Heather Lusk, Executive Director

Heather Lusk, MSW, is the Executive Director of the Hawai'i Health and Harm Reduction Center, which is the outcome of a recent merger between The Life Foundation and the Community Health Outreach Work (CHOW) Project. Heather has over twenty-five years of experience dedicated to reducing health disparities and stigma as it relates to HIV, viral hepatitis and other chronic conditions linked to substance use. As the Chair of the Hawaii Advisory Commission on Drugs and Controlled Substances and as Vice Chair with Partners in Care, Oahu’s Homeless Coalition, Heather works to support systems integration and the intersection of mental health, substance use, homelessness, chronic health conditions and the criminal justice system.

Nandi Ishikawa, Clinical Director

Nandi has more than 17 years of management and supervisory experience in the human services field, and more than 8 years providing direct services to children, adults, and families in crisis.  Nandi has a Masters and Bachelors degree in social work.  At HHHRC, she ensures that people living with HIV on O'ahu have access to HIV medication, and competent, quality health care needed to suppress the HIV virus and live their best lives.

Kavika Puahi, Operations Director

Kavika has more than 15 years of non-profit experience working primarily with The CHOW Project, Hawai'i’s statewide syringe exchange program. He has managed various aspects of administration and programmatic functions during his non-profit career. At HHHRC, Kavika will continue to oversee the administrative components of the organization as well as non-clinical programs.

Kunane Dreier, LGBT Program & Training Manager

Kunane is a leader within the LGTBQI Community providing ongoing cultural competency trainings to service providers.  He is experienced as a RESPECT, counseling, testing and referral, and rapid testing trainer.  Kunane served as the Director of Prevention Services at Life Foundation since 2006, and has experience working with prevention intervention strategies, linkage to care, and prevention for positives.  He has completed the Institute for HIV Prevention Leadership Program, and serves as the Hawai'i Community Planning Group Co-Chair.

Cathy Kiana Keiko Kapua, B.P.A. Transgender Services Manager

“Taffy,” as she is known by the transgender community, hails from the leeward side of O'ahu, Hawai'i. She has worked with the transgender community since 2003, first starting off as a Peer Educator and Employment Specialist at Kulia Na Mamo, then moving on to become an HIV Prevention Specialist at the Life Foundation. She has worked on several other empowering projects specific for the transgender community over the past decade 14 years. As a graduate of the Institute for HIV Prevention Leadership in September 2010, she is also proud of her accomplishments in the University of Hawai'i system for Public Administration. She has been successful in advocating for transgender programming and providing cultural competency trainings throughout the nation but prides herself mainly on being a role model for the young transgender community in Hawai'i.

David Abitbol, Policy & Contracts Manager

David has more than 5 years of local experience working with non-profit organizations in the fields of non-profit management, social services, public health, and issues related to HIV, hepatitis C, the opioid epidemic, law enforcement, and social justice.  At HHHRC, David manages major contracts that help provide services to target populations such as people living with HIV, mental illness, alcohol and substance abuse, and homelessness.  David is currently pursuing a Juris Doctor degree at the University of Hawai'i William S. Richardson School of Law. 

Leilani Maxera, Outreach & Overdose Prevention Manager

Leilani manages the statewide syringe exchange, outreach, and overdose prevention programs, supervises the outreach workers on four of the Hawaiian Islands, and conducts training and education with other social service organizations to teach about overdose response and to reduce stigma around drug use. She previously worked at Homeless Youth Alliance/San Francisco Needle Exchange and Tenderloin Health in San Francisco, and volunteered at SANE (Safer Alternatives thru Networking and Education), a syringe exchange program in Sacramento, CA. Leilani has a Master of Public Health degree with an emphasis in Aging from the University of California – Berkeley and a Master of Social Work degree from Hawai`i Pacific University.

Pleonpit “Bun” Wuttayagon, Controller

Bun has 16 years of accounting experience in the non-profit sector and more than 7 years in for-profit organizations. Bun has a B.A. degree in Accounting and an MBA in Business.  At HHHRC she is responsible for all areas of budget and finance.  Bun truly enjoys working as a team to grow the organization.

Keli‘i Abordo, Medical CM Team Manager

Kelii has been in the HIV services field for over 14 years, starting in the community doing outreach, education, and testing in our rural neighborhoods on Oahu, i.e. Waialua, Mokuleia, Waianae, Makaha and our Native Hawaiian pockets in Papakolea and Waimanalo. Kelii co-facilitates Ke Ola Pono, HHHRC’s Native Hawaiian program, a program that fosters culturally relevant engagement with HHHRC’s Native Hawaiian HIV positive participants and their support system.  He transitioned into care services through securing Native Hawaiian HIV case management position. While in case management, Kelii was involved in the implementation and management of HHHRC’s 340B HIV program and assisted with the establishment of HHHRC’s STD 340B program. Now, as a supervisor for medical case management, Kelii is able to provide support for his front line team. He also assures relationships with partner agencies remain open and active. As a new supervisor Kelii is involved with HHHRC’s newest initiative, Supportive Housing Services. In Keli‘i’s spare time, he sides with Team Mystic and is Level 38, still trying to “catch ‘um all”. If you know the reference, we’re already friends.  


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December 2, 2019

HHHRC's Raymond Alejo Receives Suzanne Richmond-Crum Award on World AIDS Day

Raymond, registered nurse case manager at HHHRC, was recognized for his 19 years of work in Hawaiʻi advocating for and serving people living with HIV. Every year, the Suzanne Richmond-Crum Award is given to a community member who has made outstanding contributions in the provision of HIV/AIDS services. Read the DOH press release here, and visit to learn more. Congratulations to Raymond for this well-deserved award!


RENT collaborated with HHHRC for a special World AIDS Day performance!

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Office Hours: M-F 8:30AM–12:30PM, 1:00PM–5:00PM

Testing Hours: M-F 9:00AM12:30PM, 1:00PM4:00PM

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Email:     Tel:  (808) 521-2437

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