Best Practices for HIV Prevention Among Trans People Luis Gutierrez-Mock, MA Center of Excellence for Transgender Health University of California, San Francisco

We include community perspectives by actively engaging a national advisory body (NAB) of 12 trans identified leaders from throughout the country.

1. CATCH 2. International Project 3. Primary Care Protocols 4. Sheroes Intervention 5. Transitions Project

Best Practice ExperienceResearch Proven Success Desired Result

1. California Resource Inventory2. California Service Gap Analysis3. Data Analysis

1. Ground your work in the Community 2. One size does not fit all 3. Use Multidisciplinary Approaches 4. Get the Facts 5. Look in All the Right Places 6. Increase Access to Health Care 7. Staff Development8. Advocate

Program planning & implementationThroughout all levels of the programPeer educators & volunteersCommunity feedbackCollaborate with other providers

 Bienestar - Los Angeles, CA ◦ Program based on formative evaluations ◦ Addressed linguistic and cultural needs

El/La - San Francisco, CA  Focus on overall well- being ◦ Cinema ◦ Dances ◦ Artistic Performances CommunitiesOrganizationsSchoolsSocial NetworksFamiliesIndividuals

Evaluate Incorporate Findings Plan Program Changes Implement Disseminate Findings Project STAR – San Diego, CA ◦ Needs Assessment ◦ Disseminated data ◦ Used as an advocacy tool

 TransVision, Tri-City Health Center, Fremont, CA “We have conducted surveys, oral and rapid testing, and CRCS Counseling in their rooms when it is difficult for them to make it to the agency.”

Tom Waddell Health Center- San Francisco, CA Collaborate with local providers who offer: Easily accessible or multiple locations Services in multiple languages Competent trans health & HIV care Hormone therapy

Prioritize staff development Build staff capacity Create opportunities for advancement TRANS:THRIVE - San Francisco, CA

ImmigrationHealth InsuranceHIV PreventionHousing Instituto Familiar de la Raza - San Francisco, CA ◦ Police brutality ◦ Targeting of trans female sex workers

Incorporate trans inclusive data collection Hire trans people Provide trans inclusive health insurance