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The Debates over Mexico City’s HIV/AIDS Clinic:

The Debates over Mexico City’s HIV/AIDS Clinic:. Sociopolitical Implications for HIV Prevention, Treatment, and Comprehensive Health Care for Transgender Sex Workers. ORALIA GÓMEZ-RAMÍREZ, U. OF BRITISH COLUMBIA XIX INTERNATIONAL AIDS CONFERENCE 2012 – WASHINGTON, D.C. BACKGROUND.

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The Debates over Mexico City’s HIV/AIDS Clinic:

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  1. The Debates over Mexico City’s HIV/AIDS Clinic: Sociopolitical Implications for HIV Prevention, Treatment, and Comprehensive Health Care for Transgender Sex Workers ORALIA GÓMEZ-RAMÍREZ, U. OF BRITISH COLUMBIA XIX INTERNATIONAL AIDS CONFERENCE 2012 – WASHINGTON, D.C.

  2. BACKGROUND • 2008: Trans Law is approved in Mexico City • Allows name and sex change in birth certificates • 2009: Trans health program begins in Mexico City’s HIV Clinic • Goals: • Hormonal treatments • Psychological counselling • HIV and STIs treatment and prevention • Limits: • No access to surgeries or comprehensive health care

  3. METHODS • Ethnographic research • August 2009 – September 2009 • May 2010 – August 2011 • Documentary research • Analysis: • Qualitative bottom-up approach • Emphasis on sociocultural dimensions: perceptions and attitudes • MtF trans activists’ and sex workers’ points of view

  4. RESULTS • Trans activists’ diverging points of view • Transphobia vs. visibilization • Comprehensive health care vs. HIV and STIs-specific health care • Stigma predicament • Vulnerability to HIV • Pathologization of trans conditions • Sociocultural and health dimensions go hand in hand

  5. RESULTS • Trans sex workers’ attitudes and points of view • Assessment of precarious labour opportunities • HIV clinic, at times, as source of condom provision • Generalized reluctance to go to the HIV clinic for hormonal treatments and/or HIV and STIs testing • Fear that formal hormonal treatments may jeopardize their ability to satisfy clients • Uneven and heterogeneous distribution of sociocultural capital

  6. CONCLUSIONS • Predicament between transphobia/stigmatization and visibilization/attention to HIV-vulnerability still a pending challenge • Local sociocultural and political dimensions need to be fully considered when envisioning HIV-specific programs • Broader focus of social and health justice movements • Struggles for trans people’s rights should keep in mind the health, social and political struggles around HIV/AIDS • HIV/AIDS-related health policies and programs should take into account the fight for trans rights and recognition

  7. ACKNOWLEDGEMENTS

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