World
Out in the World: LGBTQ news from Europe and Asia
Huang Jie is Taiwan’s first openly gay national lawmaker
GERMANY
Rallies attended by hundreds of thousands have taken place in cities around Germany in recent days, after revelations by German investigative media outlet Correctiv that extremist far-right Alternative für Deutschland party, or AfD, has plans for the mass-expulsion of foreign nationals and including German citizens born from migrant parents.
The AfD, co-chaired by lesbian German politician Alice Elisabeth Weidel along with Tino Chrupalla, held an event at headlined by Austrian neo-Nazi activist and author Martin Sellner, where plans regarding the deportation of millions of immigrants of “foreigners,” including citizens deemed not to have adequately “assimilated” into German culture, were discussed.
The AfD has sought to distance itself from the event although Roland Hartwig, a high-ranking member of the party and personal aide to Weidel was in attendance at the far-right gathering this past in November. Hartwig has since stepped down from his position after the disclosures by Correctiv.
In the Correctiv piece, their undercover journalist exhaustively recounts the chilling details of the secret meeting. The problem according to observers and German political strategists is the fact that AfD has steadily gaining influence and popularity. The Associated Press and German Media outlet Deutsche Welle both report that the recent protests also build on growing anxiety over the last year about the AfD’s rising support among the Germans.
The AP noted that the AfD was founded as a euro-skeptic party in 2013 and first entered the German Bundestag in 2017. Polling now puts it in second place nationally with around 23 percent, far above the 10.3 percent it won during the last federal election in 2021.
Last summer, candidates from the AfD won the party’s first-ever mayoral election and district council election, the first far-right party to do so since the Nazi era. And in state elections in Bavaria and Hesse, the party made significant gains.
The party leads in several states in eastern Germany, the region where its support is strongest — including three, Brandenburg, Saxony and Thuringia — that are slated to hold elections this fall.
Last April Germany’s domestic spy agency has classified the youth wing of the country’s far-right AfD party as an extremist entity and a threat to democracy. The decision could deal a blow to the party, which has so far failed in its legal bids to block security agencies from observing it and its affiliates, Deutsche Welle reported.
Although the AfD party co-chair is a lesbian in a state recognized “registered life partnership” as they are termed in Germany, she has stated her opposition to discussion of sexuality prior to puberty saying that “I don’t want anyone with their gender idiocy or their early sexualization classes coming near my children.”
She has also expressed her opposition to legalization of same-sex marriage, stating that she supports protection of the “traditional family” while also supporting “other lifestyles” The AfD itself is not progressive in terms of overall recognition of LGBTQ rights. Last year, the party even proposed a new sexual education curriculum that would significantly reduce the amount of information students receive on homosexuality, DW reported.
HUNGARY
The Hungarian government is not going to change its draconian anti-LGBTQ policies and laws, and its treatment of asylum seekers and refugees despite the European Union freezing billions of Euros and funding because of the unwillingness of Hungarian Prime Minister Viktor Orbán to make changes.
In a press conference on Jan. 18, Gergely Gulyas, Prime Minister Viktor Orbán’s chief of staff, told reporters there were “limits” to reaching an agreement with the EU Commission, its governing executive, since “modifying policies on LGBTQ+ and asylum rights would contradict the will of Hungarian voters,” Gulyas said.
“The Hungarian government is willing to reach an agreement with the commission, but in cases where people have expressed a clear opinion, it would be undemocratic and unacceptable,” Gulyas said, adding that there are “red lines” when it comes to reforms Hungary is willing to make.
“For Hungary, even despite the will of the European Commission, it is unacceptable to spread LGBTQ propaganda among children, and we also cannot abandon our position on migration issues,” he said.
Orbán in his speech at the 32nd Bálványos Summer Free University and Student Camp last July 22, castigated the EU for what Orbán defined as rejecting “Christian heritage.”
