AJUSTER (Access to Just, Unified & Safe Transaffirmative care in Estrie and other Regions) is a research project that aims to build knowledge about access to gender-affirming care in Quebec, as well as to highlight existing issues concerning the quality of this care.
* The term “gender-diverse person” was used in this project to refer to anyone who isn’t cisgender.
* The term “region” was used in this project to refer to any place excluding the cities of Montreal and Quebec.
This project is funded by Women and Gender Equality Canada.

Discover how you can participate!

This project uses four methods :
Participate in the questionnaire here!
This questionnaire aims to…
– Understand the existing paths of access to gender-affirming care in Québec
– Detect gender-affirming procedures that are difficult or impossible to access
– Document the obstacles to access these procedures
To participate, contact ajuster@transestrie.org
These interviews aim to…
Study the realities of healthcare professionals with regards to gender-affirming care.
Detect gender-based medical violence, conversion attempts (or conversion “therapy”), human rights violations or breach of the WPATH (World professional association for transgender health) standards of care in the context of accessing gender-affirming care in Québec.
To participate, contact ajuster@transestrie.org
These interviews aim to…
Detect gender-based medical violence, conversion attempts (or conversion “therapy”), human rights violations or breach of the WPATH (World professional association for transgender health) standards of care in the context of accessing gender-affirming care in Québec.
To participate, contact ajuster@transestrie.org
These interviews aim to…
Understand the existing paths of access to gender-affirming care in Québec
Document the obstacles to access gender-affirming care
Detect gender-based medical violence, conversion attempts (or conversion “therapy”), human rights violations or breach of the WPATH (World professional association for transgender health) standards of care in the context of accessing gender-affirming care in Québec.
Team
-
Gen Ste-Marie (they/them)
Treasury -
Sei Laroche-Tanguay (they/them)
Research professional -
Anne Cockerton (they/them)
Project leader -
Antonin Ravatel-Legault (she/they)
Research assistant
Funding
This project is funded by Women and Gender Equality Canada.

Ethics
This project was approved by Sherbrooke University’s research ethics comittee.
Partners


Comittees
Advisory
4 gender-diverse people who have received gender-affirming care.
Scientific
4 personnes qui ont une expertise particulière dans le domaine de recherche et/ou de soins d’affirmation de genre·s au Québec;
External
CrC ReParE’s permanent adivsory comittee.
Impacts in March 2026
- Webinar (FR/ENG)
- "Open source" scientific articles (FR/ENG)
- Pathways to gender-affirming care listed on the transitionner.info website
- List of gender-affirming care urgently in need of building access routes to services
- List of systemic obstacles
- Create specific training targets to improve quality of care
If you’re interested in participating in interviews or have any questions, please contact ajuster@transestrie.org