Difficulties and advances in access to and use of health services by transgender women and travestis in Brazil.

Objective: To understand the narratives of transgender women and travestis (TGW) from four Brazilian cities regarding access to and use of health services.

Methods: Qualitative study carried out within the scope of the TransOdara project, cross-sectional multicenter mixed methods research conducted between 2019-2021. Fifty-two in-depth interviews with TGW in Manaus, Campo Grande, Porto Alegre and São Paulo were analyzed.