World
Mexicans with HIV/AIDS struggle with treatment access
Government in 2019 created new health care entity
Roberto Navarro has been a dancer since he was 17. Jazz became his passion and he fell in love with classical dancing after he took many classes. And he began to teach four years later.
“I’m so happy when I teach dancing to my girls because they bring me so much joy, I feel like I help my girls to become better women, without noticing I’m some kind of a therapist,” Navarro told the Washington Blade.
He discovered the discipline of dancing in heels in 2014, which made him connect and explore more with his sexuality. He did, however, suffer a lot of bullying because of it.
Navarro — a 33-year-old gay man who is originally from Sahuayo de Morelos in Michoacán state — currently owns a dance salon. Navarro said he started to become an entrepreneur, but it hasn’t been easy because of the pandemic.
He was diagnosed with HIV in 2016. Navarro suffered from depression for several months after he learned his status.
“I woke up very overwhelmed in the morning thinking that I had to go to the hospital to make a long line of patients; to have blood drawn for fast screening tests,” he said. “We arrived at 7 in the morning and left until 1 in the afternoon.”
Navarro has been receiving treatment for almost five years, and he is still dancing.
“Subsequently, I went to my consultations every three or six months depending on my results,” he stated. “By the third month I was undetectable.”
Navarro started with Atripla, an antiretroviral drug he received through Mexico’s Seguro Popular, and he was undetectable a month later.
A shortage of Atripla forced a change to Biktarby after President Andrés Manuel López Obrador in 2019 scrapped Seguro Popular and created the Health Institute for Wellbeing (INSABI). The pharmaceutical company Gilead has said there are many counterfeit versions of the drug on the market.
Seguro Popular in 2018 had almost 52 million beneficiaries. The National Council for the Evaluation of Social Development Policy (CONEVAL) said INSABI at the end of 2020 had more than 34 million beneficiaries.
Antiretroviral drugs have been available in Mexico since 2003, although the Mexican health system is divided into various subsystems based on where one works.
- Institute of Social Security and Services for State Workers (ISSSTE)
- Mexican Institute of Social Security (IMS)
- INSABI (Health Institute for Wellbeing) that was previously known as the Seguro Popular
They vary in the time it takes to receive medication and the time for CD4 viral load tests. The availability of appointments with infectious disease specialists varies in each of the three public health systems.
People with INSABI will take longer to get tests and have access to doctors. It must also be recognized that everyone, in theory, has the possibility of accessing medicines, but it also depends on the states in which they live.
From Seguro Popular to INSABI
The number of people without access to healthcare in Mexico rose from 20 million to almost 36 million between 2018-2020. INSABI, more than a year after its creation, still does not completely cover the same amount as its predecessor.
INSABI is an independent agency through the Ministry of Health that aims to “provide and ensure the free provision of health services, medicines and other inputs associated with people without social security.” The General Health Law says it was to replace Seguro Popular, which was in place from 2004-2019.
“The situation for treatment right now, it’s quite complex, particularly because there have been many changes in the health department of Mexico, and this has to do with the fact that in 2003 when the Seguro Popular was established; there was an increase to comprehensive care for people living with HIV and resources for prevention strategies which are mainly handled through civil society organizations that obtained money from the government.” stated Ricardo Baruch, who has worked at the International Family Planning Federation for almost 15 years.
López,, who took office in 2018, sought to eliminate Seguro Popular, which was the mechanism by which access to antiretroviral drugs were given to most people living with HIV in the states with greater vulnerability. This change was done in theory to expand access for everyone, but the opposite happened.
There is less access due to the modification of purchasing mechanisms and a huge shortage throughout the country. Baruch says this situation has caused a treatment crisis across Mexico.
“The truth is that the Seguro Popular helped me a lot to have my treatments on time, what I do not like is that there is not enough staff to attend all the patients that we are waiting for our consultations,” said Erick Vasquez, a person who learned in February he is living with HIV.
Vasquez, 34, is an artist who works in Guadalajara and Playa del Carmen.
