Uitspraken van de Wereldgezondheidsorganisatie over transgenderzorg (2015)

Pas ik nou in een hokje of niet?
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Frederique
Berichten: 170
Lid geworden op: 13 mei 2017, 19:56
Gender: Genderfluid

Uitspraken van de Wereldgezondheidsorganisatie over transgenderzorg (2015)

Bericht door Frederique »

Bij mijn zoektocht naar onderzoek kom ik soms juweeltjes tegen. Uit onderzoek van de Wereldgezondheidsorganisatie (WHO, "Sexual health, human rights and the law", paragraaf 3.4.8):

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"Besides requiring access to health services that other people also need (including primary care, gynaecological, obstetric, urological and HIV care), transgender and gender variant people may also need access to specific kinds of health services, although services and care related to gender transition are only desired by some. Some people make this transition socially through a change of name, dress or other aspects of gender expression, without any medical procedures (98, 201, 210, 211). Services related to gender transition may include hormonal therapies, surgical procedures, psychological counselling, permanent hair removal and/or voice therapy. Depending on individual needs, transgender and gender variant people may need different transition-related services at different times in their lives (98)."

[...]

"Many transgender and gender variant people have to travel long distances to find clinics that can provide appropriate, comprehensive care. Although the number is increasing, there are still very few non- discriminatory, appropriate health services available and accessible to transgender and gender variant people, which are non-pathologizing, supportive and confidential, and which prioritize an individual’s informed decision-making."

[...]

"An increasing number of countries have revised or are revising laws and regulations relating to accessing transition-related services. In Argentina, for example, the 2012 Law includes provisions for coverage of all medical costs related to procedures and treatment for transgender people based on their informed decision-making without additional requirements (245)."

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Wat mij vooral aanspreekt is het feit dat geen medische hulp ook een goede optie kan zijn en zinnen als "Depending on individual needs, transgender and gender variant people may need different transition-related services at different times in their lives" en "Although the number is increasing, there are still very few non- discriminatory, appropriate health services available and accessible to transgender and gender variant people, which are non-pathologizing, supportive and confidential, and which prioritize an individual’s informed decision-making": schijnbaar is ook de WHO van mening dat de informed decision-making bij de transgender moet plaatsvinden (dus niet shared-decision making?), in een niet-pathalogizerende omgeving.

(het volledige document is hier terug te vinden: http://apps.who.int/iris/bitstream/1066 ... 84_eng.pdf )
Disclaimer:
- wanneer ik het over Informed Consent heb, dan bedoel ik (tenzij expliciet anders aangegeven) dit model.

Meer uitleg op http://www.StopGatekeeping.nl en http://www.BetterAssumptions.nl .
Frederique
Berichten: 170
Lid geworden op: 13 mei 2017, 19:56
Gender: Genderfluid

Re: Uitspraken van de Wereldgezondheidsorganisatie over transgenderzorg (2015)

Bericht door Frederique »

Aanvulling: in 3.6 (Legal and policy implications) staat dat mensen die zich bezighouden met wet- en regelgeving zich de volgende vragen moeten stellen: "Do national human rights standards and/or laws guarantee the following:
[...]
• that people’s rights to confidentiality and privacy are explicitly protected?
• that any consultation, treatment or intervention is done on the basis of the health service users’ informed decision-making?".

Het lijkt me duidelijk dat mensen hun privacy niet gewaarborgd is zolang volwassen transgenders gedwongen worden hun ouders of partner mee te nemen naar het consult en ook dat "Informed Decision-making" nog niet volledig geimplementeerd is in Nederland...
Disclaimer:
- wanneer ik het over Informed Consent heb, dan bedoel ik (tenzij expliciet anders aangegeven) dit model.

Meer uitleg op http://www.StopGatekeeping.nl en http://www.BetterAssumptions.nl .
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