We’re creating a future where health justice is achieved for all people living with or at risk for HIV. 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.
Impact and services provided annually
27,000+ individuals served
20,000 clients (estimated) provided harm reduction services
54,746 doses of Narcan distributed
More than 12,000 substance use treatment clinical visits
2,945 hepatitis C tests provided
3,100 clients receiving PrEP
480 people receiving housing subsidies
7,378 clients received sexual health services
Our sexual health services have community-wide impact
We identify nearly a quarter (24%) of gonorrhea cases in San Francisco–the most of any community clinic and on par with all cases reported from San Francisco hospitals. In 2019, we detected 24% of all identified gonorrhea cases, 18.1% of early syphilis cases, and 14.6% of all chlamydia cases across San Francisco. We’re also able to provide treatment onsite for STIs.
We enrolled 908 people on PrEP in 2023; and maintained approximately 3,100 clients in our PrEP program. More than half of people (60%) accessing PrEP are Black, Indigenous, and people of color (BIPOC).
We enrolled 2,381 clients on Doxy PEP in 2023, a medication which reduces the transmission of bacterial STIs including gonorrhea, chlamydia, and syphilis.
Among our clients age 50 and over, more than 91% are engaged in medical care and are virally suppressed. This exceeds city-wide targets for viral suppression.
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 all of our clients reach their goals, during more than 12,000 clinical visits.
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 helped 254 clients reach their goals around reducing, changing, or stopping their substance use.
Last year, we distributed 54,746 doses of Narcan, an overdose prevention medication, to clients and community members. We trained 13,523 people on how to use Narcan and respond to overdose, and 6,893 overdoses were reversed by SFAF-trained individuals.
Our Syringe Pick Up Crew responded to reports of improperly disposed of syringes across San Francisco, picking up and disposing of 41,574 syringes last year.
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 2,945 HCV tests, 45 clients started HCV treatment, and 19 achieved SVR12 (a cure).
...appreciate the empathy and treating us like people, especially in moments of stress, anxiety, and panic.Stonewall client