1/ Unlike sex which is biologically determined and in a way, immutable, gender is a social construct. There are components of masculinity and femininity that have “norms” in the society that we live in.
2/ This issue is further complicated by a lack of knowledge about gender health even among medical professionals, which may lead the provider to ask questions related to the transgender identity, which may be unrelated to their current care.
3/ For instance, most of the providers (about 73%) in a study (see: bit.ly/3jqDGA9) seeking knowledge about gender affirmative care do so as to fill a community need, and about 64% do so because of the previous contact with a trans-individual.
4/ A question regarding sexual preferences is rarely if ever asked in a clinical encounter. Physicians who are “trans-friendly” if not colocalized need to be in constant touch with each other to provide coordinated care.
5/ In general, transgender individuals who have undergone gender confirming interventions do not receive quality primary medical care. What has your experience been? @HumsafarTrust @lovemattersinfo @SwastiHC @TaarasCoalition #LGBTQInclusion #ShoutoutforInclusion #PridewithHope

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More from @learning4impact

28 Jun
1/ The minority stress model developed by social psychologists and employed by public health officials explains how the extreme stress experienced by members of a stigmatized minority group can create adverse health outcomes even under normal circumstances.
2/ Not only does exterminal discrimination lead to members of minority groups internalizing the negative messages they hear, but also preconditions people to anticipate challenges to their identity in advance, placing pressure on otherwise routine social interactions.
3/ Self-quarantine isolation imposes a psychic burden that can be especially acute for trans youth. Tell us the other ways in which #CoVid19 has especially affected the #LGBTIQ community?
Read 5 tweets
28 Jun
1/ Poor utilisation of government health services and lack of awareness of government health insurance impose a heavy economic burden on #LGBTIQ who are already vulnerable due to the stigma around their gender identity.
2/ Gender identity disorders in the WHO classification have been re-conceptualized as gender incongruence and distinguishes between conditions that are relevant to public health and clinical psychopathology and those that merely reflect private behaviour.
3/ We also know that the LGBTIQ community is marginalised and denied basic rights. Specific needs in the form of hormone therapy and gender affirming treatment is also mostly unavailable.
Read 9 tweets
7 Apr
1/ #WorldHealthDay is also a good day to reflect on the opportunities that many India's health challenges bring. In this thread, we summarise some.
First, investing more in health and recognizing disease prevention and health promotion should be the topmost priority.
2/ Currently, India has one of the lowest allocations to health among all countries of the world as percentage of GDP.
3/ As a result of such a low investment in health and due to high out-of-pocket expenditure (85.6% according to the @WorldBank) millions of people are pushed further into poverty and are unable to escape.

Read 10 tweets
7 Apr
1/ This #WorldHealthDay in the quest to achieve equitable healthcare for all, it is worth looking at some of India's biggest health challenges. In the health sector, India has made enormous strides over the past decades.
2/ Life expectancy has crossed 67 years, infant and under-five mortality rates are declining as is the rate of disease incidence. Diseases, such as polio, guinea worm disease, yaws, and tetanus, have been eradicated.
3/ In spite of this progress, communicable diseases are expected to continue to remain a major public health problem in the coming decades posing a threat to both national and international health security. Dealing with these diseases requires a high level of readiness.
Read 6 tweets

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