Queer Kenyans living with HIV/AIDS face the double burden of stigma and discrimination due to their LGBTQ identities and HIV status.

The National Empowerment Network of People Living with HIV and AIDS in Kenya (NEPHAK)’s latest report notes this reality, while also revealing queer people stigmatize and discriminate against each other because of their HIV status.

The 2024 report titled “People Living with HIV Stigma Index Assessment,” which NEPHAK released on March 3, notes that although stigma and discrimination vary across different populations in Kenya, queer people are more affected because of the double burdens of LGBTQ identities and HIV-positive status.

“For instance, gays or men who have sex with men (MSM) reported feeling marginalized and devalued, often being labelled as immoral and worthless individuals with a bleak future,” states the 78-page report. “They frequently bore the blame for their HIV-positive status and shunned by family, friends, and neighbors who caution their children against associating with them.”

The NEPHAK survey sampled a total of 1,305 people living with HIV/AIDS across the country, of which 322 or 24.6 percent were key populations that include gay men, transgender people, sex workers, and people who inject drugs. Eighty-five of the 322 people from key populations surveyed were gay men, while 60 were trans.

The survey’s 21-member National Steering Committee of which Women Fighting AIDS in Kenya CEO Dorothy Onyango is chair, includes Solomon Wambua of the Key Populations Consortium, Ludfine Bunde from UNAIDS, and Allan Maleche from KELIN Kenya, a group that champions equal access to healthcare for LGBTQ people and others.

The report’s general findings note that HIV-related stigma and discrimination remain a concern in Kenya, with low HIV disclosure levels within the family. For instance, it reveals 56 percent of respondents confirmed their spouses knew their HIV status, while only 28.7 said their children knew. The survey also notes roughly half of respondents said their partners were HIV positive, whereas 36.5 percent said their partners are negative.  

With regards to HIV testing, 62.5 percent of respondents voluntarily chose to get tested while 97.2 percent of respondents said they were on HIV treatment.  

The report also states 15.3 percent of respondents had their HIV status revealed to others by healthcare workers without their consent at healthcare facilities. Twenty-nine percent said they were unsure if their medical records are kept confidential.

The survey lists discriminatory remarks from other people at 27.8 percent, discriminatory comments from family members and friends at 24 percent, and verbal harassment at 22 percent as the top three HIV-related stigma and discrimination that people living with the virus face.

“As recounted by people living with HIV who participated in the 2024 Stigma Index study, there is no way the country will deliver on the 95.95.95 HIV Treatment targets and join the world in the path to end AIDS as a public health threat by 2030 if HIV-related stigma and discrimination is not tackled,” Onyango.

She reiterated HIV-related stigma and discrimination continue to hamper HIV prevention efforts, treatment, and care interventions in all of Kenya’s 47 counties and among all populations.

“Stigma experienced by adolescent girls and young women and key populations, whether sex workers, men who have sex with men, transgender persons and people who inject drugs/ people who use drugs, remain high,” Onyango stated.

The stigma breakdown for key populations by the report reveals 48.3 percent of trans people reported experiencing verbal harassment, 31.7 percent reported instances of blackmail, and 28.3 percent admitted they do not seek health care. Another 36.7 percent of respondents said their families discriminate against the because of their gender identity. Of the 60 trans people surveyed, 41, or 68.3 percent, said they belong to a network or support group for trans people.

Almost half, or 48.2 percent, of the 85 gay people surveyed said they experience verbal harassment and 50 percent indicated family and friends discriminate against them. Another 39.5 percent said they are afraid to seek health care; 38.8 percent avoided seeking medical treatment due to concerns about their identity being exposed, while 81.2 percent said they belong to an MSM network.

“Many MSM felt compelled to conceal their identity and remained closeted, further isolating themselves from support networks. These discriminatory attitudes also deterred MSM from seeking essential healthcare services, as they feared judgement and condemnation,” reads the report.

It further notes MSM basic rights are frequently disregarded or denied, making them vulnerable to verbal and physical assaults, insecure, and marginalized. Religious communities also promote stigma that further isolates gay people and contributes to their isolation.

