The report analyzes the availability, accessibility, acceptability, and quality of medical care to ensure the right to health. Trans and gender-diverse individuals often face discrimation and inadequate access and quality of care. The right to health is ensured by the state to have standards of care and inclusivity; however, many trans and gender-diverse people are excluded from the healthcare system.
LGBTI individuals have increased rates of poverty, due in part to limited educational opportunities, but also workplace discrimination that has resulted in limited job opportunities. One of the key components of the right to work is to be able to choose employment freely and without restriction, however, discrimination often restricts this right to work for LGBTQI individuals. In Latin America, trans individuals are the most discriminated against for employment. In El Salvador, only about 5% of trans individuals are employed.
The right to education has often overlooked trans and gender-diverse children because of social and cultural biases. The LGBTQI community has higher than average dropout rates due to social exclusion and institutionalized discrimination. The report focuses on three needs for the right to education: availability, acceptability, and adaptability to be comprehensive and inclusive. Curriculum standards have excluded LGBTQI history and culture, and have had long-term effects, particularly with substandard sexual education materials and reproductive health information.
This year, an estimated 80,000 people fled violence in El Salvador, Guatemala and Honduras – mostly families and unaccompanied children – to request asylum, a 658% increase since 2011.