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LGBT group hopes to open Paraguay’s first men’s health clinic

Facility will offer free HIV tests and other services to men.

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SOMOSGAY, Paraguay, gay news, Washington Blade

SOMOSGAY, Paraguay, gay news, Washington Blade

Somosgay plans to open Paraguay’s first HIV/AIDS clinic for gay and bisexual men in May. (Photo courtesy of Simón Cazal/Somosgay)

A Paraguayan LGBT advocacy organization hopes to open the South American country’s first men’s health clinic in May.

Somosgay hopes to offer free rapid HIV/AIDS testing to those who access services at the clinic that will be called Kuimba’e, which means men in the local Guaraní language, in Asunción, the country’s capital. Simón Cazal, the group’s chief executive officer, told the Washington Blade during an interview on Monday that he plans to invite proctologists and specialists in anal and rectal health to work in the facility.

“This initiative from Somosgay will establish a community clinic that will specialize in men’s health and well-being,” Somosgay said in a Nov. 26 press release. “The doors of this clinic will open in 2013 in the center of Asunción. In addition to this project, the initiative plans to further expand voluntary testing and access to anti-HIV treatment in Paraguay through specific campaigns aimed at the entire population.”

Somosgay, which operates an LGBT community center in Asunción, in May opened the capital’s first HIV testing center with support from amfAR and the Joint United Nations Programme on HIV/AIDS (UNAIDS) in the Southern Cone of South America that includes Paraguay, neighboring Argentina, Uruguay, Chile and portions of southern Brazil. The group also participated in a series of events ahead of World AIDS Day on Dec. 1.

One of the poorest countries in South America, Paraguay has limited resources to combat HIV/AIDS among groups disproportionately affected by the epidemic.

Cazal, who attended the International AIDS Conference that took place in D.C. earlier this year with his husband Sergio López, whom he married in Argentina after same-sex marriage became legal in 2010, said 19 percent of gay men and 29 percent of transgender women in the country live with HIV. Cazal noted Paraguayan public health officials offered only 80,000 HIV tests — 72,000 to pregnant women and 8,000 to men and trans women — last year.

The Los Angeles-based AIDS Healthcare Foundation, amfAR and the Fundación Triángulo (Triangle Foundation) in Spain are among the organizations backing the Somosgay clinic.

“Our dream is that the clinic will us in order that we will not see more AIDS cases,” Cazal told the Blade. “The idea behind the clinic is to keep our people as healthy as possible for as long as possible… and to have a big impact in a short time on the quality of life of our friends who live with HIV in the city and in the country.”

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Mexico

Claudia Sheinbaum sworn in as Mexico’s first female president

Former Mexico City mayor pledged to continue supporting LGBTQ rights

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Mexican President Claudia Sheinbaum (Screen capture via PBS News Hour YouTube)

Mexican President Claudia Sheinbaum on Tuesday took office.

Sheinbaum, Mexico City’s former mayor who is a member of former President Andrés Manuel López Obrador’s leftist Morena party, on June 2 defeated Xóchitl Gálvez of the opposition National Action Party and Jorge Álvarez Máynez of the Citizens’ Movement.

Sheinbaum, who is also a scientist, is Mexico’s first female and first Jewish president.

First lady Jill Biden, Health and Human Services Secretary Xavier Becerra, Homeland Security Secretary Alejandro Mayorkas, U.S. Small Business Administration Administrator Isabel Guzman, and U.S. Rep. Nanette Barragán (D-Calif.) are among the American officials who attended Sheinbaum’s inauguration.

“Mexico and the United States are strong partners and close neighbors and we share deep political, economic, and cultural ties,” said President Joe Biden in a statement in which he congratulated Sheinbaum on her inauguration. “The United States is committed to continuing to work with Mexico to deliver the democratic, prosperous, and secure future that the people of our two countries deserve.” 

Sheinbaum before the election released a policy paper that reiterated her support for LGBTQ rights in Mexico. The platform, among other things, reiterated “absolute respect for diverse gender identities” and pledged to create “public policies to (end impunity) and to eradicate hate crimes and violence against LGBTIQ+ communities because of gender and sexual orientation.”

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India

New Indian medical curriculum excludes guidelines for transgender patients

WPATH has called for global authorities to suspend national commission

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(Bigstock photo)

India’s National Medical Commission has introduced an undergraduate curriculum that does not include protections for transgender individuals and people with disabilities.

The National Medical Commission on Aug. 31 released the Competency-Based Medical Education (CBME) Curriculum 2024, scheduled for implementation in the 2024-2025 academic year. The curriculum sparked controversy by introducing “sodomy and lesbianism” as unnatural sexual offenses in undergraduate programs, prompting two international organizations to threaten to seek the suspension of the National Medical Commission over the issue.

