Recent reports and research studies offer a glimpse into the lived experiences of trans people worldwide. Together they paint a picture of stigma, prejudice and discrimination, as well as, for many, harassment, abuse and violence. The impact is that trans people are often edged out onto the margins of society where they experience poor health and wellbeing outcomes.
Available data consistently show that HIV disproportionately affects trans women with a pooled prevalence of 17.7 percent between 2000 and 2011 across low- and middle-income countries. Worldwide trans people are 49 times more likely to acquire HIV than the general adult population. Barriers to HIV prevention, treatment and care services, as well as to other healthcare services, aggravate poor health and wellbeing outcomes for trans people. Asia is home to perhaps 60% of the world’s trans population, and despite this, relatively little primary research data exists in regard to factors impacting trans people’s access to HIV and other healthcare. Much of the available literature is in the form of UN agency and NGO reports that rely heavily on meetings with activists, and case reports. Even with nearly 10-years of Global Fund involvement and support for HIV and TB, very little information exists on how the
transgender community accesses prevention and treatment services. In most cases, transgender women are considered under the men who have sex with men (MSM) or sex workers risk group.
The proposed research aims to provide important information on HIV and other healthcare for transgender and gender diverse people, the barriers to accessing services, and the ways in which those barriers can be removed through community engagement and empowerment. It is based on the seven research priorities identified in the 2012 UNDP/APTN Lost in Transition Report and recently reaffirmed in the Barriers to Bridges meeting proceedings. The seven priorities include:
1. Ending the invisibility of trans people and developing research that is tailored to trans persons as specific population, and spotlight the needs of sub-communities such as youth, elderly, rural and trans men
2. Utilising trans people as research partners
3. Documenting and understanding more fully the HIV vulnerabilities of transgender people, as well as sources of resilience
4. Empowering transgender communities through their CBOs and NGOs
5. Promoting trans positive attitudes and practices among those who with transgender persons
6. Getting health information into the hands of transgender persons and their organizations; and
7. Promoting trans-competent, comprehensive and accessible healthcare (including for
The APTN KPRA project is designed as community-driven and community-inclusive research that documents not only the barriers posed by specific HIV and other healthcare policies and practices but also the behaviors of healthcare providers and services-led by transgender persons. The project is funded through a regional Global Fund grant awarded to Save the Children, Nepal who is the Principal Recipient. The transgender research is intended to serve as a springboard for advocacy on community-led services. Four countries- Indonesia, Nepal, Thailand and Vietnam- have been included in the research study for transgender communities. In addition, there are three other Sub-recipients of regional key population networks including people living with HIV.
Interested candidates should submit a cover letter and CV, a technical and financial proposal,
rate/day and details of at least 2 references. Please send to: email@example.com with the subject “Application: KPRA Regional Research Consultant”.
Transgender Persons from Asia and the Pacific are highly encouraged to apply.
Read more details by downloading the application.