Key Population-led HIV Service Delivery – focus on transgender people

Rena Janamnuaysook, MBA

PREVENTION | Thai Red Cross AIDS Research Centre

Bangkok, Thailand

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Key Population-led HIV Services (KPLHS)

• A defined set of HIV-related health services,

focusing on specific needs of key populations

• Delivered by trained and qualified lay providers,

who are often members of key populations

• Services are identified by the community itself

and are, therefore, need-based, demand-driven,

and client-centered

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How does KPLHS fill the service gaps for key populations?

• Staff are members of KP communities who truly understand KP’s lifestyle

• Services are friendly, gender-oriented, and free from stigma and discrimination

• Sufficient staff

• Need-based and client-centered services, such as hormone monitoring, STI, legal consultation, harm reduction

• Staff are trained and qualified in accordance with national standards

• Strong linkages with and high acceptance from public health sectors

• Located in hot spots

• Flexible service hours suitable for KP’s lifestyle

• One-stop service

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KPLHS differentiated service delivery along Reach-Recruit-Test-Treat-Prevent-Retain cascade

Identify populations with extremely high HIV prevalence and

incidence

Serve PLHIV on stable ART to reduce burden on hospitals

Dispense PrEP and PEP to clients at high risk for HIV

Source: Phanuphak N, et al. Sexual Health 2018. https://doi.org/10.1071/SH18065

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Engaging transgender communities in HIV program design and planning

The National Dialogue: Trans Communities and Health

Providers, September 17, 2015

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Tangerine Community Health Clinic:Trans-led, hormone-integrated sexual health services

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Transgender-led Online Outreach Strategies

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Performance: Transgender-led Online Outreach Strategies

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Trans-led social media influencers increasing HIV testing uptake

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Friends of Tangerine

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Finger-pricked HIV testing performed by trained transgender health worker

Phanuphak N, et al. Sexual Health 2018; 15: https://doi.org/10.1071/SH18065

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Dispensing PrEP and PEP

KPLHS contributed to the national HIV response in Thailand

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USAID Community Partnership training and certification of KP lay providers

• Training modules co-developed and co-trained by technical experts and members of KP communities

USAID Community Partnership.

From Implementation to Policy Change

• Through collaborative efforts made by TRCARC, CBOs, and Department of Disease Control, Ministry of Public Health, a committee to formulate task shifting policy was established.

• Four key outcomes have been achieved:

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Acknowledgements