T.W.E.E.T.: E2i Toolkit

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.

Goals

  • 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

Priority Population

  • Transgender women who are:
    • Newly diagnosed with HIV,
    • Currently not engaged in HIV care, or 
    • At risk of falling out of HIV care.

Core Elements

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

Duration

  • Five weekly TL-Teach Back sessions per cycle

Settings

  • HIV primary care settings, or
  • Community-based organization or AIDS service organizations that link directly to HIV primary care

Toolkit Components

This Guide includes:

  • How to plan and implement the intervention
  • Lessons learned during implementation in RWHAP settings
  • Outcomes from the E2i initiative

T.W.E.E.T. E2i Implementation Guide (PDF)

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.

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