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Native People Respond to HIV/AIDS

Since 1987, the National Native American AIDS Prevention Center (NNAAPC) has offered programs and outreach to Native communities. The NNAAPC's Social Marketing Clearinghouse includes a variety of educational resources, including posters, which have been tailored to individual Native nations in many parts of the country. Many of the posters displayed here reflect the work of tribal governments and local community organizations as they strive to educate their citizens and non-Native neighbors about AIDS. Although not originally focused on HIV/AIDS prevention or awareness, staff at health clinics and support organizations frequently counseled individuals on pursuing safer, healthier behaviors and, in the process, became key participants in fighting the epidemic in Indian Country. The images here reflect an array of culturally— and oftentimes tribally-specific messages aimed at a broad, new audience that required help and information.

The Minority AIDS Project
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The Minority AIDS Project

In 1985, four years into the national health crisis, African Americans and Latinos accounted for three times as many cases of AIDS as whites. To address the growing disparate epidemic and counter the myth that AIDS was a “gay white disease,” Archbishop Carl Bean and members of the Unity Fellowship Church founded the Minority AIDS Project (MAP) to support communities in southern Los Angeles. Their bold, bilingual campaigns stressed AIDS as a very serious, rapidly growing problem in communities of color and provided information on prevention and care for those with AIDS. MAP, working alongside two other community-based organizations—Blacks Educating Blacks About Sexual Health Issues (BEBASHI) and Black and White Men Together—became examples for future organizations focused on assisting African Americans and Latinos affected by HIV/AIDS.

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Native People Respond to HIV/AIDS
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Native People Respond to HIV/AIDS

Since 1987, the National Native American AIDS Prevention Center (NNAAPC) has offered programs and outreach to Native communities. The NNAAPC's Social Marketing Clearinghouse includes a variety of educational resources, including posters, which have been tailored to individual Native nations in many parts of the country. Many of the posters displayed here reflect the work of tribal governments and local community organizations as they strive to educate their citizens and non-Native neighbors about AIDS. Although not originally focused on HIV/AIDS prevention or awareness, staff at health clinics and support organizations frequently counseled individuals on pursuing safer, healthier behaviors and, in the process, became key participants in fighting the epidemic in Indian Country. The images here reflect an array of culturally— and oftentimes tribally-specific messages aimed at a broad, new audience that required help and information.

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The Whitman-Walker Clinic
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The Whitman-Walker Clinic

Initially called the Gay Men’s VD Clinic upon its opening in 1973, the Whitman-Walker clinic was renamed in 1978, in honor of Walt Whitman, the famous American poet, who made his life with men, and Dr. Mary Edwards Walker, a feminist activist and medical doctor, who dressed exclusively in men’s clothes and was the only woman to receive the Medal of Honor for her service as a surgeon during the Civil War.

As early as 1983, the clinic staffed the first AIDS hotline in the city, and within two years, it opened multiple homes for people with AIDS. In addition, Whitman-Walker was at the forefront of designing and distributing safer-sex materials that targeted a range of audiences. Even as the clinic created campaigns to help all kinds of people, it never forgot to attend specifically to the needs of men who had sex with men.

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“Please Be Safe” by the Northwest AIDS Foundation
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“Please Be Safe” by the Northwest AIDS Foundation

In 1987, with funding from the U.S. Conference of Mayors, the Seattle-based Northwest AIDS Foundation launched the “Please Be Safe” campaign to help gay and bisexual men reimagine their sexual behaviors. Using a different creative visual strategy than the sexually charged imagery of some contemporaneous public health efforts, this campaign used road signs—a straightforward, familiar set of symbols—to discuss and advertise sexual safety. The “Please be Safe” or “Rules of the Road” campaign used road signs and compelling, straightforward, community-specific language to help gay men engage in safer sex. The “Sexual Safety Card” featured on many of the posters provided quick and accessible information on activities at every level of safety.

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South Carolina AIDS Education Network (SCAEN)
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South Carolina AIDS Education Network (SCAEN)

In 1986, DiAna DiAna, an African American hairdresser with a salon in Columbia, South Carolina, took action when a local newspaper refused to run an advertisement for condoms. She began to use her salon as a space to engage customers in conversations about safer sex.

Later on DiAna met Bambi Sumpter (now Gaddist), a public health educator, at an AIDS workshop. The two women formed the South Carolina AIDS Education Network (SCAEN). The organization initiated a full-scale campaign to use popular culture to entice people to think about AIDS prevention. They wrote plays, and held Tupperware-style parties with prizes that could be used to make sex safe.

