HIV

Key Population

Trans Right are Drug user rights.pdf

Documents

Trans Harm Reduction presentation.pdf

Biomedical needs of trans people that uses drugs in relation to HIV.pdf

Description

This online-event was organized by EuroNPUD, the regional drug user rights network in the European Union and its neighbouring countries. ( https://www.euronpud.net/ ):

"Join us for a small moment of virtual solidarity and learning, as we discuss service adaptation, specific needs when it comes to needle syringe provision (aka NSP), and interactions between HRT and other drugs, more specifically the pharmacokinetics of trans people.

The rights of trans people and drug users have been under increasing attack from harmful government policy and violence driven by misinformation campaigns influenced by scare mongering and prohibitionist rhetoric. Intersectional issues such as access to healthcare, labour rights and freedom from criminalisation experienced in our daily lives lead us to champion the need for organising and acts of solidarity." ( https://www.euronpud.net/register-for-the-webinar-trans-rights-are-drug-user-rights/ )

Please find the recording of this event here: https://www.youtube.com/watch?v=L9Y-9_sdrss

Teaser

Trans rights are drug users right.png

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Stigma: survey of people living with HIV. Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2022 progress report

chris.spurgat@dah.aidshilfe.de — Tue, 11 Nov 2025 11:10:14 +0000

Stigma: survey of people living with HIV. Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2022 progress report chris.spurgat@… Tue, 11/11/2025 - 11:10

Topics

Key Population

Stigma_Survey of people living with HIV.pdf

Documents

Description

"HIV-related stigma and discrimination remain major barriers to accessing HIV services for people living with HIV
worldwide. In this context, stigma can be understood as the negative perception of people living with HIV based solely
on their HIV status. Experienced stigma, or discrimination, occurs when people living with HIV experience negative or
unfair treatment based on these perceptions. An estimated one in eight people living with HIV are denied health
services because of stigma and discrimination, and research shows that over 50% of people report having
discriminatory attitudes towards people living with HIV [1]. Understanding and addressing stigma is critical to achieving
the zero discrimination element of UNAIDS vision and successive strategies to end the AIDS epidemic by 2030.
To improve the understanding of experienced HIV stigma in the community, ECDC — in collaboration with the
European AIDS Treatment Group (EATG) and AIDS Action Europe (AAE) — initiated an exploratory survey in 2021
to measure HIV-related stigma across Europe and Central Asia. The objective of this survey was to examine the
experience of HIV-related stigma in the region and to establish a benchmark measure of perceived and
experienced HIV-related stigma among the most affected communities in order to assess progress toward the
UNAIDS target of zero discrimination by 2030 [1]." (p. 1)

([1] UNAIDS. 2025 AIDS Targets. Geneva: UNAIDS. [Accessed 30 Aug 2023]. Available at:
https://www.unaids.org/en/topics/2025_target_setting )

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HIV stigma in the healthcare setting: Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia

chris.spurgat@dah.aidshilfe.de — Tue, 11 Nov 2025 10:58:12 +0000

HIV stigma in the healthcare setting: Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia chris.spurgat@… Tue, 11/11/2025 - 10:58

Topics

Key Population

HIV stigma in the healthcare setting.pdf

Documents

Description

"The report provides insights into the level and characteristics of HIV-related stigma in the healthcare setting in
Europe and Central Asia and outlines areas that need to be addressed. The report identifies an urgent need for
robust, multifaceted interventions, encompassing education and facility-level guidelines to eliminate stigma,
improve HIV knowledge among healthcare workers, and ensure equitable, non-stigmatising care for all people
living with HIV, ultimately contributing to the global goal of ending the AIDS epidemic by 2030" (p. 1)

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Words Matter - A resource for everyone committed to ensuring all Black people are free – happy, healthy, and whole.

chris.spurgat@dah.aidshilfe.de — Thu, 09 Oct 2025 07:16:58 +0000

Words Matter - A resource for everyone committed to ensuring all Black people are free – happy, healthy, and whole. chris.spurgat@… Thu, 10/09/2025 - 07:16

Topics

Intersectionality

Barriers

Key Population

Words Matter HIV Toolkit 2020.pdf

LGBTIQ+

Documents

Description

"WHY THIS TOOLKIT MATTERS
Words Are Tools That Have The Power To Destroy Stigma
Words evolve into the language we use to communicate. Language can be used to create spaces where
people feel safe, comfortable, and supported including through personal and difficult conversations.
Language is a powerful tool in disrupting bias and stigma as well as facilitating healing.
It is important to eliminate HIV stigma because when people are afraid of experiencing discrimination
they are less likely to be tested or treated for HIV. Additionally, treating individuals living with HIV
differently can negatively affect their ability to secure life’s necessities like housing, employment, medical
care, and necessary social support." (p. 1)

