Promoting sexual rights: Ensuring access to sexual and reproductive health services for sexually diverse populations in Latin America and the Caribbean

IPPF/WHR has created a model project for expanding access to health services for sexually diverse (including lesbian, gay, bisexual and transgender/LGBT) clients and increasing the role of sexual and reproductive health organizations in promoting sexual rights. This work stems from IPPF/WHR's longstanding recognition that respect for sexual rights is a core component of achieving the highest attainable standard of health service delivery, as outlined in the recent IPPF Declaration of Sexual Rights. IPPF/WHR's rights-based approach is of utmost importance in Latin America and the Caribbean where sexually diverse populations continue to face tremendous stigma and discrimination. During five years of implementing and supporting projects in several countries in the region, IPPF/WHR has developed and replicated a comprehensive model to bring about institutional change in health organizations seeking to serve sexually diverse populations. The five main elements of the model include: building institutional commitment; building capacity to provide services; making services accessible and appropriate; increasing public awareness and advocacy; and monitoring and evaluation. This model can be adapted and replicated by other health organizations. This regional initiative has resulted in changes in IPPF affiliated clinics at the service delivery level, from increased numbers of health professionals trained on issues of sexuality, sexual history taking, and LGBT health needs to the development of active partnerships and referral networks with local LGBT organizations. Investment in these efforts by health organizations is essential for addressing the health needs of sexually diverse clients and ensuring that the sexual rights of all people are respected.