The government of the conservative ruling party of the prime minister has been feuding with the EU since passage of Hungary’s anti-LGBTQ education law in June 2021. Orbán, who has publicly proclaimed that he is a “defender of traditional family Catholic values,” has been criticized by international human rights groups as discriminating against LGBTQ people with this law which European Commission President Ursula von der Leyen called a “disgrace.”
“This bill clearly discriminates against people on the basis of their sexual orientation and it goes against all the values, the fundamental values of the European Union and this is human dignity, it is equality and is human fundamental rights, so we will not compromise on these principles,” said von der Leyen.
On the issue over asylum seekers, the AP reported that Hungary’s government has also implemented a policy of turning away asylum seekers at its borders and requiring them to begin their asylum process at Hungarian embassies in Serbia and Ukraine — a practice that was declared unlawful last year by the EU’s top court.
On Jan. 17 von der Leyen said in a statement that EU funds “will remain blocked until Hungary fulfills all the necessary conditions.”
EUROPEAN PARLIAMENT
The European Parliament adopted a report calling on the Council of the European Union to introduce hate crime and hate speech in EU criminal law. The report was adopted on Jan. 18 with 397 votes in favor, 121 against and 26 abstentions.
EU spokesperson Kyriakos Klosidis noted that these are crimes of a particularly serious nature with a cross-border dimension, for which Parliament and council can establish minimum rules to define criminal offences and sanctions.
GCN Ireland reported that currently, each EU member state deals with hate crime and hate speech in criminal law in different ways. Some countries, including Ireland, don’t even have legislation in place to protect people from hate crime or hate speech, or have provisions that only protect certain minority groups while excluding others, such as LGBTQ people.
“Parliament calls on the commission to consider an ‘open-ended’ approach, whereby the grounds for discrimination will not be limited to a closed list, to make sure the rules cover incidents motivated by new and changing social dynamics. It underlines that freedom of expression, as critical as it is, must not be exploited as a shield for hate and stresses that misusing the internet and the business model of social media platforms contributes to spreading and amplifying hate speech.
MEPs also ask for particular consideration to be given to minors, including in bullying in schools and cyberbullying, and call for a robust framework for victims, with an intersectional approach, training for relevant professionals, and measures to ensure safe access to justice, specialized support and reparations, as well as a safe environment to increase reporting of incidents.”
The National LGBT Federation of Ireland applauded the decision by MEPs:
“We strongly welcome today’s overwhelming vote in the European Parliament calling on hate crime and incitement to be added to EU wide laws. And for LGB and trans and other groups to be fully protected across the EU.”
During the debate prior to the vote, Spanish MEP and Rapporteur Maite Pagazaurtundua said: “In addition to lacking a comprehensive European legal framework to tackle hate speech and hate crime, we are facing new social dynamics, through which the normalization of hate evolves very quickly.”
“We must protect ourselves as a society and the people who are attacked, persecuted and harassed, while responding to the radical networks and extreme polarization that provide fertile ground for behaviors that violate fundamental rights,” Pagazaurtundua continued.
“We ask the council to finally give the green light to the legislation against hate crime and hate speech at EU level, always in accordance with the principle of proportionality and guaranteeing citizens’ freedom of expression.”
UNITED KINGDOM
The privately run Gender Plus Hormone Clinic has been approved by the Care Quality Commission, the UK’S independent regulator of health and social care, to prescribe hormones to patients aged over 16.
The clinic announced that hormone prescriptions will be available to transgender and non-binary patients aged 16 and older in line with current NHS gender service specifications for adolescents and adults.
“We are thrilled to announce that we are now Care Quality Commission (CQC) registered. We are the first independent child gender care service to achieve this and our hormone clinics are officially open. Regulation by the CQC ensures health and social care services in England are safe, effective and well-led, providing compassionate, high quality care,” the clinic said in an Instagram post.
Doctor Aidan Kelly, a clinical psychologist specializing in the area of gender identity, and the director of Gender Plus told GCN [Gay Community News- Ireland] in a November essay, “First and foremost transgender and gender diverse (TGD) people need care and compassion, to be respected and to feel heard. There are sadly a higher number of psychological and social difficulties faced by these individuals and these need to be supported, but this should not be at the expense of being able to access appropriate gender healthcare.”
