Best Practices for HIV Prevention Among Trans

PeopleLuis Gutierrez-Mock, MA

Center of Excellence for Transgender HealthUniversity of California, San Francisco

Our mission is to increase access to comprehensive, effective, and affirming

healthcare services for trans and gender-variant communities.

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

Main Projects

1. CATCH

2. International Project

3. Primary Care Protocols

4. Sheroes Intervention

5. Transitions Project

What is a Best Practice?

Best Practic

e

Experience

Research

Proven Success

Desired Result

Background

1. California Resource Inventory

2. California Service Gap Analysis

3. 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 Development 8. Advocate

Best Practices for Transgender HIV Prevention

1. Ground Your Work in the Community

Program planning & implementation

Throughout all levels of the program

Peer educators & volunteers

Community feedback

Collaborate with other providers

Bienestar - Los Angeles, CA◦Program based on

formative evaluations◦Addressed linguistic and

cultural needs

2. Race & Ethnicity: One Size Does Not Fit All

El/La - San Francisco, CA Focus on overall well-

being◦Cinema◦Dances◦Artistic Performances

3. Use Multidisciplinary Approaches

Communities

Organizations

Schools

Social Networks

Families

Individuals

4. Get the Facts! Assess, Evaluate & Enhance

Evaluate

Incorporate Findings

Plan Program Changes

Implement

Disseminate Findings

Project STAR – San Diego, CA◦Needs Assessment◦Disseminated data◦Used as an

advocacy tool

5. Look in All the Right Places

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.”

6. Increase Access to Health Care

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

7. Invest In Developing and Supporting Your Staff

Prioritize staff development

Build staff capacity

Create opportunities for advancement

TRANS:THRIVE - San Francisco, CA

8. Advocate for Structural & Systemic Changes

Immigration

Health Insurance

HIV Prevention

Housing

Instituto Familiar de la Raza - San Francisco, CA◦Police brutality◦Targeting of trans

female sex workers

Additional Ideas

Incorporate trans inclusive data collection

Hire trans people

Provide trans inclusive health insurance

www.transhealth.ucsf.edu

www.facebook.com/transhealth