developing programs to sensitize providers to the unique hiv and health needs of transgender people n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
JoAnne G. Keatley, MSW Center of Excellence for Transgender Health: PowerPoint Presentation
Download Presentation
JoAnne G. Keatley, MSW Center of Excellence for Transgender Health:

Loading in 2 Seconds...

play fullscreen
1 / 33

JoAnne G. Keatley, MSW Center of Excellence for Transgender Health: - PowerPoint PPT Presentation


  • 134 Views
  • Uploaded on

Developing Programs to Sensitize Providers to the Unique HIV and Health Needs of Transgender People. JoAnne G. Keatley, MSW Center of Excellence for Transgender Health: University of California, San Francisco, United States.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'JoAnne G. Keatley, MSW Center of Excellence for Transgender Health:' - lois


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
developing programs to sensitize providers to the unique hiv and health needs of transgender people

Developing Programs to Sensitize Providers to the Unique HIV and Health Needs of Transgender People

JoAnne G. Keatley, MSW

Center of Excellence for Transgender Health:

University of California, San Francisco, United States

slide2
Our mission is to increase access to comprehensive, effective, and affirming healthcare services for trans and gender-variant communities.
national advisory board
National Advisory Board

We include community perspectives by actively engaging a national advisory body (NAB) of 12 trans identified leaders from throughout the country.

primary projects
Primary Projects
  • CATCH
  • Transitions Project
  • Primary Care Protocols
  • International Project
  • Sheroes Intervention
slide5

Who We Are Globally

Travestís, Transvestites, Transsexuals,

Transgender, Hijra, Ali, Arvani, Kothis, Metis,

Mak Nyahs, Mukhannis, Kathoey,

Mahuwahine, Fa’afafine, Sistergirls, Waria, Muxhe, Mujeres Differentes

transsexual population estimates
Transsexual Population Estimates

Overall Prevalence

MtF Prevalence

FtM Prevalence

MtF/FtM Ratio

Country

Study & Year

Weitze C., & Osburg, S., 1996

best practices course
Best Practices Course
  • Created in order to address the urgent HIV prevention needs of trans people by building capacity of:
    • Health care professionals
    • Social services professionals
background cont d
Background (Cont’d)
  • Literature & Internet Search
  • Identified 24 Trans HIV Prevention Programs in California
  • Contacted all programs
  • Distributed questionnaire
best practices course1
Best Practices Course
  • Theoretical Framework:
    • Adult Learning Theory
    • Social Cognitive Theory
    • Empowerment Model
    • Social Action Model
1 ground your work in the community
1. Ground Your Work in the Community
  • Develop partnerships with trans people and organizations
2 race ethnicity one size does not fit all
2. Race & Ethnicity: One Size Does Not Fit All
  • Like other groups, HIV risk in trans people is compounded by racial discrimination
5 look in all the right places
5. Look in All the Right Places
  • Trans-specific recruitment and retention strategies
6 increase access to health care
6. Increase Access to Health Care
  • Collaborate with local health care providers who:
    • Have easily accessible or multiple locations
    • Provide services in multiple languages
    • Understand trans HIV and health care issues
    • Provide hormone therapy as part of primary care
7 invest in developing and supporting your staff
7. Invest In Developing and Supporting Your Staff
  • Prioritize staff development
    • Build staff capacity
    • Create opportunities

for advancement

8 advocate for structural systemic changes
8. Advocate for Structural & Systemic Changes
  • Advocate for policy changes alongside trans people. Examples Include:
primary care protocol project medical advisory board
Primary Care Protocol Project: Medical Advisory Board

Dan Karasic, MD

R. Nick Gorton, MD

James Franicevich, NP

Marvin E. Belzer, MD, FACP, FSAM

Lori Kohler, MD

Maddie Deutsch, MD

Jennifer Hastings, MD

Jennifer Burnett, MD

Jennifer Vanderleest MD, MSPH

patient intake
Patient Intake
  • What is your current gender or gender identity?
    • Male
    • Female
    • Transgender Male/Transman
    • Transgender Female/Transwoman
    • Genderqueer
    • Other: please specify___________
    • Decline to state
patient intake1
Patient Intake
  • What sex were you assigned at birth?
    • Male
    • Female
    • Decline to state
patient intake2
Patient Intake
  • What pronouns do you prefer?
    • Fill-in-the-blank
    • He, she; hir, ze, they, etc.
slide28

Challenges Encountered

  • What challenges will/might/have you encounter(ed)?
    • Interpersonal
    • Individual
    • Community
    • Structural
  • How would/did you resolve those challenges?
slide29

References

Belza M, Llacer A, Mora R, de la Fuente L, Castilla J, Noguer I, & Canellas S. (2000) Social characteristics and risk behaviors for HIV in a group of transvestites and male transsexual engaging in street prostitution. Gaceta Sanitaria, 14(5), 330-7.

