In most countries in the Caribbean, persons of trans experience are confronted by the challenges of punitive national laws and policies that adversely affect their basic rights, including the right to health, education, justice and social welfare. This often results in exclusion from social and civic participation; harassment and stigmatization; limited access to protection, justice and redress; and inadequate provision of health care services.
Data on HIV prevalence among persons of trans experience is limited in the region. Where information is available, it indicates significantly higher rates of HIV prevalence in women of trans experience. Estimates show that HIV prevalence for women of trans experience in the region range from 8% to 31% and there are few support programmes that address their specific needs. Where programmes do exist, they rarely include access to sexual and reproductive health services.