Conclusion
In this study, DTG-based treatment delivered by a trans-competent team in a trans-affirmative service was safe and well tolerated by TGW and associated with high retention, high adherence and high viral suppression at 48 weeks among those being retained. Thus, results support the use of DTG-based treatments in this population, as it is recommended by the WHO [Despite involving a small sample of TGW, this is the first longitudinal study of these characteristics in Argentina, contributing to the scarce information available in Latin America, on retention and adherence to ART among transgender people. It also supports the need for a more comprehensive approach in HIV care, integrating medical and psychosocial/behavioral factors, to address retention in this population. As these results suggest, a trans-affirmative approach in care and the inclusion of peer navigators may facilitate access to healthcare and favor greater retention. Thus, it is recommended to continue exploring the feasibility of the implementation of these strategies in public healthcare services.