Emerging from this culture are a series of posters, by an unknown artist, that typify DiAna's approach to AIDS prevention: positioning the epidemic as a situation empowered community members could take on.

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Harm Reduction/Clean Needles
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Harm Reduction/Clean Needles

In the early 1980s, many believed that identity not behavior put people at risk for contracting AIDS. Known collectively as the 4 H’s: homosexuals, hemophiliacs, heroin users (representing all intravenous drug users), and Haitians, the four groups were considered vulnerable and blamed for spreading the disease. Intravenous drug users brought with them an all-too-familiar public health challenge. How do you inform, protect, and support a group that engages in behaviors deemed illegal and potentially considered wrong or sinful?

One answer, as illustrated in these public health campaigns, was harm reduction—the idea that if you could not stop people from using intravenous drugs, you could provide people with information about how to protect themselves while doing so. Using straightforward language, these campaigns spoke to needle users and the people who had sex with them.

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Postcard Politics
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Postcard Politics

By the mid-1980s, as the AIDS epidemic became a full-on crisis, AIDS activists turned to art and graphic design to illustrate and punctuate their responses to the disease and the resulting social crises. Soon artistic activism insisted that visual culture had tremendous power to affect behavioral and political change. Artists and activists plastered urban neighborhoods with posters featuring provocative images that forced some to confront their homophobia and others to reimagine what they could do to fight AIDS.

In addition to creating posters, artists reproduced those images as postcards. These small, portable, inexpensive items were visual reminders of how big the AIDS crisis had become. Displayed for the taking at bars, restaurants, neighborhood shops, and community centers, these postcards allowed activists to reach an even wider audience.

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15 Images

A poster with text and a silhouette of a man on a horse carrying a spear

AIDS could mean the real end of the trail—take time to learn

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A poster with text and a silhouette of a man on a horse carrying a spear

South Dakota Division of Education, 1990

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A poster with text and a painting of two red and blue stylized birds facing each other with a heart between them

AIDS

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A poster with text and a painting of two red and blue stylized birds facing each other with a heart between them

South Puget Intertribal Planning Agency, Shelton, WA, 2005

This poster featured imagery from nationally known artist Randy Capoeman (Quinault) who died of cancer in 2008. His work here employed familiar images with a new message of tolerance and understanding.

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A poster with text and a color drawing of a Native American man in red clothing laying on a wooden platform above a fire

AIDS—it kills Indians too!

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A poster with text and a color drawing of a Native American man in red clothing laying on a wooden platform above a fire

Native American AIDS Advisory Board, ca. 1980s-1990s

In addition to a straightforward message to counteract a common myth among some Native communities that AIDS is a disease that affects only gay men, this poster drew a clear line between the universal impact of AIDS and death by depicting a cremation ceremony conducted by some Native nations. In other words, like death, everybody is susceptible to AIDS.

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A poster with text and a black and white photograph of a hand resting on the shoulder of a Native American man who is facing away from the viewer

Caring can prevent AIDS

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A poster with text and a black and white photograph of a hand resting on the shoulder of a Native American man who is facing away from the viewer

British Columbia Native AIDS Awareness Project, ca. 1980s-1990s

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A poster with text and a black and white drawing of a Native American man wearing a yellow shirt looking at the viewer. In the background is hunting scene.

Grandfather, you are wise in the old ways, give us the wisdom about AIDS

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A poster with text and a black and white drawing of a Native American man wearing a yellow shirt looking at the viewer. In the background is hunting scene.

South Dakota Division of Education, ca. 1989

Native elders occupy positions of leadership and command respect in their communities, so outreach to and education through them about AIDS offered a key opportunity to reach younger Native people, who often look to them for advice and instruction in how to lead better and more productive lives.

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A poster with text and a black and white drawing of a Native American man wearing a yellow scarf holding a baby, in the background are a yellow sign and two yellow teepees.

Having sex now is risky

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A poster with text and a black and white drawing of a Native American man wearing a yellow scarf holding a baby, in the background are a yellow sign and two yellow teepees.

Haskell Indian Junior College Foundation, Topeka, KS, 1989

Public health campaigns aimed at heterosexual Native men often focused on the risks of unprotected sex, which included fatherhood as well as sexually transmitted disease and AIDS.

