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Frontline voices: To be a transgender living with HIV in India

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There was, and still is, a lot of stigma with PLHIV, along with transphobia. My mother had to abandon me because of societal pressure, so that my other siblings could lead a normal life and not be pestered (as they were) with questions like - Is your brother a hijra? Trans women living with HIV in India face double stigma - of being a hijra and a PLHIV. They often hide their status for fear of not being able to earn a living. I too was scared of losing my customers and my bread and butter if diagnosed with HIV, and hence avoided going for diagnosis. Children born with HIV infection are discriminated and looked down upon for no fault of theirs. I have seen the plight of women living with HIV. Even when a woman gets infected through her husband, she is branded as a prostitute and held responsible for her husband's status. She is often thrown out of her family and is unable to fight for her rights and social protection. I am still fighting to legally adopt my deceased brother's 10 year old son studying in Class 3, who has been under my care since he was two days old, as the Indian law does not permit transgenders to adopt a child.

Problems galore

There are many issues of PLHIV that still need to be addressed. We have very few care homes for children living with HIV (CLHIV) in India. There are no care homes for female PLHIVs. We pay money to please the deities in the temples. Why not donate that money for CLHIV instead? Where is the Skill India programme for the transgender community? Or for that matter for PLHIV? We have a Commission for Women, but not one for transpeople. We are still struggling in very much the same way. There are cracks in our own social and healthcare system due to which transpeople with HIV do not want to go to ART centres or continue with their medication. I have seen that some ART centres do not even have clean drinking water facility and/or a proper place for patients to sit. Lack of sanitation is breeding more co-infections. Doctors at ART centres too are often very insensitive towards the PLHIV and transgenders. There are no community coordinators, even though the positions are sanctioned on paper. In my own case, when I was taken to hospital for a check-up after being raped, the doctors called their trainees to show them how a vagina had been created in my body and how my breast implants looked - even as I bled and writhed in pain.

Never say die

My compatriots and the female sex workers (FSWs) motivated me to be their voice and to work for the social rights and protection of PLHIV. Through my dint and hard work, I joined the Vihaan Project in November 2013. The project works towards improving the survival rate and quality of life of PLHIV, especially high-risk groups such as FSWs, transgenders, MSMs, and injecting drug users. My first major exposure under Vihaan came when I was sent for an 8 days training for micro finance banking for female PLHIVs and FSWs at Madurai. Next I got to work with UNDP for transgender mapping in India. I also worked in Chhattisgarh as an advocacy officer for Hindustan Latex Family Planning Promotion Trust. I made history in Chhattisgarh by being the first transgender to be appointed as Nodal Officer in the State AIDS Control Society in 2014. We convinced the government to introduce many new schemes for transgender PLHIV - like free transport from home to ART centres, getting cards under Antyodaya yojana, sanctioning loans of INR 25,000 - 50,000 at very low interest rates to female PLHIVs (including sex workers), to start their own small businesses. We fought for female PLHIVs who were pregnant to deliver in hospitals and not in the loos, as used to happen in the past.

God made man, man made money and money made man mad. If you are moneyed, society is behind you, else you are discarded by everyone. I got married to a guy who left me 10 years back. Now he wants to come back as he has found that I am leading a good life. But when I was in need of him he deserted me. Even my family did not accept me when I needed them. But now they love me and care for me as I have money and fame. Education has helped me a lot and so has my foster mother Abhina Aher, since I met her in 2012. She has always pushed me to move ahead. It was she who encouraged me to reveal my HIV status, which I did in 2013 when I started working with Vihaan. I now encourage other female PLHIVs to do the same, in their own interest. I counsel their families and the local bodies, like village panchayats, to ensure that female PLHIVs are not thrown out of their houses. I am not fighting just for myself, or for my community of transgenders. I am fighting for the rights of women in general."

Amruta has proved, beyond doubt, that real empowerment is not about giving power, it is about taking power.

Shobha Shukla, CNS (Citizen News Service)

(Shobha Shukla is the Managing Editor of CNS (Citizen News Service: www.citizen-news.org). Follow her on Twitter: @Shobha1Shukla)

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