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Doctors, nurses, other medical practitioners, and support staff in the health system need better training, guidelines, and accountability systems to uphold the right to the highest attainable standard of health for LGBTI people in Sri Lanka.

Sri Lankan law provides no clear path to changing legal gender—although a gender recognition procedure is currently under consideration.

Research was conducted with the support of Sri Lankan activists and nongovernmental organizations that work with LGBTI people, including EQUAL GROUND, Heart2Heart, and the Family Planning Association.

This in turn can have serious social and health implications, including inhibiting access to HIV prevention and treatment: Sri Lankan health agencies have identified transgender people and MSM as key populations in addressing the HIV epidemic.

Authorities need to send an unambiguous message to law enforcement officials as well as ordinary citizens that all Sri Lankans, regardless of their gender identity or sexual orientation, deserve the same respect, protection, and realization of their rights.take—alongside implementing transitional justice mechanisms and security sector reform and adopting a new constitution—to protect the human rights of LGBTI people so they can live free of violence and discrimination.

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