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Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV
Mini Dissertation (MPhil (Sexual and Reproductive Rights in Africa))--University of Pretoria, 2024.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2025
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| _version_ | 1867613719188471808 |
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| access_status_str | Open Access |
| author2 | Ngwena, Charles |
| author_browse | Ngwena, Charles |
| author_facet | Ngwena, Charles |
| collection | Thesis |
| dc_rights_str_mv | © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Mini Dissertation (MPhil (Sexual and Reproductive Rights in Africa))--University of Pretoria, 2024. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/101063 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:36.899Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/101063 Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV Ngwena, Charles unozibat@gmail.com Tenga, Unoziba UCTD Sustainable Development Goals (SDGs) Human Rights Zimbabwe HIV Healthcare Trans and gender diverse persons Mini Dissertation (MPhil (Sexual and Reproductive Rights in Africa))--University of Pretoria, 2024. Zimbabwe has significantly curbed its HIV epidemic, but there are still gaps in coverage for certain groups, particularly transgender and gender diverse (TGD) persons. TGD persons face high rates of HIV infection, limited epidemiological data, and societal and legal factors that hinder their access to healthcare. Using the Human Rights Based Approach (HRBA) as the main theoretical approach, the research examines the legal and policy frameworks in Zimbabwe, that impact on HIV healthcare access for TGD persons. The research being qualitative in nature, analyses international human rights instruments, policies, health guidelines, national laws, and strategies, and draws lessons from South Africa, Kenya, Malta, and Argentina for recommendations in improving access to healthcare for TGD persons in Zimbabwe. The findings show that despite TGD persons recognition as priority groups in HIV interventions in Zimbabwe, there are gaps in the law and constitution of the country which lead to systemic healthcare disparities. These mainly involve stigma and discrimination at health facilities, lack of comprehensive information for both TGD persons and the health practitioner and economic challenges faced by TGD persons. A key barrier to access to services has been the criminalisation and legal gender recognition for TGD person which further pushes them to the margins of society. Key recommendations include legal reform that place emphasis on equality and non-discrimination. Legal reform should include decriminalisation of sexual and gender diverse persons, having gender laws that explicitly recognise TGD persons and provide constitutional protections for sexual and gender minorities. There is need to strengthen advocacy for TGD persons’ rights on international and national platforms, through opening the space for civil society engagement. Directly linked to access to HIV services, there is need for a revision and update of national policies, guidelines, and HIV strategies to include the needs of TGD persons and the provision of gender affirming health services. Centre for Human Rights MPhil (Sexual and Reproductive Rights in Africa) Unrestricted Faculty of Laws SDG-03: Good health and well-being SDG-05: Gender equality 2025-02-19T13:34:56Z 2025-02-19T13:34:56Z 2025-04 2024-10 Mini Dissertation * A2025 http://hdl.handle.net/2263/101063 Disclaimer letter en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Sustainable Development Goals (SDGs) Human Rights Zimbabwe HIV Healthcare Trans and gender diverse persons Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title | Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title_full | Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title_fullStr | Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title_full_unstemmed | Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title_short | Promoting access to healthcare for trans and gender diverse persons in Zimbabwe in the context of HIV |
| title_sort | promoting access to healthcare for trans and gender diverse persons in zimbabwe in the context of hiv |
| topic | UCTD Sustainable Development Goals (SDGs) Human Rights Zimbabwe HIV Healthcare Trans and gender diverse persons |
| url | http://hdl.handle.net/2263/101063 |