The Visibility Campaign

Four beautiful people came together to lend themselves to a campaign which aimed to promote transgender and gender non-comforming visibility. It was a collaborative effort with J-FLAG, who funded the event, and TransWave.

The campaign was launched during Transgender Awareness Week (#TransWk) which was recognized from November 14-20, 2015.

The kick off for the campaign was a Trans Gallery display at PRISM, a social and cultural event hosted by J-FLAG for the LGBT community, on November 15th. With over 300 persons in attendance, PRISM presented the opportunity for the community to get its first look at the campaign while the talents were on hand to answer questions and give feedback. One highlight of the event was the opportunity to address the audience, introduce the talents and speak a little about the diversity within the transgender and gender non-conforming community.

Trans Gallery
Trans Gallery viewing

After PRISM and the resulting buzz, the campaign hit social media. TransWave featured one person from the campaign each day (Monday to Thursday) and highlighted the group shot in honour of Transgender Day of Remembrance on Friday.

Here are some of the feedback from social media:

IMG_20151121_151858 IMG_20151121_151830 IMG_20151121_151638 IMG_20151121_151728 IMG_20151121_151929 IMG_20151121_161929

We are heartened by the support we received. TransWave is committed to highlighting the needs of the community, creating spaces to share, engage in conversations, and mobilise to improve the health and well-being of the community.

We’d also like to thank Dexter Pottinger for his styling expertise; Lance for the great shots; and Madeline, from Quick Fyah Marketing, for the campaign edited shots.

 

HIV/AIDS & Human Rights in Jamaica: Reality or Rhetoric?

HIV/AIDS is a communicable disease that we’ve heard about for decades. It used to be considered a death sentence until better research, education and advances in treatment improved quality of life for persons living with HIV (PLHIV). Coordinated efforts among international donors, the government via the National HIV/STI programme, and civil society groups, make HIV/AIDS one of the most supported public health issues. Does the LGBTQIA community, and specifically trans persons, benefit from this bounty?

First, here’s a 7 minute video that explains in simple terms what HIV/AIDS is and the treatment involved.

If you can’t see the vid here’s an alternative resource: HIV Basics.

What’s the situation in Jamaica?

International aid as it relates to disease control and reduction has shifted towards more partnership with local government and civil society groups to implement programmes. In (i) July 2015, the Ministry of Health recently announced that The Global Fund–an international financial institution created to combat HIV/AIDS, TB and malaria–will invest in Jamaica’s National HIV/STI programme for the next three years. PEPFAR (United States President Emergency Plan for AIDS Relief) will also fund the programme. At that press briefing, and recently at the World Learning Caribbean Grant Solicitation Management (CGSM) Programme, Ferguson placed the government’s mission within the framework of human rights — he was committed to reducing stigma and discrimination. In naming vulnerable groups, it’s important to note that he acknowledged the transgender community specifically:

“In addition, men who have sex with men and their female partners accounted for almost 40 per cent of new infections in 2012. I want to further note that MSM who reported being involved in sex work reported an HIV prevalence of 41 per cent, transgender women 45 per cent, and transgender populations in sex work reaching as high as 56 per cent.”

In the (ii) JIS report, JFLAG, along with the National AIDS Committee, and Eve for Life, are listed as groups in partnership with Nat HIV/STI programme.

These are important steps — for far too long there has been no targeted research of the trans community. Trans women, especially, were grouped under MSM, leaving the problem obscured. However, prejudicial laws against sexual orientation and gender identity remain in such critical documents as the constitution; the Sexual Offences Act; the Offences against the Persons Act; and, in relation to (iii) sex work, the Constabulary Act and the Towns and Communities Act. This prevents the government from creating and implementing a truly comprehensive policy that would enable all Jamaicans to access the best healthcare possible. As we are stigmatised or invisible in the eyes of the law, it follows elsewhere.

