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How Peru introduced a plan for comprehensive HIV prevention and care for transwomen

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dc.contributor.author Salazar, Ximena
dc.contributor.author Nunez-Curto, Aron
dc.contributor.author Villayzan, Jana
dc.contributor.author Castillo, Regina
dc.contributor.author Benites, Carlos
dc.contributor.author Caballero, Patricia
dc.contributor.author Caceres, Carlos-F.
dc.date.accessioned 2019-02-06T14:51:44Z
dc.date.available 2019-02-06T14:51:44Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5247
dc.description.abstract INTRODUCTION: As a group, transwomen in Peru have the highest prevalence of HIV (>20%) in the country, but they have little access to HIV prevention, testing and care services. Until recently, Peru's national HIV programme did not recognize transwomen and had remained essentially static for decades. This changed in December 2014, when the Ministry of Health expressed its commitment to improve programming for transwomen and to involve transwomen organizations by prioritizing the development of a "Targeted Strategy Plan of STIs/HIV/AIDS Prevention and Comprehensive Care for Transwomen." DISCUSSION: A policy dialogue between key stakeholders - Peru's Ministry of Health, academic scientists, civil society, transgender leaders and international agencies - created the conditions for a change in Peru's national HIV policy for transwomen. Supported by the effective engagement of all sectors, the Ministry of Health launched a plan to provide comprehensive HIV prevention and care for transwomen. The five-year plan includes new national guidelines for HIV prevention, care and support, and country-level investments in infrastructure and equipment. In addition to new biomedical strategies, the plan also incorporates several strategies to address structural factors that contribute to the vulnerability of transwomen. We identified three key factors that created the right conditions for this change in Peru's HIV policy. These factors include (1) the availability of solid evidence, based on scientific research; (2) ongoing efforts within the transwomen community to become better advocates of their own rights; and (3) a dialogue involving honest discussions between stakeholders about possibilities of changing the nation's HIV policy. CONCLUSIONS: The creation of Peru's national plan for HIV prevention and care for transwomen shows that long-term processes, focused on human rights for transwomen in Peru, can lead to organizational and public-policy change. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof urn:issn:1758-2652
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject evidence synthesis en_US
dc.subject HIV prevention en_US
dc.subject Peru en_US
dc.subject policy dialogue en_US
dc.subject Preventive Health Services en_US
dc.subject structural vulnerability en_US
dc.subject Transgender Persons en_US
dc.subject transwomen en_US
dc.subject Female en_US
dc.subject HIV Infections/prevention & control/therapy en_US
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject Public Policy en_US
dc.subject Sexual Behavior en_US
dc.title How Peru introduced a plan for comprehensive HIV prevention and care for transwomen en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7448/IAS.19.3.20790
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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