Abstract

Until recently, trans women have been subsumed within the category of men who have sex with men for HIV-related care. Following a 2016 UNAIDS report finding that trans women globally are 49 times more likely to be living with HIV than the general population, health programmes have sought to expand their reach to this key population. Yet, trans women are often treated as passive subjects to be recruited into programming or clinical trials for HIV-related care. This paper uses case studies of two community-based clinics in Thailand to highlight the agency of trans women in creating and implementing unique models for the provision of care that fit their needs and those of their local communities. By tailoring goals to be trans-specific and local, trans women at these clinics help destigmatise HIV-related care. This paper argues for the importance of engaging trans women as community stakeholders in HIV-related care and prevention and identifies suggestions for stakeholder engagement in programme design both in and beyond Thailand by focussing on local conditions.

摘要

直到最近，跨性别女性仍被归入男男性行为者的范畴，接受与艾滋病毒相关的护理。继 2016 年联合国艾滋病规划署的一份报告发现全球跨性别女性感染艾滋病毒的可能性是普通人群的 49 倍之后，健康计划已寻求将其覆盖范围扩大到这一关键人群。然而，跨性别女性通常被视为被动的受试者，被招募到艾滋病相关护理的项目或临床试验中。本文使用泰国两家社区诊所的案例研究来强调跨性别女性在创建和实施独特的模式以提供满足其需求和当地社区需求的护理方面的作用。通过将目标定制为跨性别和本地化，这些诊所的跨性别女性帮助消除与艾滋病毒相关的护理的污名化。