UNITED TERRITORIES OF PACIFIC ISLANDERS WASHINGTON-UTOPIA WA

The Mapu Maia Clinic is a free community clinic that serves the 2SLGBTQIA+ people and the greater community. The clinic provides wraparound support to our community through a medical clinic as well as care work. We offer primary care including hormone replacement therapy, sexual health prevention and treatment, mental health treatment, harm reduction services as well as referral to specialty care. On the care work side we provide individualized care coordination tailored to meet the unique needs of each individual. This includes enrolling and redetermining community for medicaid health insurance, amending legal documents, housing support, employment assistance, basic need resources and so much more. Our goal is to provide community with all the resources they need in order to heal and be activated as engaged community members. In its second year of full medical operations, Mapu Maia Clinic has continued to expand its impact, particularly in gender-affirming care and hormone replacement therapy (HRT) access for transgender individuals. The clinic has seen increased diversity in patients, with many returning for follow-up care and additional support. Ongoing Care Work: Served 61 active participants throughout the year. One-Time Assistance: Provided support to 72 additional individuals. HIV Early Intervention Services: Served 157 unduplicated clients through rapid HIV testing, referrals, and linkage to care. Harm Reduction Outreach: Conducted weekly outreach, reaching an average of 60 clients per week. Care Kits Distributed: Provided a total of 1,350 care kits to the community. Overdose Prevention: Distributed 1,381 Narcan doses and 1,150 Injectable Naloxone to those in need. Medical Clinic Services: Treated 184 patients over the past year, completing265 total appointments. Electrolysis Services: Provided hair removal treatment to 50 individuals in the last year.

The SPEaC Change program at UTOPIA Washington advocates for the rights of Queer and Trans Pacific Islanders (QTPI) and the broader 2SLGBTQIA+ community through policy advocacy, civic engagement, and environmental justice. In 2024, the program championed inclusive policies in healthcare, gender-affirming care, housing, and environmental sustainability, forming coalitions with policymakers to amplify marginalized voices. SPEaC Change integrated Pasifika environmental stewardship through initiatives such as community cleanups, the Tautua Climate Leadership Cohort, and climate summit workshops. The summit featured nine organizations, providing resources to empower and inform the community. Additionally, the program emphasized healing justice, reclaiming QTPI narratives and addressing systemic oppression. The civic engagement and citizenship efforts supported 64 naturalization applications, resulting in 16 new U.S. citizens, while 32 individuals participated in civic education classes. Voter outreach engaged 14,516 people, increasing voterturnout by 6%. Partnerships with PICA WA and Washington Community Alliance expanded access to training and resources. Through storytelling campaigns, community advocacy, and voter education, SPEaC Change dismantled stereotypes and advanced social equity. Despite systemic challenges, the program strengthened inclusivity, representation, and environmental justice, driving meaningful change for a more just and sustainable future.