ArticleFrontiers in public health2024
Exploring the utilization of targeted intervention services by transgender individuals in Uttarakhand, India: a qualitative study.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- HIV Testing Service Utilization Among Transgender Communities: Insights from a Respondent-Driven Sampling Survey in India.AIDS and behavior · 2026Article
- Barriers to health and social inclusion among transgender and MSM populations in India: a mixed-methods multicentric study.BMJ global health · 2026Article
- Article
- Meanings attributed to the voice by transgender women in socialization processes.Revista brasileira de enfermagem · 2026Article
- Can social support improve Mpox care-seeking among men who have sex with men through stigma reduction: a chain mediation analysis from China.Global health research and policy · 2025Article
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6 authors.
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Abstract
Purpose: Transgender (TG) women face violence, discrimination, and stigma, which affect their mental health and hinder their access to targeted intervention (TI) services. This lack of access may increase the risk of human immunodeficiency virus/sexually transmitted infections (HIV/STIs). However, the utilization of TI services among transgender women in Uttarakhand, as well as across the country, remains understudied. The purpose of this study is to explore the utilization of TI services by the transgender community in Uttarakhand. Methods: This qualitative study focused on non-government organizations (NGOs) that implement TI projects in Haridwar and Roorkee, Uttarakhand, India. From September 2023 to January 2024, 5 focus group discussions (FGDs) involving 24 transgender women and 9 in-depth interviews (IDIs) involving NGO staff were conducted. Thematic analysis, guided by the Anderson and Newman healthcare utilization model, was employed. Results: Several barriers to service utilization were identified, including ritual beliefs, low health literacy, stigma, social isolation, financial insecurity, privacy concerns, and inefficient service delivery. Challenges in the implementation of the STI program and neglect of transgender women in health facilities were also reported. However, enabling factors such as trusted providers, supportive laws, and initiatives by NGOs and government agencies were recognized. Nonetheless, there remains a significant need for information on gender-affirming services and addressing other prevalent health issues within the transgender female community. Conclusion: The study underscores the interplay of individual, social, and service-related factors affecting healthcare access among transgender women. Inclusive and high-quality healthcare services are necessary to address the complex sociocultural aspects influencing transgender women's healthcare access and utilization.
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