Southern African HIV Clinicians' Society gender-affirming healthcare guideline for South Africa

doi:10.4102/sajhivmed.v22i1.1299

. 2021 Sep 28;22(1):1299.

doi: 10.4102/sajhivmed.v22i1.1299. eCollection 2021.

Southern African HIV Clinicians' Society gender-affirming healthcare guideline for South Africa

Anastacia Tomson^{1

2}, Chris/Tine McLachlan^{3

4

5

6}, Camilla Wattrus⁷, Kevin Adams^{5

8}, Ronald Addinall^{5

9

10}, Rutendo Bothma¹¹, Lauren Jankelowitz⁷, Elliott Kotze¹², Zamasomi Luvuno¹³, Nkanyiso Madlala^{4

5

6}, Savuka Matyila¹⁴, Anil Padavatan¹⁴, Mershen Pillay^{5

15

16}, Mmamontsheng D Rakumakoe^{5

17}, Mathilde Tomson-Myburgh², Willem D F Venter¹⁸, Elma de Vries^{5

19

20}

Affiliations

¹ My Family GP, Cape Town, South Africa.
² Shemah Koleinu, Cape Town, South Africa.
³ KwaZulu-Natal Department of Health, Pietermaritzburg, South Africa.
⁴ Department of Psychology, College of Human Sciences, University of South Africa, Pretoria, South Africa.
⁵ Professional Association for Transgender Health South Africa, Cape Town, South Africa.
⁶ Psychological Society of South Africa, Johannesburg, South Africa.
⁷ Southern African HIV Clinicians Society, Johannesburg, South Africa.
⁸ Department of Plastic Surgery, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.
⁹ Department of Social Development, Faculty of Humanities, University of Cape Town, Cape Town, South Africa.
¹⁰ Southern African Sexual Health Association, Cape Town, South Africa.
¹¹ Wits Reproductive Health Institute, Johannesburg, South Africa.
¹² Psychologist, Independent Practice, Cape Town, South Africa.
¹³ School of Nursing and Public Health, Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
¹⁴ Gender Dynamix, Cape Town, South Africa.
¹⁵ Department of Speech-Language Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
¹⁶ Department of Speech-Language Therapy, Faculty of Health Sciences, Massey University, Auckland, New Zealand.
¹⁷ Quadcare, Johannesburg, South Africa.
¹⁸ Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
¹⁹ Cape Town Metro Health Services, Cape Town, South Africa.
²⁰ School of Public Health and Family Medicine, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.

PMID: 34691772
PMCID: PMC8517808
DOI: 10.4102/sajhivmed.v22i1.1299

Southern African HIV Clinicians' Society gender-affirming healthcare guideline for South Africa

Anastacia Tomson et al. South Afr J HIV Med. 2021.

. 2021 Sep 28;22(1):1299.

doi: 10.4102/sajhivmed.v22i1.1299. eCollection 2021.

Authors

Affiliations

¹ My Family GP, Cape Town, South Africa.
² Shemah Koleinu, Cape Town, South Africa.
³ KwaZulu-Natal Department of Health, Pietermaritzburg, South Africa.
⁴ Department of Psychology, College of Human Sciences, University of South Africa, Pretoria, South Africa.
⁵ Professional Association for Transgender Health South Africa, Cape Town, South Africa.
⁶ Psychological Society of South Africa, Johannesburg, South Africa.
⁷ Southern African HIV Clinicians Society, Johannesburg, South Africa.
⁸ Department of Plastic Surgery, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.
⁹ Department of Social Development, Faculty of Humanities, University of Cape Town, Cape Town, South Africa.
¹⁰ Southern African Sexual Health Association, Cape Town, South Africa.
¹¹ Wits Reproductive Health Institute, Johannesburg, South Africa.
¹² Psychologist, Independent Practice, Cape Town, South Africa.
¹³ School of Nursing and Public Health, Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
¹⁴ Gender Dynamix, Cape Town, South Africa.
¹⁵ Department of Speech-Language Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
¹⁶ Department of Speech-Language Therapy, Faculty of Health Sciences, Massey University, Auckland, New Zealand.
¹⁷ Quadcare, Johannesburg, South Africa.
¹⁸ Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
¹⁹ Cape Town Metro Health Services, Cape Town, South Africa.
²⁰ School of Public Health and Family Medicine, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.

