{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:54:27Z","timestamp":1782215667301,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The World Health Organization (WHO) is guided by its global programme of work and the goal that a billion more people have universal health coverage (UHC). To achieve UHC, access for those most vulnerable must be guaranteed and prioritized. WHO is committed to developing evidence\u2010based guidance to work towards UHC for trans and gender diverse (TGD) people. This commentary describes WHO's work related to TGD people over the last decade.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In 2011, WHO developed guidelines for the prevention and treatment of HIV and sexually transmitted infections (STIs) in men who have sex with men and TGD people. In 2013, the \u201cHIV civil society reference group\u201d called on WHO to provide specific guidance for TGD people. Values and preferences of TGD people were considered by WHO for the first time, which informed the development of the 2014 WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations. The 2014 Guidelines included a comprehensive package of HIV\u2010related health and enabling interventions with specific considerations for TGD people, as well as a specific policy brief in 2015. Regional WHO offices developed and\/or supported the development of blueprints on transgender health and HIV in 2014 and 2016. A 2015 WHO report on sexual health, human rights and the law elucidated the harmful impacts of discriminatory laws on the basis of sexual orientation and gender identity. In 2019, the 11th edition of the international classification of diseases saw the removal of \u201ctranssexualism\u201d as a mental and behavioural disorder. WHO's first guideline on self\u2010care interventions, updated in 2021, included key considerations concerning TGD people. In 2022, WHO's updated key populations guidelines include a prioritized package of not just HIV, but also viral hepatitis and STI health interventions for TGD people. Still, a broader and more specific health approach and a greater focus on social issues are needed to better serve the health needs of TGD people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>WHO's understanding and commitment to TGD people's health has evolved and improved over the past decade. Together with professional and community trans health organizations, WHO should now start developing evidence\u2010informed global guidance on TGD health as part of its remit to support UHC to all.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26004","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T05:49:27Z","timestamp":1665640167000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The World Health Organization's work and recommendations for improving the health of trans and gender diverse people"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5798-6059","authenticated-orcid":false,"given":"Virginia","family":"Macdonald","sequence":"first","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Verster","sequence":"additional","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeve B.","family":"Mello","sequence":"additional","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6900-9124","authenticated-orcid":false,"given":"Karel","family":"Blondeel","sequence":"additional","affiliation":[{"name":"UNDP\u2010UNFPA\u2010UNICEF\u2010WHO\u2010World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avni","family":"Amin","sequence":"additional","affiliation":[{"name":"UNDP\u2010UNFPA\u2010UNICEF\u2010WHO\u2010World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Luhmann","sequence":"additional","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Baggaley","sequence":"additional","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg","family":"Doherty","sequence":"additional","affiliation":[{"name":"Global Programme for HIV Hepatitis and STIs World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"The thirteenth general programme of work, 2019\u20132023","author":"World Health Organization","year":"2019"},{"key":"e_1_2_9_3_1","volume-title":"Health in 2015 from millenium development goals to sustainable development goals","author":"World Health Organization","year":"2015"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0000000000000227"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000570"},{"key":"e_1_2_9_6_1","volume-title":"Trans legal mapping report 2019: recognition before the law","author":"Chiam Z","year":"2020"},{"key":"e_1_2_9_7_1","volume-title":"Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender populations","author":"World Health Organization","year":"2009"},{"key":"e_1_2_9_8_1","volume-title":"Guidelines: prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: recommendations for a public health approach","author":"World Health Organization","year":"2011"},{"key":"e_1_2_9_9_1","unstructured":"World Health Organization. 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Ultimately our fight is not against a single disease. Our fight is against a world in which people get sick and die simply because they are poor or female or young gay transgender sex workers use drugs or are in prison. Our fight is for #HealthForAll.Twitter;2020."}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.26004","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jia2.26004","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.26004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T23:38:09Z","timestamp":1692315489000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jia2.26004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":28,"journal-issue":{"issue":"S5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1002\/jia2.26004"],"URL":"https:\/\/doi.org\/10.1002\/jia2.26004","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"value":"1758-2652","type":"print"},{"value":"1758-2652","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2021-12-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e26004"}}