This report has been prepared within the framework of the Help Is Near project activity, which was carried out by HPLGBT community organization with support of the Eurasian Key Populations Coalition (EKPC) within implementation of the program supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Donor) under the Subgrant Agreement 003-GFR-23 between EKPC and CO "100% Life".

The Help Is Near project allowed to carefully study the services provided by the community organization and the typical barriers in access to services as well the solutions which can be extrapolated to the countries of Eastern Europe and Central Asia (EECA) as well as Southeastern Europe (SEE). This publication presents recommendations on decentralization of the services in the area of HIV and other socially dangerous diseases for organizations working with transgender (trans) people in these regions. These recommendations have been developed based on the typical requests from trans people covered by this project, with a focus on intersectional groups of trans people, such as trans sex workers; trans people engaged in chemsex and/or using new psychoactive substances.

"On weekdays, I often have freeloaders who come to me and not only waste my time, but also ruin my schedule. For instance, on Friday there was another timewaster, and after that I hoped to earn at least some money, but I missed the time to visit the doctor... It would be good to have all the medical services as close as possible, so that I would not have to waste time on this as well."

ALANA, 23, Odesa (project beneficiary)

Thus, the implemented project focused on the cross-groups of trans people, taking into account their intersectionality associated with how different types of stigma and discrimination are interrelated and affect each other. This approach turned out to be crucial to consider the diversity of trans community, given the unique characteristics of this community. Besides, such diversity-based approach helped to address the problems related to health, inclusion and social well-being of community members. Within this community-led project, HPLGBT reached 162 (one hundred sixty-two) unique trans beneficiaries, with one consultation lasting on average not more than one hour.