Transgender Women Engagement and Entry to Care (T.W.E.E.T.) is an evidence-informed intervention that engages transgender women into HIV care through peer-led health education groups, leadership opportunities, supportive services, and community building. In collaboration with HIV experts and community members, E2i adapted T.W.E.E.T. for the Ryan White HIV/AIDS Program (RWHAP) and produced a toolkit that provides the resources needed to implement T.W.E.E.T. within RWHAP settings and other HIV care organizations.
- To engage transgender women with HIV in HIV medical care and supportive services
- To improve the quality of life and HIV-related health outcomes of transgender women
- Transgender women who are:
- Newly diagnosed with HIV,
- Currently not engaged in HIV care, or
- At risk of falling out of HIV care.
1. Peer Leaders
- T.W.E.E.T. clients who complete at least five TL-Teach Back sessions can become Peer Leaders who facilitate one or more sessions themselves. Peer Leaders inspire other transgender women with HIV to adopt health-seeking behaviors.
2. TL-Teach Back Sessions
- TL-Teach Back sessions are group education and discussion sessions on five health and wellness topics relevant to transgender women
3. Community Building
- T.W.E.E.T. clients build support networks during group sessions
- T.W.E.E.T. staff form partnerships with local community organizations
4. Supportive Services
- T.W.E.E.T. clients receive help with linkage and engagement in HIV care and supportive services, such as legal aid, housing assistance, financial assistance, and behavioral health care
- HIV primary care settings, or
- Community-based organization or AIDS service organizations that link directly to HIV primary care
This Guide includes:
- How to plan and implement the intervention
- Lessons learned during implementation in RWHAP settings
- Outcomes from the E2i initiative
A Spanish version of the Implementation Guide is coming soon!
Watch an instructional dramatization of how to deliver T.W.E.E.T. to clients.
Download a poster and brochure that explain T.W.E.E.T. and its benefits for clients. You can add your organization's contact information to these materials and distribute them in your clinic.