Vasquez did not have health insurance like other people through IMS. He obtained access to Seguro Popular through an organization that supports people with HIV, but he has to wait until October for his first appointment.
Vasquez, who has a very low viral load, in March began a job through which he obtained IMS. He had access to his treatments through it.
He received three months worth of Biktarvy at the end of June; one prescription for each month. He said the drug is not difficult to obtain.
“I have not had any problem with the medication, it is not difficult to get it when you are on the insurance, but there is still a long time left until October,” said Vasquez.
The cost of the antiretroviral treatment in Mexico is approximately $650 per month, and one bottle has only 30 pills.
“I have not had side effects, I have not had nausea, I don’t vomit, I take a pill daily, it is one every 24 hours,” Vasquez said. “I feel very well and I hope very soon to be undetectable.”
Infrastructure over health
Prevention resources were eliminated, and health resources today are used to finance the Felipe Ángeles International Airport at the Santa Lucía military base in Zumpango in Mexico state, a new refinery, the Mayan train and other major infrastructure projects. And this causes many people who want to access treatment not to receive them. It takes much
The cost of the work, including the land connected with the Mexico City International Airport and various military facilities, is set at 82,136,100,000 Mexican pesos and there are provisions to serve 19.5 million passengers the first year of operations, according to a report from the Secretariat of National Defense (SEDENA).
There are, on the other hand, far fewer HIV tests and this shortage has led to a much higher arrival of late-stage HIV cases and even AIDS in hospitals. This trend is particularly serious among transgender women and men who have sex with men.
“Here in Mexico we concentrate the HIV pandemic, and that we are at a time when this issue of shortages has not stabilized, that there is already more clarity in purchases, but it is well known that all these changes in health systems continue for a year over the years they cause the situation to be increasingly fragile and in the matter of migrants that previously there was certainty so that they could access medicines through the Seguro Popular, now there is a legal limbo for which in some states it depends: on the states, the clinic or social worker; whether or not they give you medications,” said Baruch.
“If you are not a resident or a national here in Mexico, this is a matter won for people in transit seeking political asylum or who had stayed in Mexico,” he added.
Migrants lack access to HIV treatment
Mexico is located between the three regions with the world’s highest rates of HIV: the Caribbean, Central America, and the U.S. This has been used as a foundation for a culture of hatred against migrants, according to Siobhan McManus, a biologist, philosopher, and researcher at the Center for Interdisciplinary Research in Sciences and Humanities of the National Autonomous University of Mexico.
The lack of opportunities, violence and climate change that forces people whose livelihoods depend on agriculture to abandon their homes prompts migration from Central America.
Most migrants — LGBTQ or otherwise — experience violence once they arrive in Mexico.
Chiapas and other states have created an extensive network of clinics known by the Spanish acronym CAPASITS (Centro Ambulatorio para la Prevención y Atención en SIDA e Infecciones de Transmisión Sexual) that are specific HIV and STD units in major towns. They are often within close proximity to most people’s homes.
Sonora and Chihuahua states, which border the U.S., often have such clinics in only one or two cities. This lack of access means people will have to travel up to six hours to access these treatments.
People who have already been receiving treatment for a long time were previously given up to three months of treatment. They now must travel every month to receive their medications because of the shortages.
PrEP available in Mexico
The shortage of medical drugs for people who already live with HIV is a current issue for the Mexican government, but they have made free PrEP available for those who want to prevent themselves from the virus.
Ivan Plascencia, a 24-years old, who lives in Guadalajara, the capital of Jalisco state , has been using PrEP for several years since he became sexually active and he never had any complaints about the medication. Plascencia instead recommends his close friends to take advantage of this prevention drug that is available in one of the CAPASITS where he lives.
Post-pandemic screening tests
There are an estimated 260,000 people in Mexico who are living with HIV. Upwards of 80 percent of them knew their status before the COVID-19 pandemic.
The number of new cases that were detected in 2020 were 60 percent less than the previous year, but this figure does not mean HIV rates have decreased.
