Reshmie Ramautarsing, M.D., Ph.D.

Slides:

Advertisements

Similar presentations

No one left behind: Increased coverage, better programmes and maximum impact for key populations WHO Consolidated Guidelines on HIV Prevention, Diagnosis,

Advertisements

The U.S. President’s Emergency Plan for AIDS Relief The Evolving HIV Prevention Strategy for IDUs in PEPFAR Amb. Eric Goosby US Global AIDS Coordinator.

Nationals HIV/AIDS Strategy and how the mission of Women Accepting Responsibility, Inc. is helping to meet this goal. By She’kell Hutchinson Program Director,

Thailand’s HIV and AIDS STRATEGY

ICTC Team Training 1 ICTC: Roles, Referrals and Linkages.

Afghanistan’s Present IDUs-HIV/AIDS Situation and future action plan Dr.Saifur-Rehman NACP Director April,11,2007 Islamic Republic of Afghanistan Ministry.

HIV AIDS Section Fabienne Hariga Senior Adviser UNODC HIV AIDS section, Vienna Comprehensive package of interventions for HIV in prison settings AIDS 2012.

Women and Children The challenges of HIV/AIDS By Mabel Bianco MD, MPH Epidemiologist International Womens Health Coalition FEIM / IAWC Mexico, July 2008.

Prevention with Positives; Using Multiple Strategies to Involve Persons Living with HIV in Prevention. TASO Uganda. Emmanuel Odeke,

N ORTHWEST AIDS E DUCATION AND T RAINING C ENTER PrEP 201: Beyond the Basics Joanne Stekler, MD MPH Associate Professor of Medicine University of Washington.

COUNTRY PRESENTATION (DRUGS AND HIV/AIDS)– Nepal Dr. Krishna Kumar Rai, Director National Centre for AIDS and STD Control, Ministry of Health and Population.

What is Marsa? Marsa is the Arabic word for Anchor /Anchorage / Dockyard defined as a safe place where ships dock for supplies before going out at sea.

Securing the future today Synthesis of strategic information on HIV and young people Global Interagency Task Team on HIV and young people, June 2011.

1 Assisting PLWHAs Returning to Mexico and other Latin American Countries: A Pilot Project Oscar Gonzalez, PhD Texas/Oklahoma AETC Tracy Tessmann, MA Texas/Oklahoma.

Effective HIV & SRH Responses among Key Populations Module 2: The Comprehensive Package of Programmes and Services.

1 Decent Work for All ASIAN DECENT WORK DECADE Extending Social Protection to People with HIV in Indonesia: Richard Howard & Risya Kori, ILO.

Effective HIV & SRH Responses among Key Populations Module 2: A Comprehensive Package of Interventions for Key Populations.

Prevention, treatment and reproductive choices Marion Stevens XVII International Conference on AIDS Mexico Wednesday 6 August 2008.

Effective HIV & SRH Responses among Key Populations in Myanmar Module 2: The Core Package for Prevention of HIV amongst Key Populations in Myanmar.

DR. THOMAS OGARO, MBCHB, MPH, PhD

Sindy Matse Key Populations National Coordinator SNAP Swaziland

IAS Satellite Session 25th July 2017 Daniel Were, PhD

Dr. Monica Beg, Chief, HIV/AIDS Section, UNODC

Thailand’s HIV and AIDS STRATEGY

Philippines Last updated: September 2016.

Adolescent Support Services in Zambia

Fabienne Hariga Senior Adviser, HIV/AIDS Section

Community-Led and Online Strategies for Testing, Treatment and PrEP among MSM and Transgender Persons in Thailand Nittaya Phanuphak, MD, PhD Thai Red.

Peeramon Ningsanond MD. Bureau of AIDS TB STI, DDC, MOPH Thailand

TransIT The Transgender Implementation Tool for the WHO key population guidelines.

Effective HIV & SRH Responses Among Sex Workers and other Key Populations Module 1: National Data.

Bhutan Last updated: September 2016.

Fiji Last updated: September 2016.

Lao PDR Last updated: September 2016.

2017 Key Considerations for adolescents and children & Key populations

Transport workers Last updated: November 2015.

Status Neutral: The New Normal for HIV

Myanmar Last Update: September 2016.

Experiences of the Russian Red Cross in Providing Medical/Psychological Assistance to HIV+ women and Children born to HIV+ mothers Irkutsk City (East Siberia)

NATIONAL LGBTI FRAMEWORK

National Department of Health: South Africa

Time to Focus: Doing Things Better and Differently for Transgender People Rena Janamnuaysook Thai Red Cross AIDS Research Centre, USAID LINKAGES, Thailand.

