Blueprint for the Provision of Comprehensive Care for Trans Persons and their Communities in the Caribbean and Other Anglophone Countries

Abstract

[Introduction] Trans persons, as all people, have needs, desires, and capacities for the emotional and intellectual expression that underlie a full and productive life. Good physical and mental health are fundamental for pursuing and fulfilling these desires and capacities, and for the ability to lead life in accordance with human dignity. Numerous international agreements, including those forged among PAHO member states; recognize the right of every person to the enjoyment of health as a universal human right.1 Nevertheless, many trans people in Latin America and the Caribbean are affected by disproportionate burdens of disease, morbidity, and barriers that prevent them from realizing their optimum health, along with other human rights (see Box 1). Trans persons comprise a particularly disadvantaged population in terms of public health. In addition to basic health needs, shared with the general population, trans persons have needs that are unique them. However, health care providers have traditionally neglected both the general and specific needs of this group. Trans persons also face high levels of “transphobia,”2 manifested in the form of discrimination, stigmatization, violence, prosecution, and even extortion by local authorities.3 Transphobia can be reflected in the quality of care (or lack of quality care) that trans individuals receive. Thus, a combination of stressors contribute directly and significantly to the vulnerability of trans persons, while also impeding their access to health care services