This intervention focuses on increasing HIV testing, HIV medication adherence and reducing intersectional stigma. Our Sweekar intervention will implement 5 months of group-based activities to address the social stigma and HIV prevention and care needs.

Inclusion Criteria:

1. aged 18 years old or older
2. identify as transgender, hijra, Meti, third gender or anything other than a gender typically associated with a male assigned sex at birth
3. live in the Terai highway district Madesh Province
4. Maithili- or Nepali-speaking
5. Willing to be part of the study for 6 months
6. Willing to travel, if needed, to participate in group sessions

For those who test HIV negative:

1. Willing to self-test
2. Have or willing to have a mobile phone
3. Not HIV tested within the last 3 months

For those who test HIV positive:

(a) screen positive for HIV treatment non-adherence by self-report

Exclusion Criteria:

1. Cannot or will not consent to the research,
2. Female sex assigned at birth,
3. Self-identify as a man
4. Do not speak Maithli or Nepali
5. Age under 18 -

trans women

Upon request, data may be made available