Our Mission

St. James Infirmary is a peer-based occupational health and safety clinic for sex workers of all genders.
It is our mission to meet the needs of people engaged in the sex trade through advocacy, direct services, and social justice.


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We are very excited to announce that we have begun our 2019–2020 fundraising campaign: "St. James Infirmary, in our 20th year, is fighting for the equity of sex workers and trans people of color."

St. James Infirmary believes that we will achieve health equity and anti-criminalization in California by focusing on providing comprehensive support to Sex Workers of Color. St. James Infirmary believes that we cannot fight for the liberation for Sex Workers and Sex Workers of Color without fighting for the liberation of Trans People of Color.

Towards those ends, we are expanding and transforming our services. We have FOUR major changes that we need your help to achieve:

First, St. James Infirmary is bringing its HIV services to Oakland. We have long desired to bring our services to Sex Workers to the East Bay, and we have finally decided that we are going to make a dedicated effort to gather the resources necessary to make it happen, starting with our HIV program.

Second, St. James Infirmary has a responsibility to ensure that the services provided to the Trans community of Color are appropriately run. Towards that end, we are launching a new housing program specifically for the Trans Community. Details to follow!!

Third, St. James Infirmary is expanding its outreach program in the Mission. Thanks to a grant from the City of San Francisco, St. James Infirmary will have increased presence in the Mission on weekend nights, additional resources, and, importantly, a newly-formed emergency housing program for Sex Workers at risk of harm. With your help, we can continue to build out our program and serve as a model for the rest of the country!

Fourth, St. James Infirmary is conducting a needs assessment and launching a leadership development program. We are privileged to be in a place where we can use our resources to amplify the voices of marginalized sex workers in the Bay Area, and look forward to providing those interested with what they tell us they need to bring their work to the next level.

With the above in mind, we are asking St. James Infirmary’s family and supporters to become sustaining donors. As you all have noticed over the past several years, St. James Infirmary has grown into an organization that has the leadership, vision, philosophy, and organizational capacity to make it happen. What we need is the money. The dollars. The dough. The bread. The cheddar. Whatever you want to call it, we need it. And we need you to give it to us.

St. James is on the rise—we are certain that you who have been watching us know this truth as well as we do. What we are asking for now is the resources necessary to push us through this period of growth so we can complete our transition into the organization that everyone knows we can be. We thank you for your patience during our transformation. We thank you for your support. We thank you for being you, because without you, there is no us.

Please support St. James Infirmary by making a monthly donation.

Our Trans Home SF

Ribbon cutting for TGNC Washington Street House with Mayor London Breed and SF Supervisor Aaron Peskin
Our Trans Home SF is a coalition campaign working to address & raise visibility of trans homelessness & housing instability. Led by St. James Infirmary and Larkin Street Youth Services we need your support.

Make a donation today!



What We Believe

There are many factors which affect the working conditions and experiences for all Sex Workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. It is the philosophy of St. James Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals.

  • We are fundamentally against the criminalizing of Sex Workers—regardless of our different perspectives on decriminalization or legalization, the collective view of the St. James Infirmary is that incarceration of our community further marginalizes and disenfranchised us, which creates barriers to capacity building, and exacerbates a public health crisis.
  • We believe in revolution through healthcare. We challenge the conventional healthcare model that divides patients and providers and fosters unhealthy power dynamics. Our peer-based model creates a safe, trusted, and honest environment in which to provide services, and empowers our community to define our own well-being.
  • We are founded on the principles of harm reduction—St. James Infirmary supports Sex Workers being treated with dignity and respect, in every aspect of their lives

Our Impact

  • We increase access to primary healthcare and social services for Sex Workers throughout the San Francisco Bay Area.
  • We formalize communication and collaboration among individuals and agencies who serve Sex Workers to better serve our community.
  • We promote peer-based public health initiatives on behalf of Sex Workers, which may be used as a model for improving occupational health and safety standards and developing comprehensive medical and social services for Sex Workers around the world.
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From Our Blog


December 17th, International Day to End Violence Against Sex Workers

By sjidirector | December 15, 2011

For more information about December 17th, International Day to End Violence Against Sex Workers, or Dec. 17th event listing in other Cities and States, please visit the SWOP page

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St. James Infirmary Presents Our Annual Holiday Party, December 15th 6-8pm

By sjidirector | November 27, 2011

Join us for our annual holiday party with turkey, sides, cake, pies and vegan food. Thanks to a special anonymous donor, we will be having holiday gift bags this year.

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The Cure For What Ails You: A St. James Infirmary Benefit at Rebel!

By sjidirector | November 25, 2011

Miss Steph Joy (Programs Director of the St. James Infirmary) and the infamous Heklina invite you to stop by Rebel on Saturday November 26th from 6-9pm for cocktails to support the St. James Infirmary! Steph pours a mean cocktail (anyone ever had a “French Whore?”) and all tips go to keeping the Infirmary alive and […]

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Clinic Closed For Services November 23rd, & 24th

By sjidirector | November 22, 2011

We will be closed for services during Thanksgiving week. We will resume our normal hours on November 28th. However, please note the clinic will also be closed: Wednesday December 21st & Thursday December 22nd Wednesday December 28th & Thursday December 29th The NEX program will be open during these weeks for Syringe Access & Disposal. […]

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St. James Infirmary on Bay Area People

By sjidirector | November 11, 2011
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SJI Media Campaing Muni Bus Shots

By sjidirector | October 26, 2011

These are a few pics that folks in the community have sent us of our new campaign, “Someone You Know is a Sex Worker.” If you see a bus with this ad, take a pic and send it our way or post it on our Facebook page.

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The Sex Workers Outreach Project is recruiting Board Members

By sjidirector | October 24, 2011

The Sex Workers Outreach Project is seeking a few thoughtful individuals who are passionate about sex worker rights to join our Board of Directors and help us grow our organization! Background: The SWOP National Board currently serves as the umbrella organization for about a dozen chapters from different major cities around the country (including Chicago, Los Angeles, Las […]

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Media Launch Party: Sunday October 16th, 5-8pm

By sjidirector | October 1, 2011

The St. James Infirmary announces the launch of our media campaign, “Someone You Know is a Sex Worker” You’re invited to celebrate the launch with us! Intersection for the Arts 925 Mission Street @ 5th St. • San Francisco, CA Sunday, October 16, 2011 • 5–8pm ★ $10 donation at the door. ★ DJ, hors […]

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Benefit for St. James @ Aunt Chariles

By sjidirector | September 25, 2011

  Sophilya Leggz presents:  Goth Chicks Vs Cowgirls, hosted by Diva LaFever!! A benefit for St James Infirmary on Sunday October 16th at Aunt Charlies Lounge, 133 Turk Street, SF CA There will prizes, food and an open show for anyone who wants to come perform.  Food will start at 4 and the show at […]

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Sex Worker’s Manifesto

By sjidirector | September 21, 2011

The Global Commission on HIV and the Law held a High Income Countries Dialogue in Oakland California on September 16th & 17th,.  Over 50 representative of Civil Society from high income countries came to discuss the intersections of HIV and the Law and it’s impact in their countries.  St. James Infirmary was invited to participate […]

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