Making Trans-Gender Healthcare a Priority in India- Journey towards Social Inclusion

Authors

  • Govind K Bansal School of Management and Business Studies, Jamia Hamdard, Delhi https://orcid.org/0000-0002-4847-0998
  • Shibu John School of Management and Business Studies, Jamia Hamdard, Delhi.

DOI:

https://doi.org/10.47203/IJCH.2020.v32i02.004

Keywords:

Transgender, Hijra, Social Inclusion, SRS, No Me without Me

Abstract

Introduction: Transgender includes trans-men and trans-women, persons with intersex variations, gender-queers, and persons with socio-cultural identities. Any normal parent expects a binary outcome out of the nine months long pregnancy, however, for some, life changes when the expected outcome is different. Objective: The article tends to understand the life of transgender/Hijra in India with respect to specific healthcare needs along with constitutional mechanism to extend them their legal rights. Method: The researcher reviewed available literature to analyse the issues and challenges in accessing healthcare services by the transgender community. Grey literature and qualitative methods like consultation/ interviews with communities and subject experts were also done to supplement the study outcomes. Results: The study shows that after a long movement, transgender were formally given recognition in 21st century in India. Currently, we have a number to begin with. WHO’s ICD-11 included “gender identity disorders” as “gender incongruence” in its new chapter on sexual health. Interactions with key experts and community reveals different specific needs of transgender population. Conclusion: Five points as way forward to improve health care accessibility of transgender in India: Creating an enabling environment before the next Census in India; addressing stigma and other issues that make transgender people vulnerable to health risks; extending equal human and legal rights to transgender; revising the medical curriculum so as to include a chapter on transgender health; and No Me Without Me.

Downloads

Download data is not yet available.

Author Biography

Shibu John, School of Management and Business Studies, Jamia Hamdard, Delhi.

HoD and Professor at Department of Health and Hospital Management at Jamia Hamdard- a deemed to be University in South Delhi. 

References

(2010). HIV/AIDS among men who have sex with men and transgender populations in South – East Asia. SEARO: WHO. Retrieved from https://apps.who.int/iris/handle/10665/205291

Bhushan, M. (2016). Analysis on Transgender Persons (Protection of Rights) Bill. Indian Law Journal. Retrieved September 28, 2019, from indialawjournal.org/analysis-on-transgender-persons.php

Reisner SL, Poteat T, Keatley J, Cabral M, Mothopeng T, Dunham E, Holland CE, Max R, Baral SD. Global health burden and needs of transgender populations: a review. Lancet. 2016 Jul 23;388(10042):412-436. doi: 10.1016/S0140-6736(16)00684-X. Epub 2016 Jun 17. Review. PubMed PMID: 27323919; PubMed Central PMCID: PMC7035595.[PubMed]

GoI. (n.d.). Primary Census Abstract Data for Others (India & States/UTs), Census 2011. Ministry of Home Affairs, Office of the Registrar General & Census Commissioner, India.

Nagarajan, R. (2014, May 30). First count of third gender in census: 4.9 lakh. Delhi: Times of India. Retrieved July 24, 2018, from https://timesofindia.indiatimes.com/india/First-count-of-third-gender-in-census-4-9-lakh/articleshow/35741613.cms

Act No. XXVII of 1871: A Collection of Acts passed by the Governor General of India in Council in the Year 1871. (n.d.). Calcutta: Office of Superintendent of Government Printing, 1872.

Staff, T. (2018, September 20). The News Minute. Retrieved from https://www.thenewsminute.com/article/law-targeting-transgender-persons-telangana-read-down-temporarily-88662

Karim, M. (2013, November 11). Hijras now a separate gender. (Dhaka Tribune) Retrieved July 5, 2018, from https://web.archive.org/web/20131111223441/http://www.dhakatribune.com/bangladesh/2013/nov/11/hijras-now-separate-gender

Mahapatra, D. (2014, April 15). Supreme Court recognizes transgenders as 'third gender. Retrieved September 15, 2019, from TImes of India: https://timesofindia.indiatimes.com/india/Supreme-Court-recognizes-transgenders-as-third-gender/articleshow/33767900.cms

India: Supreme Court Strikes Down Sodomy Law. (2018, September 6). Retrieved September 28, 2019, from Human Rights Watch: https://www.hrw.org/news/2018/09/06/india-supreme-court-strikes-down-sodomy-law

Wikipedia. (2020, June 13). Transgender Persons (Protection of Rights) Act, 2019. Retrieved from Wikipedia: https://en.wikipedia.org/wiki/Transgender_Persons_(Protection_of_Rights)_Act,_2019

Dharmadhikari, S. (2019, August 5). Trans Bill 2019 passed in Lok Sabha: Why the trans community in India is rejecting it. Retrieved September 28, 2019, from The News Minute: https://www.thenewsminute.com/article/trans-bill-2019-passed-lok-sabha-why-trans-community-india-rejecting-it-106695

Amrita Gupta, M. S. Health and Healthcare Seeking Behaviour among Transgender in Mumbai: Beyond the Paradigm of HIV/AIDS. Social Science Spectrum, 2016;2(1),63-79. Retrieved September 2019, from http://www.socialspectrum.in/index.php/sp/article/view/54/45

Reed, G. M. Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry: official journal of the World Psychiatric Association (WPA), 2016;15(3), 205–221.

