Trans People’s Council recommends review of medical program and awareness of doctors – The Swaddle

The National Council for Transgender People in India arose with a set of recommendations suggesting a revision of the medical curriculum in India, with the aim of producing sensitized doctors. The idea is to really equip them to provide gender-specific health care.

The body was created in 2020 under the provisions of the Transgender people (Protection of Rights) Act, 2019. It is headed by the Indian Minister of Social Justice and Empowerment.

The council expressed the need for orientation programs to educate health professionals about gender-based health care. Subsequently, he recommended identifying specialists in each state, who would then be authorized to perform gender-specific surgeries.

“[It] is not a simple surgical procedure. It requires all healthcare professionals involved to be non-judgmental, provide post-operative care, and provide adequate pain relief. So it cannot involve just one surgeon, but all the professionals necessary to make the process possible must be on board ”, Dr Sameera Jahagirdar, intensive care specialist in Pondicherry, had explained. She is a trans woman herself and has developed a protocol for gender-specific surgeries in India.

Urging health professionals to be sensitized is not only in favor of social justice; it’s a matter of life and death, literally. In July, Anannyah Kumari Alex, a 28-year-old trans woman from Kerala, committed suicide after experiencing “excruciating” pain from the sexist surgeries she had undergone last year. Pain was starting to hamper his day-to-day life. “I come before you as a victim of serious medical negligence”, she said in an interview before his death.

“[T]’The incident is a marker of how trans bodies are often overlooked and treated apathetically by the entire healthcare system, ”Rohitha Naraharisetty wrote in The Swaddle earlier this year.


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“Doctors and medical staff who are not trained in gender affirmative or inclusive medicine … tend to pathologize trans people as having ‘gender identity disorders’, in addition to refusing or providing treatment. inadequate for various health problems, ”she added.

Recognizing the challenges of gender-specific health care in the country, the council stressed the “need to prevent” gender-based surgeries by health professionals who are “not trained or well equipped” due to “such operations involving surgery. sometimes victims ”.

“[D]Octors sometimes don’t even understand the issues transgender people face, ”a senior government official said. says the impression. “There must be changes in the program to educate them. If it starts at the level of [the] program itself, it will have a far-reaching effect, ”added the official.

It is also relevant to point out that, according to a 2019 study, gender-specific health care in some parts of the country is in fact ‘scarce or [even] non-existent. ”The“ lack of training ”of health professionals in public hospitals was cited as one of the main reasons for the current situation.

This forces people who opt for gender-sensitive surgeries to seek out private hospitals which are not only unaffordable for many, but are also known to evade liability. It also makes surgical options for trans people appear as ‘luxury’ cosmetic services rather than as essential wellness measures to uphold the right to live. [for] a certain part of society, ”the study noted.

To address this issue, the council highlighted the “need for medical insurance covering medical needs” and also recommended exploring the prospect of “CSR participation in the transgender welfare program”.

The lack of gender-sensitive health care is just one of the many obstacles facing the trans community in modern India. “It’s a combination of issues – no acceptance of trans bodies because there is no knowledge of trans bodies, no education. Therefore, there is no infrastructure that supports trans people,” said Amrita Sarkar, a transgender activist. said to swaddle in 2019, adding that “acceptance can only come at a later stage, when the health service is there. Corn [right now] it’s not. ”Perhaps the implementation of the new set of recommendations can change that to some extent.



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