Released in 2014, the (iv) National HIV/STI annual 2013 HIV epidemiological profile conflated sexual orientation with sexual practices. Risk behavioral factors are described as “heterosexual practice” versus homosexual or bisexual. This limits the usefulness of the data. If persons felt comfortable enough to provide more accurate personal data, government and civil society groups could create better profiles of the various sub-groups in the population and modify plans to better address and target their needs. Indeed, “44% of men reported with HIV (and 41% of men reported with AIDS)” did not disclose their sexual practices, which was partly attributed to such a reluctance.

There is no data provided on female “homosexual practice”.

As it relates to gender, the situation is worse. TransWave is still trying to find the source of Minister Ferguson’s statistics as it relates to transgender persons, for only “male” and “female” are covered in the MoH 2013 profile. (Is it local or international data?) There is a strange column in the sexual practices data table for “Unknown Gender” but the term is not defined. Without reliable data we cannot expect to get the best value from the millions donated.

Groups like J-FLAG, Colour Pink, and Jamaica AIDS Support for Life (JASL) work to identify key population groups like the transgender community and collect data which can help to fill in the gaps.The Health Policy Project (funded by PEPFAR & USAID) run training workshops in the Caribbean to equip medical professionals to best serve transgender health care needs. However, the reality is that the government is the major provider for health care in the island. Civil society groups — who progress in an environment which hinders rather than enhances their efforts — can only work in complement to and not act as a sufficient substitute. Our regional medical universities, partly-funded by CARICOM, ought to be at the forefront of research in this area.

While TransWave applauds the government’s support of civil society organisations who address such marginalised groups as LGBTQIA and sex workers, its tendency to only address such groups within a HIV/AIDS narrative only helps to “other” the community as victims and creates associations with issues perceived as “societal problems”. It promotes  stigmatisation. (It’s a common complaint among trans activists groups in the region that they can only get funding for HIV/AIDS projects.)

The government should take its human rights agenda to heart. Once Jamaica commits to respecting and honouring the inherent dignity in all citizens, everyone can be empowered to do the best work for it and each other.

For counselling, support or info on how to get tested:

J-FLAG Social Services: (876) 754-2130

JASL: (876) 925-0021/2; email: info@jasforlife.org

Sources

(i)”Jamaica Gets Millions in HIV Funding” – Ministry of Health

(ii) Health Minister Commits to Reducing HIV/AIDS Stigma and Discrimination – JIS News

(iii) Resources and Publications – JASL

(iv) HIV Epidemiological Profile 2013, Facts and Figures (PDF) – National HIV/STI Programme

Trans Profile – Jessica, Part II

(This is the final of a two part series. Part one focused on Jessica’s personal journey to becoming the “ultimate” her. Part two focuses on health care issues facing transgender persons in Jamaica and how she plans to change it. This interview was edited for length and clarity.)

First part of interview

Do you plan to remain in Jamaica?

I’ve thought about it. One of the things I look at is the treatment cascade. The treatment cascade is services provided by the government in the public health system. You have an entry level which is when you get tested (for everything: diabetes, HIV, STIs etc), then you move from treatment to medication. You may need to be referred to a psychologist by a social worker.

Is this in relation to HIV treatment or transitioning?

No, just in general. The health system is supposed to provide you with a minimum package. There are some issues. Accessing the treatment cascade is a problem. For some persons even walking to a health centre can be a problem. If you don’t look as feminine as society requires you to look you might fraid seh somebody run yuh down. This means you have to take a taxi instead which is expensive. [To fund that] you need to work and you may lose your job if you go to work dressed as how you are. You may then have to start a business, likely supported by the LGBT community. All of this depends on money! That’s why I say that when you face the question on whether or not to transition you need to take a lot of things into consideration. You need family and friends. If you don’t have a family, try to mek one.

So how does the transgender community gain access?

They’re not going out to the health centres. One or two of us may be at a workshop. Where transgender persons do come out is at the big gay parties. But when they’re there they don’t want to be tested. [It’s uncomfortable to face] in that environment. I am one of the lucky ones who got tested.

