Scrambling for access: Availability, accessibility, acceptability and quality of healthcare for lesbian, gay, bisexual and transgender people in South Africa

BMC International Health and Human Rights

Volumn 17, Issue 1, 2017, Pages

  Müller, Alex ^a  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

Access to healthcare; Bisexual and transgender; Discrimination; Gay; Gender identity; General Comment 14; Lesbian; Right to health; Sexual orientation; South Africa

Indexed keywords

CLINICAL STUDY; COUNSELING; DOCTOR PATIENT RELATION; FEMALE; GENDER IDENTITY; HEALTH CARE ACCESS; HEALTH CARE PERSONNEL; HEALTH EQUITY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; LGBT PEOPLE; MALE; MORALITY; NONHUMAN; ORGANIZATION; PUBLIC SECTOR; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; SOUTH AFRICA; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN RIGHTS; INFORMATION PROCESSING; INTERVIEW; PREJUDICE; PSYCHOLOGY; SEXUAL AND GENDER MINORITY;

ATTITUDE OF HEALTH PERSONNEL; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HUMAN RIGHTS; HUMANS; INTERVIEWS AS TOPIC; MALE; PREJUDICE; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; SEXUAL AND GENDER MINORITIES; SOUTH AFRICA;

EID: 85019998401     PISSN: None     EISSN: 1472698X     Source Type: Journal    
DOI: 10.1186/s12914-017-0124-4     Document Type: Article

References (44)

