2024 Impact Update

“Alliance works. I’m living testament to that. Alliance transforms people.”
—RUBEN C., ALLIANCE PEER WORKER
THROUGHOUT 2024, ALLIANCE ENACTED POSITIVE CHANGE INTERNALLY BY ADVANCING OUR AMBITIOUS ORGANIZATIONAL REDESIGN AND EXTERNALLY BY GENERATING POSITIVE CHANGE IN PARTNERSHIP WITH THOUSANDS OF LOW-INCOME NEW YORKERS LIVING WITH HIV AND OTHER CHRONIC HEALTH CONDITIONS.
We are delighted to share Alliance’s 2024 highlights: a progress update on our redesign, key program achievements, impact data, and participant testimonials on the value of our work.
Alliance’s redesign positions us to deliver even more intensive and effective services that resource our participants for better health through access to health care, nutritious food, harm reduction, recovery support, and other contributors to well-being. In 2024, Alliance’s service redesign moved ahead as we:
+ Prepared to expand beyond our successful pilot at Alliance Keith Haring Harlem Center to our second redesign site at Alliance CASA Washington Heights, launching mid-2025.
+ Fine-tuned our outreach strategy to engage more people with serious health challenges who are disconnected from services—and quickly link them to insurance, health care, housing placement support, and other resources to get their lives and health back on track.
+ Formalized a team-based approach to provide each participant with multiple services to more effectively address complex barriers to well-being, such as food insecurity, social isolation, and homelessness.
+ Devised a tailored approach to rolling out community-responsive redesigns at all six Alliance community service sites based on each neighborhood’s priorities.
In strategically evolving to sustain service excellence in challenging times, Alliance is wellanchored by diligent fiscal and organizational stewardship—and by our enduring commitment to positive change, public health, and the communities we’ve served for nearly 35 years.
THANK YOU FOR STANDING WITH US IN THIS ESSENTIAL, LIFE-AFFIRMING WORK.

ALLEN ZWICKLER SHAREN I. DUKE Board Chair Executive Director/CEO


Nourishing Positive Change
Access to nutritious food is a cornerstone of well-being. A healthy diet is especially crucial for New Yorkers living with HIV and other chronic conditions.
Our food pantry, daily meal service, and nutrition workshops provide thousands of low-income New Yorkers with the right ingredients to reduce food insecurity, manage their health conditions, and pursue positive change in all its forms.
Despite skyrocketing food prices and massive cuts to federal nutrition assistance programs, Alliance remains steadfast in providing our participants with nutritious food.
20,000+
Saving Lives and Building Trust
Alliance is a welcoming community for all— people who use drugs, people exploring or new to recovery from substance use, and people deeply engaged in their recovery journey. Our full-spectrum harm reduction, recovery support, and substance use treatment services offer many points-ofentry for people seeking opportunities for positive change. In 2024, Alliance:
+ Provided 1,400+ New Yorkers with sterile syringes to reduce their risk of acquiring or transmitting HIV and viral hepatitis— and engage them in additional healthpromotion services.
+ Conducted 1,800+ Narcan trainings—focusing on areas with very high overdose rates—to equip as many people as possible with the skills to reverse an overdose and save a life as we continue navigating the enormous challenges of the overdose crisis. Our number of trainings increased by 28% between 2023 and 2024 to meet growing demand.
+ Achieved 121 overdose reversals, as reported by our LES Harm Reduction Center team and community members who took our Narcan trainings.
2,800+ 74% increase over 2023 meals served pantry bags distributed
87% increase over 2023

+ Reached 3,724 New Yorkers with harm reduction tools and services through our LES Harm Reduction Center.
+ Distributed 28,000+ harm reduction supplies to members of the Harlem community through our Keith Haring Harlem Center.
These interventions are often a first step in building trust and engaging people in Alliance’s other services, such as HIV testing and expedited access to medical care.