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These challenges are exacerbated by a lack of legal recognition of their gender and the absence of anti-discrimination laws that explicitly include transgender people. Please note that we are unable to respond to any questions, or offer advice or information in relation to personal matters. Would you like to comment on this page? These include general medical and mental health services, HIV testing and counselling HTCas well as information on correct and consistent condom and lubricant use. They do not imply any health status or behaviour on the part of the people in the photo. In addition, prevention initiatives that empower transgender people and enable them to take the lead in meeting the needs of their own community are the most effective.

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They can encounter problems accessing basic goods and services and even public spaces.

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Please enable it in your browser settings. Clients are offered monetary incentives to act as peer mobilisers and asked to recruit and refer their friends and sexual partners for rapid HIV testing at community-led drop-in HIV service centres. Non-lethal violence against transgender people is also widespread. Three comprehensive prevention community centres were established. Altogether I have been shot nine times.

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Pehchan incorporates true community involvement at all programme stages and works with community-based organisations CBOs to empower individuals through gender-affirming activities. A survey from the USA found that unemployment rates for transgender people were twice the national average. As well as protection by law, transgender people need better access to housing, employment and education if they are not to be driven towards high-risk behaviour. Linking transgender people to tailored health and human rights services, El Salvador El Salvador is estimated to have over 2, transgender people — more than a quarter of whom live in the capital city, San Salvador. There are other social factors that make transgender people more likely to engage in high-risk sex. Social exclusion, economic vulnerability and a lack of employment opportunities means that sex work is often the most viable form of income available to transgender people, and a high proportion of transgender people engage in sex work. When to get tested?

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