Transgender People

Transgender people, particularly, transgender women of color, have higher rates of HIV infection. Rates are especially high among African American transgender women. Transgender people face significant barriers to accessing HIV and other medical care and social support services.

Resources 30

Best Practices

  • Center for Innovation and Engagement
    Collection of implementation guides on evidence-informed best practices in HIV care delivery.
  • AIDS Action Foundation

    Workbooks describing ways to help connect people living with HIV/AIDS to medical care. Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.  

  • IHIP
    Project to enhance the provision of HIV care for Latina transgender women in Los Angeles County.
  • IHIP
    Ninetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.
  • SPNS Social Media Initiative

    Social media tools developed by demonstration sites (e.g., text messaging, apps).

  • SPNS Transgender Women of Color Initiative

    Innovative models for linking and retaining transgender women of color in HIV care.

  • Best Practices Compilation
    Howard Brown Health established a specialized drop-in clinic and support groups, and implemented organizational initiatives to provide culturally relevant and gender-affirming services for transgender and non-binary people, including transgender women of color. The goal of this intervention was to optimize engagement in HIV services and primary care. From 2012-2021, the number of transgender and non-binary people served in primary care at Howard Brown Health more than tripled. In addition, after 24 months, participants were more likely to have been prescribed ART and to be virally suppressed than at baseline.
  • Best Practices Compilation
    The Enhanced Patient Navigation for Women of Color with HIV intervention uses patient navigators, who are non-medical staff in clinical settings, to reduce barriers to health care and optimize care. The intervention was effective in improving linkage to and retention in care, as well as viral suppression.
  • Dissemination of Evidence Informed-Interventions Project (DEII)
    Patient navigation intervention informed and adapted from the best practice findings of a past SPNS initiative that yielded successful HIV care continuum outcomes among client participants.
  • Best Practices Compilation
    Enlaces Por La Salud is an HIV linkage, navigation, and education program for Mexican men and transgender women. The intervention is grounded in a transnational framework for providing cultural context to support the delivery of one-on-one educational sessions to Latina(o/x) people with a new HIV diagnosis, as well as people with HIV who are not yet retained in care. After 12 months, the majority of people participating in Enlaces Por La Salud were retained in care and reached viral suppression.
  • Best Practices Compilation
    Healthy Divas focuses on empowering transgender women with HIV to achieve their personal health goals. Three sites implemented the intervention as part of the E2i initiative funded through the RWHAP Part F SPNS program from 2017 through 2021. Both engagement in HIV care and having an antiretroviral therapy prescription improved significantly for clients 12 months after enrollment in Healthy Divas.
  • Evidence-Informed Interventions (E2i)
    Healthy Divas is an evidence-informed intervention that empowers transgender women with HIV to accomplish personalized gender affirmation and HIV health goals through peer-facilitated counseling sessions.
  • Dissemination of Evidence Informed-Interventions Project (DEII)
    Peer linkage and re-engagement intervention, informed and adapted from the best practice findings of a past SPNS initiative.
  • Best Practices Compilation
    The PC4H initiative employs a mobile app and a digital literacy workshop to improve engagement, retention in care, and medication adherence for young people with HIV. These strategies aim to reach young people who are disproportionately affected by HIV, including young men who have sex with men, young transgender women, and youth of color, with a focus on serving people who know their status but are inconsistently engaged in care. Developed by Children’s Hospital of Philadelphia and Philadelphia FIGHT, PC4H was evaluated through the RWHAP Part F SPNS Social Media Initiative. The evaluation found that PC4H had positive impacts on retention in care and viral suppression.
  • Evidence-Informed Interventions (E2i)
    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.
  • Best Practices Compilation
    Text Me, Girl! is a text messaging intervention that aims to improve linkage to and retention in HIV care, increase adherence to HIV medications, and improve viral suppression and other health outcomes among transgender women ages 18–34 years. The intervention supports young transgender women with HIV, particularly those experiencing barriers to care such as periods of homelessness and/or incarceration, substance misuse, or engaging in sex work. Text Me, Girl! participation was associated with statistically significant improvements in antiretroviral therapy uptake and adherence, and self-reported viral suppression.
  • Best Practices Compilation
    The Alexis Project used social network recruiting and engagement, peer navigation, and contingency management to reach and engage transgender women of color with HIV who were not engaged in HIV care. Participation in the 18-month intervention improved linkage to care and viral suppression.
  • Best Practices Compilation
    Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.
  • Best Practices Compilation
    The Rutgers New Jersey Medical School created a transgender health program and integrated it into their Infectious Disease Practice. The program conducted community outreach to engage transgender men and women in care, trained all staff on gender affirming care, hired transgender staff, provided gender affirming care and hormone treatments onsite, and offered mental health support to patients.
  • Best Practices Compilation
    T.W.E.E.T. aims to engage transgender women in HIV care by combining weekly peer-based education and discussion groups, leadership training, community building, and the provision of supportive services. Three sites implemented T.W.E.E.T. as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Clients had improved outcomes across the HIV care continuum 12 months after enrollment in T.W.E.E.T.
  • Best Practices Compilation
    In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.

Resources

Training Modules

Webinars

Conference Presentations

HRSA
Presenters:
Heather Hauck, Alex Keuroghlian, Jill York, Larry Zayas Rivera, Harold Phillips
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Presenters:
Alex Keuroghlian, Nicole Chavis, Beth Bourdeau, Demetrios Psihopaidas
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Presenters:
Alex Keuroghlian, Dana Hines, Paul Sacamano, Jamie Weinand
2022 National Ryan White Conference on HIV Care & Treatment
AIDS Alliance for Women, Infants, Children, Youth & Families
Presenters:
Ivy Turnbull, Michele Scavnicky
2022 National Ryan White Conference on HIV Care & Treatment
University of California San Diego
Presenters:
Blumenthal
2022 Ryan White HIV/AIDS Program Clinical Conference

Technical Assistance

  • TA/training for RWHAP agencies to improve the quality of HIV/AIDS care they provide. Project period: 2020-2024.

  • ELEVATE will prepare people with HIV to meaningfully engage and take on leadership roles in planning bodies, advocacy actions, and the HIV workforce. Project period: 2020-2024.

  • ESCALATE will focus on reducing HIV stigma through training participants in EHE jurisdictions. Project period: 2020-2024.

  • The NHC provides ongoing, up-to-date information needed to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States. Project period: 2020-2022.
  • Interactive data tool to visualize the reach, impact, and outcomes of the RWHAP. HRSA offers office hours and webinars to help use the tool.
  • Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs. Project period: 2021-2024.
  • HRSA SPNS project applying the implementation science framework to identify innovative HIV interventions for three priority populations (people with substance use disorder, sexual minority youth, people involved in criminal justice system) and use of telehealth. Project period: 2021-2025.

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