National Black Justice Coalition (NBJV):
"Since 2003, NBJC has been America’s leading national civil rights organization dedicated to the empowerment of Black lesbian, gay, bisexual, transgender, queer+, and same gender loving (LGBTQ+/SGL) people, including people living with HIV/AIDS through coalition building, federal policy change, research, and education. Our mission is to end racism, homophobia, and LGBTQ+/SGL bias and stigma. Now known as the National Black Justice Collective, NBJC supports Black individuals, families, and communities in strengthening the bonds and bridging the gaps between the movements for racial justice and LGBTQ+/SGL equity. We envision a world where all people are fully empowered to participate safely, openly, and honestly in family, faith, and community, regardless of race, class, gender identity, or sexual orientation." https://nbjc.org/

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Unheard Voices - Understanding the challenges faced by Black people living with HIV in primary care

chris.spurgat@dah.aidshilfe.de — Thu, 09 Oct 2025 07:04:05 +0000

Unheard Voices - Understanding the challenges faced by Black people living with HIV in primary care chris.spurgat@… Thu, 10/09/2025 - 07:04

Topics

Intersectionality

Barriers

Key Population

Unheard-Voices-Black-People-Primary-Care-Report.pdf

Documents

Description

"This report outlines the key challenges faced by Black
people living with HIV in London when accessing
primary care and explores opportunities for improving
the quality of the care they receive. As HIV is a longterm
health condition, there needs to be a positive
relationship between people living with HIV and all
healthcare providers to support continued engagement
with care. Through analysing responses from our
survey completed by 142 Black-heritage respondents
living with HIV in London, we identify what must change
to ensure greater satisfaction with primary care and
improved engagement with GP surgeries.
The findings underline the need for culturally competent
care, increased patient-provider trust, and further
accessible resources to improve health literacy." (p. 3)

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A Guide to Do it Better in Our CBVCT Centres - Core practices in some European CBVCT Centres

chris.spurgat@dah.aidshilfe.de — Thu, 02 Oct 2025 08:14:43 +0000

A Guide to Do it Better in Our CBVCT Centres - Core practices in some European CBVCT Centres chris.spurgat@… Thu, 10/02/2025 - 08:14

Topics

Community Involvement

Key Population

Sex Work

People who use Drugs

A Guide to Do it Better in Our CBVCT Centres.pdf

Women

LGBTIQ+

Documents

Description

"The implementation and improvement of community-based voluntary counselling and testing
(CBVCT) services is a means of offering these so-called hard-to-reach or more-at-risk populations an
opportunity to know their HIV status, receiving information and counselling, being linked to the
health system if necessary and being treated in a non-judgmental way. The community-based
approach will be the leitmotiv of this document, since CBVCT services target one or more
communities and include community members in at least one part of the implementation process
of the service.
The CBVCT approach can break down many barriers to HIV testing among most-at-risk populations
through the social proximity of the staff to the target community. Promotion of quality
implementation of CBVCT is necessary to guarantee and extend the valuable characteristics of the
community-based approach." (p. 4)

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COMMUNITY-BASED HIV & MENTAL HEALTH CARE - The role of community-based services within the continuum of HIV and mental health care

chris.spurgat@dah.aidshilfe.de — Thu, 02 Oct 2025 07:51:29 +0000

COMMUNITY-BASED HIV & MENTAL HEALTH CARE - The role of community-based services within the continuum of HIV and mental health care chris.spurgat@… Thu, 10/02/2025 - 07:51

Topics

Mental Health

Key Population

Sex Work

People who use Drugs

Community-based HIV & Mental Health Care.pdf

Women

LGBTIQ+

Documents

Description

"Clear, evidence-based links have been identified between HIV infection and a higher prevalence of mental
health conditions compared to the general population. This discussion paper draws on existing policy and
good practice to identify key policy themes and types of interventions for improving community-based HIV
and mental health care.
The paper also references two EATG-sponsored stakeholder events. The first event, which was internal to
EATG, demonstrated that there is already significant experience among members about the HIV and mental
health continuum of care. The second event included stakeholders external to EATG. The discussion made it
very clear that WHO and others have been working on building a solid HIV and mental health continuum of
care for years now. Presenters shared examples of lay workers and clinicians collaborating at the community
and institutional/hospital levels, adapting what they do to national needs and the shape of their HIV epidemic." (p. 3)