PinkNewsUK reported a statement on the clinic’s website reads: “Regulation by the CQC ensures health and social care services in England are safe, effective and well-led, providing compassionate, high-quality care.”
“The Hormone Clinic is the only English independent gender child care prescribing service to be regulated by the CQC.”
The announcement comes just a few weeks before the NHS’s only gender-identity service for trans minors in England and Wales is scheduled to shut down.
BBC News reports that young people seeking gender-affirming care currently face a five-year wait time for their first appointment through the NHS.
TAIWAN
A 30-year-old political independent representing the Fongshan District on the Kaohsiung City Council won election this past week to the island nation’s unicameral legislature, the Legislative Yuan, making history as Taiwan’s first openly gay legislator.
Kaohsiung City Councilor Huang Jie was elected to the Legislative Yuan as a candidate of the Democratic Progressive Party to represent the sixth constituency [Legislative District] of Kaohsiung City.
Huang obtained 113,670 votes, or 51.01 percent of the vote, while her main rival, the Kuomintang’s Chen Mei-ya, a five-term city councilor, received 93,750 votes, or 42.07 percent, according to the final vote count released by the Central Election Commission.
English Language Media Outlet Focus Taiwan reported:
Thanking voters for their support and her campaign team for their hard work, the young politician said the “Kaohsiung spirit” — the willingness to give young, hardworking people opportunities to serve — had prevailed.
Winning the election is not the end, but the beginning of responsibility, she said.
“I will continue to safeguard [the wellbeing of] Kaohsiung and work to make it a place that shines internationally,” she added.
Focus Taiwan reported that in April 2023, Huang shared her coming out experience with the public. She said that she had not come out publicly when first starting her political career, but after she did, some voters had told her that she had given them courage.
Huang added that people campaigning for her recall had attacked her for being gay, which made her realize that there still needed to be advancements in Taiwan’s society in terms of ensuring equality for all and that she hoped to promote that through her involvement in politics.
NEPAL
Sunil Babu Pant, a Nepali human rights activist, monk, and former politician who served as a member of the Nepalese Constituent Assembly, was appointed the first-ever cultural emissary for LGBTQ-inclusive tourism in Nepal by Nepal Tourism Board at an event held at its office in the capital city on Jan. 19.
In a statement issued by the Nepal Tourism Board announcing his appointment, the board said, “This title has been conferred on Pant for his continued dedication and passion for initiating inclusivity and diversity within the tourism industry in Nepal.”
The board also noted in its certificate of appointment: “Pant’s role as cultural emissary holds significance in advocating for LGBTIQA+ tourism. By taking on this position, you have the opportunity to create a positive impact on both local and international levels, inspiring others to embrace the principle of equality and acceptance.”
“As a cultural emissary, we believe you will raise more awareness about the LGBTIQA+ issues, encourage LGBTIQA+ friendly policies and promote LGBTIQA+ friendly destinations and experiences,” the board stated.
“Your expertise and influence will undoubtedly contribute to the growth of pink tourism and help create a more inclusive and diverse travel industry,” the board added.
“I am grateful to the NTB for this opportunity,” Pant told the Himalayan News Service. “I will promote Pink Tourism along with justice and equality for the LGBTIQA+ communities in Nepal, in Asia, and around the world.”
Pant is the executive director of Mayako Pahichan Nepal and the former executive director, CEO, and founder of Blue Diamond Society, the first LGBTQ+ rights organization in Nepal.
Additional reporting by Correctiv, the Associated Press, Deutsche Welle, M1, GCN Ireland, Agence France-Presse, the BBC, PinkNewsUK, Focus Taiwan and the Himalayan News Service.
Ecuador
Caso Karlina: Una sentencia histórica contra las terapias de «conversión»
Karlina Quiroz, una mujer trans de Chone, fue internada contra su voluntad
La última vez que Karlina Quiroz, una mujer trans de 57 años, salió sola a la calle en Chone, terminó encerrada contra su voluntad en un centro de rehabilitación donde intentaron “corregir” su identidad de género mediante humillaciones, amenazas y agresiones.