1. Logie C. The case for the World Health Organization's commission on the social determinants of health to address sexual orientation. Am J Public Health. 2012;102:1243-6.
2. Pega F, Veale JF. The case for the World Health Organization's commission on social determinants of health to address gender identity. Am J Public Health. 2015;105:e58-62.
3. Drescher J. Queer diagnoses: parallels and contrasts in the history of homosexuality, gender variance, and the diagnostic and statistical manual. Arch Sex Behav. 2010;39:427-60.
4. Albuquerque GA, et al. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC Int Health Hum Rights. 2016;16:1.
5. Müller A, Hughes TL. Making the invisible visible: a systematic review of sexual minority women's health in Southern Africa. BMC Public Health. 2016;16:1.
6. Rothman EF, Exner D, Baughman AL. The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: a systematic review. Trauma Violence Abuse. 2011;19:1524838010390707.
7. Mayer KH, Bradford JB, Makadon HJ, Stall R, Goldhammer H, Landers S. Sexual and gender minority health: what we know and what needs to be done. Am J Public Health. 2008;98:989-95. doi: 10.2105/AJPH.2007.127811.
8. Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013;103:943-51.
9. Collier KL, van Beusekom G, Bos HM, Sandfort TG. Sexual orientation and gender identity/expression related peer victimization in adolescence: a systematic review of associated psychosocial and health outcomes. J Sex Res. 2013;50:299-317.
10. King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8:1.
11. Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380:367-77.
12. Lane T, Raymond HF, Dladla S, Rasethe J, Struthers H, McFarland W, et al. 2011. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men's study. AIDS Behav. 2011;15:626-34.
13. Sandfort TGM, Baumann LRM, Matebeni Z, Reddy V, Southey-Swartz I. 2013. Forced sexual experiences as risk factor for self-reported HIV infection among Southern African lesbian and bisexual women. PLoS One. 2011;8:e53552. doi: 10.1371/journal.pone.0053552.
14. Nath D, Mthathi S. "We'll show you you're a woman": violence and discrimination against black lesbians and transgender men in South Africa. New York: Human Rights Watch; 2011.
15. Mayosi BM, Benatar SR. Health and health care in South Africa - 20 years after Mandela. NEJM. 2014;371:1344-53.
16. Statistics South Africa. Use of health facilities and levels of selected health conditions in South Africa: findings from the general household survey 2011. Pretoria: Statistics South Africa; 2011.
17. Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D. 2009. The health and health system of South Africa: historical roots of current public health challenges. Lancet. 2009;374:817-34. doi: 10.1016/S0140-6736(09)60951-X.
18. Rispel LC, Metcalf CA, Cloete A, Moorman J, Reddy V. You become afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities. J Public Health Policy. 2011;S137-51.
19. Stevens M. Transgender people's access to sexual health services in South Africa: findings from a key informant survey. Gender Dynamix: Cape Town; 2012.
20. Müller A, Röhrs S, Hoffman-Wanderer Y, Moult K. "You have to make a judgment call".-Morals, judgments and the provision of quality sexual and reproductive health services for adolescents in South Africa. Soc Sci Med. 2016;148:71-8.
21. Sutherland C, Roberts B, Gabriel N, Struwig J, Gordon S. Progressive prudes: a survey of attitudes towards homosexuality & gender non-conformity in South Africa. Pretoria: HSRC; 2016.
22. Epprecht M. Heterosexual Africa? The history of an idea from the age of exploration to the age of AIDS. Athens: Ohio University Press; 2008.
23. Republic of South Africa. Constitution. Pretoria: Republic of South Africa; 1996.
24. SA National Department of Health. National Strategic Plan on HIV, STIs and TB, 2012-2016. Pretoria: Department of Health; 2011. Available at http://www.nicd.ac.za/assets/files/Acrobat%20Document4.pdf. Accessed 28 May 2017.
25. National Health Assembly. Statement and Call to Action of the First National Health Assembly (NHA) of South Africa. Cape Town 5-6 July 2012. Available online at http://phm-sa.org/nha-2016/. Accessed 28 May 2017.
26. International Covenant on Economic, Social and Cultural Rights (ICESCR), G.A. Res. 2200A (XXI). 1966. Available at http://www.ohchr.org/EN/ProfessionalInterest/Pages/CESCR.aspx. Accessed 28 May 2017.
27. Committee on Economic, Social and Cultural Rights, General Comment No. 20, Non-Discrimination in Economic, Social and Cultural Rights (art. 2 para. 2), E/C.12/GC/20, Section 32, Available at http://www2.ohchr.org/english/bodies/cescr/docs/gc/E.C.12.GC.20.doc. (Accessed 12 Aug 2015).
28. Committee on Economic, Social and Cultural Rights, General Comment No. 14, The Right to the Highest Attainable Standard of Health, UN Doc. No. E/C.12/2000/4 (2000). Available at www.refworld.org/pdfid/4538838d0.pdf. Accessed 28 May 2017.
29. Gaventa J, Cornwall A. Power and knowledge. In: Reason P, Bradbury H, editors. Handbook of action research: participative inquiry and practice. London: Sage Publications; 2001. p. 70-80.
30. Lane T, Mogale T, Struthers H, McIntyre J, Kegeles SM. "They see you as a different thing": the experiences of men who have sex with men with healthcare workers in South African township communities. Sex Transm Infect. 2008;84:430-3.
31. Smith R. Healthcare experiences of lesbian and bisexual women in Cape Town, South Africa. Cult Health Sex. 2015;17:180-93.
32. Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health. 2003;57:254-8.
33. Brotman S, Ryan B, Jalbert Y, Rowe B. The impact of coming out on health and health care access: the experiences of gay, lesbian, bisexual and two-spirited people. J Health Soc Policy. 2002;15:1-29.
34. Wells H, Polders L. Gay and lesbian People's experience of the health care sector in Gauteng. In: Research initiative of the joint working group conducted byy OUT LGBT well-being in collaboration with the UNISA Centre for applied psychology. Pretoria: UNISA; 2006.
35. Batho Pele Principles. Pretoria: Department of Health; not dated. Available online at: http://localgovernmentaction.org.dedi6.cpt3.host-h.net/content/batho-pele-principles. Accessed 28 May 2017.
36. SA National Department of Health. Ethical rules of conduct for practitioners registered under the health professions act, 1974. Pretoria: Department of Health; 1974.
37. Makadon H. Improving health care for the lesbian and gay communities. NEJM. 2006;354:895-7.
38. Association of American Medical Colleges. Implementing curricular and institutional climate changes to improve health Care for Individuals who are LGBT, gender nonconforming, or born with DSD. Washington, DC: AAMC; 2014.
39. le R Booysen F. Urban-rural inequalities in health care delivery in South Africa. Dev South Afr. 2003;20:659-73.
40. Morison T, Lynch I. 'We can't help you here': the discursive erasure of sexual minorities in South African public sexual and reproductive health services. Psychol Sexualities Rev. 2016;7:7-25.
41. Lock J. Strategies for reducing homophobia during medical training. J Gay Lesbian Med Assoc. 1998;2:167-74.
42. SA National Department of Health. The white paper on National Health Insurance. Pretoria: Department of Health; 2015.
43. Müller A. Beyond 'invisibility': Queer intelligibility and symbolic annihilation in healthcare. Cult Health Sex. 2017;13:1-14.
44. Müller A. Health for All? Sexual Orientation, Gender Identity, and the Implementation of the Right to Access to Health Care in South Africa. Health & Human Rights: An International Journal. 2016;18(2).