Transgender Health Care in Europe: Kyrgyzstan

There was the process of creating and developing of the partnership with healthcare system (practical professionals and policy makers including specialists from Ministry of Healthcare) in Kyrgyzstan till the year 2010 to... [ view full abstract ]

There was the process of creating and developing of the partnership with healthcare system (practical professionals and policy makers including specialists from Ministry of Healthcare) in Kyrgyzstan till the year 2010 to promote system of medical care for transgenders of Kyrgyz Republic. A range of results was achieved at that time: working group was made, transsexuals psychiatric evaluation protocol was written, practical physicians providing care services were prepared. Then the process was stopped due to some reasons – connected to the political situation (revolution of the year 2010) and changes in LGBT movement (the changing of the main activists board). For now transadvocacy process is continued, but there are some new unexpected challenges.

Developing of the medical-social care system for transgender people in Kyrgyzstan and overcoming of new challenges. [ view full abstract ]

Developing of the medical-social care system for transgender people in Kyrgyzstan and overcoming of new challenges.

A decision is made to create national Standards of the medical-social care for transgender people in Kyrgyzstan. Promoting of the partnership with policy makers from the Healthcare system, creating of the working group from... [ view full abstract ]

A decision is made to create national Standards of the medical-social care for transgender people in Kyrgyzstan. Promoting of the partnership with policy makers from the Healthcare system, creating of the working group from the number of medical specialists experienced in collaboration with transgender people in designing of national standards of care were chosen as the methods to develop that initiative.

Recognition of the Standards of care on the Healthcare Ministry experts committee level will be the result of the activity. The implementation of the system which allows transgender people to change the gender marker in their... [ view full abstract ]

Recognition of the Standards of care on the Healthcare Ministry experts committee level will be the result of the activity. The implementation of the system which allows transgender people to change the gender marker in their documents on the base of the diagnostic statement will be the result also.

The transadvocacy process is started now. The round table with the participation of WPATH representative, international experts and observers, representatives of the Healthcare ministry, departments of the Medical academy and... [ view full abstract ]

The transadvocacy process is started now. The round table with the participation of WPATH representative, international experts and observers, representatives of the Healthcare ministry, departments of the Medical academy and practical physicians was made. A decision was made to start
the process of working out and implementation of the National Standards of care for transgender people. A group of writers and experts to work on the text of the manual is formed. The process is going under the observation and with participation of transactivists. But there first problems appears – absence of institutional experience in providing hormone therapy, psychological care, children and adolescents care – that complicates making of care protocols and shows that international standards couldn’t be realistically adopted sometimes for the local context.

We found that there are more challenges then it was obvious before. Some obstacles appears at the current moment due to the changes in local context. Necessity to adopt international standards without national experience meets... [ view full abstract ]

We found that there are more challenges then it was obvious before. Some obstacles appears at the current moment due to the changes in local context. Necessity to adopt international standards without national experience meets such problems as gaps in terminology, absence of adequate institutional approaches and protocols. Professionals often face that necessity as something extraordinary new and even dangerous. Some obstacles could be overcame in close times: creation of a new professional glossary by the combination of already existed and international terminology, for example. But some are irresistible as a situation with legal registration of the children who were born by transmen. But we see the way forward in further promoting and implementation of the international standards.