Table 3 Coding tree for nurses’ reflections after sensitivity training to reduce stigma towards MSM and TGP in healthcare in Uganda
Population | Theme | Category | Subcategory |
|---|---|---|---|
MSM | Stigma reduction | Increased health care access | Sexuality discussions |
Non-judgmental attitudes | |||
Anti-stigmatizing environment | |||
Improved mental health | |||
Need for tailored health approaches | Trustworthiness of health providers | ||
Sensitization of MSM | |||
Incorporate care in existing protocols | |||
MSM care is is still a challenge | |||
Update health facility registers and forms | |||
MSM and the law | A better understanding of the relevant laws | ||
MSM and right to healthcare | |||
Beneficence | |||
Sexual practices and sexuality | MSM and Bisexuality | ||
Non-disclosure of sexuality | |||
HIV Prevention | Individual HIV prevention | ||
Community HIV prevention | |||
Corrected misconceptions | Sexual orientation, gender identity and expression | ||
Regular people | |||
Individual story and journey | |||
Trans-men | Perceptions and new learning about transmen after the training | Gender identity recognition | Non-judgemental nursing care |
Use of appropriate language and terminology | |||
Transmen are not male lesbians | |||
Reduced stigma, discrimination, and barriers to care | |||
Transgender-sensitive environments | |||
Reproductive health needs | Menstrual hygiene management | ||
Pregnancy and parenting | |||
Social needs | Safe spaces | ||
Community outreaches | |||
Safety needs | Legal protection from mob justice | ||
Personal safety and security | |||
Trans women | Gender affirming care | Clinical guidelines and treatment protocols | |
Health training curriculum | |||
Hormonal therapy | |||
Healthcare provision to transwomen | Deeply rooted beliefs | ||
National policy level changes | |||
Need for understanding by trans women | |||
Professional care | |||
Potential violence in inpatient care | |||
Need for further training | Counselling for managing the unexpected | ||
Intermittent sessions | |||
Mentorship and support supervision | |||
Practical sessions | |||
Traumatizing experience | |||
New knowledge acquired | Additional care for trans women | ||
Peer trainers and shared stories | |||
Self-reflection of prejudice | |||
Sexual violence | Sexual assault during incarceration | ||
Violence during transactional sex |