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.
India
Few transgender people benefit from India’s low-income housing program
Pradhan Mantri Awas Yojana launched in 2015
The Indian government on Dec. 15 informed parliament that only one transgender person in Jammu and Kashmir has been recorded as a beneficiary under the Pradhan Mantri Awas Yojana since the housing program was launched a decade ago.
PMAY is a federal government program aimed at expanding access to affordable housing for low- and middle-income households, including through credit-linked subsidies. The parliamentary disclosure indicates that trans beneficiaries have been virtually absent from the program’s records in the union territory, despite official guidelines listing trans people as a priority category.
In a written reply to a question in the upper house of parliament, known as the Rajya Sabha, the Housing and Urban Affairs Ministry said Jammu and Kashmir recorded zero trans beneficiaries under the program in each financial year from 2020–2021 through 2025–2026, with the cumulative total since inception remaining at one.
The Indian government launched the program on June 25, 2015, and the Housing and Urban Affairs Ministry implemented it.
The parliamentary reply came in response to a question on whether trans people are being included under the housing scheme and what steps have been taken to address barriers to access. The ministry said both PMAY and its successor, PMAY 2.0, are demand-driven programs, with responsibility for identifying and selecting beneficiaries resting with state and regional governments.
The ministry said the program lists trans people as a priority group, alongside widows, single women, people with disabilities, senior citizens, and other socially disadvantaged categories. It added that actual implementation depends on housing proposals and beneficiary lists submitted by state and regional governments.
According to figures the Indian government cited, a total of 809 trans beneficiaries have been recorded under PMAY and its successor, PMAY 2.0, since the programs were launched, with the vast majority concentrated in a small number of states. The southern state of Tamil Nadu accounts for 222 beneficiaries, followed by Andhra Pradesh with 186, and Odisha with 101. By contrast, several other states and federally administered regions, including Jammu and Kashmir, have reported either negligible or no coverage. India is administratively divided into 28 states and eight federally governed territories.
According to India’s 2011 national Census, Jammu and Kashmir recorded 4,137 trans residents. The same census counted 487,803 trans people nationwide, providing the most recent official population baseline for the community in India.
The ministry also said it has not conducted a specific survey to assess barriers faced by trans communities in accessing the scheme’s benefits. Instead, it said lessons from earlier implementation phases informed the design of the second phase of the program, launched on Sept. 1, 2024, which aims to support an additional 10 million urban beneficiaries over the next five years.
The parliamentary reply reveals an even more severe gap in Ladakh, India’s northernmost federally governed territory bordering China and Pakistan-administered areas and considered strategically critical to national security.
Official records show that Ladakh has not reported a single trans beneficiary under the housing scheme, either in recent years or cumulatively since the program began, with zero coverage recorded across all financial years listed in the Annexure. By comparison, Ladakh’s trans population stands at six, according to a written submission made to the High Court of Jammu and Kashmir in 2024.
Despite trans people being listed as a priority group in the scheme’s guidelines, the federal government said that as of November 2025 it had sanctioned more than 12.2 million homes nationwide under both versions of the program, with over 9.6 million homes completed and delivered. At the same time, data from Jammu and Kashmir, Ladakh, and several other regions show little to no recorded housing uptake by trans beneficiaries.
Speaking with the Washington Blade, Meera Parida, a trans activist, former member of the National Council for Transgender Persons in India’s eastern zone, and a former state advisor under the housing and urban development department, said the 2011 Census does not reflect the full size of India’s trans population, noting that public recognition and self-identification were far more limited at the time. She pointed to later government data collection efforts, including the National Portal for Transgender Persons that the Social Justice and Empowerment Ministry launched in 2020, as evidence that official counts have expanded beyond what was captured in the last Census.
“I am surprised that around the country only over 800 people benefited from the scheme, because most of the transgender population is from socially backward classes,” said Parida. “So they do not have a house and no family. Five years have passed since the NALSA judgment and the Transgender Protection Act; even after all these, if only over 800 transgender persons got home, that is a sad situation.”
Parida said that Prime Minister Narendra Modi has publicly positioned trans people’s welfare as a priority, but argued that the issue requires greater attention at the administrative level. She said the prime minister’s office should issue clear directions to all relevant departments to ensure trans people receive housing support and that implementation moves more quickly.
“There is still widespread discrimination and stigma against the community. Many transgender people are afraid to speak openly, which is why this issue continues to persist,” Parida said. “If stigma and discrimination are not addressed seriously, the marginalized community will remain invisible and reluctant to come forward. In that situation, the government will also be limited in what it can do. State governments should work with activists and community organizations to build accurate data. The government has decided to resume the Census in 2026, but the enumerators who go door to door must be sensitized to engage respectfully with the transgender community. The government should also improve awareness of housing schemes, because many people simply do not know they exist. A single-window system is needed.”
A Wider Bridge on Friday announced it will shut down at the end of the month.
The group that “mobilizes the LGBTQ community to fight antisemitism and support Israel and its LGBTQ community” in a letter to supporters said financial challenges prompted the decision.
“After 15 years of building bridges between LGBTQ communities in North America and Israel, A Wider Bridge has made the difficult decision to wind down operations as of Dec. 31, 2025,” it reads.
“This decision comes after challenging financial realities despite our best efforts to secure sustainable funding. We deeply appreciate our supporters and partners who made this work possible.”
Arthur Slepian founded A Wider Bridge in 2010.
