Urban Indian HIV and AIDS

It is estimated that 3,000 American Indians and Alaska Natives are living with Human Immunodeficiency Virus (HIV).¹ The Indian Health Service reported that only 21% of urban Native patients had been tested for HIV at Urban Indian Organizations (UIOs) at some point in their lives.²

In 2017, Urban Indian Health Institute (UIHI) conducted a survey in Seattle to learn about the knowledge, attitudes, and beliefs regarding HIV and AIDS prevention in urban Native communities. Among those surveyed, 48% thought HIV was a problem in their community, 41% knew about pre-exposure prophylaxis (PrEP)—a pill taken once a day to prevent HIV infection, 39% felt they could not talk openly about HIV in their community, and only 12% had been tested in the past 12 months.

To work within our community to break down the stigma around HIV and AIDS, UIHI partnered with Cardea Services to film a series of educational videos for healthcare providers about HIV and AIDS and sexual health in Native communities. These videos will help healthcare providers understand how to best care for their Native patients when it comes to HIV and AIDS and sexual health. To the same end, UIHI also created a short film, “Positively Native,” that talks about the stigma around HIV and AIDS in Native communities.

References

1. Centers for Disease Control and Prevention. HIV Surveillance Report, 2017; vol. 29. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published November 2018. Accessed [2/22/2019].
2. Indian Health Service. FY 2016 Government Performance and Results Act (GPRA), 2017; https://www.ihs.gov/crs/includes/themes/responsive2017/display_objects/documents/gpra/2016_GPRAResults_CRS.pdf.

Urban Indian Health Institute offers technical assistance around a variety of HIV topics, including accessing data, interpreting data, and electing HIV educational materials for both patients and providers.

If you have any questions, please contact the HIV and STI Team at hiv@uihi.org.

Indigenizing Safe Sex with Glitz, Glam, and Honest Aunties

Native drag queens Mellonie Moore (Navajo), Landa Lakes (Chickasaw), Buffalo Barbie (Navajo), Sage Chanell (Shawnee, Ponca, Otoe, & Lakota Sioux), and Eartha Quake (Navajo) share how practicing safer sex can protect yourself, your community, and your relations.

Urban Indian HIV and AIDS Resource Library

Culturally attuned HIV education resources for patients and healthcare professionals

We’ve curated a library of culturally attuned HIV education resources for both patients and healthcare professionals. The selected resources empower and encourage patients to get tested for HIV, get on PrEP, and end HIV stigma. They also bolster the knowledge and skills of healthcare professionals to provide quality HIV prevention and treatment.

Included in the library are posters, fact sheets, videos, toolkits, and learning modules. The library is a living resource hub, meaning that UIHI will continue to update it with new resources.

---

HIV Basics

HIV (human immunodeficiency virus) is the virus that weakens the body’s immune system and, if left untreated, can lead to AIDS (acquired immunodeficiency syndrome). Learn the basics about HIV from an Indigenous-informed perspective in the materials below. Feel free to download, watch the videos, and share these materials with your patients and community.

Contact us if you would like printed versions of any of our UIHI-branded materials, and we can have them sent to your clinic.

Resources for Relatives (Patients)

Downloads

Videos

Links

HIV/AIDS Print Materials

Under the “Print Materials” tab is a set of digital posters from the “Native. LGBT. Proud.” and “Native. Tested. Proud” campaigns out of Northwest Portland Area Indian Health Board to de-stigmatize HIV and HIV testing among LGBTQ2S people 

Resources for Providers

Downloads

Learning Modules

HIV Care and Sexual Health Assessment for American Indian/Alaska Native Patients

Online learning modules from UIHI and Cardea Services to help prepare healthcare professionals to provide optimal HIV prevention, screening, and treatment in any primary care setting while addressing the unique cultural needs of American Indians/Alaska Natives

• Module 1: Culturally Proficient Sexual Health Care for People of all Genders and Sexual Orientations
• Module 2: Sexual Health Assessment
• Module 3: Talking with Patients about HIV
• Module 4: Biomedical Prevention of HIV (ART, PEP, and PrEP)

Provider Toolkit

Ending HIV Stigma

Stigma related to HIV remains one of the biggest barriers to American Indians/Alaska Natives receiving HIV prevention and treatment services. Ending HIV stigma and empowering communities most impacted is a necessary component to ending the HIV epidemic in Indian Country. Below are resources to normalize talking about HIV and encourage HIV prevention and treatment.

Resources for Relatives (Patients)

Downloads

Videos

Links

National Native HIV Network: Public Service Announcements for National Native HIV/AIDS Awareness Day
A compilation of nine (9) culturally attuned audio-recordings and public service announcements of Native people speaking up against HIV stigma and why getting tested helps both you and your community.

Resources for Providers

Downloads

Videos

Links

National Native HIV Network: Public Service Announcements for National Native HIV/AIDS Awareness Day
A compilation of nine (9) culturally attuned audio-recordings and public service announcements of Native people speaking up against HIV stigma and why getting tested helps both you and your community.

HIV Social Media Engagement

A major tool to ending the HIV epidemic and HIV stigma in Indian Country in the 21^st century is through social media. Here are some resources on how to develop your social media strategy to stop the spread of HIV and HIV stigma.

Resources for Relatives (Patients)

Links

Indian Health Service HIV/AIDS Media Campaigns
A set of digital posters from the “Native. Tested. Proud.”  and “Act Against AIDS” campaigns with example social media copy text.

Resources for Providers

Downloads

HIV Clinical and Policy Guidance

The toolkits and briefs below explore the ways in which Urban Indian Organizations, tribal clinics, and other Native-serving health organizations can strengthen the systems needed to incorporate HIV policy into medical practice, social norms, and community culture. It is meant to provide tools, models, and guidance to ending HIV and HIV stigma in your community.

Resources for Providers

Downloads

HIV Prevention and PrEP for Native Communities

Learn about the basics of PrEP, the daily prescription pill that significantly reduces the risk of getting HIV. This section also includes resources and information needed to incorporate PrEP in a culturally informed way at Native-serving clinics. It is meant to provide information, language, and conversation starters to introduce PrEP to communities and/or clinics.

Resources for Relatives (Patients)

Downloads

Videos

Resources for Provider

Downloads