“I have experienced discrimination and stigma in church where the MSM have been branded evil and linked to sin. We have been called purveyors of immorality and disease by pastors,” an unnamed MSM from Mombasa told NEPHAK researchers. “Additionally, there have been instances of discrimination among my MSM friends who are HIV negative, for example, when they refuse to share drinks with those of us who are HIV positive.”

Another MSM living with HIV noted disclosing his status is very difficult and their family and community because of stigma, even from a partner.

“It happened that I went to a certain facility and one of the health workers said to me, the activities you engage in (having sex with fellow men) should be prayed for so that you stop as they are putting you at risk,” they told NEPHAK researchers.  

Some MSM living with HIV, however, noted joining support groups after they learned their status has had a positive impact.  

“Meeting up with people who have the same status has been comforting,” one MSM told NEPHAK researchers. “This is because we get to share our ideas and experiences, as well as give each other advice on how to live positively.

The report urges relevant organizations and the Key Population Consortium to create awareness campaigns to tackle stigma and discrimination against queer people with HIV/AIDS. It also calls for households, communities, and relevant institutions to become more sensitive to the promotion and protection of the rights of people living with HIV/AIDS and working with religious leaders to address HIV-related stigma and discrimination.

The report further urges relevant health institutions and partner organizations to expand knowledge of the law, privacy and confidentiality among officials, administrators, clergy, and the general public.

Ghanaian MPs have reintroduced a bill that would, among other things, criminalize LGBTQ allyship.

According to Rev. John Ntim Fordjour, an MP for Assin South who spoke to Citi Newsroom on Feb. 27, he and other MPs last month reintroduced the Promotion of Proper Human Sexual Rights and Ghanaian Family Values Bill.

Fordjour said he expects lawmakers will expedite its passage since MPs passed it last year. Former President Nana Akufo-Addo didn’t sign the bill into law.

Amanda Odoi and Richard Sky in May 2024 challenged the measure in court. Supreme Court Justice Avril Lovelace-Johnson dismissed the lawsuits last Dec. 18, a week before John Mahama of the opposition National Democratic Congress won the country’s presidential election.

Mahama after the new parliament’s inauguration on Jan. 7 signaled the bill’s indefinite halt when he spoke at the Ghana Catholic Bishop’s Conference, noting it was not necessary to preserve family values. Mahama, however, during a meeting with clergy at the Accra International Conference Center on Feb. 28 said there are only two genders, adding marriage should be between a man and a woman.

Mahama also said he would speak with Parliament Speaker Alban Bagbin about reintroducing the bill through the government as opposed to a private member’s bill.

“President John Mahama is re-echoing Donald Trump’s hateful rhetorics,” said Activism Ghana, a Ghanaian advocacy group. “Saying that there are only two genders is a hate speech, as it poses harm to intersex, transgender, and nonbinary persons.”

LGBT+ Rights Ghana, another local advocacy group, said Mahama’s comments were aimed at bridging the country’s political divide, noting several political leaders ahead of the election promised to reintroduce the bill.

“This move is an obvious execution of the campaign promise made during the recent election, pushed by homophobic politicians and religious groups as means to promote oppression against queer people in Ghana,” said LGBT+ Rights Ghana.

Activist Yaw Mensah said all people should be treated equally, regardless of their sexual orientation, while noting people who identify as LGBTQ should be seen as natural and normal.

“Mahama should learn from the president of South Africa, LGBTQ Ghanaians are not the curse of this country,” said Mensah. “Being gay is natural and normal. I am hopeful that one day, Uganda, Ghana, and the rest of Africa will be free of the chronic and retrogressive homophobia that we are witnessing today.”

The bill was first introduced in parliament in June 2021.

It recommends a maximum five-year prison sentence for those who form or fund LGBTQ groups and up to 10 years for anyone involved in LGBTQ advocacy campaigns aimed at children.

Ghana’s penal code currently bans consensual same-sex sexual activity, noting anyone who commits “acts of unnatural carnal knowledge carrying a maximum penalty of three years imprisonment.” The law, however, only criminalizes men.

