Our Impact

We’re creating a future where health justice is achieved for all people living with or at risk for HIV. That means ending the HIV epidemic Here is a snapshot of ways our work impacts our communities.

Trends in HIV infections in San Francisco

Our work contributes substantially to the reduction of new infections across San Francisco. We are one of the largest community-based providers of HIV testing and PrEP, and we distribute the highest volume of sterile syringes as the leading organization in the Syringe Access Collaborative. We also provide high-quality substance use services, linkage to and retention in HIV care, and social support services.

HIV epi report graph, 2021


Our impact and services provided annually:

  • Over 21,000 clients served
  • 12,108 HIV tests 
  • 2,906 clients receiving PrEP 
  • 5,901 overdoses reported back to us 
  • 200 clients served through our TransCare program 
  • 439 people receiving housing subsidies

Appreciate the empathy and treating us like people, especially in moments of stress, anxiety, and panic.
Stonewall client

Our Impact


doses of Narcan distributed last year


HIV tests provided last year


PrEP enrollments last year

More about our impact

PrEP enrollment among Black, Indigenous and all people of color

More than half of people accessing PrEP are Black, Indigenous, and people of color (BIPOC): 58% of new PrEP enrollments and 58% of PrEP clients overall were BIPOC.

Rapid and interim HIV treatment among BIPOC

We consistently bring people into HIV treatment–whether they are newly diagnosed with us or have been diagnosed elsewhere. Last year, we started 33 individuals on rapid HIV treatment after diagnosis. 

Viral suppression among long-term HIV survivors

Among our clients age 50 and over, more than 90% are engaged in medical care and are virally suppressed. This exceeds city-wide targets for viral suppression.

96% of Stonewall project participants supported in reaching their goals

The Stonewall Project is a substance use and harm reduction program designed to support individuals to improve their health and well-being. Clients create goals that are specific to their lives, be it improvement in their sexual health, reduction or change in their use, or change in how their substance use impacts their lives. Last year, we helped nearly 600 clients reach their goals through more than 2,000 clinical hours of harm reduction counseling. 

PROP reaches new clients to reduce meth use

Positive Reinforcement Opportunity Program (PROP) is a contingency management program that offers people who use methamphetamine and other stimulants the opportunity to earn gift cards for non-reactive urine screens in addition to harm reduction substance use support. Last year, the program expanded to serve nearly 200 clients. 

Overdose prevention and response

Last year, we distributed 38,547 doses of Narcan, an overdose prevention medication, to clients and community members. We trained 10,422 people on how to use Narcan and respond to overdose, and 5,127 overdoses were reported back to us. 

Syringe pick-ups across San Francisco

Our Syringe Pick Up Crew responded to reports of improperly disposed of syringes across San Francisco, picking up and disposing of about 50,000 syringes last year.

HCV treatment successes

Last year, we engaged people with high-level support for HCV testing, insurance and benefits navigation, weekly support groups and onsite storage lockers for medication. We conducted a total of 2,450 HCV tests, and 18 achieved SVR12 (a cure).