In Jalisco, which is one of Mexico’s most populous states with upwards of 8 million people, there was a 40 percent increase in positive cases in 2020 compared to 2019. This increase has put a strain on service providers.
China
Two Chinese men detained over AI-generated picture of pandas engaging in same-sex behavior
Arrests part of increased online surveillance, LGBTQ rights crackdown
Chinese authorities have detained two men after they shared an artificially altered image that linked queer identity with a specific city.
The Washington Post on Jan. 21 reported the men — who are 29 and 33 — circulated an AI-generated picture depicting pandas engaging in same-sex behavior in Chengdu, a major city in southwestern China often referred to as the “panda capital” due to its association with giant panda conservation. Local officials described the sharing of the image as “malicious,” and police in Chengdu took the men into custody.
Authorities also suspended the two men’s social media accounts, accusing them of spreading misinformation presented as legitimate news. According to the Post, the artificially generated image was posted alongside a fabricated headline, giving the appearance of an authentic news report. The image depicted two male pandas mating.
According to an official police report, police said the fabricated image was presented in the format of a legitimate news article and accompanied by a false headline. The caption read, “Chengdu: Two male Sichuan giant pandas successfully mate for the first time without human intervention,” authorities said.
Chinese regulators have in recent years tightened oversight of AI and online content.
Under the Interim Measures for the Administration of Generative Artificial Intelligence Services, issued in 2023, providers and users of generative AI systems are required to comply with existing laws, adhere to social and ethical standards, and refrain from producing or disseminating false or misleading information. Additional rules that took effect on Sept. 1, 2025, require online platforms to clearly label AI-generated content, a measure authorities have said is intended to curb misinformation and maintain order in digital spaces.
Police under Chinese law are permitted to impose administrative detention of up to 15 days for offenses deemed to disrupt public order, a category that includes the fabrication or dissemination of false information online. Such cases are handled outside the criminal court system and do not require formal prosecution.
According to a statement the Chengdu Public Security Bureau’s Chenghua branch released, police opened an investigation after receiving public reports that online accounts were spreading false information about the city. Authorities said officers collected evidence shortly afterward and placed the two individuals under administrative detention.
The detentions are not an isolated case.
The Washington Blade in July 2025 reported a Chinese female writer was arrested and subjected to a strip search after publishing gay erotic fiction online. At least 30 other writers — most of them women in their 20s — in the months that followed publicly described similar encounters with law enforcement, including home raids and questioning related to their online writing.
ShanghaiPRIDE, a Chinese LGBTQ advocacy group that organized annual Pride events in the city, has remained indefinitely suspended since 2021. In the same period, dozens of LGBTQ-focused accounts have been removed from WeChat, China’s largest social media platform, as authorities intensified oversight of online content related to sexual orientation and gender identity.
Authorities in 2021 detained the founder of LGBT Rights Advocacy China. They later released them on the condition that he shut down the organization, which ceased operations shortly afterward.
China decriminalized homosexuality in 1997 when it removed consensual same-sex sexual relations from the country’s criminal code. The Chinese Society of Psychiatry in 2001 formally removed homosexuality from its list of mental disorders. Despite those changes, same-sex relationships remain unrecognized under Chinese law, and there are no legal protections against discrimination based on sexual orientation or gender identity. Public advocacy for LGBTQ rights remains tightly restricted, with authorities continuing to limit community organizing, public events and online expression related to sexual minority issues.
Within China’s LGBTQ community, transgender and gender non-conforming people remain among the most vulnerable. Under current regulations, access to gender-affirming surgery is subject to strict requirements, including being at least 18 years old, unmarried, obtaining parental consent and having no criminal record — procedures that are required in order to legally change one’s gender on official documents.
China’s system of online governance places responsibility on both users and platforms to prevent the spread of prohibited content. Social media companies are required to conduct real-name verification, monitor user activity and remove posts that violate regulations, while individuals can be punished for content authorities determine to have caused public misunderstanding or social disruption.
