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APPENDIXA ..... ......................................................................................................... 28 <br />SurveyQuestions................................................................................................................. 28 <br />APPENDIXB...............................................................................................................30 <br />FocusGroup Guide...............................................................................................................30 <br />EXECUTIVE SUMMARY <br />Transgender and gender non -conforming people of color are a vulnerable population <br />underrepresented across the US in accessing healthcare. In summer of 2023., as part of a <br />community driven effort, Alianza Translatinx and the Orange County Health Care Agency <br />partnered to assess the HIV/STD health care experiences of this community through needs <br />assessment activities, including a survey and focus groups. Common themes in the transgender <br />and gender non -conforming (TGNC) Latinx community in Orange County were identified. <br />Barriers to HIV/STD prevention and care services included lack of personal resources (34%), <br />citizenship status (28%), biases by health care providers (35%), and lack of training among <br />healthcare professionals (45%). Areas of improvement include having more bilingual staff, <br />decreasing wait times, and increased access to behavioral health services. Focus groups <br />reinforced similar issues while highlighting lack of health insurance, cost of care, and the need <br />for mental health support. These findings reveal opportunities to improve care utilization and <br />health outcomes in the Orange County TGNC community through outreach, prevention, and <br />treatment services. <br />ACKNOWLEDGMENTS <br />Community <br />These findings reflect the successful partnership, hard work, and commitment to serve the <br />Transgenderand Gender Non -Conforming (TGNC) community of staff and volunteers ofAlianza <br />Translatinx and the Orange County Health Care Agency's i7th Street Testing, Treatment, and <br />Care (TTC) Clinic and HIV Planning and Coordination (HIVPAC) unit. <br />Our utmost regard to the community members who provided their open and honest feedback <br />and who graciously donated theirtimeto makethis summary of findings a reality. We value their <br />strength and resiliency in reliving their experiences —no matter how negative— to help <br />document the needs, discrimination, and marginalization that TGNC people experience. <br />3 <br />