PMID: 34691772
PMCID: PMC8517808
DOI: 10.4102/sajhivmed.v22i1.1299

No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this research article.

Figures

**FIGURE 1**
Recommended process for provision of hormone therapy.

**FIGURE 2**
Suggested baseline screening prior to hormone therapy initiation.Baseline sex hormone levels are generally unnecessary.

**FIGURE 1-A1**
Suggested letter in support of application to Department of Home Affairs for change in gender marker – Medical doctor.

**FIGURE 2-A1**
Suggested letter in support of application to Department of Home Affairs for change in gender marker – surgeon (following feminising surgery).

**FIGURE 3-A1**
Suggested letter in support of application to Department of Home Affairs for change in gender marker – clinical psychologist or counselling psychologist or educational psychologist or clinical social worker.

See this image and copyright information in PMC

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References

1. McLachlan C. Gender-affirming healthcare: Our ethical response. HIV Nurs Matters. 2020;11:8–9.
1. McLachlan C, Nel JA, Pillay SR, Victor CJ. The Psychological Society of South Africa’s guidelines for psychology professionals working with sexually and gender-diverse people: Towards inclusive and affirmative practice. S Afr J Psychol. 2019;49(3):314–324. 10.1177/0081246319853423 - DOI
1. Practice guidelines for psychology professionals working with sexually and gender-diverse people. Johannesburg: Psychological Society of South Africa; 2017.
1. Koch JM, McLachlan C, Victor CJ, Westcott J, Yager C. The cost of being transgender: Where socio-economic status, global health care systems, and gender identity intersect. Psychol Sex. 2020;11(1–2):103–119. 10.1080/19419899.2019.1660705 - DOI
1. Oliphant J, Veale J, Macdonald J, et al. . Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand. Hamilton: Transgender Health Research Lab, University of Waikato; 2018. - PubMed

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[1] McLachlan C. Gender-affirming healthcare: Our ethical response. HIV Nurs Matters. 2020;11:8–9.

[2] McLachlan C. Gender-affirming healthcare: Our ethical response. HIV Nurs Matters. 2020;11:8–9.

[3] McLachlan C, Nel JA, Pillay SR, Victor CJ. The Psychological Society of South Africa’s guidelines for psychology professionals working with sexually and gender-diverse people: Towards inclusive and affirmative practice. S Afr J Psychol. 2019;49(3):314–324. 10.1177/0081246319853423 - DOI

[4] McLachlan C, Nel JA, Pillay SR, Victor CJ. The Psychological Society of South Africa’s guidelines for psychology professionals working with sexually and gender-diverse people: Towards inclusive and affirmative practice. S Afr J Psychol. 2019;49(3):314–324. 10.1177/0081246319853423 - DOI

[5] Practice guidelines for psychology professionals working with sexually and gender-diverse people. Johannesburg: Psychological Society of South Africa; 2017.

[6] Practice guidelines for psychology professionals working with sexually and gender-diverse people. Johannesburg: Psychological Society of South Africa; 2017.

[7] Koch JM, McLachlan C, Victor CJ, Westcott J, Yager C. The cost of being transgender: Where socio-economic status, global health care systems, and gender identity intersect. Psychol Sex. 2020;11(1–2):103–119. 10.1080/19419899.2019.1660705 - DOI

[8] Koch JM, McLachlan C, Victor CJ, Westcott J, Yager C. The cost of being transgender: Where socio-economic status, global health care systems, and gender identity intersect. Psychol Sex. 2020;11(1–2):103–119. 10.1080/19419899.2019.1660705 - DOI

[9] Oliphant J, Veale J, Macdonald J, et al. . Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand. Hamilton: Transgender Health Research Lab, University of Waikato; 2018. - PubMed

[10] Oliphant J, Veale J, Macdonald J, et al. . Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand. Hamilton: Transgender Health Research Lab, University of Waikato; 2018. - PubMed

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Southern African HIV Clinicians' Society gender-affirming healthcare guideline for South Africa

Affiliations

Southern African HIV Clinicians' Society gender-affirming healthcare guideline for South Africa

Authors

Affiliations

Conflict of interest statement

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References

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