Taking sexual health out of the closet and into the community

Politics, policy, and Public Health have enjoyed a sometimes dubious reputation with STD/STI control, notably HIV and syphilis. Indeed, seeking service is frequently a cause for shame. In 2001, recognizing a gap in HIV and STD services for gay men in San Francisco's 94114 zip code (the population and location with the highest rates of HIV and syphilis in the City), a collaboration of private and City funds created Magnet, a gay men's health and community center. Utilizing community based participatory assessment methods, a two year planning process engaged the gay community in all aspects of program and building design. Core values were adopted to address local concerns as well as the political context surrounding national politics and public health policy. Furthermore, program initiatives reflect community norms, not the mandates of governing bodies or elected officials. To further normalize sexual health while building on community assets, events such as book readings, open mics, and art exhibits were incorporated on a weekly basis. Currently in its third year of operation from a storefront location in the heart of the Castro District, behind large plate glass windows, Magnet has seen over 12,000 gay men for HIV testing, STD testing and treatment, and other services. Rate of return for STD treatment is over 95% after one phone or email contact. Magnet's success, and the potential for replication elsewhere, can be attributed to the assessment process, and the trust placed in communities to care for themselves when given the tools to do so.