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The untold story of a Black woman who founded an Alabama hospital during Jim Crow

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100-year-old artifacts discovered in home that once served as hospital for Blacks

  • December marks the 100th anniversary of the Juanita Coleman Hospital
  • Hospital served Black patients in Demopolis, Alabama during Jim Crow
  • Discrimination prevented Black physicians from working at facility    
  • Hospital artifacts discovered in attic nearly a century later

Mary Jones Fitts and her mother always enjoyed returning home to Demopolis, Alabama. Back in 2010, they were cruising through their old neighborhood when her mother, Mary Ida Calhoun, 85, casually pointed at a one-story blue house on East Washington Street.

“That was the Juanita Coleman Hospital,” said her mother.

Jones Fitts was puzzled. “Who was Juanita Coleman?”   

“She was a Black lady from Tuskegee who came to Demopolis and found out there was not a hospital for Black people,” said her mother. “So, she built this hospital.”

This was a life-changing conversation for Jones Fitts. It was the first time her mother mentioned the name Juanita Coleman or that a Black woman founded a hospital in west central Alabama – during the Jim Crow era.  The revelation was even more surprising because Jones Fitts is the former director and president of the local Marengo County History and Archives Museum.  Black history was her passion and she had absolutely no record of Juanita Coleman.

The revelation inspired Jones Fitts to dig for more information and bring the Juanita Coleman story to life. But in this Alabama community where Black people make up roughly half of the population, Jones Fitts was frustrated that more people did not know this story. She encountered some Black residents who were old enough to remember the Juanita Coleman Hospital but expressed a reluctance to talk about the painful history of discrimination that made an all-Black hospital necessary for survival.

“No more,” Jones Fitts told herself. “It’s time to tell our stories.”

Backstory

Nannie Juanita Coleman was born August 5, 1885, in Temple, Texas. After high school, Coleman studied at The Tuskegee Normal and Industrial Institute in Alabama where she graduated in 1908.

Coleman’s earliest achievements are documented in a few books and research papers. In 1915, at the age of 30, The Tuskegee Institute hired Coleman as the first female home demonstration agent to uplift poor Black families with lessons in agriculture, health, and homemaking.

During her years as a demonstration agent, Coleman had an important mentor by her side – Margaret Murray Washington. Washington was one of the most influential women in America as the principal of Tuskegee Institute and the widow of Booker T. Washington.

Under Mrs. Washington’s guidance, Coleman stages what might have been her most significant achievement. She raised money to secure space and furnishings to fulfill medical needs for the Black community in Demopolis. In 1923, Coleman purchased a house on Washington Street.

2015 discovery – side by side comparison of an unidentified portrait (left) discovered in the attic of a Demopolis, Alabama home, formerly, the Juanita Coleman Hospital. The portrait bears a strong resemblance to Margaret Murray Washington (right) who served as a mentor to Coleman. Washington led Tuskegee Institute and was the widow of Booker T. Washington. The portrait is on display at Marengo County historical society museum.

Juanita Coleman Hospital dedication

Hospital dedication article published in The Montgomery Advertiser, December 15, 1923

On December 15, 1923, The Montgomery Advertiser announced the opening of the Juanita Coleman Hospital. Approximately 600 people attended the dedication. The event was held in the town’s Confederate Park.

The total cost of the 12-bed facility and the furnishings was $6,000. Hospital superintendent Coleman is credited as the owner and operator who invested $2,000 of her own savings (the equivalent of $35,000 in 2023.) “The rest of the money was secured through donations from those interested in the movement, “according to the Montgomery Advertiser.

Despite her significant financial stake, ownership and naming rights, Juanita Coleman did not have complete autonomy over her hospital operations. Coleman reported to a board of trustees consisting of three Black and four White community leaders.

No Black doctors allowed

In 1923, The Selma Times Journal reported the purpose of the new Juanita Coleman Hospital was to provide care for “colored patients and training of colored nurses.” But there was one catch – Black doctors were not allowed to practice medicine at the hospital. The ban is spelled out in a single sentence near the end of the article “Only White doctors are to practice in this hospital.” The article provides no further explanation or context.

It’s possible that White leaders in Demopolis established discriminatory ground rules around Superintendent Coleman’s hospital as a condition of support or to limit competition between Black and White doctors. It’s also worth noting that a hospital exclusively for Black people also provided an excuse for White hospitals to continue the long-standing practice of denying medical services to Black people.

On the hospital’s fourth anniversary, The Demopolis Times published a thank you letter from Coleman to the community for “splendid” donations and financial help “thus making it possible for us to go a little further,” she wrote.

The struggle to pay bills

Juanita Coleman’s hospital operated on “small fees paid by patients and the generosity of the public”. A remarkable accomplishment, especially during the Great Depression when the hospital temporarily closed its doors. In the spring of 1931, Coleman took out an advertisement in the Demopolis Times and announced the “reopening” of her hospital. This time, she informs readers that the hospital doors will be open to “all licensed physicians.” This appears to be Coleman’s victory in toppling the Black doctor ban. 

It’s unknown when the hospital officially closed. The last known newspaper reference to her hospital is a furniture sale announcement published in The Demopolis Times in 1953. At the same time, Coleman was working in Washington D.C. as a counselor at an Industrial school for girls. Newspaper accounts indicate Coleman travelled frequently between Washington D.C. and Alabama. 

So far, there has been no documentation of Coleman’s life in the 1960’s. She died in 1973 and was buried in Maryland.