If you manage to enter the treatment cascade, as a transgender person wanting to transition, there is nothing there. Just a doctor, if you have one, to do regular check ups, and maybe a psychologist who doesn’t really know how to deal with transgender issues. The doctors are reluctant to prescribe the hormone medication because of the country’s prohibitive environment. They don’t know anything about the treatment, they don’t know if it’s against the law, if it’s against their practice. They have to consult with others before they treat you.

The treatment cascade here is also not designed in a way to make transgender persons feel comfortable. I may want some linguistic skills to make my voice more feminine, and transgender men (female to male) may want techniques to help lower the voice etc. If you look at women like Caitlyn, they look beautiful, but they still have that male voice. There’s nothing in the treatment cascade for that.

You have to go abroad.

Yes. However, I did apply for a grant to help me develop a treatment cascade for the Jamaica health system — to create a treatment cascade for transgender persons. It will not be the best, but I want to at least allow for access to hormones and linguistic skills development. And we need to get psychologists on board because going through all of this is a big process. Even [as a transgender woman] to move from the male to the female bathroom….

I spoke to someone about that and it was a big issue for them. Regardless of which one they chose it was uncomfortable.

Moving from one to another is like a whole new world. When I went into a female bathroom for the first time I gasped because there were no urinals. [laughter]

Yeah, we don’t necessarily need those.

And then you start to look within yourself and think, Am I looking at the women in any way…? Do I fit in with them? For me, now, it’s not a problem. Others may not look as feminine and so other women using the bathroom get uncomfortable. Why dis man come in the bathroom dressing like a woman? Many don’t mean anything by it, they just have security concerns. Is this person an impostor who intends to rob me? So a lot of trans persons think twice. I know a lot who wait until they reach home to use the bathroom.

Doing that may cause health problems, though, like UTIs and kidney infections.

Yes. So the referral manual I want to create for the treatment cascade will be Colour Pink’s first TransHealth project that targets the transgender community. It will also involve educational plans for sexual reproductive health plus gender and sexuality to learn about the terminology. When transgenders are out they should be able to firmly articulate who they are.

We are grateful for the time spent with Jessica and look forward to working with her on future initiatives. Please like the Colour Pink Facebook page to keep current with its activities and learn how you can help.

Trans Profile – Jessica

(This is part one of a two part series. Part one focuses on Jessica’s personal journey to becoming the “ultimate” her. Part two focus on health care issues facing transgender persons in Jamaica and how she plans to change it. This interview was edited for length and clarity.)

Hi Jessica! Thanks so much for being a part of TransWave’s Transgender Profile Series. After meeting you, and watching a video of you at the Larry Chang Human Rights symposium, I knew we had to feature you on the site. Could you share with us a bit about your family background?

Thank you. Okay..let me take a deep breath. I was born in Kingston & St. Andrew. I was raised in a Christian family: father, Jehovah Witness, and mother, Pentecostal. Growing up as a very poor family but [we] try to mek ends meet, and all of that. I attended school when we had money.

Any siblings?

Yes, they were bigger than me. I was the youngest.

When did you first start to identify as female? Do you remember or was it just a gradual thing?

As far back as I can remember when I was two…two to three…playing with dolls. I knew within myself that I was different from everybody else. At first I think that everybody was one until you do things like purple touch. I saw that she act effeminate but then she has an organ that is different from mine. As kids even when you bathe together…you realise that she has a different organ but I could relate to her…whereas with boys their gender expression was different from mine.

Was there a moment that you decided to accept yourself as a woman or did the difficulties in that respect spring more from without than within?

I lived my life pleasing other persons. Even when I identified [I hid it] because the idea of being transgender is recent. We never knew about those things back then. If you’re effeminate you’re gay. When I started to go out and meet other members of the LGBT community and I act effeminate, they’d say, “So why you have to act so girly? Why you can’t be more masculine, why you can’t act more masculine?” I didn’t understand so I tried to accommodate them.

I remember a time there was this house lyme and they bluntly told me not to come because my gesticulations, how I am, would cause tension. When I said I wanted to get married and have children, they were saying, “Why you want fi change how God made you?”

Gay men, specifically, said this?