Han pasado cinco años desde ese episodio, ocurrido en 2021; y el 11 de septiembre de 2026 Karlina por fin obtuvo justicia.
La Fiscalía informó, el 14 de septiembre, que el Tribunal de Garantías Penales de Chone sentenció a seis personas por actos de odio contra Karlina, al ser víctima de violencia basada en su identidad de género.
Entre los seis sentenciados están sus dos hermanos, que —según la denuncia de Karlina— ordenaron su encierro a este centro.
El caso de Karlina refleja el odio y la violencia hacia personas trans en Ecuador y vuelve a poner bajo la lupa la existencia de centros conocidos como clínicas de “deshomosexualización” o espacios de “terapias de conversión”.
De acuerdo con la denuncia presentada por Karlina, en julio de 2021 fue interceptada por varios hombres y trasladada contra su voluntad a un centro para el tratamiento de adicciones ubicado en Chone, Manabí, en la vía a Pedernales. Allí permaneció retenida y sometida a tratos degradantes, violencia psicológica y agresiones físicas.
Según su testimonio, durante el encierro recibió insultos relacionados con su identidad de género y amenazas orientadas a “modificarla”.
Karlina denunció, además, que esta no habría sido la primera vez. Según su relato, en 2019 permaneció aproximadamente tres meses internada de manera forzada en otro centro de rehabilitación, también ubicado en la vía a Pedernales, en Chone. Durante ese período habría sido sometida a dinámicas similares de aislamiento, control y presiones dirigidas a modificar su identidad y expresión de género.
Según información de la Fiscalía, en septiembre de 2021, como parte de las diligencias investigativas, se allanó el centro clandestino en Chone. Allí se recabaron indicios relacionados con el internamiento forzoso de Karlina durante tres meses.
Con esos y otros elementos de convicción obtenidos durante la investigación, la Fiscalía inició un proceso penal contra las seis personas, quienes fueron luego llamadas a juicio.
El proceso, explicó Karlina, incluyó los dos casos: el de 2019 y 2021. “El crimen se investigó desde que comenzó la primera gota de sangre”, señaló Karlina, en alusión a la violencia física que sufrió en su primer encierro.
De los seis sentenciados, tres fueron condenados como autores directos a cuatro años de pena privativa de libertad. Se trata de los dos hermanos de Karlina y un sobrino, por ordenar su encierro al centro de adicciones.
Los otros tres recibieron una pena de dos años, como cómplices.
De acuerdo con Karlina, uno de ellos es el director del primer centro al que fue ingresada contra su voluntad en 2019 por tres meses, y los otros dos son quienes la interceptaron la segunda ocasión, en julio de 2021, para llevarla al centro. Ella los señala como “capturadores” de las personas que son recluidas en los centros.
“Cuando recibí la noticia (el viernes 11 de septiembre durante la audiencia de juzgamiento) no podía creerlo. Las piernas me temblaron y las lágrimas se me salieron. Estoy tranquila y satisfecha”, señaló Karlina en una llamada telefónica.
Para Pedro Gutiérrez, abogado especialista en derechos humanos, la sentencia es importante no solo por reconocer un delito de odio, sino también por las características de los hechos: el ingreso (por orden de sus hermanos) a un centro de “deshomosexualización” en el que se cometen actos de tortura y violencia física.
Durante la audiencia, constó el testimonio de Karlina. La Fiscalía también presentó el informe de reconocimiento del lugar de los hechos, la inspección ocular técnica, el levantamiento de evidencias y los testimonios de personas que confirmaron que los actos de violencia por perjuicio hacia su identidad de género fueron ejecutados de manera reiterada por los ahora sentenciados.