The International Council for Disability Inclusion in Medical Education and the World Professional Association for Transgender Health (WPATH) have called for global authorities to temporarily suspend the National Medical Commission’s recognition by global authorities. The two organizations claim the new curriculum violates exiting laws that protect the rights of people with disabilities and LGBTQ individuals.

The National Medical Commission reintroduced several regressive ideas regarding the LGBTQ community, with a complete omission of transgender rights that contradicts Supreme Court guidelines and previous regulations. Leaders from the disability and trans communities wrote a letter to Union Minister of Social Justice and Empowerment Virendra Kumar in which they criticized the curriculum.

The revised curriculum removed key disability competencies and critical components related to trans health. 

On Sept. 5, as India observed Teacher’s Day, the National Medical Commission temporarily withdrew the guidelines, only to reintroduce them on Sept. 12 without addressing the controversial sections. Terms, such as “dignity” and “transgender,” were notably absent from the 466-page document.

The revised curriculum allocates eight hours to sports but no longer mandates the previously required seven hours for disability training. It uses terms such as “gender identity disorders” and refers to intersex people as “abnormalities,” retaining language from earlier medical perspectives.

The revised curriculum no longer classifies sodomy and consensual same-sex sexual relations between women as “unnatural sexual offenses.” The earlier version, however, included descriptions cross-dressing as a form of sexual perversion. It also categorized a range of behaviors — including voyeurism, exhibitionism, sadism, and masochism — together with necrophagia (the consumption of the dead) and necrophilia (sexual attraction to corpses) under a single category.

The earlier version did not include LGBTQ-inclusive language.

The revised curriculum includes education on topics that include informed consent for sexual intercourse, the history of gender and sexuality-based identities, and the legal background surrounding the decriminalization of adultery and consensual same-sex relationships. It also introduces lessons on paraphilia and paraphilic disorders, covering a range of atypical sexual fantasies and behaviors.

The National Medical Commission has not provided a specific explanation for including outdated concepts in the curriculum. Senior officials have, however, attributed the changes to an unintentional oversight, stating it was an error that led to portions of the 2022 curriculum being mistakenly reintroduced.

The National Medical Commission in 2022 updated six modules in forensic medicine and psychiatry to reflect societal and legal changes. These amendments included the decriminalization of consensual same-sex relationships. They aimed to educate students on informed consent and, within psychiatry, to address the spectrum of gender and sexual orientations. 

The curriculum was designed to prepare students to manage issues, such as gender dysphoria, intersex conditions, and sexual dysfunctions. These changes were based on recommendations from an expert committee formed under a Madras High Court ruling in a case involving a lesbian couple whose parents opposed their relationship, leading to a police complaint about their alleged disappearance.

The Madras High Court ruling noted queerphobia was being incorporated into the education of future doctors. 

The 2022 changes were seen as essential for the daily practice of medical professionals, as misinformation about consensual same-sex sexual relationships could result in some patients receiving inadequate care and treatment.

While the revised curriculum released on Sept. 12 does not include references to trans rights, the Transgender Persons (Protection of Rights) Act of 2019 explicitly requires medical colleges to incorporate trans health and develop health manuals for gender confirmation surgeries. The revised curriculum, however, does not reflect current standards of inclusivity and care.

Ankit Bhuptani, an LGBTQ rights activist and founder of the Queer Hindu Alliance, during an interview with the Washington Blade expressed disappointment over the new curriculum.

“It is not just about the NALSA judgment, but also the current government has been very actively talking about trans rights throughout their policy and their various programs,” said Bhuptani. “So, it’s quite surprising that it was not included and the government should have been more mindful. I hope, they rectify the error that was done earlier in terms of lesbians and other elements which were problematic.”

Ankit Bhuptani (Photo courtesy of Ankit Bhuptani)

Bhuptani also told the Blade the current government is open to receiving suggestions from the LGBTQ community.

“The government has met a few community members already, and I was one of them,” noted Bhuptani. “After the meeting, we requested that the community need to be consulted for larger LGBTQ rights. They have given their email IDs publicly so that where general public can send suggestions. So, I hope the community members who are raising these issues, will reach out and take this ahead as well.”

Bhuptani said he plans to raise the issue with the government.

Ankush Kumar is a reporter who has covered many stories for Washington and Los Angeles Blades from Iran, India, and Singapore. He recently reported for the Daily Beast. He can be reached at [email protected]. He is on Twitter at @mohitkopinion. 