Double-sided HIV Cascades for Key Populations

PrEP and Key populations: WHO guidelines & recommendations

PrEP introduction for Adolescent Girls and Young Women

No Conflict of Interest to declare

differentiated care – Innovating for Impact: Civil Society View

HIV and prevention challenges among adolescent girls and young women

Nittaya Phanuphak, MD, PhD

Reaching those most at-risk through a general population approach: PrEP in the context of a generalized HIV epidemic Sindy Matse Eswatini Ministry of Health.

THAC0204 Integrated Gender Affirmative Hormone Treatment Services Improve Access to and Retention in HIV Testing, Syphilis Testing, and PrEP Service Uptake.

The Politics of PrEP The French Experience

National Department of Health: South Africa

Key population-led health services (KP-LHS) critical to PrEP introduction among men who have sex with men (MSM) and transgender women (TGW) in Thailand.

Praphan Phanuphak, MD, PhD

Transgender people (male-to-female)

Philippines Last updated: August 2018.

Fiji Last updated: July 2018.

Myanmar Last Update: November 2014.

Petchsri Sirinirund Advisor to HIV/AIDS Policy and Programme

Lao PDR Last updated: August 2018.

2025 AIDS targets Technical meeting on prevention

Target-Setting, Impact and Resource Needs

PrEP in Brazil: 18 months of implementation as a public health policy

PrEP Implementation in Vietnam

High acceptability and feasibility of same-day antiretroviral therapy services among HIV-positive adolescents in Bangkok, Thailand Pich Seekaew, MPH PREVENTION.

Transgender-Led Social Media Interventions Effectively Identify Transgender Women at Substantial Risk of HIV Acquisition and Successfully Link to HIV Prevention,

A pathway to policy commitment for sustainability of a key population-led health services model in Thailand Dr. Preecha Prempree Deputy Director-General,

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION & CARE

Presentation transcript:

The Tangerine Clinic: Integrated Healthcare Services for Transgender People Reshmie Ramautarsing, M.D., Ph.D. PREVENTION | Thai Red Cross AIDS Research Centre reshmie@prevention-trcarc.org Mexico City, 22 July 2019

Disclosures Gilead: travel support, speakers fees Alere: speakers fees

Thailand’s new HIV infections by route of transmission Needle sharing 1,314 (5%) Male-male sex 14,700 (53%) Est. 29,626 new HIV+ Casual sex 2,396 (8%) Spousal 7,226 (26%) Sex work 2,245 (8%) 2015-2019

Transgender Women in Thailand: Population Size Estimation and HIV

Stigma and Discrimination in Healthcare Settings ** ** * Sources: *Thai Transgender Alliance and Transgender Europe, 2015 ** Report of a pilot: Developing Tools and Methods to Measure HIV-related Stigma and Discrimination in Health Care Settings in Thailand and; the HIV Stigma and Discrimination Survey Guidelines and Procedures Manual, International Health Policy Program, National AIDS Management Center (NAMC) Thailand, Ministry of Public Health (November 2014).

The 1st National Trans Community Consultation The Dialogue: Trans Communities and Health Provider (September 17, 2015)

Tangerine Community Health Clinic: Transgender-led, hormone-integrated sexual health clinic

The Comprehensive Health Service Package for Transgender Women HORMONE SERVICES SEXUAL HEALTH SERVICES HIV testing, syphilis testing PrEP and PEP Same-day ARV treatment, CD4 count and viral load testing Condom and lubricant Anal and neovaginal Pap smears STI treatment High Resolution Anoscopy and Neovaginoscopy Vaccination for hepatitis A, B and HPV Counseling on gender transition Hormone prescription Hormone level monitoring WELL-BEING SERVICES Mental health support and referrals Referrals for gender affirming surgery Referrals for legal services Botox & skin care

Tangerine’s Performance (November 2015 – April 2019)

TGW Client Characteristics

Male sexual partners of TGW

Male sexual partners of TGW: 21 couples

Sexual and Gender-Based Violence (SGBV) among transgender clients at Tangerine Clinic

Keys to Success

The Tangerine Academy The technical assistance platform for the development and sharing of tools and learning resources to support further roll-out of HIV and health service models for transgender people. The Academy’s Three Schemes

Conclusions and challenges ahead Trans-led, integrated services works Low PrEP uptake Limited reach to subgroups: young TGW, TGW sex workers Inadequate psychosocial support and mental health counseling Hormone services not supported under UHC Drivers of HIV-epidemic in TGW clients

Acknowledgements