A/HRC/41/45/Add.2 and investigate allegations of abuse taking place in this context, including psychological, physical and sexual abuse; (c) Undertake a comprehensive study on the situation of lesbian, gay, bisexual and trans people in detention, investigate allegations of sexual violence against them and adopt clear policies on their treatment in detention that take into consideration their particular vulnerability, drawing from the existing guidelines and good practices in this regard;29 (d) Undertake studies on the extent of bullying based on sexual orientation and gender identity in educational settings and domestic violence affecting the lesbian, gay, bisexual and trans communities; (e) Increase the presence of the police in the Maratane refugee camp in order to provide better protection to the refugee population, including lesbian, gay, bisexual and trans refugees, and accountability for human rights violations. 83. With regard to the right to health, the Independent Expert recommends that the Mozambican authorities: (a) Carry out research to identify health disparities and the health situation of the lesbian, gay, bisexual and trans populations with a view to integrating their specific health needs in public health policies; (b) Step up efforts to raise awareness among health professionals about issues related to sexual orientation and gender identity and adopt nationwide directives to guarantee access to high-quality, stigma-free health-care services to lesbian, gay, bisexual and trans individuals; (c) Ensure the accessibility and affordability of gender-affirming care for transgender persons, including hormonal treatment, surgery or other health-care services to bring the individual’s body into alignment, as much as the individual desires and to the extent possible, with the experienced gender; (d) Continue and scale up efforts to ensure key populations’ access to HIV/AIDS-related health services and to provide user-friendly care for lesbian, gay, bisexual and trans sex workers and men who have sex with men, including those who are deprived of their liberty; (e) Include lesbian, gay, bisexual and trans populations in national public prevention measures to combat HIV and adopt urgent measures to prevent HIV infection in penitentiary institutions, such as educational and behaviour change interventions, and access to condoms and lubricants. 84. With regard to the right to freedom of association, the Independent Expert recommends that the Mozambican authorities grant without further delay the Lambda organization the juridical personality required by law. 29 18 Association for the Prevention of Torture, Towards the Effective Protection of LGBTI Persons Deprived of Liberty: A Monitoring Guide (Geneva, 2018).

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