1. TransIT
The Transgender Implementation Tool for the WHO key population guidelines

2. IRGT A Global Network of Trans Women and HIV

3. Why IRGT?
IRGT was born in 2011 out of the need to differentiate Trans people from the MSM key population in UNAIDS
Trans and Gender non-conforming people have been invisible in the global response to the AIDS epidemic
Trans women are 49 times more likely to live with HIV compared with cis people
A meta-analysis showed that 19% the global trans feminine population were living with HIV, no big differences between the Global South and North
If the epidemiology for Trans women is still lacking – there are no data whatsoever for Trans Men or for Non Binary Trans people.
This is the main reason why the IRGT see a need to focus on Trans Women while trying to cover Trans Masculine and Non-conforming people as well

4. The Road to TransIT
At the International AIDS Conference in July 2014 in Melbourne, Australia the WHO presented their “Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations”
In 2015 the work began with developing implementation tools in close co-operation with the four key-populations, MSM, Sex Workers, IV Drug Users and Transgender People.
TransIT was developed by UNDP, in partnership with IRGT and John Hopkins School of Public Health as well as agencies such as WHO, UNAIDS, USAID and PREPFAR. Around 90 global experts contributed.
On April 6th 2016 the tools was launched. The tool can be downloaded from IRGT or UNDP’s websites.
Work is now going on translating TransIT in Spanish and a number of languages.
At the International AIDS Conference in Durban, South Africa July 2016 a printed version will be launched.

5. TransIT April 6th 2016

6. TransIT
TransIT compromises some 200 pages divided into five chapters covering issues such as
Community Empowerment
Stigma, Discrimination, Violence and Human Rights
HIV Prevention and Health Services
Service Delivery Approaches
Program Management
The content has been developed and written in close co-operation with Trans experts activists in the Global South as well as the Global South as well as a number of non-trans experts.

7. TransIT Chapter 1, Community Empowerment will address issues such as;
Collaborating with trans communities in programming
trans-led programs and organizations
building organizational and advocacy capacity
stigma as a barrier to empowerment
community mobilization and sustaining social movements

8. TransIT
Chapter 2, Stigma, Discrimination, Violence & Human Rights addresses issues like;
Transphobia and violence
Discrimination and action for legal gender recognition
Intimate partner violence
Family, Education, Employment, Sex Work
Legal and political stigmatization and violence
Health and Complementary interventions and strategies
Collecting data as evidence of stigma, discrimination and violence

9. TransIT Chapter 3, Services covers a long range of issues;
HIV prevention, diagnosis, treatment and care continuum
Principles for providing trans-competent health services
HIV-related interventions and other essential health-sector interventions
Condoms and lubricants , Pre-exposure prophylaxis (PrEP) and Post-exposure prophylaxis (PEP)
Harm reduction interventions , Sexual and reproductive health , Sexually transmitted infections
HIV testing services, HIV treatment and care and HIV and hormonal therapy
Prevention and management of co-infections and co-morbidities

10. TransIT
Chapter 4, Service Delivery Approaches touches on subjects such as;
Creating an appropriate clinical services environment
Designing trans-specific behavioural interventions
Adapting behavioural interventions developed for other populations
Condom and lubricant programming
Implementing community-led outreach
Building coalitions and alliances
Safe spaces, establishing and operating safe spaces
Social media and social isolation as well as Quality assurance and online safety

11. TransIT Chapter 5, Program Management covers among others;
issues for designing and managing HIV and STI programs serving trans people
Planning HIV and STI and other programs with trans communities
Collecting and analyzing strategic information and Developing tailored interventions
Developing tailored interventions
Systems improvement, social norm change and increased sustainability
Capacity-building within service-providers and implementing organizations
Training staff, Staff development and Establishing a supervision system

12. Thank you!