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Trànsit: a service for the promotion of health for trans people*


‘Trànsit’ professional team:  M. Rosa Almirall Oliver (gynaecologist and manager of Trànsit);  Eva Vázquez Segura (midwife); Mireia Brull Martínez (social worker); Jordi Reviriego Chuecos (family physician); Soraya Vega Sandín y Diana Zapata Hincapié (psychologists); Kenzo Marín Rodríguez (Health officer/cleric).

Entity/Agency in charge: Institut Català de la Salut


Trans people are one of the groups claiming for better policies and care in the healthcare services. To attend a response to the needs of this citizens TRÀNSIT was launched in Catalonia in 2012.  This is a service for the promotion of health among trans people that has already taken care almost one thousand individuals. TRÀNSIT comprehends social and psychotherapeutic support for transsexual people and their affective environment following a transpositive care model biologically, psychologically and socially centred.

TRÀNSIT is offered through primary care services and relies in a multidisciplinary team consisting in midwife, gynaecologist, family physician, psychologist and clerical worker.  This team provides with information, consulting and respectful support to trans people throughout their process of transition.

In this service midwifes provide with their care in the first visits in which they listen to the user’s life story helping them to share doubts and needs. Among their duties midwifes counsel on the prevention of Sexually Transmited Infections (STIs), the reproductive possibilities and contraception; on hormonal and surgical treatments; the promotion of a healthy lifestyle and other preventive activities (prevention of breast and the cervix cancer, antitobacco counselling, prevention of osteoporotic risk, etc.)

Transit has helped more than 1000 people. The 54% of them were trans women, 40% were trans men and the rest were crossed-dressers, non-binary or other categories. Age range of users goes from 3 to 70 years old. The number of first visits has dramatically increased in the last five years.

Working for the future of TRÀNSIT implies raising awareness and training of multidisciplinary professionals and the development and progressive implementation of this inclusive non-binary care model which wants to answer the needs of trans people.

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