n African Journal for Physical Health Education, Recreation and Dance - Transsexual women's journey towards a heteronormative health care system : gender and equity

Supplement 1
  • ISSN : 1117-4315


Realigning their physical embodiment is a challenge for Transsexual women because of dependence and power imbalance they experience within the heteronormative healthcare system which is designed for heterosexual men and women's health care needs. Negotiating trans-inclusive healthcare in such a context can pose challenges for transsexual women. This study used the Interpretative Phenomenological Analysis approach to investigate transsexual women on the journey of sexual realignment in a heteronormative healthcare system in the Western Cape. In-depth interviews were conducted with ten participants who were sampled through purposive and snowball sampling. Data collection and analysis was a concurrent process after which a cross-case analysis was done. The data analysis was guided by the steps as set out for Interpretative Phenomenological Analysis (IPA). This resulted in the emergence of the main theme which was made of the following clusters: Practitioners with power preventing progress on the realignment journey, Fearing care, and fearing transphobia. This article highlights issues affecting the health and healthcare delivery for transsexual women to assist healthcare practitioners to reflect on their automatic heteronormative healthcare practices. It also has implications for promotion of inclusivity in the development of curriculum that shapes inclusive healthcare providers. The article will hopefully serve as a vehicle to mobilise researchers to investigate issues affecting the health and healthcare delivery for transsexual women within the African context.

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