A Report of the National Transgender Discrimination Survey in Kenya (NTDS)-A Baseline Study of Transgender Persons in Kenya: Life experiences and Access to Health Services

Authors

  • Trans*Alliance
  • Nduta, S.
  • Smith, L., G.,
  • Okeyo, N.

DOI:

https://doi.org/10.53819/81018102t50100

Abstract

The study contained the underpinnings on protection issues against violence and discrimination. The theme of this report deconstructs how discriminatory laws and sociocultural norms continue to marginalize and exclude intersex and gender-diverse persons. The report established that they are excluded from education, healthcare, housing, employment and occupation and other sectors giving rise to a host of other problems in a context where access to economic, social and cultural rights is hampered resulting in poverty and exclusion. They have a lower social-economic status due to the limiting access to assets that are essential to enjoy the full range of human rights. A glance at these issues quickly affirms the intersectionality of all human rights grounded in the firm commitment of leaving no one behind under the 2030 agenda for Sustainable Development Goals. This report offers a window opportunity through which to gauge the character and scale of anti- discrimination data and the linkage with root causes, dialogue, consultation and cooperation with state and non-state actors, including implementation of international instruments, with identification of good practices and gaps. National and county governments have a fundamental responsibility to respect, protect and promote the human rights of transgender people in Kenya by taking action to ensure timely access to appropriate primary health care in public-funded health programs. There is need of development of guidelines on achieving universal access to acceptable, competent, appropriate, and affordable care. Moreover, there is the need of taking action to ensure laws, policies, programmes and procedures do not discriminate against transgender people through an effective and accessible legal and services framework. In addition, there is the need of taking action to allow individuals change their legal name and gender, including the gender markers on official documents, put in place quick, accessible and transparent procedures aimed at providing transgender people with official national documents. There is the need of taking action to ensure equal protection under the law, adopting positive legislative, judicial, administrative, educative, and other appropriate measures to protect these rights. Also, it is recommended there is the need to ensure freedom from cruel, inhumane and degrading treatment of transgender people.

Keywords:  Transgender Persons, Life experiences, Access to Health Services, Kenya

References

Couch, M. A., Pitts, M. K., Patel, S., Mitchell, A. E., Mulcare, H., & Croy, S. L. (2007). TranZnation: A report on the health and wellbeing of transgender in Australia and New Zealand.

Fenway Health. (2010). Glossary of gender and transgender terms.

United Nations Development Programme (2012). Global Commission on HIV and the Law. Risks, rights, and health. New York:

Gooren, L. J., Giltay, E. J., & Bunck, M. C. (2008). Long-term treatment of transsexuals with cross-sex hormones: Extensive personal experience. The Journal of Clinical Endocrinology & Metabolism, 93(1), 19-25. https://doi.org/10.1210/jc.2007-1809

Grant JM, Mottet L., Tanis JE, Harrison J, Herman J, & Keisling M. (2011). Injustice at every turn: a report of the National Transgender Discrimination Survey. Washington (DC): National Center for Transgender Equality and National Gay and Lesbian Task Force.

Logie, C. (2012). The case for the World Health Organization’s Commission on the Social Determinants of Health to address sexual orientation. American Journal of Public Health. 102(7):1243–1246. https://doi.org/10.2105/AJPH.2011.300599

Lombardi, E. (2010). Transgender health: A review and guidance for future research— proceedings from the Summer Institute at the Center for Research on Health and Sexual Orientation, University of Pittsburgh. International Journal of Transgenderism, 12(4), 211-229. https://doi.org/10.1080/15532739.2010.544232

Mayer K.H., Bradford J.B., Makadon H.J., Stall R., Goldhammer H., Landers S. (2008). Sexual and gender minority health: what we know and what needs to be done. American Journal of Public Health. 98(6):989–95. https://doi.org/10.2105/AJPH.2007.127811

Mayer, K. H., Makadon, H. J., & Garofalo, R. (2014). Promoting the successful development of sexual and gender minority youths. American Journal of Public Health, 104(6), 976-981. doi: :10.2105/AJPH.2014.301876. https://doi.org/10.2105/AJPH.2014.301876

Milton, D. (2013). Transsexuality Among Twins: Identity Concordance, Transition, Rearing, and Orientation. International Journal of Transgenderism. 14:1. https://doi.org/10.1080/15532739.2013.750222

Pega F., & Veale, J.F. (2015). The Case for the World Health Organization’s Commission on Social Determinants of Health to Address Gender Identity. American Journal of Public Health, 105(3):e58–e62. https://doi.org/10.2105/AJPH.2014.302373

Republic of Kenya (2018). Report of the taskforce on policy, legal, institutional and administrative reforms regarding the intersex persons in Kenya. Government Press.

Rotondi, N. K., Bauer, G. R., Scanlon, K., Kaay, M., Travers, R., & Travers, A. (2013). Nonprescribed hormone use and self-performed surgeries:do-it-yourself transitions in transgender communities in Ontario, Canada. American Journal of Public Health, 103(10), 1830-1836. https://doi.org/10.2105/AJPH.2013.301348

Sanchez, N. F., Sanchez, J. P., & Danoff, A. (2009). Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. American Journal of Public Health, 99(4), 713-719. https://doi.org/10.2105/AJPH.2007.132035

Sausa, L. A., Keatley, J., & Operario, D. (2007). Perceived risks and benefits of sex work among transgender women of color in San Francisco. Archives of Sexual Behavior, 36(6), 768-777. https://doi.org/10.1007/s10508-007-9210-3

Smith, G. (2004). Treatments of homosexuality in Britain since the 1950s--an oral history: The experience of patients. BMJ 328. https://doi.org/10.1136/bmj.328.427.37984.442419.EE

Stotzer, R. L. (2009). Violence against transgender: A review of United States data. Aggression and Violent Behavior, 14(3), 170-179. https://doi.org/10.1016/j.avb.2009.01.006

United Nations. (2015). Resolution A/RES/70/1. Transforming our world: The 2030 agenda for sustainable development. In: Seventieth United Nations General Assembly. New York.

Winter S, Diamond M, Green J, Karasic D, Reed T, Whittle S, et al. (2016) Transgender: health at the margins of society. Lancet. 388(10042):390–400. https://doi.org/10.1016/S0140-6736(16)00683-8

World Health Organisation (2011). Guidelines: Prevention and Treatment of HIV and Other Sexually Transmitted Infections among Men Who have Sex with Men and Transgender: Recommendations for a Public Health Approach. Geneva: World Health Organisation.

World Health Organization. (2014). Values and preferences of transgender: A qualitative study. Geneva; WHO.

UNAIDS. (2014). The Gap report 2014: Transgender. Geneva: WHO.

Onyango, D.Lang’o, J.Otieno, R.N. Kimani & L. Munga’la. (2015). Being Transgendered in Kenya. Nairobi. Hivos Foundation.

Downloads

Published

2022-09-06

How to Cite

Trans*Alliance, Nduta, S., Smith, L. G., & Okeyo, N. . (2022). A Report of the National Transgender Discrimination Survey in Kenya (NTDS)-A Baseline Study of Transgender Persons in Kenya: Life experiences and Access to Health Services. Journal of Public Policy & Governance, 6(2), 22–51. https://doi.org/10.53819/81018102t50100

Issue

Section

Articles