TRAINING MODULE ON WORK WITH PUBLIC OFFICIALS on Human Rights and Combating Stigma and Discrimination against gay men, other MSM and trans people Training Module on work with Public Officials on Human Rights and Combating Stigma and Discrimination against gay men, other MSM and trans people / N. Verbytska, M. Didenko. — T.: Eurasian Coalition on Male Health (ECOM), 2018. — 122 p. The publication was prepared and published within the regional program «Right to Health», implemented by the Eura- sian Coalition on Male Health (ECOM) with the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The views described herein are the views of this institution, and do not represent the views or opinions of The Global Fund to Fight AIDS, Tuberculosis & Malaria, nor is there any approval or authorization of this material, express or im- plied, by The Global Fund to Fight AIDS, Tuberculosis & Malaria. Free distribution. The contents of this publication may be freely copied and used for educational and other non-commercial purposes, provided that any such reproduction is accompanied by an acknowledgement of ECOM as the source. All rights reserved. © ECOM, 2018 AUTHORS Nina Verbytska — psychotherapist, international trainer and consultant on health, human rights protection, tolerance and non-discrimination. Marina Didenko — psychologist, international expert on working with professional communities regarding the issues of sexual orientation and gender identity. EXPERT REVIEW Marina Herz, international expert and trainer in gender, sexuality and non-discrimination, social worker, human rights advocate, independent LGBT+ activist. Roman Ivasiy, member of the International AIDS Society, HIV medical advisor, trainer and expert in tolerance and health of the LGBT community in Ukraine. Shuhrat Saidov, Head of Advocacy and Human Rights at Equal Opportunities (Tajikistan), trainer in addressing stigma and discrimination in health institutions. Vitaliy Vinogradov, Coordinator of the UNI Project, the Columbia University Global Health Research Center of Central Asia (Kazakhstan). Daniyar Orsekov, Executive Director, Kyrgyz Indigo, regular member of the HIV/AIDS Committee of the Public Health Coordination Council representing MSM/TG in Kyrgyzstan, Board member at ECOM and MSMGF (Global Forum on MSM & HIV). Sergo Chikhladze, public health policy and management specialist, international expert in development, implementa- tion and assessment of health programs (Georgia). Kakhaber Kepuladze, medical advisor, coordinator of field MSM projects at Tanadgoma – Center for Information and Counseling on Reproductive Health (Georgia), regional expert in working with key populations in the South-Caucasus Network on HIV/AIDS. Elena German, ECOM Programs Director, trainer EDITOR Yuri Yoursky, ECOM Human Rights and Legal Issues Officer, trainer on combating stigma and discrimination against LGBTI. TRANSLATOR Anna Oliynyk DESIGN AND LAYOUT Anastasiia Danylevska, graphic designer. CONTENT 1 Preamble ................................................................................................. 3 2 Background and instructions ............................................................................. 4 3 List of abbreviations ..................................................................................... 7 4 Agenda ................................................................................................... 8 5 Introduction .............................................................................................. 10 6 Theory & Practice: Section 1 «From stereotypes to discrimination» ...................................... 14 7 Theory & Practice: Section 2 «Powers of the government agencies in addressing discrimination» ...... 27 8 Theory & Practice: Section 3 «Tolerance and political correctness in healthcare settings» .............. 39 9 Theory & Practice: Section 4 «Equality, non-discrimination and hate crimes counteraction in the work of law enforcement agencies» .............................................................................. 57 10 Annex 1. Sample registration form ....................................................................... 75 11 Annex 2. Knowledge assessment form for representatives of the government agencies and local government bodies ...................................................................................... 76 12 Annex 3. Knowledge assessment form for health professionals ......................................... 78 13 Annex 4. Knowledge assessment form for representatives of the law enforcement agencies .......... 80 14 Annex 5. Keys to the knowledge assessment forms ..................................................... 82 15 Annex 6. Training quality and efficiency evaluation forms ............................................... 85 16 Annex 7, 8, 9. Workshop agendas for different target audiences ......................................... 86 17 References ............................................................................................... 90 1. PREAMBLE Dear colleagues! We are happy to present one more tool developed by ECOM — a training module on work with public officials on human rights and combating stigma and discrimination against gay men, other MSM and trans people. Why is addressing stigma and discrimination the main topic of this module? Edwin Cameron, Justice of the South African Constitutional Court, who is an openly gay man living with HIV said: “…If we do not appreciate the nature and impact of stigma, none of our interventions can begin to be successful. AIDS is probably the most stigmatized disease in history.” According to the UNAIDS, stigma against the members of vulnerable populations — whether they are men who have sex with men, sex workers or people who inject drugs — becomes the key barrier in access to the HIV prevention servic- es. Stigma against people living with HIV hinders their timely and effective treatment and restricts their access to care and support. Stigma is what makes people hide their HIV status when interacting with others. Besides, it is the cause of discrimination and human rights violations. A study of the attitudes towards LGBT among the gate keepers of key social services in five EECA countries conducted by ECOM in 2017 showed that 48% of the interviewed health workers, 67% of the social workers and 6% of the police officers have people with homo- or bisexual orientation among their family members or acquaintances. However, 17% of the interviewed health workers and 84% of the police officers stated that homosexuality is not acceptable in the society; 6% of the health workers and 75% of the police officers said that homosexuality is a disease or a consequence of a psychological trauma. That is why our module was developed for trainers and trainer teams who are planning to work with health workers, public officials or law enforcers. The main idea of this module is to show people who may influence the life and health of others what impact stigma and discrimination may have on the life of an individual; how negative attitude of a doctor may lead to the risk of contract- ing HIV; how prejudice of a police officer may hinder investigation of a crime; how one decision of a public official may put thousands of people in a city at risk. It is also aimed at showing them how they may be game changers using their power and authority. This module contains materials for three one-day workshops. We recommend adjusting the materials to the national context, needs and expectations of the participants, but we still hope that the exercises and presentations we pre- pared for you will be useful for your workshops. We would like to thank all the people who took part in developing this training module. We are sure that it will be useful for non-governmental organizations striving to combat discrimination and pursue tolerance towards gay men, other MSM and trans people. We hope that the activities aimed at educating public officials will allow thousands of gay men, other MSM and trans people to have regular and free access to HIV prevention and treatment services and will also allow to improve the situation with LGBT rights in Central and Eastern Europe and Central Asia. 3 2. BACKGROUND AND INSTRUCTIONS This training module consists of three workshops for three target audiences: decision-makers: representatives of the Ministries of Health, members of the Country Coordinating Mecha- nisms, people who plan and/or administrate health programs, staff members of city and municipal health de- partments; senior, middle and junior medical personnel (doctors, paramedics, nurses, obstetricians, laboratory assis- tants, medical record administrators, hospital attendants, caregivers, etc.) as well as managers of health facili- ties, including STI treatment clinics, national and city AIDS centers; staff of law-enforcement agencies — representatives of the Ministry of Internal Affairs, the Ministry of Justice, the Prosecutor’s Office, departments to combat violence, protect human rights and freedoms, police patrol of- ficers, investigators, district police officers, etc. DURATION OF EACH WORKSHOP: 1 day (9 a.m. – 6 p.m.) OPTIMAL NUMBER OF PARTICIPANTS: 15-18 people Required materials: registration forms, badges, flipchart paper, A4 format paper (white and color), glue, felt-tip pens, markers, pencils, stickers, scotch tape, scissors, tables with words «myth»/«fact», soft ball. Equipment: flipchart, projector, computer, electronic media with presentations. Handouts: notebooks,