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HIV Testing and PrEP Use Among Trans and/or Non‑binary Participants in the TASG Study, a Participatory Study in Germany

chris.spurgat@dah.aidshilfe.de — Mon, 04 Aug 2025 12:05:18 +0000

HIV Testing and PrEP Use Among Trans and/or Non‑binary Participants in the TASG Study, a Participatory Study in Germany chris.spurgat@… Mon, 08/04/2025 - 12:05

Topics

Key Population

HIV Testing and PrEP Use Among Trans and or Non‑binary Participants.pdf

Documents

Description

Abstract
HIV testing and pre-exposure prophylaxis (PrEP) are recommended in Germany for individuals at increased HIV risk. How-
ever, data on HIV testing, PrEP use, and PrEP knowledge among trans and non-binary people are limited. We analysed data
from the ‘Sexuelle Gesundheit in trans und nicht-binären Communitys’ (TASG) study, a participatory study on HIV/STI
and sexual health among trans and non-binary people in Germany. The study was designed, promoted, and analysed with
active involvement of community members. Participants were invited to complete an anonymous online survey between 1
March and 1 July 2022. The outcomes included HIV testing within the last 5 years, PrEP use, and PrEP-specific knowledge.
Predictors for HIV testing were identified using a bootstrap stepwise selection procedure. Among 2468 HIV-negative par-
ticipants with information on potential HIV risks, 21.5% had potential needs for HIV testing and PrEP. Of these, only 44.3%
(208/470, missing: 60) reported testing for HIV within the last 5 years. Older participants, those living in larger cities, and
those with higher education levels were more likely to have tested for HIV. Additionally, only 8.3% (38/459, missing: 71)
reported ever using PrEP. Among 451 participants with potential PrEP needs (missing: 79), only 57.4% knew at least one of
three key PrEP-related facts at the time of the survey. Our findings highlight substantial gaps in HIV testing and prevention
among trans and non-binary individuals in Germany with potential needs for these services. Reducing barriers to testing
and prevention is essential to enable broader access to these critical services.

Koppe et al. AIDS and Behavior (2025) 29:1608–1618
https://doi.org/10.1007/s10461-025-04631-z

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Discrimination based on gender identity and decision‑making regarding HIV/STI‑ protected sex, a cross‑sectional study among trans and non‑binary people in Germany

chris.spurgat@dah.aidshilfe.de — Mon, 04 Aug 2025 12:02:52 +0000

Discrimination based on gender identity and decision‑making regarding HIV/STI‑ protected sex, a cross‑sectional study among trans and non‑binary people in Germany chris.spurgat@… Mon, 08/04/2025 - 12:02

Topics

Key Population

Discrimination based on gender identity.pdf

Documents

Description

Abstract
Background Trans and non‑binary people are often discriminated against. Discrimination has a negative impact on health and may affect sexual health and behavior. We explored the relationship between discrimination based on gender identity and the perceived ability to make decisions about their sex life to feel as protected as desired from HIV and sexually transmitted infections (STI) among trans and non‑binary people in Germany. Secondarily, we assessed whether feeling unable of making HIV/STI‑protected sex decisions was associated with behaviors related to increased HIV/STI risk.
Methods We conducted a cross‑sectional study using data from the Sexual Health and HIV/STI in Trans and Non‑Binary Communities (TASG) survey conducted online between March‑July 2022 among trans and/or non‑binary people aged 18 years and older living in Germany. We described the prevalence of frequent discrimination based on gender identity. We calculated prevalence ratios (PR) with 95% confidence intervals (95% CI) for the associations between frequent experienced discrimination based on gender identity and feeling unable of making HIV/STI‑protected sex decisions, and between feeling unable of making HIV/STI‑protected sex decisions and behaviors related to increased HIV/STI risk.
Results Among 3077 participants, 22% reported frequent discrimination based on gender identity. Participants experiencing such discrimination reported 1.4 times more often to feel unable to make HIV/STI‑protected sex decisions (PR 1.4, 95% CI 1.1–1.8). This perceived inability was associated with increased prevalence of sex under drug influence (PR 2.9, 95% CI 2.3–3.7) and condomless penetrative sex with multiple partners without PrEP (PR 2.0, 95% CI 1.4–2.9).
Conclusion Feeling unable to make decisions to feel protected from HIV/STI among trans and non‑binary people was associated with both frequent discrimination and behaviors that increase the HIV/STI risk. Strategies for empowering trans and non‑binary people to assert their sexual decision‑making needs should be explored.

Martín‑Sánchez et al. BMC Public Health (2024) 24:3013
https://doi.org/10.1186/s12889‑024‑20464‑2

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RISE Project. Redefining Institutional Stigma Education

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 09:45:38 +0000

RISE Project. Redefining Institutional Stigma Education chris.spurgat@… Fri, 08/01/2025 - 09:45

Topics

Barriers

Key Population