An introduction to gender affirming healthcare: What the family physician needs to know

South African Family Practice

Field Value
Title An introduction to gender affirming healthcare: What the family physician needs to know
Creator Muller, Madeleine de Vries, Elma Tomson, Anastacia McLachlan, Christine
Subject — gender affirming healthcare; transgender; key populations; patient centred care; gender diverse; access to care; hormone therapy
Description Gender affirming healthcare (GAHC) is a relatively new field in primary health care that describes a range of gender affirming practices, including hormone therapy, for transgender and gender diverse (TGD) people. In 2019, gender affirming hormones were approved by South African National Essential Medicine List Committee (NEMLC) for tertiary-level care, and in October 2021 the Southern Africa HIV Clinicians Society published a GAHC guideline for South Africa. Unfortunately, TGD people still experience discrimination and stigmatisation in healthcare facilities in South Africa, leading to poor access to care and higher health risks with poorer outcomes. Gender affirming care in the primary health care clinic can improve access to health care, with improved provision of preventative services. This article defines key transgender concepts, describes the informed consent process and outlines the initiation and monitoring of both feminising and masculinising hormone treatment for TGD people. Staff at healthcare facilities need to receive training on gender affirming practices and how to ensure a safe environment for TGD clients.
Publisher AOSIS
Date 2023-07-31
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5770
Source South African Family Practice; Vol 65, No 1 (2023): Part 4; 5 pages 2078-6204 2078-6190
Language eng
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Rights Copyright (c) 2023 Madeleine Muller, Elma de Vries, Anastacia Tomson, Christine McLachlan