The organization in 2016 organized a reception at the National LGBTQ Task Force’s Creating Change Conference in Chicago that was to have featured to Israeli activists. More than 200 people who protested against A Wider Bridge forced the event’s cancellation.
A Wider Bridge in 2024 urged the Capital Pride Alliance and other Pride organizers to ensure Jewish people can safely participate in their events in response to an increase in antisemitic attacks after Hamas militants attacked Israel on Oct. 7, 2023.
The Jewish Telegraphic Agency reported authorities in Vermont late last year charged Ethan Felson, who was A Wider Bridge’s then-executive director, with lewd and lascivious conduct after alleged sexual misconduct against a museum employee. Rabbi Denise Eger succeeded Felson as A Wider Bridge’s interim executive director.
A Wider Bridge in June honored U.S. Rep. Debbie Wasserman Schultz (D-Fla.) at its Pride event that took place at the Capital Jewish Museum in D.C. The event took place 15 days after a gunman killed two Israeli Embassy employees — Yaron Lischinsky and Sarah Milgrim — as they were leaving an event at the museum.
“Though we are winding down, this is not a time to back down. We recognize the deep importance of our mission and work amid attacks on Jewish people and LGBTQ people – and LGBTQ Jews at the intersection,” said A Wider Bridge in its letter. “Our board members remain committed to showing up in their individual capacities to represent queer Jews across diverse spaces — and we know our partners and supporters will continue to do the same.”
Editor’s note: Washington Blade International News Editor Michael K. Lavers traveled to Israel and Palestine with A Wider Bridge in 2016.
Malaysia
Malaysian police raids spark renewed concern among LGBTQ activists
202 people arrested at men-only venues in Kuala Lumpur on Nov. 28
In the weeks since a Nov. 28 police raid on men-only venues in Kuala Lumpur, queer activists in Malaysia say they have stepped up efforts to coordinate legal assistance for people detained under state Shariah laws.
Justice for Sisters, Pelangi, and other groups have been providing legal referrals, court monitoring, and emergency support following the arrests, as advocates warn that enforcement targeting LGBTQ communities has intensified.
In Malaysia, a Muslim-majority but multi-ethnic and multi-faith country, consensual same-sex sexual conduct is criminalized under both civil and Islamic law. The federal penal code bans “carnal intercourse against the order of nature,” a provision that applies nationwide, while state-level Shariah laws governing Muslims prohibit same-sex relations and gender nonconformity, including cross-dressing. Together, the dual-track legal system allows authorities to pursue LGBTQ people under parallel civil and religious statutes.
According to Justice for Sisters, 202 people — including venue owners, staff, and customers — were arrested and detained overnight. The organization in a statement said detainees were repeatedly denied access to legal counsel and communication with family members, and that their identities and images were exposed publicly — actions it said led to humiliation and, in some cases, job losses.
According to testimonies collected by Justice for Sisters and several other NGOs, detainees reported multiple procedural violations during the legal process. In a document the group published, detainees said they were not informed of the charges against them, were denied access to legal counsel, and phone communication for hours, and, in the case of foreign nationals, were not given access to embassies or translators. The document also described interrogations that included intrusive questions about sexual practices and orientation, as well as detention conditions in which detainees were repeatedly ordered to sit, stand, and recline without explanation and transported in overcrowded vehicles, with 30 to 40 people placed in trucks designed for far fewer passengers.
Detainees also reported being subjected to degrading treatment while in custody.
Accounts said detainees were denied access to toilets for extended periods and instructed to urinate into bottles, which were later thrown at them. Some detainees said officers suggested using rubber bands to restrict urination. Detainees also said authorities kept them awake overnight and repeatedly ordered them to sit upright or monitor others to prevent them from sleeping.
“We call on the Malaysian Human Rights Commission (SUHAKAM) and the Ministry of Health (KKM) to immediately launch an independent and unbiased assessment and investigation into the actions of the agencies involved during the raid, detention, and subsequent procedures, after the court rejected the remand extension request on Nov. 29, 2025,” Justice for Sisters said in a statement. “This raid has had a serious impact on public health. Many individuals reported heightened mental distress, including suicidal thoughts and severe psychological stress, affecting their ability to carry out daily activities such as eating, working, sleeping, and accessing medical treatment. When safe-sex tools such as condoms or pre-exposure prophylaxis are used to imply criminal activity, it directly undermines progress in the country’s public health response.”
Justice for Sisters also said law enforcement officers must conduct investigations professionally and fairly, while upholding the presumption that detainees are innocent until proven guilty. The organization in a statement said police must carry out their duties in a manner that preserves public trust and confidence in the justice system.
Rights groups say enforcement actions against LGBTQ gatherings in Malaysia have not been limited to the capital.
In June 2025, police in the northeastern state of Kelantan raided a private rented property described by authorities as a “gay party,” arresting 20 men, according to state police statements.
According to Reuters, Malaysian law enforcement authorities said they would review their procedures following the November raid. The report cited Kuala Lumpur Police Chief Fadil Marsus as saying that 171 Malaysian nationals were released from custody after authorities found no evidence to prosecute them.
The Washington Blade reached out to the Royal Malaysia Police for comment, but did not receive an immediate response.
“We do not want a situation where raids and arrests are carried out but, in the end, the evidence is inadmissible,” Marsus said, according to Reuters.
As of Dec. 1, all but one of the 37 foreign nationals detained in the raid had been released, with the remaining person held on an immigration-related matter, according to Reuters. Authorities have not publicly disclosed whether they remain in custody.
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