ArticleBMC health services research2023
A qualitative study to explore the healthcare-seeking experiences of men who have sex with men (MSM) and transgender women (TGW) in Rwanda.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- The lived experience of trans persons: a bottom-up review co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
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- Integrating HIV and primary healthcare for key populations: community-led models from Vietnam, Nigeria and Eswatini.Journal of the International AIDS Society · 2025Article
- Exploring healthcare experiences of transgender people in the Jabula Uzibone study, South Africa: a longitudinal implementation science study.Journal of the International AIDS Society · 2025Observational
- Mpox-related stigma and healthcare-seeking behavior among men who have sex with men.Global health research and policy · 2025Article
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- We are treated differently: Experiences of men who have sex with men in South African clinics.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- PrEP in the key population community: A qualitative study of perspectives on pre-exposure prophylaxis by gay, bisexual and other men who have sex with men and female sex workers in Kigali, Rwanda.PLOS global public health · 2025Article
- Sexual and gender minority stigma and motivating beliefs among the general public in Rwanda.Frontiers in sociology · 2025Article
- The Intersection of Sexual Orientation, Substance Use, and Mental Health: Findings from Hints 5.Healthcare (Basel, Switzerland) · 2024Article
- Assessing the experiences of teenage mothers in accessing healthcare in Rwanda.BMC public health · 2024Article
- Breaking barriers: How transwomen meet their healthcare needs.African journal of primary health care & family medicine · 2024Article
- Healthcare access and barriers to utilization among transgender and gender diverse people in Africa: a systematic review.BMC global and public health · 2024Review
- An Open Letter on Advancing HIV prevention: Augmenting an ecosystem-based approach to understand prevention decision-making.Gates open research · 2024Article
- Development and Validation of HEPCA-Lat: A Bilingual Hepatitis C Virus Knowledge Scale for Latino Men.American journal of men's healthObservational
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Authors and funding
5 authors.
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Abstract
backgroundGlobally, men who have sex with men (MSM) and transgender women (TGW) encounter many challenging experiences when accessing health services compared to the general population. Stigma, discrimination, and punitive laws against same-sex relationships in some sub-Saharan African countries have made MSM and TGW more prone to depression, suicidal ideation, anxiety disorders, substance abuse, non-communicable diseases, and HIV. None of the prior studies in Rwanda on MSM and TGW had explored their lived experience in accessing health services. Accordingly, this study aimed at exploring the healthcare-seeking experiences of MSM and TGW in Rwanda.
methodsThis study utilized a qualitative research method employing a phenomenological design. Semi-structured in-depth interviews were conducted with 16 MSM and 12 TGW. Participants were recruited via purposive and snowball sampling approaches in five districts in Rwanda."
resultsData were analyzed using a thematic analysis approach. Three main themes emerged from the study: (1) The healthcare experiences of MSM and TGW were generally dissatisfactory, (2) MSM and TGW hesitated to seek care unless they were severely ill, (3) MSM and TGW's perspectives on how to improve their health-seeking behavior.
conclusionMSM and TGW in Rwanda continue to face negative experiences within the healthcare delivery settings. These experiences include mistreatment, refusal of care, stigma, and discrimination. Provision of services for MSM and TGW and On-the-job cultural competence training in the care of MSM and TGW patients is needed. Including the same training in the medical and health sciences curriculum is recommended. Furthermore, awareness and sensitization campaigns to improve the understanding of the existence of MSM and TGW and to foster acceptance of gender and sexual diversity in society are necessary.
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