Communities in Action Awards: Latin America
Asociación de Travestis, Transexuales, y Transgeneros de Argentina Asociación Civil (ATTTA) (Buenos Aires, Argentina) – $19,886
Decrease Barriers to HIV Care in Trans Populations and Evaluate Innovative Prevention Technologies
ATTTA will conduct a survey on attitudes, behaviors, and practices regarding sexual health and HIV prevention and risks for 180 trans women and 40 of their stable partners in Buenos Aires, Argentina. The survey results will be used to establish baseline behavioral data to inform policies and programs for trans women. In addition, ATTTA will establish baseline HIV prevalence data by offering rapid HIV testing and counseling to all clients seeking services at their mobile health unit. The group will also evaluate the acceptability of these services, and refer all those with positive results directly to partner clinics.
Red Nacional de Mujeres Travestis, Transexuales y Transgeneros de Bolivia (RED TREBOL) (Cochabamba, Bolivia) – $20,000
Trans-Friendly Health Center
RED TREBOL will use its third consecutive grant from amfAR to create the first trans-specific health center in Cochabamba. RED TREBOL will establish a physical space for the clinic and begin to train peer educators to promote the clinic and its services and distribute referrals for the clinic to create demand. A medical team that currently provides services for RED TREBOL at their mobile unit program with the Global Fund will offer HIV testing and counseling, hormones and hormonal guidance, STI prevention and treatment services, and mental health services at the clinic.
Asociación Silueta X (Guayaquil, Ecuador) – $19,980
Improving Access to Health Services for Transgender People in Ecuador
Silueta X will actively engage the local government and health authorities to create or improve holistic health services for trans individuals in public clinics and to ensure the authorities’ sustained and active participation in the project. Silueta X will also strive to create a model for trans health that can be replicated across Guayaquil by working with the government and health authorities through a series of roundtables and meetings to extend training, workshops, and education to clinics across the city. Peers working with Silueta X will be trained throughout the life of the project to assist in these meetings and trainings.
Asociación Colectivo Violeta (ACV) (Tegucigalpa, Honduras) – $20,000
Quality Care in Health Services for the LGBT Population in Honduras
ACV will use this amfAR grant to improve health services for GMT in two central public health clinics in Tegucigalpa frequented by the population. ACV will survey GMT on their perceptions of current services in order to determine the gaps and services in need of improvement, and will also perform a needs assessment of healthcare workers in order to improve service delivery. Based on the results, ACV will train 30 healthcare workers to reduce stigma and improve health access. In addition, ACV will document cases of discrimination or poor service delivery and synthesize the findings in a report they will share with the government and health authorities.
Centro de Desarrollo e Investigación sobre Juventud, A.C. (Campeche, Mexico) – $18,000
Strengthening Community Sexual Health Services for Indigenous Mayan Transgender Women: 2.0
CDIJ will use their third grant from amfAR to develop a training for healthcare providers in Campeche, Mexico to help them improve HIV-related service delivery for indigenous trans individuals, and thereby increase the rates of HIV testing and treatment. The group will also train GMT leaders to improve HIV prevention knowledge among the indigenous trans community. CDIJ will create quality controls with simulated patients and combine this data with interviews from beneficiaries to understand the levels of stigma, discrimination, and violence faced by indigenous trans individuals in Campeche. The results will be presented to public health clinics and local government authorities to improve healthcare.
Grupo Génesis Panamá + (GGP+) (Panama City, Panamá) – $19,955
Health Education and HIV Risk Reduction for Omeggid Population
GGP+ will work with omeggid, an indigenous trans population, to evaluate their HIV risks. GGP+ will compile data from 300 omeggid to better understand their sexual behaviors and then design and organize a series of workshops to address the risks and gaps in their understanding and practices. GGP+ will provide culturally competent clinical and psychosocial services for HIV testing, prevention, treatment, and care, and produce educational materials that address the omeggid needs regarding these services.
SOMOSGAY Asociación Civil (Asunción, Paraguay) – $20,000
Increase Universal Access for HIV and STIs in GMT Population in Encarnacion, Paraguay
This project is a continuation of past amfAR funding to increase voluntary HIV counseling, testing, and treatment services and referrals for follow-up care for GMT in the peri-urban city of Encarnacion. These health services will be available at SOMOSGAY’s GMT health center. SOMOSGAY and the team in Encarnacion will also work to capacitate and train public healthcare workers to improve health services at other health facilities.
