267460 Barriers and facilitators for implementing evidence-based interventions with transwomen

Tuesday, October 30, 2012 : 10:30 AM - 10:45 AM

Luis Gutierrez-Mock, MA , Center for AIDS Prevention Studies, UCSF, Center of Excellence for Transgender Health, San Francisco, CA
JoAnne Keatley, MSW , Center of Excellence for Transgender Health, Univeristy of California, San Francisco, San Francisco, CA
Danielle Castro , Center of Excellence for Transgender Health, University of California San Francisco, San Francisco, CA
Greg Rebchook, PhD , Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, San Francisco, CA
     
Issues: The HIV prevalence estimate for transgender (trans) women is 28%, however none of the evidence-based HIV prevention interventions (EBIs) currently funded by the CDC were designed to meet the HIV prevention needs of transwomen. Organizations that wish to address the urgent need of HIV prevention among transwomen have three options available to them: 1. Adapt EBIs designed for use with other populations; 2. Create locally-developed “homegrown” interventions; and 3. Fold trans participants into other pre-existing programs.

Description: The Center of Excellence for Transgender Health (CoE) is a CDC-funded capacity building assistance provider with an expertise in trans HIV prevention and trans EBI adaptation. The CoE conducted several research projects to develop: (1) Best Practices for HIV Prevention Among Trans People, and (2) Best Practices for Transgender EBI Adaptation. These two sets of best practices were analyzed, in conjunction with notes from capacity building assistance delivery, to determine barriers and facilitators to implementing EBIs with transwomen. Lessons Learned: Several barriers to implementing EBIs with transwomen were identified, including limited connection to trans communities, limited funding sources, and high staff turnover. Facilitators to EBI implementation included hiring and promoting trans staff members, gaining the trust of trans communities, and obtaining input from trans communities.

Recommendations: Interventions that are designed to meet the HIV prevention needs of transwomen are urgently needed. In the absence of trans-specific EBIs, organizations would greatly benefit from lessons learned, best practices, and barriers and facilitators to EBI implementation.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
After attending this session, participants will be able to: 1. List five barriers to implementing EBIs with transwomen. 2. List five facilitators to implementing EBIs with transwomen.

Keywords: HIV Interventions, Special Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I work at the Center of Excellence for Transgender Health, at the University of California, San Francisco, where I provide national capacity building assistance to organizations adapting and implementing evidence-based HIV prevention interventions for transwomen. I was the Principal Investigator of the "Best Practices for Adapting EBIs for Transwomen" and I was the first author of "T-SISTA: A Guide for Adapting SISTA for Transwomen."
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4119.0: HIV Prevention among Specific Subpopulations