World
Fighting for LGBTQ rights in the Global South
Activists in Thailand and Lebanon forge ahead
The Global South presents unique challenges for LGBTQ activists and advocacy groups.
The Human Rights Campaign notes 29 countries have extended marriage rights to same-sex couples, and the majority of them are located in the Global North that comprises more developed countries in the Americas and Europe. Less than a handful of these countries — such as South Africa and Brazil — are in the Global South. Countries in the Global North, as a result, are more likely to harbor LGBTQ-friendly public sentiments compared to the Global South, which is rife with restrictive anti-LGBTQ laws.
This reality not only makes life tumultuous for both openly and closeted queer individuals in the Global South, the chances of encountering LGBTQ-friendly sentiments in these regions are also close to non-existent. Ensuring the fundamental human rights of the queer people who live in these regions are guaranteed is imperative for activists.
The Washington Blade recently spoke with activists from Thailand and Lebanon about their advocacy work and also how they celebrated Pride in countries where LGBTQ identity is not widely acknowledged.
Thailand
Midnight Poonkasetwattana is the executive director of the Asian Pacific Coalition on Male Sexual Health (APCOM), a non-profit organization located in Bangkok. The organization’s work centers on addressing sexual health-related issues by collecting data on gay men and men who have sex with men in 35 countries across Asia and the Pacific.
“What we do in general is empowering communities on the ground to be able to speak their truth, and also participate meaningfully in country, regional, and global fora so they can have their voices and actually articulate what is it the needs of communities on the ground are,” says Poonkasetwattana.
APCOM, by giving these communities the ability to articulate their concerns, creates and facilitates an environment where LGBTQ people’s sexual and mental health needs are met, even though discrimination remains a barrier to accessing these services.
APCOM’s work does not come without its challenges because of the prevalence of anti-LGBTQ laws in many Asian countries. Their work, however, usually continues undeterred because of their ability to work with local community organizations in the public health sector.
“There are some opportunities to work under public health, and we’ve been able to do that in certain places [like Afghanistan] where it’s still difficult to talk about equality,” says Poonkasetwattana. “When we talk about ensuring that those who are marginalized and most at risk to [contract] HIV are able to get prevention and treatment, [we focus on working] with community-based organizations.”
APCOM, as a result, has been able to facilitate important conversations around HIV/AIDS, with the specific information about the use of necessary and appropriate language in web programming that recognizes people’s different sexual identities and encourages direct conversations around drug use and sex work.

APCOM, in order to commemorate Asia’s LGBTQ community’s tenacity, began Pride month with a virtual discussion that the Australian Embassy in Thailand sponsored. The event, titled “Celebrating Pride Month 2021: LGBTQI Inclusion and the Effect of COVID-19,” had two sessions.
The first session, “Voices from Thai LGBTQI: Launch of Khormoon Report,” discussed COVID-19’s impact in Thailand. The second, “COVID-19 Recovery and LGBTQI Inclusion: A Perspective from the Business Sector,” focused on how Thailand’s business sector practiced inclusion and how it will further propel LGBTQ advocacy.
As APCOM prepares to ease back into normalcy as the pandemic wanes, Poonkasetwattana will begin to prepare for the organization’s HERO Awards (HIV, Equality and Rights), a fundraising gala that honors outstanding LGBTQ activists, HIV/AIDS service providers and allies from across Asia and the Pacific and also raises money for the HIV prevention and human rights work of APCOM.
Lebanon
Helem, whose executive director is Tarek Zeidan, is an LGBTQ advocacy organization in Beirut, Lebanon. Founded in 2001, this non-governmental entity works to improve the legal and social status of LGTBQ people in the Middle East and North Africa.
Lebanon is what Zeidan describes as a slightly safer place for queer people. Lebanon, compared to Egypt and Saudi Arabia and other countries in the Middle East, has emerged as a more inclusive and liberal place despite it being anything but a safe haven for queer people.
