Name of the Project   : GIZ Shadows and Light

Supported / funded by  :IPPF

Duration   : 1ST December 2012 to 30th September 2015

Goals                       : To promote  SRH-HIV linkages for key populations within the GFATM

process and programmes


Objectives :         : To develop IPPF service capacity that addresses SRH-HIV linkages for transgender populations  and to increase action on SRH-HIV linkages for transgender within GFATM CCMs in India


Locations / Branches involved  :Mumbai in Maharashtra,  Chennai in Tamil Nadu,  Bangalore in Karnataka and Hyderabad in Andhra Pradesh


Brief description (100 words)

The transgender community in India faces high vulnerability to HIV linked to reportedly high numbers of sexual partners, low condom use and overlaps with sex work. As per National AIDS Control Organisation (NACO), [1] HIV prevalence among Men who have Sex with Men has declined (7.41% in 2007 to4.43% in 2011), but Transgender are emerging as a risk group with high vulnerability and high levels of HIV. There is still considerable stigma and discrimination towards transgender women and [2]hijra communities and they continue to be under-represented in the national HIV response.


The Family Planning Association of India (FPAI) is building on several years of experience in working with MSM and Transgender communities and plans to further scale up targeted interventions for MSM and Transgender women and hijra communities. The initial recruitment of staff from these communities has been well received and well placed to identify the needs and demands. Due to stigma and discrimination in the health care settings, the community members do not access services making them vulnerable to STI/HIV infections. FPA India efforts to partner with other health care providers to address the special needs like gender feminine procedures are showing results. 


Any noteworthy / special comment or case studies/ stories

Recruiting staff from the community has been very encouraging as they know the needs and demands well than anyone. Initial comments from the transgender community have been very positive towards seeing a community member at the clinic. One of the transgender clients in Mumbai who had come to enquire about hormone therapy said ‘I am very happy to see one of our community members in the clinic. I feel comfortable sharing my problem with her because she understands my problem’.

·            Engaging a health care provider who is MSM/TG friendly is very important as KPs feel comfortable sharing their problems. As mentioned earlier, all the four locations engaged a health care provider who provides health services to KPs; this helped to reach out to more number of KPs.

·            Addressing their gender transition needs- for example most of them wanted laser therapy than Hormone. In Mumbai and Chennai it was possible to get a specialist who visits agreed to come to the FPAI centre to provide these services. While accessing these services they were motivated to access other services also, It was noticed that most of them accessed other services like screening for Hepatitis, HIV counselling and STI. 

·            Effective counseling – most of the TG do not get proper guidance nor counselling regarding the gender transition services. They mostly depend on their peers and due to lack of knowledge and stigma discrimination they do not access neither services nor information and get into vulnerable situation.  If they are provided accurate information and counselling in a friendly manner, they understand the implications of their act and take appropriate action.

·            The response to generalized epidemics can frequently lead to neglect of the needs of key populations who experience the epidemic at its most severe. This often overlaps with political and cultural intolerance and denial of the rights or existence of these populations, undermining the likelihood of a targeted response to HIV aimed at the specific targeted SRH-HIV needs of key populations.


Result/ progress/ impact (if any) (100 words)

·            Hormonal therapy initiated: Laser Therapy started at Mumbai and Chennai (this service is given by a specialist who visits the branch once a month)

·            New PLHIV MSM/TG   contacted -67

·            HIV related services -  1843

·            STI services -1131 includes STI consultation, treatment and referrals

·            Laboratory services- 1292 includes hepatitis ,KFT,VDRL ,CBC etc.,

·            Condoms and Lubricants-  123 lubricants and 51,000 Pieces of condoms

·            Screening – 93 includes liver  disease, allergies etc.,

·            Referrals- 193 includes Sex Reassignment Surgery, Silicon Breast implantation, Laser, Speech Therapy, Urology etc.,


One special photo

Description: C:\Documents and Settings\admin\Desktop\Picture 107.jpg Blood collection for KFT  LFT





Additional info:


(Whether donor logo needs to be included; any hyperlink with donor website etc.)


[1] NACO Annual Report 2012-2013

[2]The term ‘hijra’ is a cultural reference to males who adopt feminine gender roles, and commonly used in India