{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T06:28:10Z","timestamp":1793600890513,"version":"4.5.0"},"reference-count":56,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Social Science & Medicine"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.socscimed.2026.119853","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:03:16Z","timestamp":1790319796000},"page":"119853","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Health system barriers to care for lesbian, gay, bisexual, transgender, and intersex populations in Nepal: A qualitative multi-stakeholder study"],"prefix":"10.1016","volume":"409","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7121-7421","authenticated-orcid":false,"given":"Kamal","family":"Gautam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Paudel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8835-7594","authenticated-orcid":false,"given":"Bandana","family":"Bhandari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Le","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandesh","family":"Bhusal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Safaet Hossain","family":"Sujan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Dhakal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghnath","family":"Dhimal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4910-9707","authenticated-orcid":false,"given":"Laura","family":"Dean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshab","family":"Deuba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Wickersham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Shrestha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Theobald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.socscimed.2026.119853_bib1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2025-022544","article-title":"Barriers to health and social inclusion among transgender and MSM populations in India: a mixed-methods multicentric study","volume":"11","author":"Aggarwal","year":"2026","journal-title":"BMJ Glob. Health"},{"issue":"4","key":"10.1016\/j.socscimed.2026.119853_bib2","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1530\/EJE-10-1038","article-title":"A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones","volume":"164","author":"Asscheman","year":"2011","journal-title":"Eur. J. Endocrinol."},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/0020731419885093","article-title":"A systematic review of the discrimination against sexual and gender minority in health care settings","volume":"50","author":"Ayhan","year":"2020","journal-title":"Int. J. Health Serv."},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/S1473-3099(12)70315-8","article-title":"Worldwide burden of HIV in transgender women: a systematic review and meta-analysis","volume":"13","author":"Baral","year":"2013","journal-title":"Lancet Infect. Dis."},{"key":"10.1016\/j.socscimed.2026.119853_bib5","doi-asserted-by":"crossref","DOI":"10.1017\/S1478951524001913","article-title":"Discriminatory health care reported by seriously ill LGBTQ+ persons and partners: Project respect","volume":"23","author":"Berkman","year":"2025","journal-title":"Palliat. Support Care"},{"issue":"4","key":"10.1016\/j.socscimed.2026.119853_bib7","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1177\/0890117118810246","article-title":"Cardiovascular disease disparities in sexual minority adults: an examination of the behavioral risk factor surveillance system (2014-2016)","volume":"33","author":"Caceres","year":"2019","journal-title":"Am. J. Health Promot."},{"key":"10.1016\/j.socscimed.2026.119853_bib8","series-title":"What Nepal's Ministry Rename Means for the Queer Community\u2014And what It Doesn\u2019T","author":"Chand","year":"2026"},{"key":"10.1016\/j.socscimed.2026.119853_bib9","series-title":"Barriers Encountered by Young Lesbian and Bisexual Women in Accessing Health Care Services: the Case of Turkey Proquest Dissertations & Theses]","author":"Co\u015far","year":"2020"},{"issue":"11","key":"10.1016\/j.socscimed.2026.119853_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/S2352-3018(18)30297-2","article-title":"Blue diamond society: working with Nepal's LGBT community","volume":"5","author":"Cousins","year":"2018","journal-title":"Lancet HIV"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib11","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-090005","article-title":"Impact of education and training on LGBT-Specific health issues for healthcare students and professionals: a systematic review of comparative studies","volume":"15","author":"Damery","year":"2025","journal-title":"BMJ Open"},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib12","first-page":"532","article-title":"Differences in substance use between sexual orientations in a multi-country sample: findings from the global drug survey 2015","volume":"39","author":"Demant","year":"2017","journal-title":"J. Publ. Health"},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0058099","article-title":"Psychosocial