Thailand HIV and Stigma Reduction Study

Aim 1 (Formative Research and Beta-Testing) Transgender women Inclusion Criteria: * Ages between 18 and 29 years * Male sex at birth * Self-identifies as women, transgender women or culturally identifies with the female spectrum * Laboratory-confirmed HIV-negative status * Self-reported recent history of condomless sex * Able to understand, read and speak Thai * Either not started PrEP or currently on PrEP but not adherent (taking ≤3 pills/week) in the past month. Exclusion Criteria: * Have a serious cognitive or psychiatric problem compromising ability to provide informed consent * Have active suicidal ideation or major mental illness at the time of interview (these patients will be referred for treatment) * Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreased creatinine clearance) * Currently enrolled in another HIV intervention study. Healthcare providers Inclusion criteria * Age 18 or above * Has provided HIV prevention or treatment services for TGW for at least one year Exclusion criteria * None Aim 2 (Pilot RCT) Transgender women Inclusion criteria * Ages between 18 and 29 years * Male sex at birth * Self-identifies as women, transgender women or culturally identifies with the female spectrum * Laboratory-confirmed HIV-negative status * Self-reported recent history of condomless sex * Able to understand, read and speak Thai * Either not started PrEP or currently on PrEP but not adherent (taking ≤3 pills/week) in the past month. Exclusion criteria * Have a serious cognitive or psychiatric problem compromising ability to provide informed consent * Have active suicidal ideation or major mental illness at the time of interview (these patients will be referred for treatment) * Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreased creatinine clearance) * Currently enrolled in another HIV intervention study.