El caso volvió a poner la atención sobre las llamadas terapias de conversión en Ecuador, prácticas ampliamente cuestionadas por organismos internacionales de derechos humanos y señaladas como formas de tortura o violencia psicológica. Aunque el Estado ecuatoriano ha realizado operativos y clausuras de algunos centros en los últimos años, organizaciones sociales sostienen que estos espacios continúan funcionando de manera clandestina o bajo otras denominaciones.
La legislación ecuatoriana penaliza los actos de tortura con la intención de modificar la orientación sexual o identidad de género, pero no existe una sanción contra los centros que ofrecen las denominadas terapias de conversión.
En 2020, la Asamblea aprobó el Código Orgánico de Salud y una de sus disposiciones fue prohibir expresamente este tipo de terapias, pero fue vetado totalmente por el expresidente Lenín Moreno en medio de una campaña de sectores antiderechos.
La sentencia también dispuso, como reparación integral a favor de Karlina, tratamiento psicológico e indemnizaciones por daños materiales e inmateriales.
Gutiérrez considera que la reparación para Karlina es limitada, pues -por ejemplo- no hay llamados de atención al Ministerio de Salud o disculpas públicas a la víctima.
“Mi nombre es Ariel Karlina Zambrano, soy una mujer trans de Chone, Manabí. Desde niña supe que quería ser mujer, quería ser bonita, libre. Pero mi familia nunca lo aceptó. Mis hermanos y mi padre, profundamente machistas, me maltrataban constantemente”, contó Karlina en un testimonio en 2025 que recogió el Comité Permanente por la Defensa de los Derechos Humanos (CDH).
Para activistas y defensores de derechos humanos, el caso de Karlina evidencia además un patrón de violencia que suele permanecer oculto dentro de círculos familiares, religiosos y comunitarios. En muchos casos, explican, los internamientos forzados son promovidos bajo la idea de “corregir” orientaciones sexuales o identidades de género consideradas inaceptables.
Karlina intentó vivir en Chone, creyendo que con la denuncia y las medidas cautelares estaba a salvo, pero su hermano le pagaba a personas para que la acosaran, según su relato. Por ello, tuvo que esconderse por meses.
Las personas trans en Ecuador enfrentan altos niveles de discriminación, violencia y exclusión social, especialmente fuera de las grandes ciudades. Según la Encuesta Nacional sobre las Condiciones de Vida de la Población LGBTI+ del INEC, el 53,5 por ciento de las personas LGBTQ mayores de 18 años en el país ha sufrido algún tipo de discriminación o violencia a lo largo de su vida, siendo el entorno familiar uno de los principales espacios de agresión.
En materia de violencia letal, organizaciones como Asociación Silueta X y el Observatorio Runa Sipiy documentaron 30 asesinatos de personas LGBTQ y transfemicidios en Ecuador durante 2025. De esos casos, alrededor del 70 por ciento corresponden a mujeres trans, lo que las posiciona como el grupo más expuesto a crímenes de odio y violencia extrema.
Diversas organizaciones de derechos humanos han advertido además sobre la persistencia de centros de “deshomosexualización” o internamientos forzosos, prácticas denunciadas desde hace más de una década en Ecuador pese a prohibiciones estatales y operativos de control insuficientes.
El caso de Karlina pone a prueba algo más grande que una sentencia individual: si Ecuador está dispuesto o no a reconocer que estas prácticas siguen existiendo y que la violencia contra personas LGBTQ continúa ocurriendo, muchas veces con la complicidad o el silencio de sus propios entornos familiares.
“Con mi caso, debe quedar un precedente. Debemos luchar contra el odio que podemos encontrarlo dentro de nuestras propias familias. Por nuestra libertad y derechos, debemos luchar”, indicó Karlina.
Netherlands
Dutch prime minister visits Stonewall Inn
Rob Jetten is the Netherlands’ first openly gay prime minister
Dutch Prime Minister Rob Jetten on Monday visited the Stonewall Inn in New York.