health problems associated with increased HIV risk behavior among men who have sex with men in Nepal: a cross-sectional survey","volume":"8","author":"Deuba","year":"2013","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib14","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/0966369X.2014.958065","article-title":"Critical feminist reflexivity and the politics of whiteness in the 'field'","volume":"23","author":"Faria","year":"2016","journal-title":"Gend. Place Cult. : a journal of feminist geography"},{"key":"10.1016\/j.socscimed.2026.119853_bib15","doi-asserted-by":"crossref","DOI":"10.1037\/sgd0000841","article-title":"Lesbian, gay, bisexual, transgender, queer, and questioning youths' disclosure of their sexual orientation and gender identity across contexts: processes, decision making, and related experiences","author":"Fish","year":"2025","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"10.1016\/j.socscimed.2026.119853_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.lansea.2025.100704","article-title":"The Lancet Regional health\u2014southeast Asia: 2025 year in review","volume":"43","author":"Garg","year":"2025","journal-title":"The Lancet regional health. Southeast Asia"},{"key":"10.1016\/j.socscimed.2026.119853_bib17","doi-asserted-by":"crossref","DOI":"10.2196\/56002","article-title":"Preferences for mHealth intervention to address mental health challenges among men who have sex with men in Nepal: qualitative study","volume":"11","author":"Gautam","year":"2024","journal-title":"JMIR human factors"},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib18","first-page":"28","article-title":"More than marriages: how Nepal's marriage equality law shape public health?","volume":"23","author":"Gautam","year":"2024","journal-title":"Health prospect : J. Publ. Health"},{"key":"10.1016\/j.socscimed.2026.119853_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.drugalcdep.2025.112800","article-title":"Prevalence of chemsex and sexualized drug use among men who have sex with men: a systematic review and meta-analysis","volume":"275","author":"Georgiadis","year":"2025","journal-title":"Drug Alcohol Depend."},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib20","doi-asserted-by":"crossref","first-page":"15","DOI":"10.31871\/IJNTR.5.3.24","article-title":"Barriers in access to health care services among lesbian, gay, bisexual, transgender (LGBT)","volume":"5","author":"Giri","year":"2019","journal-title":"Int J New Technology and Research"},{"key":"10.1016\/j.socscimed.2026.119853_bib60","series-title":"Safe Motherhood and Reproductive Health Rights Act","year":"2018"},{"key":"10.1016\/j.socscimed.2026.119853_bib21","series-title":"US Funds Supported Nepal's Growing LGBTQ+ Community. now that Money Is Gone","author":"Gurubacharya","year":"2025"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib22","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/1089268020963622","article-title":"Drawing the line between essential and nonessential interventions on intersex characteristics with european health care professionals","volume":"25","author":"Hegarty","year":"2021","journal-title":"Rev. Gen. Psychol."},{"key":"10.1016\/j.socscimed.2026.119853_bib23","series-title":"Breaking Barriers: inside Nepal's First LGBTQIA+ Hormonal and Laser Therapy Clinic","year":"2024"},{"issue":"12","key":"10.1016\/j.socscimed.2026.119853_bib24","doi-asserted-by":"crossref","first-page":"e817","DOI":"10.1016\/S2352-3018(20)30198-3","article-title":"Perceived HIV stigma and HIV testing among men and women in rural Uganda: a population-based study","volume":"7","author":"Kalichman","year":"2020","journal-title":"Lancet HIV"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib25","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1007\/s44155-025-00340-z","article-title":"Determinants of inequities in access to healthcare among transgender people in Bangladesh","volume":"6","author":"Khan","year":"2025","journal-title":"Discover social science and health"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib26","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.56264","article-title":"Mental health disparities by sexual orientation and gender identity in the all of Us research program","volume":"8","author":"Lu","year":"2025","journal-title":"JAMA Netw. Open"},{"issue":"2","key":"10.1016\/j.socscimed.2026.119853_bib27","doi-asserted-by":"crossref","first-page":"e70","DOI":"10.36834\/cmej.36785","article-title":"Addressing gaps in physician knowledge regarding transgender health and healthcare through medical education","volume":"7","author":"McPhail","year":"2016","journal-title":"Canadian medical education journal"},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib28","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/1049732319860265","article-title":"Unmet expectations in health care settings: experiences of transgender and gender diverse adults in the central great plains","volume":"30","author":"Meyer","year":"2020","journal-title":"Qual. Health Res."