Analisa Faktor Permasalahan Pengurusan Pertukaran Jantina Pesakit Disorder Of Sex Development (DSD) Muslim di Malaysia
Keywords:
factors, problem, Disorder of Sex Development (DSD, khunsa management, gender changeAbstract
Disorder of Sex Development (DSD) refers to individuals with abnormal genetic, gonadal, or anatomical conditions. DSD patients with khunsa-status gender dysphoria often require gender reassignment and surgery to repair or remove one of the genitals. However, problems such as misdiagnosis and lack of psychosocial support interfere with the management of DSD patients. In addition, DSD management varies according to culture and location, neglect of patient background details, bad experiences with medical professionals, contribute to management weaknesses and adversely affect the patient's life. In Malaysia, the Malaysian Ministry of Health (KKM), Chancellor Tuanku Muhriz Hospital (HCTM), the Malaysian Islamic Development Department (JAKIM), and the National Registration Department (JPN) are the main agencies that handle DSD patients. This paper discusses the problem factors in the gender change process of muslim DSD patients in Malaysia through qualitative studies and literature reviews. The study found six problem factors that caused the issue of patient welfare, their rights and parents' decisions regarding doctor's research. These issues have significant implications for the lives of DSD muslim patients, such as difficulties in worship, finding a job, problems related to get married and so on. Suggested improvements include awareness, coordination of Standard Operating Procedures (SOP), registration, legislation, and guidance. The implications of this study are expected to serve as a guide for DSD patients and authorities.
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