The three directors of the TA coalition between the Support Initiative for People with congenital Disorders (SIPD) in Uganda and Gender DynamiX (GDX) and Transgender and Intersex Africa (TIA), both from South Africa met in Nairobi with Dr Chloe Schwenke from the USAID Africa Bureau. The purpose of the meeting was to discuss support from the US Agency that would culminate in an African Blueprint for the Provision of Comprehensive Care for Trans Persons similar to the Blueprint in Latin America and the Caribbean. TA followed the meeting by sending a letter to propose to the US Agency for International Development (USAID), possibly in partnership with the World Health Organization (WHO), to collectively work on developing a similar model appropriate to African realities, creating a Blueprint for Transgender and Intersex Health Care for sub-Saharan Africa.