This is the Abstract Presentation of Saroj Tamang of Blue Diamond Society Nepal. This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific". Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC) Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia" ABSTRACT PRESENTERS: * Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services * Saritha P Viswan | A review of transgender issues in India * Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication * Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia For further information, visit www.bit.ly/apcrshr10virtual14 Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual Thanks

1. Male – to – Female Transgender
Community – based Organisation:
Access of Sexual Health Services
Boby Tamang
BLUE DIAMOND SOCIETY

2. ISSUES
Transgender often face barriers in accessing
quality sexual health services. They also face
discrimination in society.
There has not been any research for the
sexual health research for the transgender in
Nepal.
Transgender are having all kind of hormones
without any concern with medical
consultant.

3. ISSUES
Many transgender are going to Bangkok and
India for the sex change and taking
hormones as well. But there is no follow up
health care service for the transgender in
Nepal. They are having many kind of
physical and mental problem after such
thing.
There is an urgent need to develop specific
programmes to provide TG access to sexual
health services.

4. DESCRIPTION
Most of the intervention program for
the LGBTI people in Nepal is HIV
prevention program but there is a
major need of a program for the
sexual health of transgender in
Nepal.

5. LESSON LEARNED
Transgender people are very much
aware about their rights but because
they are financially not very strong
and there is always lack of service for
sexual health and which is causing
them physical and mental program

6. Findings
• Health Sector Stigma
• Lack of understanding on Transgender issues among health care providers
• The lack of inclusive health services
• Lack of services for hormone use and transitioning
• Lack of services to address mental health issues
• Lack of policy and laws on trans health issues
• Lack of trained and sensitized health care providers
• Prejudice against Transgender who are drug users, sex workers and HIV
positive

7. Recommendation
• End all forms of discrimination especially in Health Care Settings
• Increasing access and availability of HIV and health services for transgender
people;
 Investment
 Policy Change
 Institutionalization
 Capacity enhancement
• Integrate trans inclusive health care services including gender affirming care
as part of HIV service provision and increase the number of trans competent
health care providers across the country
• Scale up mental health services for transgender people to ensure access and
availability
• Strengthening community and peer led transgender groups to ensure quality,
transparency and accountability of government and non-government led
health services

8. THANK YOU