More amazing discoveries

Not long after the 2010 revelation about the Juanita Coleman Hospital, Mary Jones Fitts returned to the blue house on Washington Street. She met the owner, who was unaware of the building’s history. Walking through the front door, Jones Fitts felt like she was stepping back into time. Inside, she noticed a number affixed to each door in the central hallway. They were the actual room numbers original to the hospital.

The discoveries continued several years later, when the homeowner found hospital artifacts in the attic including a white cabinet containing medical instruments. Perhaps the most valuable find was a framed painting of an unidentified woman. The painting bears a strong resemblance to Coleman’s mentor, Margaret Murray Washington, the wife of Booker T. Washington. Both items have been on display at the Marengo County history and archives museum as the only public exhibit of Juanita Coleman’s hospital.

Registered nurse Inez Taylor Drake, graduated from Prairie View A&M nursing school before joining Coleman in Demopolis as head nurse in 1925. (Evelyn Inez Drake Houston family collection)

Author’s note: I’ve known for many years that in the 1920’s, my grandmother, Inez Taylor Drake RN was the head nurse at a hospital in Demopolis, Alabama. No one in my family, including my 89-year-old mother, had ever heard of the name Juanita Coleman. This led my family back into our scrapbooks where we found a century-old Demopolis postcard. On the back, my grandmother confirms what we never knew until now: “Sis Coleman introduces me to folks as her head nurse from Texas,” my grandmother wrote home to her younger sister. “Do you reckon I get to be somebody at last.”

Juanita Coleman Legacy

As a historian, Mary Jones Fitts believes she has a responsibility to continue telling the story, especially when she encounters life-long Demopolis residents who have never heard of the Juanita Coleman hospital. “Coleman was a force to be reckoned with,” says Jones Fitts. “She definitely left her mark.”

In addition to the legacy, Jones Fitts also thinks about her own mother who died two years after the Juanita Coleman revelation. What if her mother had remained quiet about this important piece of Black history?

“I wouldn’t be the historian that I am today,” says Jones Fitts. “My mother loved Demopolis. She loved the people that were here. Learning about Juanita Coleman started me on a journey that I am still on today.”

About the author: Carlton Houston is a former journalist, writer and historian. For more history stories, follow Carlton on Instagram @myhistoryvibe

Black History

America Heads Into the Last Mile of the 2024 Presidential Election

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With only a week until Election Day, Vice-President Kamala Harris and Donald Trump are holding their final campaign rallies and crisscrossing the battleground states. Both candidates know the importance of every vote, and they are rallying their base in the closing days.

Vickie Newton, founder of The Village Celebration and Love Black History, traces the history of Black voters in America on the eve of the historic 2024 presidential election.

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Black History

Coco Gauff Becomes the Youngest Flag Bearer in US Olympic History

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During the Paris Olympics Opening Ceremony, the female American flag bearer will be Coco Gauff, the 20-year-old tennis star. She will be the youngest flag bearer in American Olympic history. Basketball legend LeBron James has been selected as the male flag bearer.

Gauff said, “I was not expecting that.”

Delighted to be selected, Gauff admitted she has “no idea” what her assignment includes, adding, “I don’t know if there’s flag bearer-training I have to go to.”

James has been to the Olympics four times. He was part of U.S. teams that won bronze in 2004, gold at Beijing in 2008 and gold again in London in 2012.

But this will be his first time as the flag bearer.

He said, “It’s an absolute honor. I hope I continue to make my community proud and continue to make my family proud.”

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Black History

California Is the First State to Create A Public Alert for Missing Black Youth

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It’s been 21 years since Cleashandria Hall disappeared from Pine Bluff, Arkansas. Her mother Laurell Hall says she dropped her 18-year-old daughter off at her after-school job and never saw her again. For years, Hall and her family have kept their loved ones name in the media by hosting vigils and events that remind the public of their steadfast hope for answers.

But the attention is unusual. More often than not, experts say Black people who go missing do not receive the coverage as whites.

In October 2023, the state of California passed legislation that alerts the public to the disappearance of young people. It’s called the Ebony Alert, and it hopes to change the narrative about Black youth who are missing but don’t receive the same media coverage as white youth.

“We feel it’s well beyond time that we dedicate something specifically to help bring these young women and girls back home because they’re missed and loved just as much as their counterparts are,” State Senator Steven Bradford said in an interview with NBC News.

The recent docuseries about a California woman who faked her disappearance garnered 3.6 million viewers on Hulu, making it the most popular docuseries ever on the streaming service– a distinction that adds more credibility to the ongoing conversation about the disparities in media coverage and public attention when Black Americans are missing.

 Sherri Papini grabbed the spotlight in 2016 as authorities searched for her before she reappeared and years later admitted the hoax. The popularity of the docuseries has reignited the dismay Black families experience when their loved ones are missing.

According to the Black and Missing Foundation, Black Americans make up 40% of missing Americans but only 13% of the population.  

Foundation Founder Natalie Wilson said, “There’s a need for an Ebony Alert because people of color are disappearing at an alarming rate, and typically their cases are under the radar when it comes to media coverage and getting law enforcement resources.”

The Ebony Alert is activated when local authorities request it because a Black youth is missing, and there is concern the youth has been targeted for trafficking, or foul play is suspected. The Ebony Alert uses electronic highway signs and encouraged radio, TV, and social media and other systems to spread information about the missing persons’ alert.

In 2022, California began the Feather Alert which publicizes the disappearance of Indigenous people.

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