1. Buffalo, New York:
Native American Community Services of Erie & Niagara Counties, Inc. (NACS)
Gathering of Good Minds
4. Shinnecock Nation
Natives at Penn
North American Indian Center of Boston, Inc.
Native American LifeLines, Inc.
8. Connecticut (TBD)
9. Rhode Island (TBD)
10. Maine (TBD)
Identify and confirm specific social determinants that affect the health for NAE LWH who reside in the Northeast.
These may include:
• Lack of health insurance
• Rates of poverty
• Rates of exposure to violence and crime
• Historical and intergenerational trauma
• Rates of alcohol use
• Prevalence of sexually transmitted diseases
Once these and others are identified, they will be incorporated into outreach efforts, HEN events, and all publicity for the project. The information will also be included in a document that will be sent to the State Health Departments.
If customers can’t find it, it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.
Engage NAE LWH in the development of strategies for increasing awareness of culturally specific HIV care needs
“There are four areas of importance when designing programs for Native American Communities: local religious and cultural morals regarding sexual activity, homosexuality, drug use and contraception; the cultural and spiritual concepts of illness and health and their significance; the language used in the home and that which will be used to discuss HIV/AIDS among the family; and who in the community and family is turned to for advice.” - Delight Satter
The Program Coordinator will establish contact with NAE LWH in the Northeast. The Coordinator will organize conference calls and send email focused on identifying and developing culturally specific methods of care for NAE LWH. The HEN Advisory Group will review outreach material that will be used in events and as part of the general outreach strategies of Partner Organizations. The review will be for cultural accuracy and will be based on the individual Tribes/Nations of the NAE LWH. The Advisory Group members who identify as Two Spirit will review materials designed for the LGBTQ community. They will provide context to the Two Spirit identity and when possible will offer to speak with the Partner Organizations about being Two Spirit. Most tribal languages have words for third gender individuals and the HEN will encourage local community based organizations to use those terms when possible.
Conduct surveys and focus groups in Native American communities and among health care and social service providers.
The survey distributed to Native Americans living with HIV will provide information the following:
• A ranking of methods of delivery of services from the perspective of NAE LWH (i.e. are community members more comfortable with receiving services from a Native American service provider and why?)
• A ranking of types of services needed in the community
• A ranking of perceived social determinants for NAE LWH.
• A ranking of perceived health issues facing NAE LWH.
• Age when Native Americans became infected
• Common experiences of stigma and shame related to HIV
• Levels of education around risk factors for an HIV and STI infection
• Experiences of racial misclassification
• Occurrence of sexually transmitted infections (STIs) such as syphilis, gonorrhea and Chlamydia
Revise the list of questions to include:
Questions that are short and to the point and avoid wording that is ambiguous.
Open-ended questions that begin with phrases such as: