3.69, respectively).215 The environment in which transgender sex workers operate,
including the clients they encounter and the use of drugs and stimulants, means greater
attention should be paid to the health risks they face.
Programming Response
For this report, we also interviewed organizations with programming for transgender
communities. However, their programming was primarily as part of general HIV-related
health interventions. There were limited services offered for other pressing needs of
the transgender community, including mental health or psychological counseling,
transitioning support (especially on hormone use) or dealing with discr