The hawai'i health & HARM reduction center (hhhrc) serves hawai'i communities by reducing the HARM and fighting the stigma of HIV, hepatitis, homelessness, substance use, mental illness, and poverty in our community. Hhhrc focuses our efforts on those disproportionately affected by social determinants of health, including but not limited to: people living with and/or affected by HIV, hepatitis, substance use, and the transgender, LGBQ and the native hawaiian communities. Hhhrc fosters health, wellness, and systemic change in hawai'i and the pacific through care services, advocacy, training, prevention, education, and capacity building.