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Uganda

Uganda Human Rights Commission asks government to decriminalize homosexuality

Anti-Homosexuality Act took effect in 2023

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(Image by rarrarorro/Bigstock)

Uganda’s state-funded human rights body has broken its silence on the queer community’s rights by advocating for their protection amid the enacted Anti-Homosexuality Act that is currently under appeal at the Supreme Court.

The Uganda Human Rights Commission on Sept. 26 while defending LGBTQ rights asked President Yoweri Museveni’s government to decriminalize homosexuality and other “victimless crimes.” 

“Criminalizing such acts often results in unjust and disproportionate punishment, especially for vulnerable groups in our society,” Mariam Wangadya, who chairs the commission, said. 

Wangadya, a lawyer and human rights advocate, spoke for the first time about the commission’s position on queer rights in Uganda since President Yoweri Museveni in May 2023 signed the Anti-Homosexuality Act.

She spoke during the annual stakeholders meeting for ACTV-Uganda, a rights organization that advocates against torture, gender-based violence, and other forms of violence, and has provided care to victims and survivors for 30 years with the commission’s support. 

Wangadya acknowledged ACTV-Uganda’s important role in providing the commission with medical reports for torture cases to assist it in determining compensation for survivors of torture to rebuild their lives.    

“Of the 939 cases currently pending a hearing before our tribunal, 50 percent of those are allegations of violation of the right to freedom from torture, inhuman and degrading treatment,” she noted.  

Her sentiments on the commission’s stand on LGBTQ rights also come barely two weeks after holding talks with two rights groups: The Human Rights Awareness and Promotion Forum (HRAPF) and Support Initiative for People with Congenital Disorders (SIPD), an intersex lobby group, on Sept. 14.

The meeting between the commission, HRAPF, and SIPD, which also documents and publishes reports on queer rights abuses in Uganda, explored human rights violations based on sexual orientation, gender identity and expression, and sex characteristics.     

“We must ensure that every person in Uganda enjoys their human rights without discrimination,” Wangadya said. 

The commission also noted that engaging the intersex lobby group was vital to address their “often-overlooked issues and rights.” 

The Ugandan government has yet to recognize intersex people as a protected minority group, unlike in Kenya. This year’s national Census did not count them.

HRAPF Executive Director Adrian Jjuuko applauded the meeting with Wangadya as a “progressive step” in defending the rights of the queer community and intersex people.

“We commend the commission on creating a space for dialogue on issues of criminalized minorities in Uganda,” Jjuuko said. 

Wangadya held the first meeting with Jjuuko on Sept. 9. It focused on HRAPF’s periodical reports on violations against sexual minorities in Uganda.

Wangadya and Jjuuko during the meeting both agreed that all people deserve protection under the law and the commission has to protect everyone, regardless of their sexual orientation and gender identity.   

“You need to talk to the Judiciary, the police, and the director of Public Prosecutions. These are our major disturbing areas,” Jjuuko said, accusing the three government agencies of undermining intersex and LGBTQ rights in the country.

Wangadya acknowledged the contribution of the three judicial agencies in protecting and upholding human rights, but noted that there is a need for working with Kenya, South Africa, and other countries to understand how they navigate LGBTQ and intersex legal issues.

“Kenya will be much better for benchmarking considering that in South Africa the constitution provides for that (queer rights.) Benchmarking from a country like Kenya with similar laws may be more helpful,” she said.    

The Wangadya also committed to tapping into HRAPF’s human rights strategies and experiences to improve the commission’s mechanisms. 

HRAPF promotes respect for the rights of marginalized and minority groups in Uganda through advocacy, offering legal aid, and providing capacity building. Its latest August report on monthly advocacy, violence and other human rights abuses based on sexual orientation or gender identity since the Anti-Homosexuality Act took effect shows anti-LGBTQ violence remains rampant, while evictions and arrests continue to drop.

The report states that a total of 56 human rights violations were recorded in August, versus 72 cases in July. 

Of the 56 cases, 20 cases (35.7 percent) were based on sexual orientation or gender identity, versus 34 cases (41.2 percent) in July. The number of also reported victims also dropped from 40 people in July to 24 people in August. The 20 cases targeting LGBTQ people involved violence and threats (10), eviction from housing (nine), and one arrest.

Uganda’s Women Human Rights Defenders Network welcomed the commission’s inaugural meetings with HRAPF and SIPD, and asked the state-funded rights body to continue holding regular dialogues to help “create an enabling environment for SOGIESC (sexual orientation and gender identity and expression.)” 

Wangadya’s comments coincided with a protest outside Uganda’s Permanent Mission to the U.N. in New York that a group of activists organized. 

The World Bank Group in August 2023 suspended new lending to Uganda in response to the Anti-Homosexuality Act. The activists who organized the protest demanded the World Bank not resume loans to the country.

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