his company, broadreach, is helping the clinic optimize its operations. the patients are or hahe been sex workers. many are hiv positive. there is still a lot of stigma attached to transgender in south africa, and healthcare has been sparse. but here, both patients and staff are accepted for who they are. gigita: i choose to loveve ane truly to myself and not fit into your box. i decicided, and i chosese tot out of the box and just be me, and let me be a transgenender woman, that's me. and if you don't like it, get back into your box and see if you are going to be comfortable in that box. reporter: many transgender people struggle to survive. there is an urgent need for access to care and counseling. igshaan: their families have abanandoned them, their communy has abandoned them. so there is no support from anybody. and a lot of them say when we go to the community, we do outreach, they say that "yes, there is an hiv program, we do need the serviceces, the healthcare services, but can we start with us as a human being, you know, me as wanting to be a fema