},{"key":"10.1016\/j.socscimed.2026.119853_bib29","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1080\/26895269.2024.2441979","article-title":"Inequality in accessing sexual and reproductive health for transgender people in South Asia through an intersectional lens: a scoping review","volume":"26","author":"Murad-Kassam","year":"2025","journal-title":"Int J Transgend Health"},{"issue":"2","key":"10.1016\/j.socscimed.2026.119853_bib30","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/14754835.2017.1357028","article-title":"Sexual orientation and gender identity in Nepal: rights promotion through UN development assistance","volume":"17","author":"Oestreich","year":"2018","journal-title":"J. Hum. Right."},{"issue":"2","key":"10.1016\/j.socscimed.2026.119853_bib31","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1080\/19359705.2020.1850592","article-title":"Access to health services: barriers faced by the transgender population in India","volume":"25","author":"Pandya","year":"2021","journal-title":"J. Gay Lesb. Ment. Health"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib32","doi-asserted-by":"crossref","DOI":"10.1080\/16549716.2025.2543103","article-title":"The new administration in the USA: impact of policy changes in development assistance on low- and middle-income countries, with the example of Nepal","volume":"18","author":"Paudel","year":"2025","journal-title":"Glob. Health Action"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib33","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0296097","article-title":"Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal","volume":"19","author":"Paudel","year":"2024","journal-title":"PLoS One"},{"issue":"48","key":"10.1016\/j.socscimed.2026.119853_bib34","article-title":"Prevalence of HIV, syphilis, and condomless sex among MSM in Nepal; findings based on an integrated biological and behavioral surveillance survey using respondent-driven sampling","volume":"104","author":"Paudel","year":"2025","journal-title":"Medicine (Baltim.)"},{"issue":"5","key":"10.1016\/j.socscimed.2026.119853_bib35","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0004432","article-title":"Correlates of never testing for HIV among men who have sex with men in Nepal","volume":"5","author":"Paudel","year":"2025","journal-title":"PLOS Glob. Publ. Health"},{"key":"10.1016\/j.socscimed.2026.119853_bib36","doi-asserted-by":"crossref","DOI":"10.1016\/j.lansea.2025.100548","article-title":"Minimum service standards assessment tool and the hospital strengthening program: a novel first step towards the quality improvement of Nepal's national hospital system","volume":"34","author":"Pokhrel","year":"2025","journal-title":"The Lancet regional health. Southeast Asia"},{"issue":"3","key":"10.1016\/j.socscimed.2026.119853_bib37","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S2352-4642(18)30400-0","article-title":"Suicidal behaviour among sexual-minority youth: a review of the role of acceptance and support","volume":"3","author":"Po\u0161tuvan","year":"2019","journal-title":"Lancet Child Adolesc. Health"},{"issue":"14","key":"10.1016\/j.socscimed.2026.119853_bib38","article-title":"Prevalence of common risk factors of major noncommunicable diseases among sexual and gender minorities in Kathmandu valley, Nepal","volume":"103","author":"Poudel","year":"2024","journal-title":"Medicine (Baltim.)"},{"key":"10.1016\/j.socscimed.2026.119853_bib39","author":"Rijkaard"},{"issue":"11","key":"10.1016\/j.socscimed.2026.119853_bib40","first-page":"28","article-title":"Providers' attitudes and knowledge of Lesbian, Gay, bisexual, and transgender health","volume":"34","author":"Rowe","year":"2017","journal-title":"Fed. Pract."},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib41","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1177\/27551938231187863","article-title":"Barriers and facilitators to accessing sexual and reproductive health services among transgender people: a meta-synthesis","volume":"54","author":"Saadat","year":"2024","journal-title":"Int J social determinants of health and health services (Print)"},{"issue":"2","key":"10.1016\/j.socscimed.2026.119853_bib43","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/MED.0000000000000227","article-title":"Barriers to health care for transgender individuals","volume":"23","author":"Safer","year":"2016","journal-title":"Curr. Opin. Endocrinol. Diabetes Obes."