“The Stonewall Inn is not just a gay bar in New York, but the place where in 1969 riots took place as a reaction to years of discrimination and police violence,” wrote Jetten on X. “This is seen as the starting point of the global LGBTIQ+ emancipation and activism. Nowadays, the bar is a national monument, dedicated to the LGBTIQ+ rights movement.”
“For me, it is impressive and moving to be here tonight. And also fitting, because the defense of human rights is an important part of our foreign policy,” he added. “The Netherlands stands alongside the Stonewall Inn community when it comes to everyone’s right to live openly, safely, and with pride, no matter who you are or who you love.”
De Stonewall Inn is niet zomaar een gay bar in New York, maar de plaats waar in 1969 rellen plaatsvonden als reactie op jarenlange discriminatie en geweld van de politie. Dit wordt gezien als startpunt van de wereldwijde lhbtiq+-emancipatie en activisme. Tegenwoordig is de bar… pic.twitter.com/hJmFYjF91Z
— Rob Jetten (@MinPres) September 23, 2026
Jetten in February became the Netherlands’s first openly gay prime minister.
He opened last month’s World Pride Human Rights Conference in Amsterdam. Jetten also participated in a panel with former Irish Prime Minister Leo Varadkar, former San Marino Captain Regent Paolo Rondelli, and other current and former heads of government who are gay or lesbian.
Jetten is scheduled to speak to the U.N. General Assembly on Thursday.
Fiji
Spike in HIV cases prompts Fiji to declare national emergency
Country recorded 2,016 new diagnoses in 2025
Fiji, a small Pacific island nation, on Sept. 15 declared a national emergency as it confronted one of the sharpest increases in new HIV infections globally.
The surge had been building for years, prompting the government to begin intensifying its response two years before the emergency declaration.
In 2024, the government adopted a four-year HIV Surge Strategy, covering 2024 through 2027, and later put in place a national plan to respond to the outbreak. UNAIDS and the World Health Organization have supported that effort.
The scale of the crisis is stark.
An estimated 9,100 people were living with HIV in Fiji in 2025, according to UNAIDS — a 12-fold increase from 2010. HIV has no cure, but effective treatment can suppress the virus, allowing people living with HIV to live long, healthy lives, and preventing sexual transmission when the virus remains undetectable.
In announcing the emergency, Health and Medical Services Minister Ratu Atonio Lalabalavu said the country recorded 2,016 new HIV diagnoses in 2025, the highest annual total on record. He called the figures a sign of the “seriousness of the epidemic and the urgent, coordinated response our country now needs.”
The crisis is also affecting children.
Save the Children Fiji said this week that a two-month-old baby is currently the youngest patient in the country living with both HIV and tuberculosis. The organization said 59 babies acquired HIV through mother-to-child transmission in 2025, while 67 new HIV cases were recorded among children under 15.
Five years ago, about one in every 167 people in Fiji was estimated to be living with HIV, according to government figures cited by the Associated Press. Since then, Fiji has also emerged as an important transit point in the regional drug trade, with international criminal networks moving narcotics from Latin America and Asia toward markets including Australia and New Zealand. Some of those drugs are also reaching Fiji’s domestic market, where injecting drug use has become an increasingly important route of HIV transmission.
Sexual transmission has continued to fuel the outbreak, with health officials pointing to inconsistent condom use and gaps in HIV testing. Stigma and misinformation have made the problem harder to confront, according to UNAIDS Pacific adviser Renata Ram, who has warned that limited knowledge about HIV can discourage people from seeking testing and care.
In a statement to the Washington Blade, Eamonn Murphy, UNAIDS’ regional director for Asia and the Pacific and Eastern Europe and Central Asia, cautioned against viewing Fiji’s epidemic through the lens of a single behavior or community. Among cases where the mode of transmission is known, he said, more than half are linked to sexual transmission and more than 42 percent to injecting drug use.
“The rise in infections among women and infants also shows that HIV has reached more widely across society,” Murphy said. “What stands out is how quickly the epidemic changed compared with the pace of the response. Access to PrEP and harm reduction remained limited, Fiji did not yet have a needle and syringe programme, and stigma and policy barriers continued to keep some people away from services.”
