Despite efforts for universal health access, transgender and gender non-binary (TGNB) persons in India face unequal barriers in accessing healthcare. A major reason for this inequity is that the health professional education in India largely operates within the gender binary and has not worked to include Sexual Orientation, Gender Identity, Expression and Sex Characteristics (SOGIESC) competencies.
In 2019, the Government of India passed the Transgender Persons (Protection of Rights) Act, which mandates governments to take measures for “review of medical curriculum and research for doctors to address their [transgender] specific health issues”. Hence, there is a need for a systematic, participatory and inclusive effort to create trans-affirmative medical curricula.
The project aims to highlight global best practices in shared decision making for vulnerable communities and to create a set of core competencies on trans-affirmative healthcare in India through a series of regional workshops and a national conference.
The stakeholders for the workshops would include health professional educators; healthcare professionals providing gender-affirmative healthcare; medical students, faculty and other health professionals identifying as TGNB; and TGNB community members.
After the consolidation and refinement of the competencies drafted at these workshops, the project will conclude with a national conference aimed at highlighting these best practices and discussing methods of teaching, consensus building and national dissemination of this work.
The project builds on a prior successful collaboration with UChicago in incorporating disability competencies into the Indian medical curriculum and another ongoing project by the Indian team studying the experiences of TGNB persons in health facilities. In the future, these efforts can inform the development of competencies for providing healthcare that is inclusive of other sections of the SOGIESC population as well as minority caste, religious and ethnic populations in India and regionally in South Asia.
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