},{"issue":"7","key":"10.1016\/j.socscimed.2026.119853_bib44","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0287745","article-title":"Stigma and discrimination against transgender men in Bhutan","volume":"18","author":"Saxena","year":"2023","journal-title":"PLoS One"},{"key":"10.1016\/j.socscimed.2026.119853_bib45","series-title":"A Year After USAID Cuts, Nepal's Sex Workers Lose a Health Care Lifeline","author":"Shrestha","year":"2026"},{"key":"10.1016\/j.socscimed.2026.119853_bib46","doi-asserted-by":"crossref","DOI":"10.1016\/j.dialog.2025.100229","article-title":"Strengthening cancer care for the LGBTQIA+ population in Nepal: a narrative review to set priorities for equitable oncology services","volume":"7","author":"Shrestha","year":"2025","journal-title":"Dialogues in health"},{"issue":"9","key":"10.1016\/j.socscimed.2026.119853_bib47","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1177\/13591053211027652","article-title":"Assessing LGBTQ+ stigma among healthcare professionals: an application of the health stigma and discrimination framework in a qualitative, community-based participatory research study","volume":"27","author":"Sileo","year":"2022","journal-title":"J. Health Psychol."},{"issue":"8","key":"10.1016\/j.socscimed.2026.119853_bib48","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1089\/jwh.2019.8052","article-title":"Disparities in chronic health outcomes and health behaviors between Lesbian and heterosexual adult women in Pittsburgh: a longitudinal Study","volume":"29","author":"Simenson","year":"2020","journal-title":"J. Womens Health"},{"key":"10.1016\/j.socscimed.2026.119853_bib49","doi-asserted-by":"crossref","DOI":"10.1016\/j.lansea.2024.100515","article-title":"One step forward, two steps back: urgent priorities to embed disability and queer health in medical education systems","volume":"32","author":"Singh","year":"2025","journal-title":"The Lancet regional health. Southeast Asia"},{"issue":"5","key":"10.1016\/j.socscimed.2026.119853_bib50","doi-asserted-by":"crossref","first-page":"2650","DOI":"10.3390\/ijerph19052650","article-title":"Restriction of access to healthcare and discrimination of individuals of sexual and gender minority: an analysis of judgments of the european court of human rights from an ethical perspective","volume":"19","author":"Skuban","year":"2022","journal-title":"Int. J. Environ. Res. Publ. Health"},{"issue":"Suppl. ment_1","key":"10.1016\/j.socscimed.2026.119853_bib51","article-title":"Project respect: experiences of seriously ill LGBTQ+ patients and partners with their health care providers","volume":"8","author":"Stein","year":"2024","journal-title":"Innovation in aging"},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib52","doi-asserted-by":"crossref","DOI":"10.1186\/s12888-021-03477-8","article-title":"Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal","volume":"21","author":"Storm","year":"2021","journal-title":"BMC Psychiatry"},{"issue":"257","key":"10.1016\/j.socscimed.2026.119853_bib53","doi-asserted-by":"crossref","first-page":"95","DOI":"10.31729\/jnma.7948","article-title":"Status of healthcare in LGBTQI+ community in Nepal: challenges and possibilities","volume":"61","author":"Subedi","year":"2023","journal-title":"J. Nepal Med. Assoc."},{"issue":"4","key":"10.1016\/j.socscimed.2026.119853_bib54","doi-asserted-by":"crossref","DOI":"10.1071\/SH25031","article-title":"Exploring perceived and enacted stigma with related factors among gay, bisexual, and other men who have sex with men in Nepal","volume":"22","author":"Sujan","year":"2025","journal-title":"Sex. Health"},{"key":"10.1016\/j.socscimed.2026.119853_bib55","doi-asserted-by":"crossref","DOI":"10.1177\/23821205241272365","article-title":"Need of LGBTQ+ curriculum in Nepalese medical education","volume":"11","author":"Thapaliya","year":"2024","journal-title":"J medical education and curricular development"},{"issue":"6","key":"10.1016\/j.socscimed.2026.119853_bib58","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1038\/s41585-025-01035-5","article-title":"Evolving language reflects evolving understanding: updated terms for anatomical description in i\/VSC\/DSD: pride","volume":"22","author":"Whitehead","year":"2025","journal-title":"Nat. Rev. Urol."},{"issue":"1","key":"10.1016\/j.socscimed.2026.119853_bib59","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1186\/s12909-023-04373-3","article-title":"LGBTQ + cultural competency training for health professionals: a systematic review","volume":"23","author":"Yu","year":"2023","journal-title":"BMC Med. Educ."}],"container-title":["Social Science & Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0277953626009317?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0277953626009317?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:45:33Z","timestamp":1793598333000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0277953626009317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":56,"alternative-id":["S0277953626009317"],"URL":"https:\/\/doi.org\/10.1016\/j.socscimed.2026.119853","relation":{},"ISSN":["0277-9536"],"issn-type":[{"value":"0277-9536","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Health system barriers to care for lesbian, gay, bisexual, transgender, and intersex populations in Nepal: A qualitative multi-stakeholder study","name":"articletitle","label":"Article Title"},{"value":"Social Science & Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.socscimed.2026.119853","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"119853"}}