Published: 25 June 2024

Interview: Working Effectively with Transgender Communities

By Justin Salerno, Health Equity Matters with Jasmine Flecher and Yeşim Karasu, Transhub ACON.

Engaging with Transgender Communities: In a recent video call, Justin Salerno sat down with Jasmine Flecher and Yeşim Karasu to explore effective strategies for engaging with transgender communities. Their discussion offers valuable insights into creating inclusive and affirming spaces for transgender individuals seeking healthcare services.

Creating Inclusive Environments: The conversation began with an emphasis on the importance of healthcare providers striving to foster inclusive spaces. However, it was noted that the ultimate judgment of whether an environment is truly welcoming lies with the individual seeking care. Continuous learning, training, and development were highlighted as essential commitments for healthcare providers. Practical steps, such as implementing gender-neutral intake forms and actively seeking feedback from the transgender community, were suggested to ensure that services are tailored to meet their needs.

Addressing Systemic Barriers: Systemic barriers were identified as significant obstacles to accessing healthcare for transgender communities, particularly in sexual health services. Personal experiences shared during the interview shed light on the lack of accurate information and regional disparities in service provision. To dismantle these barriers, healthcare providers were urged to stay informed about best practices, offer comprehensive sexual health care, and collaborate closely with specialised services. Building rapport with patients and integrating their feedback into policy were highlighted as crucial steps towards ensuring sustained improvements in service provision.

Understanding Transgender Sexual Health Needs: The conversation also touched upon the misunderstandings that often exist regarding transgender sexual health needs. Providers were encouraged to avoid making assumptions, offer culturally sensitive care, and stay updated on the latest research and guidelines. It was emphasised that transgender individuals require comprehensive sexual health services, including STI testing, contraception, and HIV prevention. Effective communication, openness to self-identity, and a commitment to providing affirming care were identified as essential components of transgender healthcare.

Intersecting Identities: Intersectionality emerged as a central theme in discussions about transgender healthcare experiences. Participants highlighted the importance of recognising and addressing the intersecting factors of race, socio-economic status, and other identities when providing care. Healthcare providers were urged to undergo cultural competence training, ensure language accessibility, and consider the diverse needs of their patients. Understanding how privilege intersects with healthcare experiences was identified as a crucial step towards fostering inclusivity and equity in healthcare settings.

Advice for Transgender Healthcare Workers: For transgender individuals working in healthcare, finding support networks and prioritising self-care were emphasised as essential strategies for navigating challenging systems. While the experience of working in healthcare can sometimes be isolating, participants encouraged transgender healthcare workers to remember that they are part of a broader movement for change. Advocacy, research, and creative problem-solving were highlighted as empowering tools for driving positive transformation within the healthcare sector.

Key Insights and Final Thoughts: In conclusion, the interview underscored the fundamental principles that healthcare is a human right, and trans rights are human rights. Despite the challenges that exist, participants expressed optimism about the potential for positive change within the healthcare system. By embracing continuous learning, empathy, and collaboration, healthcare providers can create environments where everyone feels valued, respected, and able to access the care they need.

In summary, working effectively with transgender communities in healthcare requires more than just policies and procedures—it demands genuine understanding, empathy, and a commitment to addressing the diverse needs of every individual. By listening to transgender voices, advocating for change, and fostering inclusivity, healthcare providers can create spaces where everyone feels welcome and affirmed in their identities.