discrimination and violence

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

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

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 system

Thank you!