“Actually, at least three similar incidents have occurred in Chengdu recently, all involving netizens posting on social media linking Chengdu with homosexuality, resulting in legal repercussions. This isn’t just about giant pandas. I think the local police’s reaction was somewhat excessive,” said Renn Hao, a Chinese queer activist. “The content was actually praising Chengdu’s inclusivity, and there was no need to punish them with regulations like ‘maliciously spreading false information.’”
“This situation reflects the strict censorship of LGBT related content in the area,” they added. “This censorship makes LGBT-related content increasingly invisible, and people are even more afraid to post or mention it. This not only impacts the LGBTQ+ community in China but also hinders public understanding and awareness of this group.”
Advocacy groups are demanding the Trump-Vance administration not to deport two gay men to Iran.
MS Now on Jan. 23 reported the two men are among the 40 Iranian nationals who the White House plans to deport.
Iran is among the countries in which consensual same-sex sexual relations remain punishable by death.
The Washington Blade earlier this month reported LGBTQ Iranians have joined anti-government protests that broke out across the country on Dec. 28. Human rights groups say the Iranian government has killed thousands of people since the demonstrations began.
Rebekah Wolf of the American Immigration Council, which represents the two men, told MS Now her clients were scheduled to be on a deportation flight on Jan. 25. A Human Rights Campaign spokesperson on Tuesday told the Blade that one of the men “was able to obtain a temporary stay of removal from the” 10th U.S. Circuit Court of Appeals, and the other “is facing delayed deportation as the result of a measles outbreak at the facility where they’re being held.”
“My (organization, the American Immigration Council) represents those two gay men,” said American Immigration Council Senior Fellow Aaron Reichlin-Melnick in a Jan. 23 post on his Bluesky account. “They had been arrested on charges of sodomy by Iranian moral police, and fled the country seeking asylum. They face the death penalty if returned, yet the Trump (administration) denied their asylum claims in a kangaroo court process.”
“They are terrified,” added Reichlin-Melnick.
My org @immcouncil.org represents those two gay men. They had been arrested on charges of sodomy by Iranian moral police, and fled the country seeking asylum. They face the death penalty if returned, yet the Trump admin denied their asylum claims in a kangaroo court process.
They are terrified.
— Aaron Reichlin-Melnick (@reichlinmelnick.bsky.social) January 23, 2026 at 8:26 AM
Reichlin-Melnick in a second Bluesky post said “deporting people to Iran right now, as body bags line the street, is an immoral, inhumane, and unjust act.”
“That ICE is still considering carrying out the flight this weekend is a sign of an agency and an administration totally divorced from basic human rights,” he added.
Deporting people to Iran right now, as body bags line the street, is an immoral, inhumane, and unjust act. That ICE is still considering carrying out the flight this weekend is a sign of an agency and an administration totally divorced from basic human rights. www.ms.now/news/trump-d…
— Aaron Reichlin-Melnick (@reichlinmelnick.bsky.social) January 23, 2026 at 8:27 AM
HRC Vice President of Government Affairs David Stacy in a statement to the Blade noted Iran “is one of 12 nations that still execute queer people, and we continue to fear for their safety.” Stacy also referenced Renee Good, a 37-year-old lesbian woman who a U.S. Immigration and Customs Enforcement agent shot and killed in Minneapolis on Jan. 7, and Andry Hernández Romero, a gay Venezuelan asylum seeker who the Trump-Vance administration “forcibly disappeared” to El Salvador last year.
“This out-of-control administration continues to target immigrants and terrorize our communities,” said Stacy. “That same cruelty murdered Renee Nicole Good and imprisoned Andry Hernández Romero. We stand with the American Immigration Council and demand that these men receive the due process they deserve. Congress must refuse to fund this outrage and stand against the administration’s shameless dismissal of our constitutional rights.”