“When it comes to LGBTQ rights, Lebanon packs a punch way above its weight,” says Zeidan. “Because, in a region which is notorious for LGBTQ rights violations, Lebanon has enjoyed, and here I use the word enjoy very loosely, a relatively safer and more inclusive sort of experience.”

Helem in its many incarnations throughout its 21-year history has always had one main goal: React to whatever priorities and needs that queer people in the Middle East have.
Helem is structurally divided into three parts.
The first is the services department which does a lot of work to protect and assist LGBTQ people in crisis.
“We [offer] emergency intervention, case management, emergency cash, free mental health support, free medical aid, everything,” says Zeidan. “Food security [also] acts primarily as the hub in which we gather a lot of data, particularly data on the locale, density, and type of human rights violations, as well as demographic information.”
The second part of the organization is its community department.
Helem runs the largest non-commercial queer space in the Arab world that serves as a community center. This space is where the Zeidan guides localization work, community building, power building work, capacity building and vocational training.
“That’s where we do our family support, youth outreach, and all of that sort of community building and integration time work,” says Zeidan.
The final leg is the advocacy part or “bureau” that anchors on policy work, procedure, cultural change, public awareness, and legislation. Helem’s advocacy work also focuses on criminalization that Zeidan describes as “getting more attention,” even though it is not a central focus.
“In addition, criminalization, which is something we always do gets a lot of attention, but it’s really not the central thing that we engage with,” says Zeidan. “There are multiple ways in which you can guarantee LGBTQ rights and inclusion that don’t necessarily pass through Parliament, or the Supreme Court, especially when those two are blocked. So in a nutshell, the central question that we ask is, what can we do in order to improve institutions to become LGBTQ inclusive? How do we improve the lives of LGBTQ people?”
Zeidan further mentions that this strategy makes way for avenues that are not necessarily within the traditional human rights view by extracting opportunities from both development and human rights frameworks.
When tackling the lack of employment within Arab LGBTQ communities, for example, Helem doesn’t approach corporations that are more likely to be LGBTQ-inclusive. It instead identifies the industries that target LGBTQ people.
“We are more interested in targeting small and medium enterprises as locales for employment rather than big banks, because that’s where most of the working class and low income queer people are, and that’s where they get most of their livelihoods,” says Zeidan.
Zeidan says he anticipates even more engagement with LGBTQ activism in the Middle East in the future.
“We’re really excited about deciphering the question: What does regional activism really look like in the Middle East,” says Zeidan. “This is a very complicated question.”

He further mentions this goal is complicated because the Middle East does not have a regional organization to which they can turn for advocacy. Africa, for example, has the African Commission on Human and People’s Rights, but the Middle East does not have such a body.
Helem’s modus operandi will therefore be engorged in trying to make sense of how to best liberate queer Arabs.
Cuba
Trans parent charged with kidnapping, allegedly fled to Cuba with child
Cuban authorities helped locate Rose Inessa-Ethington
Federal authorities have charged a transgender woman with kidnapping after she allegedly fled to Cuba with her 10-year-old child.
An affidavit that Federal Bureau of Investigation Special Agent Jennifer Waterfield filed in U.S. District Court for the District of Utah on April 16 notes the child is a “biological male who identifies as a female” and “splits time living with divorced parents who share custody” in Cache County, Utah.
Waterfield notes the child on March 28 “was supposed to be traveling by car to” Calgary, Alberta, “for a planned camping trip with his transgender mother, Rose Inessa-Ethington, Rose’s partner, Blue Inessa-Ethington, and Blue’s 3-year-old child.”
The affidavit notes the group instead flew from Vancouver, British Columbia, to Mexico City on March 29. Waterfield writes the Inessa-Ethingtons and the two children then flew from Mérida, Mexico, to Havana on April 1.
The 10-year-old child called her biological mother on March 28 after they arrived in Canada. The custody agreement, according to the affidavit, required Rose Inessa-Ethington to return the child to her former spouse on April 3.
