The Hawai'i Health & Harm Reduction Center (HHHRC) has continued to provide the highest quality services for the transgender community. Through advocacy and understanding, our trained staff is able to provide basic social services along with HIV and Hepatitis education and testing.


Call to make an appointment for assistance in filing a name change petition, enrolling into school, or resume writing:  (808) 521-2437 or email kuaana@hhhrc.org. 

Meet the Ladies

Cathy Kapua, Transgender Service Coordinator

Cathy Kiana Keiko Kapua, or “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 Hawaii system for Public Administration. She has been successful in advocating for transgender programming and providing culturally competency trainings throughout the nation but prides herself mainly on being a role model for the young transgender community in Hawai`i. 

Maddalynn Sesepasara

Maddalynn “Maddie Ashton” Sesepasara has been a part of the Life Foundation family since 2001 when she participated in UTOPIA Hawaii’s ‘Aha Utopia for five years. Maddie, a transgender woman of Samoan and Chinese descent was an HIV Health Educator/ Outreach Worker when she first worked for Life Foundation in 2003. She rejoined the ranks of Life Foundation after some years working with Kulia Na Mamo in 2012, assuming her former position with a new gusto for the community. Maddie has helped to coordinate and even be the spokesperson for several HIV awareness campaigns since her initial involvement with UTOPIA Hawaii. Throughout the years, Maddie has dedicated her work to HIV awareness and reducing the stigma of HIV in her community.

Sina Sison

Sina Sison has been active as a transgender activist since 2000, when volunteered at the Life Foundation through the UTOPIA (United Territories of Pacific Islander Alliance) group. Now, as a HIV Counselor and Tester, she has exceeded her community efforts through mobile outreach to the transgender community on Oahu. Sina can be found offering HIV tests, free condoms, and individual counseling sessions on the Leeward and Central locations on Wednesday evening. Sina has received extensive counseling trainings and is available to offer the RESPECT program to our Male-to-Female transgender community. As an original spokes model for the “Aunty Says” campaign, she is always willing to assist the community to making healthier and safer decisions.


Keiva Lei Cadena

Keiva Lei Ke’alohimaka Cadena is a proud Native Hawaiian Transgender woman. Keiva Lei had lived a bi-coastal lifestyle between Honolulu and the San Francisco Bay area through from her childhood to adulthood. Keiva made Hawaii her permanent home in 2006 to be closer to her family and cultural roots. Keiva Lei has been affiliated with Life Foundation since 2001 serving as an ‘Aha member of UTOPIA Hawaii.  Keiva Lei joined the Life Foundation staff in January 2012 and currently serves as the Linkage to Care Coordinator in the prevention department providing support, referrals, resources and information to people living with HIV and their partners. She facilitates weekly HIV/AIDS support groups hosted by Life Foundation. She is very passionate about the work she does and has her own personal emotional investment in linking and retaining those living with HIV into quality long term support and care.


Free and confidential HIV

   testing  & counseling

Health & Beauty Referrals

Substance Abuse Treatment    Centers

Clean & Sober Living​​​

Referrals for hormone therapy,       hair removal, speech therapy,       mental health and legal         



Community Gatherings

One-on-One Peer Counseling

Transition Guidance

Esteem Building

Family Transgender Education

Education Assistance



HIV Prevention

Cultural Competency Trainings

Capacity Building

College/Career Planning

Professional Assistance

Name Change Applications

Resume Building

DHS Applications

Housing Assistance Application


WAD raymond.jpg

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 worldaidsdayhawaii.org 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

Address: 677 Ala Moana Blvd. Suite 226  Honolulu, HI  96813

Email: info@hhhrc.org     Tel:  (808) 521-2437

Copyright 2019 Hawai'i Health & Harm Reduction Center