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A poster with text and a tan and black drawing of a man facing a pharmacist, underneath are three drawings of condoms

How can reading a package save your life?

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A poster with text and a tan and black drawing of a man facing a pharmacist, underneath are three drawings of condoms

Native American Women's Health Education Resource Center, ca. 1980s-1990s

While many campaigns encouraged people to use condoms, this poster presented crucial, specific information on how to ensure condoms were used effectively.

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A poster with text and a black and blue drawing of a Native American young man and woman looking at each other across a bed, each has two people outlined behind them

How well do you know your partner?

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A poster with text and a black and blue drawing of a Native American young man and woman looking at each other across a bed, each has two people outlined behind them

Native American Women's Health Education Resource Center, ca. 1980s-1990s

Sexual networks became a common theme of AIDS outreach. This poster, from the Native American Women’s Health Education Resource Center, reminded women to take the responsibility to talk to partners about their sexual history, stressing the women’s autonomy and the importance of protecting their own health.

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A poster with text and a black and white drawing of a Native American girl wearing a red shirt looking down and to the left

Keep AIDS out of our tradition—educate and prevent now

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A poster with text and a black and white drawing of a Native American girl wearing a red shirt looking down and to the left

South Dakota Division of Education, ca. 1990

This poster featured an illustration by Donald F. Montileaux, also known as Yellowbird, a citizen of the Oglala Lakota Nation in South Dakota. He depicted a Native woman in traditional dress to emphasize the poster’s main message about AIDS prevention.

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A poster with text and a black and white drawing of two American Indian men flanking a gravestone with the word AIDS on it. Above them is a buffalo skull with two lines of people walking towards it

Look, listen, avoid!

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A poster with text and a black and white drawing of two American Indian men flanking a gravestone with the word AIDS on it. Above them is a buffalo skull with two lines of people walking towards it

Tulsa Area Chapter of the American Red Cross in collaboration with the Indian Health Care Resource Center, ca. 1980s-1990s

Three Native men dressed in traditional to contemporary attire stand around a tombstone while a line of people walk toward a buffalo skull. The skull symbolizes the 19th-century demise of the buffalo—an emblem of Great Plains Native culture—and also references the “Vanishing Indian” theory, a widely held notion among Americans that Native peoples, like the buffalo, were dying out. Although public health campaigns for Native audiences did not often address gay men explicitly, it is likely that health workers recognized their increased risk of being infected with AIDS. In response, posters like this one focused on Native males and their traditional roles as warriors and providers as a way of reaching men in the community.

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A poster with text and a black and white photograph of hands holding

Love can prevent AIDS

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A poster with text and a black and white photograph of hands holding

British Columbia Native AIDS Awareness Project, ca. 1980s-1990s

This poster introduced a cultural imperative for Native American women by associating celibacy and abstinence with personal and tribal respect.

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A poster with text and a black outline of a kneeling male figure with a red bandana, holding the hand of a female figure wearing a blanket

Love carefully, AIDS infection may come from a single sexual contact

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A poster with text and a black outline of a kneeling male figure with a red bandana, holding the hand of a female figure wearing a blanket

Health Education Department of the White Mountain Apache Tribe, Whiteriver, AZ, 1988

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A poster with text and a drawing of Native American man and woman, woman looking at viewer and man behind looking to the left

Love yourself get tested

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A poster with text and a drawing of Native American man and woman, woman looking at viewer and man behind looking to the left

Indigenous Peoples Task Force, Minneapolis, MN, ca. 1990s

The Minnesota-based Indigenous Peoples Task Force presented information to local tribes on HIV prevention. This poster used the art of nationally recognized artist Dana Tiger, a citizen of the Muscogee (Creek) Nation, to encourage people to get tested for HIV.

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A poster with text and a Black and white drawing of four American Indian men wearing robes looking at the viewer, with a yellow sun behind them

Our ancestors didn’t see AIDS in our future—prevent now

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A poster with text and a Black and white drawing of four American Indian men wearing robes looking at the viewer, with a yellow sun behind them

South Dakota Division of Education, ca. 1990

To appeal to a sense of tradition, this poster from the South Dakota Division of Education and the Centers for Disease Control described the changing landscape of the 1980s, calling for a new focus on protection from and prevention of AIDS.

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A poster with text and a drawing of a child holding an adult’s hand

Please help me with my questions about AIDS

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A poster with text and a drawing of a child holding an adult’s hand

South Dakota Division of Education, ca. 1990

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