“Interviews of MV [Minor Victim] 1’s family members provided significant concerns for MV 1’s well-being, as MV 1 was born a male, however, identifies as a female child, which is largely believed to be due to manipulation by Rose Inessa-Ethington,” reads the affidavit. “Concerns exist that MV 1 was transported to Cuba for gender reassignment surgery prior to puberty.”
The affidavit indicates authorities found a note in the Inessa-Ethingtons’ home with “instruction from a mental health therapist located in Washington, D.C., including instruction to send the therapist the $10,000.00 and instructions on gender-affirming medical care for children.”
The affidavit does not identify the specific “mental health therapist” in D.C.
A Utah judge on April 13 ordered Rose Inessa-Ethington to “immediately” return the child to her former spouse. The former spouse also received sole custody.
“Your affiant believes that due to the extensive planning and preparation exhibited by both Rose Inessa-Ethington and Blue Inessa-Ethington to isolate MV 1 and take MV 1 to Havana, Cuba, without notifying or requesting permission from MV 1’s mother indicates they are likely not planning to return to the United States,” wrote Waterfield.
The affidavit notes Cuban authorities found the Inessa-Ethingtons and the child.
A press release the U.S. Attorney’s Office for the District of Utah issued notes the Inessa-Ethingtons “were deported from Cuba” on Monday “with the assistance of the FBI.”
The couple has been charged with International Parental Kidnapping. The Inessa-Ethingtons were arraigned in Richmond, Va., on Monday. The press release notes a federal court in Salt Lake City will soon handle the case.
The New York Times reported the child is now back with their biological mother.
“We are grateful to law enforcement for working swiftly to return the child to the biological mother,” said First Assistant U.S. Attorney Melissa Holyoak of the District of Utah in the press release.
The case is unfolding against the backdrop of increased tensions between Washington and Havana after U.S. forces on Jan. 3 seized now former Venezuelan President Nicolás Maduro and his wife, Cilia Flores.
President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. A second White House directive banned federally-funded gender-affirming care for anyone under 19.
The U.S. Supreme Court last year in the Skrmetti decision upheld a Tennessee law that bans gender-affirming care for minors.
Cuba’s national health care system has offered free sex-reassignment surgeries since 2008.
Activists who are critical of Mariela Castro, the daughter of former President Raúl Castro who spearheads LGBTQ issues as director of Cuba’s National Center for Sexual Education, have previously told the Washington Blade that access to these procedures is limited. The Blade on Wednesday asked a contact in Havana to clarify whether Cuban law currently allows minors to undergo sex-reassignment surgery.
Australia
Australia lifts additional restrictions on LGBTQ blood donors
Gay, bisexual men, trans people in long-term monogamous relationships can now donate
The Australian Red Cross Blood Service (Lifeblood) has lifted additional restrictions on LGBTQ people who want to donate blood.
The Star-Observer, an Australian LGBTQ newspaper, reported new Lifeblood rules that took effect on Monday will allow “gay and bisexual men and transgender people in long-term monogamous relationships to donate blood and platelets for the first time.”
The new policy defines “long-term monogamous relationships” as those that are at least six months.
All potential donors — regardless of their sexual orientation or gender identity — will answer the same questions about recent sexual activity.
“Previous donor rules prevented many people from the LGBTQIA+ community from donating blood or platelets if they’d had sex within the past three months,” said Lifeblood CEO Stephen Cornelissen in a press release that announced the new policy. “These latest changes mean many gay and bisexual men and transgender people in long-term, monogamous relationships will become eligible to donate blood or platelets for the first time.”
Lifeblood in 2025 ended its blanket ban on sexually active LGBTQ people from donating blood.
Rodney Croome, an Australian LGBTQ activist who is the spokesperson for Let Us Give, a campaign that has championed the changes, donated blood on Monday.
“After three decades of advocacy, and for the first time in my life, I was able to donate blood today,” said Croome in a Facebook post that showed him donating blood. “From today, gay men, and bisexual men and transgender women who have sex with men, are able to give blood without the traditional three month abstinence period. All donors are now asked the same questions about sex regardless of the gender of our sexual partners.”
