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San Francisco Health Network
Inside the Department

Office of Policy and Planning


Improving the Health in SRO Hotels


In San Francisco, single room occupancy (SRO) hotels make up the largest supply of low-cost housing for our most vulnerable neighbors—seniors, adults with disabilities and children. While much work has been done to try to improve the living conditions within and around SROs, many of the same problems still exist.

In September of 2013, the San Francisco Health Commission passed a resolution requesting that SFDPH carry out a Health Impact Assessment (HIA) to evaluate conditions to improve the health of residents in Single Resident Occupancy Hotels (SROs).

The HIA employed mixed research methods (quantitative analysis, focus groups and key stakeholders interviews, and literature review) to identify potential policies, examine existing conditions of SRO’s, tenant health, and departmental inspection processes, and assess the impact the potential policies would have on SRO resident health.

Informed by 22 in-depth interviews and 3 stakeholder meetings with representatives of SFDPH, non-profit providers, and other City agencies, the HIA focused on strategies to improve SRO management and reduce health and housing code violations in support of safer SRO environments. Refer to the report documents for more information about this HIA.


What is a Health Impact Assessment (HIA)?

Health Impact Assessment (HIA) is a practice to consider public health in decision-making. Internationally, HIA is defined as a combination of procedures, methods and tools that systematically judges the potential, and sometimes unintended, effects of a policy, plan, program or project on the health of a population and the distribution of those effects within a population.


Report Documents


Supporting Documents