Disabled, transgender communities under-vaccinated against Covid-19 in India

A study reveals significant barriers for disabled, transgender, and gender-diverse communities in India accessing Covid-19 vaccines. Using a syringe to attack the new covid-19 variant. A young doctor in a white protective glove holds a medical syringe and a vial.

            *   Only 5.22% of transgender individuals and 0.03% of disabled individuals vaccinated by late 2021

            *   Stigma, discrimination, and unstable employment exacerbate health risks

            *   Communication gaps and registration issues impede vaccine access

A recent study examined the challenges faced by disabled, transgender, and gender-diverse communities in India when trying to access Covid-19 vaccines. The research highlighted several barriers, including communication gaps, difficulties with vaccine registration, transportation issues, and inadequate infrastructure.

These obstacles are part of a broader issue of deep-rooted inequalities within the healthcare system. The study was conducted by Sharin D’souza and others from the Initiative for Health Equity, Advocacy, and Research, Bhopal Hub, Sangath, Bhopal, along with other institutions, and was published in Science Direct.

Researchers interviewed 45 individuals from the transgender and disabled communities, as well as health system representatives and key stakeholders. Although India had one of the world’s largest Covid-19 vaccination programs, by May 2021, only 5.22% of transgender and gender-diverse individuals were vaccinated, compared to 11.7% of the general population.

By November 2021, only about 0.03% of people with disabilities had been vaccinated, as per the study.

The study noted that both transgender and disabled communities in India are often marginalised due to stigma, discrimination, and lack of support, leading to higher rates of unemployment, poverty, and health issues. Many depend on unstable jobs like begging or sex work, which, combined with poorer health, puts them at greater risk of Covid-19 complications, making early vaccination crucial.

Lack of disability and trans-specific information: Concerns about how the vaccine might affect those with medical conditions or those who had transitioned highlighted gaps in vaccine research and communication. Previous negative experiences with the healthcare system also added to their hesitancy.

Procedural barriers: The digital platforms for vaccine registration, like CoWIN and Aarogya Setu, were not accessible to everyone, and the requirement for identity documents created additional challenges for the transgender community. Transportation and infrastructure issues: Some had to travel long distances to vaccination centres, struggled with transportation during lockdowns, or found the centres themselves inaccessible.

Mistreatment at vaccination centres: Many participants reported facing discrimination and stigmatisation, with some even being denied services. The study authors, finally, highlighted the need for more inclusive and accessible healthcare systems to ensure equitable access to vaccinations for all communities.

Courtesy:  India Today

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