Background Men who have sex with men (MSM) and transgender (TG) people face human rights violations (HRVs) which impact their access to critical interventions for HIV prevention, treatment, and related services. Objectives This study describes how Beyond Zero, a not-for-profit organisation in South Africa, built an HRV reporting system and discusses data on the HRVs experienced by MSM and TG people who accessed HIV prevention services between 01 January 2021 and 31 December 2021. Method This was a cross-sectional study using secondary analysis of programmatic data routinely collected as part of HIV prevention programmes for MSM and TG in 10 rural districts of South Africa. Results A total of 249 individuals reported having experienced HRVs. Of these, 113 (54.6%) were physical violations, 145 (58.2%) were psychosocial harassment, 15 (18.3%) were experienced within the workplace, and 59 (23.7%) were experienced at a healthcare or social services institution. Overall, 77% of the physical violations and 70.4% of the psychosocial violations occurred in the home and local community settings; 76.1% of the perpetrators of physical violence and 79.3% of the perpetrators of psychosocial harassment were known. Most incidents of physical violence (80.5%) and psychosocial harassment (92.4%) were not reported due to fear of homophobic or transphobic violence. Conclusion Our findings demonstrate the feasibility of documenting HRVs among MSM and TG people within HIV prevention programmes. Men who have sex with men and TG people should be systematically screened for HRVs and linked to legal or other services. What this study adds Our findings present data on the nature of HRVs in 10 districts outside of the large urban centres where research documenting the lived experiences of MSM, TG people and other key populations is traditionally conducted in South Africa. This data contribute to addressing the gap in the literature on the needs of MSM and TG people in South Africa caused by the delayed inclusion of rural MSM and TG people in research.

中文翻译：

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南非男男性行为者和变性人的人权受到侵犯。

背景 男男性行为者 (MSM) 和跨性别者 (TG) 面临人权侵犯 (HRV)，这会影响他们获得 HIV 预防、治疗和相关服务的关键干预措施。目标 本研究描述了南非非营利组织 Beyond Zero 如何建立 HRV 报告系统，并讨论了在 2021 年 1 月 1 日至 2021 年 12 月 31 日期间获得 HIV 预防服务的 MSM 和 TG 人群的 HRV 数据。方法 这是一项横断面研究，对作为南非 10 个农村地区 MSM 和 TG HIV 预防计划的一部分定期收集的计划数据进行二次分析。结果 共有 249 人报告经历过 HRV。其中，113 起 (54.6%) 是身体侵犯，145 起 (58.2%) 是心理社会骚扰，15 起 (18. 3% 的人在工作场所有经验，59 人 (23.7%) 在医疗保健或社会服务机构有经验。总体而言，77% 的身体侵犯和 70.4% 的社会心理侵犯发生在家庭和当地社区环境中；76.1% 的身体暴力施暴者和 79.3% 的心理社会骚扰施暴者是已知的。大多数身体暴力 (80.5%) 和心理社会骚扰 (92.4%) 事件由于害怕同性恋或跨性别暴力而没有报告。结论 我们的研究结果证明了在 HIV 预防计划中记录 MSM 和 TG 人群的 HRV 的可行性。应系统地筛查男男性行为者和 TG 人群的 HRV，并联系法律或其他服务。本研究增加的内容 我们的研究结果提供了关于大型城市中心以外 10 个地区 HRV 性质的数据，这些地区的研究记录了 MSM、TG 人群和其他关键人群的生活经历，这些研究传统上是在南非进行的。该数据有助于解决因延迟将农村 MSM 和 TG 人群纳入研究而导致的关于南非 MSM 和 TG 人群需求的文献空白。