1. Educating Civil Servants
About Issues of Respecting Human Rights and Tackling Stigma
and Discrimination in Relation to Gays,
Other MSM, and Trans* People

2. Block 3 Tolerance and Political Correctness in the Activity of Medical Facilities
Aim: To increase the levels of tolerance of healthcare workers in relation to gays, other MSM, and trans* people, in particular in the area of HIV-services.

3. Sexual-Gender Model of an Identity
Main Constituents
Additional Constituents
Gender identity
Level of sexuality expression
Sexual identity
Sexual conduct
Sexual Orientation
Sexual disorders
Biological sex
Gender expression

4. What is ethics?

5. Structure of Professional Ethics
Common norms:
Types of professional ethics:
pride
diligence
honor
obligations
duty
conscience
medical
pedagogical
research ethics
journalistic
service sector ethics
and others

6. Aspects of medical ethics
informing the patients about the state of their health and their rights
humane attitude
respect for human dignity, autonomy and the right of choice, the right to reject medical services included
qualitative and immediate aid
prevention of harm

7. Aspects of medical ethics
expressing care for the dying
securing professional secrecy
professional competence
respect for the profession and colleagues
participation in the enlightenment of the population
unbiased attitude towards the client, their life values and beliefs

8. Questions for discussion
What does each of these ethical aspects mean?
What specific actions underpin them?
Are they enshrined in any documents or norms?
Is control of the obedience to these principles possible?

9. Principles of Confidentiality in Healthcare
it is forbidden to divulge information without the patient’s prior consent
research results are presented expressly to the patient personally
the observation at the doctor’s should be excluded from any outside intrusion

10. Principles of Confidentiality in Healthcare
securing medical secrecy
it is forbidden to discuss patients with other healthcare workers or third parties
the healthcare professional may disclose information about the client without their consent only in cases defined laws and other regulations

11. Tolerance in healthcare
comprehension of the patient’s identity without negative thoughts about their peculiarities, conduct or lifestyle
respectful attitude.
high culture of communication
increased attention during the discussion of the patient’s problems or while surveying them

12. Life quality factors income nutrition sleep sports work-rest balance
bad habits
accommodation comfort
ecology
healthcare services
etc.

13. Political Correctness
Is a practice of direct or indirect prohibition to use words and phrases that are deemed insulting for certain social groups.

14. Euphemisms
A word or a descriptive saying neutral in its sense and meaning that is usually used in texts and public speeches to substitute those that are deemed indecent or inappropriate.

15. Neologism
Is a word, meaning of a word or a word combination that has appeared in a language recently.

16. Feminitives

17. Fixed phrases
Stable words or expressions, translation from foreign languages.
As a rule, diverse slogans, words, and expressions are meant in this case that are related to the protection of rights of LGBT-communities, HIV+ persons and other social groups.

18. Correct medical questions
Are you involved in a romantic relationship?
Do you have a sexual partner?
What is your partner’s gender identity?
What types of intimacy do you practice?
How may I address you? How may I call you?
What is the pronoun of your choice?

19. Politically correct and appropriate expressions
Incorrect or inappropriate expressions
Politically correct and appropriate expressions
Homosexualism
Homosexuality
Homosexualist
Homosexual
Nonstandard sexual orientation
Homosexual orientation,
Homosexuality,
Bisexual orientation,
Bisexuality, LGBT, LGBT-community

20. Politically correct and appropriate expressions
Incorrect or inappropriate expressions
Politically correct and appropriate expressions
Sexual minorities
LGBT-community, LGBT
Lesbians, gays, bisexuals, trans* people,
People of gender and sexual diversity
Sodomite, homosexual, faggot, and others
Gay, bisexual
Homosexual man
Bisexual man
Trans* person, Transgender man, Transgender woman
Trans/tranny

21. Politically correct and appropriate expressions
Incorrect or inappropriate expressions
Politically correct and appropriate expressions
Hermaphrodite
Intersex, Intersex people
Intersex community
Straight, normal
Heterosexual
Special rights, gay rights
Equal rights/ Equal protection
Human rights
MSM - men who have sex with men
WSW - woman who have sex with women
These abbreviations are usually used only in the healthcare field, in particular, in the lexicon of HIV-prevention service programmes

22. Social tolerance
Patience to other worldviews, lifestyles, conduct and customs, religious beliefs, nationality, state of health, etc.

23. Characteristics of a tolerant person
acknowledgment of all people being equal in their rights
candour and patient attitude
respect for cultural, religious, language and other differences
cooperation and solidarity while solving common problems
positive attitude to others, those who are different, not like you

24. Steps toward tolerance
Legal education
Personal cultural competence
Discussion
Unity
Lobbying Leader

25. Best practices
Policies on equality and non-discrimination at the workplace
Inclusion of the notions of LGBTI identity and LGBTI families into the policies of healthcare facilities
Inclusion of an LGBTI identity into questionnaires, surveys of initial observation and clinical charts
Including information about the health of the LGBTI into medical bulletins and other distributive informational materials
Educating the medical staff about the peculiarities of consulting the LGBTI-patients

26. Best practices
Keeping the LGBTI needs in mind while considering the scope of medical services
Including the LGBTI among the medical staff
Appraising the quality of medical services by means of surveying the LGBTI patients
Adjust the cooperation with NGOs that provide services and aid to gays, other MSM, and trans* people, including the integration of an effective system of assistance and redirection

27. Thank you for your attention!
Trainer’s name