A/HRC/41/45/Add.1 HIV/AIDS 113. Conduct a size estimate of the trans population and assess the specific needs of trans persons and the barriers that they face when accessing HIV/AIDS prevention and treatment services. 114. Ensure the participation of the trans community in the design and implementation of the national HIV/AIDS strategic plan. 115. Speed up the implementation of the new safety strategy and blood service reform, and comply with the Constitutional Court’s decision by withdrawing discriminatory and stigmatizing legislation pertaining to blood donors. 116. Raise health professionals’ awareness about sexual orientation and gender identity and make sure that lesbian, gay, bisexual, trans and gender diverse persons can access stigma-free treatment at health centres, including HIV/AIDS testing and counselling services. Health 117. Take immediate measures to improve the health and well-being of lesbian, gay, bisexual, trans and gender diverse persons and guarantee their access to good quality health-care services and health-related information. This includes incorporating their needs and specificities in the State Strategy on Health Care and considering the provision of gender-affirming care as a State obligation that is neither dependent on a diagnosis nor a prerequisite for legal gender recognition. 118. Eliminate abusive requirements as prerequisites for gender marker change, including forced involuntary sterilization, medical procedures related to transition, surgery and hormonal therapies, and mandatory medical diagnosis, psychological appraisals or other medical or psychosocial procedures or treatment. 119. Adopt clinical guidelines on trans-specific medical procedures in line with international standards. Education and bullying 120. Adopt specific policies or programmes to promote tolerance towards diverse sexual orientations or gender identities in educational settings, and regulatory documents with regard to bullying based on these grounds. 121. Ensure that mechanisms to address bullying based on sexual orientation and gender identity are available and accessible in educational settings. 20