Abstract
As the number of Native American people with HIV infection continues to grow, the need to develop services that are tailored to the special needs of rural/reservation and urban Native Americans grows with it. The experiences of AIDS programs in two very different sites, one on the Navajo Reservation in Arizona and another in New York City, illustrate both similarities and differences in the needs of clients. Barriers that prevent or discourage access to care for Native American people living with HIV/AIDS exist in both places, but it is in the specifics that tailored solutions are clearly required. Native American AIDS activists have been working hard to meet the needs of Native Americans living with HIV/AIDS and their progress is encouraging.
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