Report Addresses inclusion of LGBTI People to SDG Goal Target 3.3

OutRight partnered with MSMGF on the briefing paper “Ensure Healthy Lives and Promote Well-Being for All at All Ages”. It is specific to the health needs of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. The paper analyzes the existing data pertinent to the health and well-being of LGBTI people across the seven targets within this the SDG 3 goal on good health and well-being.

The following is in the briefing paper. It highlights data that applies to SDG Goal Target 3.3 which states, “By 2030, end the epidemic of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.”

Vulnerability
In low- and middle-income countries, transgender women are 49 times more likely to be living with HIV than the general population.

  • Gay, bisexual men and other men who have sex with men (MSM) are 19 times more likely to be living with HIV. Median HIV prevalence is consistently higher among gay, bisexual and other MSM compared to the general population.

  • Transgender women are 49 times more likely to be living with HIV.

  • 19% of transgender women are estimated to be living with HIV.

Availability of Preventative Care and Treatment
According to data from a 2014 global online survey, only half of or fewer than 2,312 men who have sex with men from 154 countries perceived that condoms, lubricants, HIV testing, and HIV treatment were easily accessible, and younger men generally reported comparatively lower access to all services.

In the same survey, trans MSM reported significantly lower odds of perceived access to HIV testing and condom-compatible lubricants than cisgender MSM. 2% HIV prevention programs for MSM is estimated to compose just 2% of total global and domestic investment in the HIV response.

Exclusion of gay and bisexual men and transwomen, as well as vulnerable lesbian and bisexual women, from national AIDS planning processes has contributed to inadequately funded, inaccessible, and poorly targeted programs.

Data on treatment coverage among gay and bisexual men and transwomen is almost non-existent because governments refuse or don’t know how to safely and respectfully collect and report this data.

Recommendations to member states

  1. Collect HIV incidence data disaggregated by sexual orientation, gender identity and expression, and sex characteristics (SOGIESC)
  2. Collect treatment coverage data disaggregated by SOGIESC
  3. Measure and collect stigma and discrimination in access to quality HIV services.
  4. Invest in community-based LGBTI-led organizations for strengthened capacity development and expanded opportunities to strategize and lead in the HIV response.

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