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Intersecting issues, identities, and barriers in access to health care, HIV services & sexual and reproductive health and rights among key populations in Central and Eastern Europe & Central Asia

This briefing paper explores the impact of intersecting identities—such as LGBT, people who use drugs (PWUD), sex workers (SW), and people living with HIV (PLHIV)—on health access, agency, and social justice in the context of structural inequalities and stigma. Using the framework of intersectionality, it examines how overlapping identities shape lived experiences of discrimination, influencing mental and physical health outcomes and access to healthcare services. The paper is based on cross-regional consultations conducted across 14 countries in Central and Eastern Europe and Central Asia (CEECA), including surveys and focus group discussions with 103 individuals with multiple intersecting identities.

The paper is available in English and Russian