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multiple local agencies to create a network of resources to provide support to the community to elevate and improve the quality of life of all TGNC underserved residents of OC. "Many local transgender In Orange County, TGNC communities are often shifted to residents have firsthand the margins when it comes to healthcare. Stigma and experience of the disconnect between discrimination are key factors that significantly impact the obtaining care in Orange health of the TGNC community. Additionally, TGNC County and the TGNC individuals, especially people of color, continue to experience community." high rates of suicide and depression due to the continuous -Khloe Rios -Wyatt discrimination and marginalization that we face every day of our lives. In early 2021, Alianza Translatinx reached out to OCHCA's HIVPAC unit with a community - identified need for HIV/STD services, information, and resources to ensure equitable access and improved health outcomes for the TGNC community of Orange County. At the forefront of this community -identified need was addressing the history of mistrust between health care providers and the community, lack of TGNC specific data, and a need for trans specific health care services. Furthermore, OCHCA recognized the limited engagement of the TGNC community, service gaps, and disparities in health outcomes for this population. Ultimately, Alianza Translatinx and the OCHCA identified a mutual goal to identify and address HIV/STD service needs of the TGNC community in an effort to end the HIV epidemic in Orange County. Through this partnership, a health education event with a focus on PrEP was implemented as well as a survey and a series of focus groups as detailed in the summary of findings below. METHODS OCHCA collaborated with Alianza Translatinx to reach the TGNC Spanish speaking community of Orange County through community engagement and needs assessment activities. The work began early in 2021 with planning meetings facilitated by Facente Consulting, a consulting firm hired by the California Department of Public Health (CDPH), State Office of AIDS (OA) to provide support to local health jurisdictions with EHE planning (see Figure i). All the activities were conducted at Alianza Translatinx. In June 2021, a community PrEP education event was conducted and featured a presentation on PrEP in Spanish by the TTC Clinic's Medical Director and a Public Health Nurse. The presentation was developed with input from Alianza Translatinx to ensure the information presented was culturally and linguistically appropriate for the community. HIV testing and PrEP enrollment