Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020

• DOI: 10.2105/ajph.2025.308022
• Publication Date: 2025-03-26T20:14:51Z
• Authors: Natalie A. Solomon; Yvette P. Cuca; Gwen Davies; Tracy L. McClair; Silvia Valadez-Tapia; Harmony Harris; Venita Ray; Serena Rajabiun
• Keywords: Intersectionality; Stigma; Transgender women

The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health Human Services Office Assistant Secretary for Health’s Minority HIV/AIDS Fund Resources Administration’s Bureau Ryan White Program aimed to enhance health well-being cisgender transgender women with through bundled interventions at 12 sites. initiative’s intersectional approach involved in program development implementation. Quantitative data from 743 participants highlighted disparities employment housing, emphasizing need holistic, culturally sensitive care. In quantitative responses, participants, regardless gender identity, reported HIV-related stigma racial discrimination, qualitatively reporting additional gender-based inequities that affect their outcomes quality life. We summarize findings provide recommendations address barriers care improve among HIV. Results this suggest a flexible, responsive system emphasizes broad service delivery model reflecting participants’ diverse identities can outcomes. ( Am J Public Health. 2025;115(S1):S68–S74. https://doi.org/10.2105/AJPH.2025.308022 )