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provides street outreach to high-risk populations with a staff that is predominantly African American.  In
addition, HAP actively recruits outreach staff from targeted communities and populations.  Half of the
current outreach staff are former sex workers or injection drug users.  (HAP requires proof of two
years of sobriety prior to hiring a former IDU.)
HAP was founded in 1985 as an outgrowth of a prostitutes’ rights organization.  HAP was
organized to provide easily accessible health education, disease prevention and risk reduction strategies,
health screening, and social service agency referrals to San Franciscans who were sex workers,
intravenous drug users, incarcerated persons, and others at high risk of contracting HIV.  When the
scope of the AIDS epidemic became apparent, HAP extended its prevention programs to persons
living in the Bay Area counties of Alameda, Marin, and Contra Costa.  Services were provided to
persons in these counties who engaged in similar high-risk behaviors, including those who did not readily
identify themselves as sex workers, but did exchange sex for drugs, money, or basic survival needs.
HAP’s main offices are located at 630 20th Street in downtown Oakland, half a mile from the city’s
highest concentration of poverty in West Oakland.
Services Provided
HIV/AIDS Education:  Street outreach and small group workshops for sex workers and drug users;
safer sex/needle hygiene material distribution; collaboration with the Alameda County Exchange, a
needle exchange program.
HIV Testing:  Mobile testing in neighborhoods where at-risk people live and work.  Mobile clinics
were purchased from grants through the California State Office of AIDS, the CDC and the Robert
Wood Johnson Foundation.
Community Forums:  Discussions on AIDS and other STDs intended to break down the barriers
and taboos that impede discussion of the impact of these diseases on African Americans.
Peer Support Groups:  Peer directed groups provide emotional support for persons living with HIV,
their families and social networks.
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