Central America
Dignidad para vidas LGBTQ en Centroamérica
Embajada canadiense en El Salvador se presentó ‘Historias de vida desde los cuerpos y territorios de la disidencia LGBTIQ+’
SAN SALVADOR, El Salvador — “A los 16 años, mi papá me echó”. Esa frase directa, sin adornos ni concesiones, es parte de una de las historias más impactantes del libro “Historias de vida desde los cuerpos y territorios de la disidencia LGBTIQ+”, presentado el 23 de enero. El testimonio pertenece a Estrella Cerón, mujer trans salvadoreña, cuya vida quedó marcada por la expulsión familiar y la violencia cotidiana ejercida contra su identidad.
Estrella relata que fue descubierta abrazando a un muchacho en la panadería que pertenecía a su familia, lugar donde también trabajaba. La respuesta fue inmediata: no le permitieron cambiarse de ropa ni llevar sus pertenencias. Salió “sucia, con olor a grasa, sin zapatos”. Su padre lloró al verla irse, pero no la detuvo. “Así ándate”, le dijo. Ese episodio no solo marcó su historia personal, sino que hoy se convierte en un reflejo de una realidad compartida por muchas personas trans en El Salvador y la región.
Durante la presentación del libro, Cerón tomó la palabra y compartió lo que significó volver a su historia frente a otras personas. Reconoció que no fue un proceso sencillo, pues implicó enfrentarse a recuerdos profundamente dolorosos.
“Fue doloroso hablarlo, sentí como un muro que fui rompiendo a poco a poco, saliendo adelante y pues hasta el día de hoy me siento más empoderada y más fuerte”, expresó. Sus palabras resonaron entre las y los asistentes, evidenciando que narrar la propia vida puede convertirse en un acto de sanación y afirmación personal.
Este momento público subrayó uno de los ejes centrales del proyecto: el derecho de las personas LGBTQ a contar sus historias en sus propios términos, sin miedo y con dignidad.
Rostros de la Equidad: un proyecto regional de memoria y justicia
La presentación de las publicaciones se realizó en el marco del proyecto Rostros de la Equidad, impulsado por COMCAVIS TRANS, con el apoyo de OIKOS y la Embajada de Canadá en El Salvador. El evento reunió a activistas, representantes de organizaciones sociales, cooperación internacional y público en general.
Como parte de este proyecto se presentaron dos materiales: el libro “Historias de vida desde los cuerpos y territorios de la disidencia LGBTIQ+” y el glosario vivencial y de conceptos sobre la diversidad sexual y de género. Ambos productos buscan aportar a la visibilización, sensibilización y defensa de los derechos humanos de las personas LGBTQ en Centroamérica.
El proyecto se concibió como un proceso colectivo, regional y participativo, en el que las voces protagonistas fueran las de quienes históricamente han sido marginadas.
El libro de historias de vida se distancia de la lógica del simple recopilatorio de testimonios. Tal como lo expresa su prólogo, se trata de “un acto de memoria, reparación, justicia personal y colectiva”. Su objetivo es mostrar voces que han resistido al silencio y al miedo, y que hoy deciden narrar sus verdades.
Las historias incluidas atraviesan experiencias de expulsión familiar, discriminación, violencia institucional, migración forzada y exclusión social. Sin embargo, también dan cuenta de procesos de resistencia, organización comunitaria, reconstrucción personal y esperanza.
En ese equilibrio entre dolor y dignidad, el libro se convierte en una herramienta política y pedagógica que interpela a la sociedad y a las instituciones.
Junto al libro se presentó el glosario vivencial y de conceptos sobre la diversidad sexual y de género, una propuesta que busca ir más allá de las definiciones tradicionales. El glosario no se limita a explicar términos, sino que los conecta con experiencias reales de personas LGBTQ.
Cada concepto está atravesado por el derecho a la identidad, el reconocimiento y la dignidad. De esta forma, las palabras dejan de ser etiquetas para convertirse en relatos vivos que reflejan cuerpos, territorios e historias concretas.
Las organizaciones impulsoras señalaron que el glosario pretende ser una herramienta accesible para procesos formativos, educativos y comunitarios, aportando a una comprensión más humana de la diversidad sexual y de género.
