Posts Tagged 'World Health Organization'

Health Authorities Pledge to Improve Access to Health Care for LGBT People

Washington, DC, 3 October 2013 (PAHO/WHO) — Health authorities from throughout the Americas pledged to promote equitable access to health care for lesbians, homosexuals, bisexuals and transsexuals (LGBT), during the 52nd Directing Council meeting of the Pan American Health Organization (PAHO), which is being held this week in Washington, D.C.

Ministers of health and other delegates from North, South and Central America and the Caribbean approved a resolution in which they committed to promote equal access to health care in their countries’ policies, plans and legislation.

PAHO Director Carissa F. Etienne expressed support for the resolution, saying everyone has the right to health care and adding that PAHO would work with its member countries to address these issues.

The resolution, presented by the United States and supported by delegates from other PAHO member countries, calls for efforts to overcome stigma and discrimination against LGBTs in the health sector, which often prevents them from accessing needed health services. It also calls for respect for the human dignity and the right to health of LGBT people as well as greater awareness of the diversity of gender expression and gender identity.

“The barriers that LGBT people face in accessing health services—ranging from disrespectful treatment to denial of care—contribute to poor health outcomes,” said Nils Daulaire, assistant secretary for global affairs of the U.S. Department of Health and Human Services (HHS), in presenting the resolution.

Barriers to care for LGBT people include outright denial of care, poor care, disrespectful treatment or even abuse, restrictions against including significant individuals in family treatment of in support and decision-making roles, inappropriate assumptions about the causes of health or behavioral conditions, avoidance of treatment, and poor understanding on the part of health providers of the specific health-care needs of LGBT persons, including trauma-related and behavioral health issues related to discrimination.

LGBT persons experience worse health disparities and outcomes than heterosexual persons in every country across the globe. They have higher rates of depression, anxiety, tobacco use, alcohol abuse, suicide or suicidal ideation, as a result of chronic stress, social isolation, and disconnectedness from a range of health and support services.

The stigma and discrimination experienced by LGBT people in the health sector often keeps them from accessing health services when they need them. The resolution calls for eliminating inequalities in health, including those associated with gender identity and gender expression.

Etienne said PAHO would prepare a report on the health status of LGBT persons and the barriers they face in accessing health-care services, as well as the impact of that reduced access, to help find solutions to these problems.

PAHO is the world’s oldest international public health organization. It works with all the countries of the Americas to improve the health and quality of life of their peoples.

For more information:

PAN AMERICAN HEALTH ORGANIZATION 

WORLD HEALTH ORGANIZATION

Links:

CD52/18
—  Addressing the Causes of Disparities in Health Service Access and Utilization for Lesbian, Gay, Bisexual and Trans (LGTB) Persons

http://www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=23145&Itemid=270&lang=en

Bringing LGBT Health Care to the World Health Organization

Repost from The Huffington Post

Around the world lesbian, gay, bisexual, and transgender (LGBT) individuals face worse health outcomes than the general population. We know the problem is in part due to the barriers they face to accessing health care. But because there is relatively little health research on this population globally, the true scope of the global burden is difficult to calculate.

These barriers range from denial of care, to inadequate or substandard care, to simply an unwillingness to go to a doctor because of discrimination or, in some countries, criminal penalties. Data confirms that within the community there are higher rates of depression and substance abuse; lesbian and bisexual women are at a greater risk of obesity and breast cancer; gay men are at higher risk of HIV and other sexually transmitted infections; elderly LGBT individuals face additional barriers to health because of isolation; and transgender individuals have higher rates of alcohol and tobacco use, are at higher risk for heart disease and are less likely to have health insurance than heterosexual or LGB individuals.

The World Health Organization (WHO) — the health body of the United Nations — has led efforts to reduce health disparities for women, ethnic, racial and religious minorities, those with disabilities, and others who have struggled to attain the health care they need. We think it is timely for WHO to take this same leadership role for the LGBT population. During the May 2013 WHO Executive Board meeting, the topic of what WHO should be doing on this front was scheduled to be discussed. Continue Reading

For the First Time in History, the World Health Organization (WHO) Vigorously Debated LGBT Health

United Nations GenevaOn May 29, the Executive Board of the WHO, comprised of 34 member states, discussed an item titled “Improving the Health and Well-Being of Gay, Lesbian, Bisexual, Transgender People” for six hours at the United Nations in Geneva.

The item had been initiated by Thailand and the United States, but was objected by Nigeria and Egypt, on behalf of two of the six WHO regions.  Countries lined up clearly in support or in opposition to discussing LGBT people’s health issues as a legitimate public health topic. Opposing countries were exceedingly vocal in their discomfort with the topic, sometimes displaying extreme homophobia during the discussions. Support for the issue came from Asia, Latin America, Europe, and North America. The debate ended by striking the item from the agenda of this meeting, but with the assurance that the topic will return to the next meeting of the body under a different title that is more acceptable to the different regions represented at the WHO.

Department of Health and Human Services Assistant Secretary for Global Affairs Nils Daulaire, representing the United States at the meeting, argued, “The United States understands that access to care for LGBT persons is a sensitive issue for many Member States. It is sensitive in my own country. However, debating and seeking common ground on sensitive issues is one of the key reasons we all do the work we do. If there were clear and simple answers we wouldn’t have to be here….We have raised this issue as a health issue; we leave the rights debate to other bodies.”

Reports from every region of the world show that LGBT citizens lack equal access to health care and experience real discrimination based on exposing their sexual orientation, sexuality, gender identity, or gender expression in health care settings. Such discrimination takes many different forms, including outright denial of services, harassment, embarrassment, violence and arrest, as well as internalized stigma and shame. Such experiences lead directly and indirectly to bad health outcomes.

WHO has a clear recent history of a people-centered approach to the health needs of particularly vulnerable populations – women, disabled, indigenous people, the elderly, slum residents and others. Working to address the specific health challenges of LGBT populations is a logical, and indeed critical, next step for WHO in its efforts to improve vital and universal access to health care.

Ironically, despite the very contentious nature of the debate about whether to discuss the issue at all, the body discussed the topic for more than one-third of the two-day meeting. And despite extreme anti-LGBT statements by many governments, representatives from all over the world, including and especially some from Africa and the Middle East, re-affirmed their commitment to providing access to health to all citizens, without discrimination on any basis, including sexual orientation, gender, or other status.

Secretary Clinton “Creating an AIDS-free Generation”

Watch Secretary of State Hillary Rodham Clinton’s address an audience at the National Institute of Health on working towards an AIDS-free generation. You can also read her remarks here.

Update: Read the blog posting “Secretary Clinton: Thank You, and More, Please” written by Zoe Hudson, Senior Policy Analyst with Open Society Foundations


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