Rightify Ghana says there are currently no anti-LGBTQ bills in parliament.

Queer Kenyans and advocacy groups have expressed disappointment over the indefinite postponement of a long-awaited decision in their case that seeks to legalize consensual same-sex sexual relations in the country.

Three judges were to hear the landmark case for the LGBTQ community, which has been pending before the Court of Appeal since 2019, on Feb. 5, but the hearing was indefinitely postponed.

One of the judges, Fred Ochieng, unexpectedly withdrew from case “due to personal reasons” and three respondents raised procedural concerns for allegedly not being served properly.

The remaining two judges, Aggrey Muchelule and Joel Ngugi, directed the respondents to be served properly. They also asked Court of Appeal President Daniel Musinga to fully reconstitute the bench and set a new hearing date.

The attorney general and several anti-LGBTQ groups—including the Kenya Christian Professional Forum and the Ummah Foundation, which advocates for Islamic values—are among the respondents. The plaintiffs include the National Gay and Lesbian Human Rights Commission (NGLHRC), the Center for Minority Rights and Strategic Litigation (CMRSL), and GALCK+, which is a coalition of 16 queer rights organizations.     

The LGBTQ rights organizations, however, have criticized the court’s directive and have described the new developments in their case as a scheme to continue “delaying justice” after almost six years of waiting.

“This battle is far from over,” GALCK+ stated. “The push to strike down colonial-era laws that criminalize human rights for LGBTQ+ Kenyans continues in our demand for dignity, equality, and justice. We will not back down.”

The plaintiffs first filed the case, which challenges the constitutionality of Sections 162 and 165 of Kenya’s colonial-era penal code that criminalizes “carnal knowledge against the order of nature” and “indecent acts between males” both in public and private with a 14-year jail term, in the High Court in 2015.

The court in its May 2019 ruling declined to decriminalize the sections, which the queer rights organizations argue the State cannot criminalize consensual same-sex sexual relations between adults. The petitioners also argued the Kenyan constitution forbids the State or any person from discriminating against anyone on any ground, including sex.  

The court, however, maintained the same-sex sexual acts that Sections 162 and 165 criminalize violate the constitutional provision that protects the family as the “natural and fundamental unit of society.” Kenya’s constitution only recognizes consensual sexual relations between a man and a woman.

Although Muchelule and Ngugi assured the postponed appeal case will be prioritized once the new bench is reconstituted, GALCK+ noted the delay is “frustrating” and vowed not to be silenced.

“This is about our lives, our rights, and our freedom,” GALCK+ affirmed. “We are here. We are watching. And we will not stop fighting until love is no longer criminalized. We will continue monitoring the case and standing in solidarity with the queer community.”

GALCK+ further stated it will continue advocacy and engage relevant stakeholders in championing a future that does not criminalize consensual same-sex relations.  

NGLHRC also lamented the postponement, and noted that abolishing the “outdated, discriminatory anti-homosexuality laws” is about upholding fundamental human rights and the dignity of every person, regardless of their sexual orientation, gender identity or expression, or characteristics.

“As we anticipate the new hearing date, we reaffirm our commitment to challenging these unjust laws and continue to collaborate with like-minded and allied partners toward creating a society that upholds the rights and dignity of every individual,” NGLHRC said in a statement.  

CMRSL, which defends in court queer people who authorities have accused of engaging in homosexuality, noted the police continue to target LGBTQ individuals because the penal code sections remain in place.

“These provisions have historically been used by the State to target and harass LGBTQ+ persons based on their gender identity and sexual orientation. These fuel discrimination, marginalization, and persecution,” CMRSL Legal Manager Michael Kioko said.

He reiterated the anti-homosexuality provisions have denied queer people the right to privacy and human dignity, noting authorities have used forced genital examinations and HIV tests as evidence against them.

“These practices infringe upon constitutionally and internationally guaranteed rights, including the right to human dignity, privacy, and freedom from cruel, inhuman, or degrading treatment,” Kioko stated.