Abstract
BackgroundIn many African countries, including Kenya, sexual behaviour between consenting adults of the same sex/ gender is illegal, which results in limited availability and access to health services and information for sexual and gender minorities. This results in unmet health issues for sexual and gender minorities who have a higher burden of STD/STI and HIV, STI-related cancers, and mental ill-health and trauma.MethodsWe conducted an online survey among 335 Kenyan queer womxn and trans men over the age of 18 who had at least one self-identified female sexual partner, collecting data on health service utilisation and barriers to accessing healthcare. ResultsWe identified gaps in all four areas that comprise standard of health – availability, accessibility, acceptability, and quality of care, exacerbated by the restrictive law and policy landscape in Kenya. Queer womxn and trans men face multiple service-access barriers, many related to stigma and discrimination, as well as concerns around provider attitudes and knowledge. Violations of human rights and privacy are a concern for queer womxn and trans men patients. There are insufficient numbers of facilities, programmes, and information to meet the needs of queer womxn and trans men, which leads to a lack of holistic care or patients delaying care and preventative interventions. ConclusionMental health and trans health are areas that are particularly poorly equipped to serve the informants’ needs, highlighting the need to address the exclusion of sexual and gender minorities in the vulnerable groups of the National Mental Health Policy. Resources regarding the use of services need to be made available, and service providers need to be educated to provide non-judgmental, inclusive care for queer womxn and trans men in Kenya.