The Lancet. ICD-11. Lancet. 2019 Jun 8;393(10188):2275. doi: 10.1016/S0140-6736(19)31205-X. Epub 2019 Jun 6. PubMed PMID: 31180012.[PubMed]

Balakrishnan, V. (2016). Growing recognition of transgender health. World Health Organisation. doi:http://dx.doi.org/10.2471/BLT.16.021116

Virupaksha HG, Muralidhar D, Ramakrishna J. Suicide and Suicidal Behavior among Transgender Persons. Indian J Psychol Med. 2016 Nov-Dec;38(6):505-509. doi: 10.4103/0253-7176.194908. Review. PubMed PMID: 28031583; PubMed Central PMCID: PMC5178031.[PubMed]

Heise L, Greene ME, Opper N, Stavropoulou M, Harper C, Nascimento M, Zewdie D. Gender inequality and restrictive gender norms: framing the challenges to health. Lancet. 2019 Jun 15;393(10189):2440-2454. doi: 10.1016/S0140-6736(19)30652-X. Epub 2019 May 30. Review. PubMed PMID: 31155275.[PubMed]

Weber AM, Cislaghi B, Meausoone V, Abdalla S, Mejía-Guevara I, Loftus P, Hallgren E, Seff I, Stark L, Victora CG, Buffarini R, Barros AJD, Domingue BW, Bhushan D, Gupta R, Nagata JM, Shakya HB, Richter LM, Norris SA, Ngo TD, Chae S, Haberland N, McCarthy K, Cullen MR, Darmstadt GL. Gender norms and health: insights from global survey data. Lancet. 2019 Jun 15;393(10189):2455-2468. PubMed PMID: 31155273.[PubMed]

Hay K, McDougal L, Percival V, Henry S, Klugman J, Wurie H, Raven J, Shabalala F, Fielding-Miller R, Dey A, Dehingia N, Morgan R, Atmavilas Y, Saggurti N, Yore J, Blokhina E, Huque R, Barasa E, Bhan N, Kharel C, Silverman JG, Raj A. Disrupting gender norms in health systems: making the case for change. Lancet. 2019 Jun 22;393(10190):2535-2549. doi: 10.1016/S0140-6736(19)30648-8. Epub 2019 May 30. Review. PubMed PMID: 31155270; PubMed Central PMCID: PMC7233290.[PubMed]

Winter S, Diamond M, Green J, Karasic D, Reed T, Whittle S, Wylie K. Transgender people: health at the margins of society. Lancet. 2016 Jul 23;388(10042):390-400. doi: 10.1016/S0140-6736(16)00683-8. Epub 2016 Jun 17. Review. PubMed PMID: 27323925.[PubMed]

Wylie K, Knudson G, Khan SI, Bonierbale M, Watanyusakul S, Baral S. Serving transgender people: clinical care considerations and service delivery models in transgender health. Lancet. 2016 Jul 23;388(10042):401-411. doi: 10.1016/S0140-6736(16)00682-6. Epub 2016 Jun 17. Review. PubMed PMID: 27323926.[PubMed]

Reisner SL, Poteat T, Keatley J, Cabral M, Mothopeng T, Dunham E, Holland CE, Max R, Baral SD. Global health burden and needs of transgender populations: a review. Lancet. 2016 Jul 23;388(10042):412-436. doi: 10.1016/S0140-6736(16)00684-X. Epub 2016 Jun 17. Review. PubMed PMID: 27323919; PubMed Central PMCID: PMC7035595.[PubMed]

Rajesh, A. N. A study on challenges and opportunities of mainstreaming transgender students in higher education institutions in India. Indian Journal of Adult Education, 2016;77(3), 39-52.

Downloads

Published

2020-06-30

How to Cite

1.
Bansal GK, John S. Making Trans-Gender Healthcare a Priority in India- Journey towards Social Inclusion. Indian J Community Health [Internet]. 2020 Jun. 30 [cited 2024 Dec. 26];32(2):324-9. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/1320

Issue

Section

Review Article

Dimensions Badge