CWHC Responds to Criticism of the TGAP Program

Posted on April 3

CWHC is aware that there is criticism of our Trans Greater Access Program (TGAP) from some members of the trans communities. We understand that this criticism is due to the fact that we have launched a hormone therapy pilot program for transmasculine individuals before an equivalent one for transfeminine people. As an organization, we understand and respect this perspective and the realities of injustice and prejudice towards trans women that informs it. We value community feedback on our programs. Meeting the needs of the communities we serve is at the core of our mission.

In an effort to be transparent about our process and to share the history of TGAP and what we are working on currently, we have updated our website with the following information. It is our hope that this more thorough statement about TGAP's origins, planning, past, present, and future will lend clarity about CWHC's intention with regards to serving all people on the trans spectrum. It is our plan and hope, and has been since the beginning of TGAP, to make hormone therapy, as well as respectful, affirming, high quality health care available to all trans people.

History and development of TGAP

How TGAP Started


CWHC began more focused work in the trans communities by discussing community needs with community members and providers. Recognizing both our strengths and limitations, and hearing the need for affordable, sensitive gynecological care for transmasculine individuals, CWHC collaborated with the Queer People’s Health Collective to start TGAP, then known as the Trans Gynecology Access Project. We started with what we know and do well – providing basic gynecological care.


What We Are Doing Now


In response to the needs of these transmasculine clients seeking services in our gynecology program, CWHC recently implemented a pilot program providing masculinizing hormone therapy.

Reflecting on our intent and desire to serve trans communities in more ways than gynecology, CWHC recently changed the name TGAP to Trans Greater Access Project. This initiative highlights the services we currently offer, as well as the work we are doing to continue expanding our services to offer more comprehensive and inclusive services for both transmasculine and transfeminine people.

Evaluation of Pilot Program for Masculinizing Hormone Therapy


As a new service, CWHC is dedicated to intentionally learning from this work and from the clients being served. We are now in the evaluation stage of this program and have developed and are implementing client surveys and interviews in order to learn from our clients’ experiences. By assessing best practices from our clients’ perspectives, we will then utilize the evaluation results to refine our current programs and inform future programming.

New Programming


Aware of the need for sliding scale feminizing hormone services for transfeminine people, we began developing this pilot program in 2011. As a part of developing this new service, CWHC is currently organizing focus groups to engage the transfeminine community in informing our care. These focus groups will occur in May of 2012, and we plan to launch the pilot program in September of 2012.

How the Community Can Help


As we continue to work on growing our programs, we continue to seek out community collaboration and input.

We are currently recruiting transfeminine individuals to participate in focus groups in May of 2012. These focus groups will serve two purposes:
1. Assessing community health care needs within the transfeminine communities to better enable us in helping to meet these needs.
2. Learning from transfeminine people’s experiences with hormone therapy in order to inform the development of our feminizining hormone therapy services.

Individuals interested in participating in one of these focus groups, please call us at 773.935.6126.

For more information, see our TGAP service page.