WEPDC0104 - Poster Discussion Abstract
Mapping and size estimation of male-to-female transgender community in 17 states of India: first level findings at the country level
Presented by Thilakavathi Subramanian (India).
T. Subramanian1, S. Mehendale1, N. Dhingra2, V. Chakrapani3, V. Selvaraj1, E. Noronha4, A. Narang4
1National Institute of Epidemiology, Chennai, India, 2Goverment of India, Department of AIDS Control, Targetted Interventions, New Delhi, India, 3Centre for Sexuality and Health Research and Policy (C-SHaRP), Chennai, India, 4United Nations Development Programme, HIV and Development Unit, New Delhi, India
(TG) people have been recognized by the Department of AIDS Control, India, as a
core population among which HIV interventions need to be scaled up. For
effective planning, implementation and evaluation of HIV interventions among TG
people, it is crucial to have information on mapping and size estimation. Hence,
a large-scale study was executed in 17 States, where some
baseline data on TG people were available.
Methods: The study was conducted between December 2012 and September 2013 in17States.
Detailed listing of the sites up to the district level was done with the help
of stakeholders, especially NGOs/CBOs working with sexual minorities. Participatory approaches using key community informants (with Delphi consensus)
for site identification and nomination methods for size estimates were followed
by site-visits for verification. Ten percent of the districts
from each state and a sub-sample of the mapped sites were randomly selected for
validation, and an independent team visited those sites.
Results: In the 17 study States, initially
7185 TG sites were identified, and subsequent validation found 1364 sites to be defunct. Point
estimate of the TG population from the remaining 5,821 sites was 62,137 (53,280
to 74,297). Majority (71%) of TG
people were in urban locations and 47% were part of ''gharanas'' (living in
groups under ''Guru'' or Master). Among the estimated TG population in sex work
(62%), 72% were gharana based. Estimated number of TG people to engage in: begging=28%,
get paid for blessings=31%, and dancing=18%. In 9/17 states, more than 60% of TG people were estimated
to be in sex work. Twenty-nine
districts out of 466 districts in 17 states had more than 400 TGs. Original estimates
and estimation by validation team were similar.
Conclusions: In a phased manner, exclusive TG Targeted HIV interventions can be planned and implemented in sites
with high number and concentration of TG people. In 11 states, 15 sites have
been identified for tracking HIV and risk behaviors of TG people through National
Integrated Biological and Behavioural Surveillance of Dept. of AIDS Control, starting
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