Asociación Civil Angel Azul (Lima, Perú) – $19,940
HIV Prevention and Advocacy to Improve the Quality of Health Services for GMT in Lima.
ACAA will develop a baseline questionnaire for GMT in Lima to better understand barriers to healthcare access in Lima and share these results with the Ministry of Health and local authorities. Based on these findings, AACA will train GMT leaders to address HIV prevention and care among the GMT community in Lima, and train more than 90 healthcare workers to improve health services. AACA will work towards signing a memorandum of understanding (MoU) with Lima authorities as a pledge to continue to improve health services for GMT.
Sociedad Wills Wilde A.C. (Merida, Venezuela) – $19,940
Sexual Health Care Services for GMT in Merida, Venezuela
Sociedad Wills Wilde A.C. will educate the GMT population about HIV while also empowering them by creating platforms for risk-reduction practices that promote discussions about healthy and realistic sexual relationships among men. SWW will also design a campaign focused on improving access to voluntary HIV testing and STI screenings. In addition, SWW will train healthcare workers to provide GMT with health services that are free of stigma and discrimination and train GMT about human rights and the law in Venezuela.
Advocacy in Action Awards
In October 2013, the GMT Initiative launched a trans-specific component to the Advocacy in Action project to engage trans-led grantee partners to implement advocacy projects focused on trans rights and health. With two-year funding from the Arcus Foundation, amfAR recruited four partners based in the Dominican Republic, South Africa, and Thailand for the project.
Comunidad de Trans y Travestis Trabajadoras Sexuales Dominicana (COTRAVEDT) (Santo Domingo, Dominican Republic) – $50,000
Trans in Action
COTRAVEDT will implement an advocacy project to improve health outcomes for transgender individuals in the Dominican Republic, with an emphasis on HIV/AIDS. COTRAVEDT will collect essential data through a participatory needs assessment on the transgender individuals’ HIV/AIDS risks and then conduct workshops to build the community’s advocacy skills. Based on the findings from the needs assessment, key policymakers and other stakeholders will be informed about the importance of gender identity, highlighting the grave human rights abuses and gender-based violence experienced by the community. COTREVEDT will advocate for legal and policy change, as well as for increased investment in HIV services for transgender individuals.
Transgender and Intersex Africa (TIA) (Pretoria, South Africa) – $50,000
Improving Trans Health and Policy in South Africa
TIA will improve trans-specific health services in South Africa—including HIV services—through direct capacity-building trainings for public health workers and by performing national-level advocacy for policy change. TIA will utilize a community needs assessment it performed using a past amfAR award to conduct trainings for public health practitioners on how to provide quality health services for transgender individuals. At the same time, TIA will advocate for more inclusive health and human rights policies at the national level. TIA will also strengthen its internal capacity to conduct healthcare provider trainings and to be active members of key national decision-making bodies. Finally, TIA will raise public awareness on trans issues through radio, television, and social media campaigns.
Thai Transgender Alliance (ThaiTGA), in collaboration with FOR SOGI (Bangkok, Thailand) – $50,000
The Gender Recognition Advocacy for Transgender People in Thailand
ThaiTGA will advocate for positive changes to gender recognition laws that will improve the health and wellbeing of Thai transgender people, including by reducing their HIV vulnerabilities. Led by transgender leaders and other sexual health activists, the project will include a participatory community needs assessment, legal research and analysis, leadership capacity strengthening for transgender individuals, advocacy efforts targeting high-level government decision makers, and public mobilization campaigns to increase awareness and support for transgender rights and health. amfAR will also provide support to assist ThaiTGA in becoming a registered non-profit organization, thereby strengthening their capacity to continue their advocacy efforts.
The Health and Opportunity Network (HON) (Pattaya, Thailand) – $50,000
My Life & Rights: Trans Health Advocacy and Community Action
HON will create public understanding and support for the health and sexual rights of transgender individuals through community capacity-strengthening workshops, advocacy, and social campaigning. Led by transgender leaders, the project will work to change local and national health and human rights policies that impact transgender individuals. Specifically, the project will improve transgender individuals’ ability to access health information and services, including hormone treatment and HIV services, by working with the health services sector; empower transgender individuals to champion their own health and rights and be more engaged in national-level advocacy efforts; and conduct public education campaigns that portray transgender individuals in positive ways. amfAR will also continue to strengthen the HON’s organizational capacity for sustainability beyond the project.