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Background

Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys. L. Ramakrishnan 1 , P. Goswami 1 , T. Subramaniam 2 , S. Mathew 1 , S. Ramanathan 1 , B. George 1 , R . Adhikary 3 , M.K. Mainkar 4 , R.S. Paranjape 4

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Background

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  1. Transgender in Tamil Nadu are still highly vulnerable to HIV and STIs; findings from bio-behavioral surveys L. Ramakrishnan1, P. Goswami1, T. Subramaniam2, S. Mathew1, S. Ramanathan1, B. George1, R. Adhikary3, M.K. Mainkar4, R.S. Paranjape4 1FHI 360, India, New Delhi, India 2National Institute of Epidemiology (NIE),ICMR, Chennai, India 3FHI 360, Washington, Washington DC, United States 4National AIDS Research Institute-ICMR, Pune, India

  2. Background Chennai Dharmapuri Salem Coimbatore Madurai • A prevention program for Transgender (TG) (Hijraor Aravani) was implemented in parallel to the program for MSM populations, across 14 districts of Tamil Nadu, India since 2004 • Program focus was on peer education, condom promotion, STI clinical services, community mobilization and advocacy for rights against marginalization • Current analysis examines outcomes among Aravaniafter program implementation, based on two rounds of cross-sectional bio-behavioral survey data (IBBA) collected in 2006-07 (Round 1) and 2009 (Round 2) • Probability based sampling approach was used to recruit respondents from street and home based locations • A total of 404 respondents in Round 1 and 403 in Round 2 were sampled across five districts: Chennai, Coimbatore, Dharmapuri, Madurai, Salem

  3. Key Results

  4. Summary • Condom use (at last sex) declined between IBBA rounds with all partners; consistent condom use increased with regular and casual partners, but statistically not significant • Peer contacts increased over the two rounds however STI clinic visits declined • Prevalence of HIV remained unchanged between rounds; Syphilis prevalence declined significantly • Additional behavior change communication strategies and structural interventions are needed to reduce risk of HIV and STIs among Transgender in Tamil Nadu

  5. Acknowledgement • The collection and analysis of data presented hereby were conducted as part of the Avahan evaluation strategy and were supported by the Bill & Melinda Gates Foundation

  6. Thank You

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