Galli M, Esposito R, Antinori S, Cernushi M, Gianelli F, Cargnel A, Quirno T, Innocenti M, & Marozzi F. (1991) HIV-1 Infection, tuberculosis and syphillis in male transsexual prostitutes in Milan, Italy. Journal of Acquired Immune Deficiency Syndromes, 4(10), 1006-7.

Gattari P and Spizzichino L. (1992) Behavioural Patterns and HIV Infection Among Drug Using Transvestites Practicising Prostitution In Rome. AIDS Care, 4(1), 83-87.Netherlands

Inciardi, J., Surratt, H., Telles, P., & Pok. B. (1999) Sex, Drugs, and the Culture of Travestismo in Rio de Janeiro. International Journal of Transgenderism, 3 (1+2) January-June 1999. Available online at: http://www.symposion.com/ijt/hiv_risk/inciardi.htm

slide30

References

Khan A, Bokhari A, Nizamani N, Rehan N, & Khan A (2006) Differences in Sexual Behaviors of Male Commercial Sex Workers (MSWs) and Transgenders/Transvestites (Hijras) In Pakistan. Poster discussion: AIDS 2006 - XVI International AIDS Conference: Abstract no. TUPDD07"

Kumta S, Lurie M, Gogate A, Jerajani H, Weitzen S, Kavi A, Anand V, Makadon H, & Mayer K. (2006) Sexual risk behavior and HIV prevalence among male-to-female transgendered people seeking voluntary counseling and testing services in Mumbai, India. Oral abstract session: AIDS 2006 - XVI International AIDS Conference: Abstract no. MOAD0303.

Modan B, Goldschmidt R, Rubenstein E, Vonsover A, Zinn M, Golan R, Chetrit A, & Gottlieb-Stematzky T. (1992) Prevalence of HIV Antibodcies in Transsexual and Female Prostitutes. American Journal of Public Health, 82(4), 590-2.

slide31

References

Palwade P, Jerajani H, Ashok R, Shinde S, & Vivek A. (2004) Prevalence of HIV infection and sexually transmitted diseases amongst MSM population in Mumbai, India. CD Only: The XV International AIDS Conference: Abstract no. C10822.

Pisani E, Girault P, Gultom M, Sukartini N, Kumalawati J, Jazan S & Donegan, E. (2004) HIV, syphilis infection, and sexual practices among transgenders, male sex workers, and other men who have sex with men in Jakarta, Indonesia. Sexually Transmitted Infections 80(6): 536-40.

Ponnusamy, A. (2006) Behavioral research / interventions. AIDS 2006 - XVI International AIDS Conference: Abstract no. CDC0968

Tumer, A., Kilickaya, B., & Akturkoglu, E. (2010) HIV/AIDS research and testing among sex workers in Turkey. AIDS 2010 – XVIII International AIDS Conference: retrieved from: http://pag.aids2010.org/Abstracts.aspx?AID=8319

slide32

References

Van Veen M, Hofhuis A, van der Helm T, Götz H, Prins M, & van de Laar M. (2006) Substantial risk behaviour among transgender sex workers in the Netherlands. AIDS 2006 - XVI International AIDS Conference: Abstract no. MOPE0478.

Weitze C. & Osburg, S. (1996) Transsexualism in Germany: Empirical Data on Epidemiology and Application of the German Transsexuals’ Act During Its First Ten Years. Archives of Sexual Behavior, 25: 419.

Wimonsate W., Naorat S., Varangrat, A., Phanuphak, P., Kanggarnrua, K., McNicholl, J., Tappero, J., van Griensvn, F., Siraprapasiri, T., and the Thailand MSM Study Group (2005). Risk behavior, hormone use, surgical history and HIV infection among transgendered persons (TG) in Thailand, 2005. AIDS 2006 - XVI International AIDS Conference: Abstract no. MOPE0349

slide33

www.facebook.com/transhealth

JoAnne Keatley, MSW

JoAnne.Keatley@ucsf.edu

www.transhealth.ucsf.edu