Yes. The community also had a journey to make [to accept transgender persons] and it hadn’t crossed that bridge yet. They didn’t understand.

The first time I found someone I could relate to was when I saw Laura. When I saw her I said, “Look at that nice lady.” Someone turned to me and replied, “No, she was a man.” They didn’t understand either because at that time people didn’t know the right terminology to use. I found out she was biologically male and transitioned to female. I could relate to her. Each time I saw her I asked her how she did it. I wasn’t in that capacity as yet. You have to know your surroundings before you start. If you want to cross [transition] but you don’t have the support network , the finances, it doesn’t make any sense. You have to wish and pray that one day you can become the ultimate you.

I considered for a long time whether or not I would just be a woman and not transition. It wasn’t until I did a training workshop in 2014 with Latoya that I learnt about transgender[ism]. We did the gender and sexuality talk. When I mapped myself it came back to transgender. I ripped up the paper, throw it away, did it again, throw it away…I got so frustrated until I decided to accept it. It was just really time to be myself, to evolve.

Now that I’ve started the transition, I’ve realised how stigmatised you can be. [Being seen as] gay, is one discrimination. Then being HIV positive. You get it from the wider society and within the LGBT community because no one wants to get involved with you because you are positive. If you’re doing sex work, that’s another thing. And now transitioning is another! Sometimes I am even afraid of those within the community. I went to a KFC once when an employee there recognised me. She told all her coworkers that I was a man. I was so disappointed. She was putting my life at risk. But I just stood my ground. Other times, they pass me on the street and bawl out, “Jermaaaaaaine!”

That might just be an inadvertent slip. It can take time to make that transition, too, into treating you as Jessica.

Yes.

Is it easier, in that sense, to move around in the wider society because they accept you based on your gender expression, whereas, those who knew you from before have to adjust to how you are now?

Yes. The first will see me and pass and go bout dem business. When I do my business at the bank, or with various companies when doing my bills, they would have known me as Jermaine. I’m okay with that. When I interact with their employees and they address me as Jermaine, I say, “No, my name is Jessica.” It’s a challenge for them so I have to educate them. They’ll say, “You don’t look the same as your ID photo. We have to call you by the name on the ID.” I tell them, “No, I’m giving you permission to address me as Jessica. It doesn’t matter what’s on the ID — I’m telling you what to call me.”

How long have you been out as transgender?

I took my time. You have different steps. If someone asked me how long I’ve been a transgender, I could say from I was a child. How long have I been living the life of a transgender? Not just identifying as transgender but living it: dressing as a woman, using the female bathroom…it’s two different things. I always tell persons it’s like learning to drive: moving the gear stick is one thing, but going on the road, keeping the vehicle steady, it’s another. It’s very difficult. I’ve been living the life for two months. The actual wearing of female clothing and so on, is about two weeks.

It takes a lot of courage. It’s not something where you wake up one day and say, “Today, I’m gonna put on female clothing!” You have to start off gradually. Maybe you start by wearing panties, then you start wearing shorts, you start dressing unisex, you know? I would advise other transgender persons to take their time and do it properly. Sometimes people rush. I’ve spoken with transgender persons living overseas. Maybe they’re in an environment that is more enabling so they rush and do the sexual reassignment surgery. But they didn’t start with hormones, they didn’t start to use the female bathroom. Maybe they didn’t go to a qualified surgeon. Some hear the word “transgender” and think it means you have to transition, when you don’t. They go through with the surgery then later regret it.

For Jamaicans, I say, take your time. Think about it. Jamaica is not an enabling environment. If you rush it you may have to leave your family, your community, and end up marooned in a place from which you can’t move. Fortunately, I am at a level where I am capable of managing it. I am blessed because I can wear female clothes to work and I can use the female bathroom at work. In my own right, by being me, I am an advocate. I educate: sitting down in my female clothing, talking and commanding persons. I say, “Listen, my name is Jessica, not Jermaine.” Then they go home and tell their families, their children, “I have a transgender at work.” [chuckles]

Part Two continues here.