Croome in the post said “there are still problems with the new donor regime,” but said Let Us Give will continue to work with Lifeblood.
“Those who may have not been monogamous in the recent past should not be subject to a six month wait time,” he wrote. “Three months is considered more than enough in the UK, US and Canada. It should be here too. People on PrEP and trans people also face continued barriers. Let Us Give will continue to work towards greater equity in donation.”
European Union
Top EU court strikes down Hungary’s anti-LGBTQ propaganda law
Ruling issued days after voters outed Prime Minister Viktor Orbán
The European Union’s top court on Tuesday struck down Hungary’s anti-LGBTQ propaganda law.
Hungarian MPs in 2021 approved Act LXXIX of 2021.
“It shall be forbidden to make accessible to persons who have not attained the age of 18 years advertisement that depicts sexuality in a gratuitous manner or that propagates or portrays divergence from self-identity corresponding to sex at birth, sex change or homosexuality,” it reads.
The European Commission in 2022 challenged the law. Sixteen EU countries — Austria, Belgium, Denmark, Estonia, Finland, France, Germany, Greece, Ireland, Luxembourg, Malta, the Netherlands, Portugal, Slovenia, Spain, and Sweden — joined the lawsuit. The European Parliament also supported it. Outgoing Hungarian Prime Minister Viktor Orbán, for his part, said his government would defend the law.
The EU Court of Justice heard the case in 2024.
A press release that announced the ruling on Tuesday said Hungary “acted in breach of EU law.”
“The court finds, for the first time, a separate infringement of Article 2 TEU (Treaty on European Union), which lists the values on which the (European) Union is founded and which are common to all the Member States,” it reads. “The aspects of the amending law targeting content which portrays or promotes deviation from the self-identity corresponding to the sex assigned at birth, gender reassignment, or homosexuality constitute a coordinated series of discriminatory measures which are in breach, in a way that is both manifest and particularly serious, of the rights of non-cisgender persons — including transgender persons — or non-heterosexual persons, as well as the values of respect for human dignity, equality and respect for human rights, including the rights of persons belonging to minorities.”
“Consequently, that law is contrary to the very identity of the (European) Union as a common legal order in a society in which pluralism prevails,” notes the press release. “Hungary cannot validly rely on its national identity as justification for adopting a law which is in breach of the values referred to above.”
The Háttér Society, a Hungarian LGBTQ rights group, said the ruling “is a milestone for the protection of human rights in the European Union, and it is also a historic victory for LGBTQI people in Hungary.”
The court issued its ruling nine days after Péter Magyar ousted Orbán in Hungary’s elections.
Orbán took office in 2010.
He and his government faced widespread criticism over its anti-LGBTQ crackdown that included laws that banned Pride events and other public LGBTQ events. (Upwards of 100,000 people last June denied the prohibition and marched in Budapest’s annual Pride parade.)
“Those amendments constitute a particularly serious interference with several fundamental rights protected by the (EU) Charter (of Fundamental Rights), namely the prohibition on discrimination based on sex,” notes the court’s press release.
The EU since Orbán took office has withheld upwards of €35 billion ($41.2 billion) in funds to Hungary in response to concerns over corruption, rule of law, and other issues. Magyar has said he will work with Brussels to unfreeze the money.
ILGA-Europe Deputy Director Katrin Hugendubel urged Maygar’s government to repeal the law.
“With this ruling, the CJEU (The EU Court of Justice) is confirming what we have been saying for six years,” said Hugendubel. “There is now no excuse for the Commission not to require Hungary to quickly withdraw the law. Hungary cannot enter a post-Orbán era without repealing this legislation, including the Pride ban.”
“If Péter Magyar truly aims to be pro-EU, he must place this at the top of his agenda for his first 100 days in office, as an essential part of his EU facing reforms,” added Hugendubel.
