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SGM people, particularly men who have sex with men (MSM) and transgender women, experience disproportionate HIV infection across the globe. The objective of this commentary was to synthesize facilitators of and barriers to SGM health training efforts for healthcare workers in Uganda, in order to help inform potential priorities, strategies and next steps to advance culturally responsive HIV\u2010related care for SGM communities across Uganda and sub\u2010Saharan Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>SGM health training often includes education on: foundational concepts and language; stigma, discrimination and SGM health disparities; understanding and addressing implicit bias; sensitive and effective communication and building SGM\u2010inclusive and welcoming healthcare environments. Clinicians\u2019 education includes sexual and gender histories, sex\u2010positive HIV counselling, sexually transmitted infections, HIV pre\u2010exposure prophylaxis and gender\u2010affirming hormone therapy. SGM communities in sub\u2010Saharan Africa have often experienced discrimination, persecution, incarceration and physical violence, and they encounter unique barriers to engagement in sexual health services and HIV prevention and treatment. SGM health training efforts in Uganda reveal challenges to and opportunities for advancing equity for SGM communities in sexual health and HIV medical care across the region. In Uganda, SGM community advocacy, as well as policies and programmes of the Ministry of Health and US President\u2019s Emergency Plan for AIDS Relief, have increased readiness and need for scaling up training and skills\u2010sharing in SGM\u2010focused HIV and sexual healthcare, including Ugandan\u2010led and international initiatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Numerous challenges exist to widespread culturally responsive HIV and sexual healthcare for SGM communities in sub\u2010Saharan Africa. Lessons learned from healthcare worker training efforts in Uganda may inform future replication, adaptation and dissemination initiatives to meet the needs of more SGM communities in the region. Evaluation of SGM health training programmes to determine the impact on HIV virological suppression and sexual health outcomes will be critical for identifying best practices and strategies that may support advancing HIV epidemic control for SGM communities in Uganda and across sub\u2010Saharan Africa.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.25728","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T03:10:35Z","timestamp":1625109035000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Healthcare worker training to improve quality of care for sexual and gender minority people in sub\u2010Saharan Africa: learning from efforts in Uganda"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6624-8354","authenticated-orcid":false,"given":"Alex S","family":"Keuroghlian","sequence":"first","affiliation":[{"name":"The Fenway Institute Fenway Health  Boston MA USA"},{"name":"Department of Psychiatry Massachusetts General Hospital and Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Mujugira","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7460-733X","authenticated-orcid":false,"given":"Kenneth H","family":"Mayer","sequence":"additional","affiliation":[{"name":"The Fenway Institute Fenway Health  Boston MA USA"},{"name":"Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School  Boston MA USA"},{"name":"Department of Global Health and Population Harvard T.C. 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