“…[1][2][3] Exposure to HIV is impacted by social and structural contexts, particularly intersecting poverty, racism, sex work stigma and HIV stigma, among other forms of marginalisation, which contribute to inequitable access to HIV prevention, treatment, care and support. [4][5][6][7] Moreover, trans women experience access barriers to HIV care, including HIV testing, linkage to HIV care, initiation of antiretroviral therapy (ART) and adherence to ART at individual (eg, mental health), interpersonal (eg, lack of social support) and structural levels (eg, housing insecurity). 8 9 Consequently, trans women living with HIV (trans WLWH) are less likely to be retained in care, 10 take ART, 11 adhere to ART, [12][13][14][15] and be virally supressed 15 16 compared with cis people living with HIV (PLWH) and may, as a group, fall below United Nations Programme on HIV/AIDS 90-90-90 targets.…”