Recommendations and Indicators for LGBTIQ inclusion to SDG 3

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OutRight and MSMGF's new report “Ensure Healthy Lives and Promote Well-Being for All at All Ages” is specific to the health needs of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. The briefing analyzes the existing data pertinent to the health and well-being of LGBTI people across the seven targets within this Goal, as well as relevant data gaps.

The briefing paper makes the following cross-cutting recommendations regarding what type of data and indicators Member States at the United Nations should report to effectively monitor progress on LGBTI health needs and ensure implementation of SDG 3 is truly universal and in line with the SDGs principle of “leave no one behind.”

Recommendations for SDG 3 and it’s seven targets:

  1. Commit to ending stigma and discrimination based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC) in the provision of healthcare services, including prevention, promotion, and treatment.

  2. Ensure that LGBTI people are actively and meaningfully participating in framing health policy that is responsive and respectful to the needs of LGBTI people, and promote the Greater Involvement of People living with HIV and AIDS (GIPA) principle.

  3. Collect and disaggregate data by SOGIESC for all indicators where possible.

  4. Repeal punitive laws, policies, and practices that criminalize consensual same-sex behavior and self-determination of gender identity.

  5. Legally prohibit non-consensual medical procedures, including intersex genital mutilation, forced sterilization, and anal examinations.

  6. Ensure that healthcare professionals are technically trained and supported to responsively address health needs of LGBTI people in a non-discriminatory manner.

  7. Fund community-based and LGBTI-led organizations and service providers, which are typically better positioned to reach LGBTI people and gather data about their health.

  8. Ensure that sexual and reproductive health programs are tailored to the specific needs of LGBTI people, including hormone therapy, routine sexual and reproductive health screenings, sexually transmitted infection testing and treatment, and family planning services responsive to diverse family forms.

  9. Eliminate barriers to affordable medicines linked to essential services for LGBTI people by implementing Trade-Related Aspects of Intellectual Property Rights (TRIPS) flexibilities in accordance with the Doha Declaration, and other price containment mechanisms.

Recommended indicators needed for implementation of SDG 3:

TARGET 3.3
HIV & AIDS

  • For indicator 3.3.1, disaggregate HIV incidence by sexual orientation and gender identity and expression.

  • Collect treatment coverage data disaggregated by sexual orientation and gender identity and expression.

  • Measure stigma and discrimination in access to quality HIV services.

TARGET 3.4
Mental Health & Well-Being

  • For indicator 3.4.2, disaggregate national suicide mortality rate by SOGIESC.

  • Collect disaggregated data by SOGIESC on number and proportion of persons suffering from depression and anxiety.

  • Collect the number of services that address preventative and mental health promotion for LGBTI people nationally.

TARGET 3.5
Drug & Alcohol Use

  • For indicator 3.5.1, concurrently collect the coverage of treatment interventions that are tailored for LGBTI people.

  • For indicator 3.5.2, disaggregate data by SOGIESC on the harmful use of alcohol.

  • Collect the number of services that address the use of stimulant drugs among LGBTI people nationally.

  • Fully disaggregate all data about drug use by LGBTI people.

TARGET 3.7
Sexual & Reproductive Health

  • Collect the number of services that address the sexual and reproductive health (SRH) needs of LGBTI people nationally.

  • Measure access to reproductive health commodities relevant to LGBTI SRH.

  • Document inclusion of LGBTI topics in comprehensive sexuality education.

  • Ensure SRH care providers commit to non-discrimination and respect for human rights in provision of SRH information and services.

TARGET 3.8
Universal Health Coverage

  • For indicator 3.8.1, disaggregate coverage of essential services by SOGIESC.

  • Include gender affirmation and sex reassignment services as essential services.

  • Provide viable options to alternative assisted reproductive technologies for LGBTI people with parenting intentions.

  • Collect the number of people receiving services from LGBTI-led providers per 1000 population.

  • Measure service denial, stigma, and delay experienced by LGBTI people while receiving treatment.

TARGET 3.B
Access to Affordable Medicines

  • For indicator 3.B.1, disaggregate by SOGIESC the proportion of population with access to affordable medicines.

  • Include anti-retroviral medicines, including anti-retroviral medicines used prophylactically, and hormone therapy medicines as essential medicines.

TARGET 3.C
Training of the Health Workforce

  • Collect the number of medical and nursing qualifications that include components on LGBTI health related needs and SOGIESC sensitive care.

  • Measure the inclusiveness of standards of care and assess technical skills on a range of specific LGBTI health needs.


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