El respaldo internacional y el valor de la resistencia
Durante la presentación, la embajadora de Canadá en El Salvador, Mylène Paradis, reconoció el trabajo de COMCAVIS TRANS, OIKOS y de todas las personas que hicieron posible Rostros de la Equidad.
“Las historias de vida reunidas en este libro nos recuerdan que resistir no es solo sobrevivir, sino también afirmar la propia existencia, reclamar derechos y construir esperanza incluso en contextos adversos”, afirmó Paradis, destacando la importancia de apoyar iniciativas que promueven la justicia social y los derechos humanos.
Su intervención subrayó el valor político de la memoria y el papel de la cooperación internacional en el acompañamiento de procesos liderados por organizaciones locales.
Un proceso regional de escucha y construcción colectiva
El libro y el glosario son el resultado de una consulta a 10 personas LGBTQ: cuatro de Guatemala, dos de El Salvador y cuatro de Honduras. Además, se realizaron grupos focales en cada uno de estos países para profundizar en las experiencias compartidas.
El proceso inició en agosto de 2024 y concluyó con la presentación pública de los resultados en enero de 2026. Para las organizaciones participantes, este trabajo evidenció la necesidad de generar espacios seguros de escucha y diálogo en la región.
La dimensión regional del proyecto permite identificar patrones comunes de violencia, pero también estrategias compartidas de resistencia y organización.
Georgina Olmedo, encargada del área de formación y nuevos liderazgos de COMCAVIS TRANS El Salvador, destacó que el libro busca reconocer las historias que atraviesan las personas LGBTQ.
“Son historias marcadas por la resistencia, la dignidad, el aprendizaje y toda la esperanza”, señaló, subrayando que muchas de estas vivencias continúan siendo invisibilizadas en el discurso público.
Para Olmedo, visibilizar estas narrativas es un paso necesario para transformar las realidades de exclusión y violencia que enfrenta esta población.
Escuchar sin juzgar: el valor del acompañamiento
Desde OIKOS, Jason García resaltó que el libro incluye voces de Guatemala y Honduras, lo que le otorga un carácter regional. Señaló que fue un honor conocer historias de personas que se atrevieron a contar lo que nunca antes habían contado.
García explicó que muchas de las personas participantes expresaron estar cansadas de ocultar quiénes son y que, durante el proceso, encontraron por primera vez espacios donde fueron escuchadas sin ser juzgadas.
“Cada historia que se comparte es un recordatorio de que ninguna violencia puede apagar la dignidad de una persona”, afirmó, destacando los procesos de sanación y reconstrucción que emergen incluso en contextos adversos.
Marielos Handal, integrante del equipo de OIKOS que acompañó la investigación, compartió una reflexión sobre los retos que implicó construir estas publicaciones. Las entrevistas, explicó, dejaron nudos en la garganta, silencios densos y muchas preguntas abiertas.
Entre ellas, cómo continuar escribiendo después de escuchar relatos de abandono, rechazo y violencia sistemática; cómo narrar sin revictimizar, sin simplificar ni maquillar la verdad, pero tampoco explotarla.
Estas preguntas atravesaron todo el proceso editorial, marcando el cuidado con el que se construyeron tanto el libro como el glosario, priorizando siempre la dignidad de las personas participantes.
Palabras que se convierten en dignidad colectiva
La presentación cerró con un llamado a leer estas publicaciones no desde la lástima, sino desde la responsabilidad colectiva de reconocer las deudas históricas con las personas LGBTQ en Centroamérica.
Historias de vida desde los cuerpos y territorios de la disidencia LGBTQ y su glosario vivencial se consolidan como documentos necesarios en un contexto marcado por la exclusión, pero también por la lucha, la memoria y la esperanza.
En cada relato, como el de Cerón, queda claro que narrar la propia historia es un acto profundamente político: contar lo vivido no borra el dolor, pero lo transforma en palabra, memoria y dignidad compartida.
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