Murphy noted only 39 percent of people with HIV in Fiji knew their status in 2025, and only 22 percent of them were receiving treatment. He also pointed out a wider system-level problem.
“COVID-19 and the years that followed disrupted services, shifted attention and resources, and left community-led outreach operating below the scale that was increasingly needed,” said Murphy. “The epidemic moved faster than the response.”
Murphy said the immediate challenge is to bring HIV prevention and treatment closer together and make both easier to access at scale. He said PrEP, condoms, testing and harm reduction — including Fiji’s planned needle and syringe program — need to reach people earlier. At the same time, people diagnosed with HIV need a clear path into same-day treatment, care and support that helps them remain in treatment.
The tool at the center of the harm-reduction debate is hardly new.
Needle and syringe programs provide people who inject drugs with sterile equipment, helping them avoid sharing needles and reducing the risk of HIV and other blood-borne infections. Decades of evidence have found that NSPs reduce HIV transmission without increasing drug use, and WHO describes them as a proven and cost-effective public health intervention. Such programs operate in more than 90 countries worldwide. Yet Fiji, even as injecting drug use has become an increasingly important route of HIV transmission, is only now moving toward introducing one.
“Trust is just as important as access,” Murphy told the Blade. “People most affected by HIV are more likely to use services when they are confidential, respectful and connected to organisations they already know. Community groups and peer workers are increasingly part of Fiji’s response, including the rollout of free PrEP, and that closer link with the health system can make a real difference.”
“As UNAIDS has stated, the national crisis declaration is ‘a call for action, not fear,’” he added. “Fiji has the tools to change the trajectory; the priority now is to turn political commitment into rapid, coordinated action that reaches people at scale. The UN Joint Team is working to support the national response.”
Joeli Colati, executive director of Fiji Network Plus, a nongovernmental support and advocacy network established by and for people living with HIV, told the Blade that HIV affects people in ways that extend far beyond their health. Some people are afraid to get tested because they fear being judged or worry that others will discover their HIV status. Others fear the consequences for their families, jobs and relationships, as well as stigma and gossip. For LGBTQ people and other vulnerable populations, Colati said, those fears can be even harder to navigate because some already face discrimination. When people do not feel safe, he said, they may avoid testing, treatment and other HIV services.
Fiji does not have a reliable national count of its broader LGBTQ population.
UNAIDS estimates that about 16,000 men who have sex with men and transgender people live in the country, though that figure should not be treated as an estimate of the entire LGBTQ community.
“We are also seeing a lot of HIV misinformation, especially on social media. This includes people sharing wrong information about how HIV is spread, how it is treated, and what it means to live with HIV,” said Colati. “Another serious concern is the increase in herbal healers claiming they can cure HIV. There is currently no cure for HIV. These claims can be dangerous if they make people stop or delay their HIV treatment. Herbal medicine should never be promoted as a replacement for antiretroviral therapy (ART).”
Colati said HIV peer counselors and NGO outreach workers are helping people at the community level, from supporting those newly diagnosed and helping them stay in care to reaching people who may not visit clinics, providing accurate information and connecting them with testing and treatment. He said people are often more comfortable seeking help from someone who understands what they are going through.
“As someone living with HIV myself for 19 years, I know that a person who is newly diagnosed needs more than medicine. They also need support, correct information and hope. With treatment, people living with HIV can live long and healthy lives,” Colati said. “We also need people to understand undetectable equals untransmittable, or U=U: when a person living with HIV takes treatment and maintains an undetectable viral load, they do not sexually transmit HIV. That is both a prevention message and a powerful message against stigma. Fiji Network Plus, the national network for people living with HIV, reinforced this message in our response to Fiji’s national HIV crisis.”
Asaeli Sinusetaki, acting chief executive of Rainbow Pride Foundation, an LGBTQ advocacy group based in Suva, the Fijian capital, in a statement to the Blade said the organization welcomed the government’s declaration because it showed officials now recognized the seriousness of the situation.
“It is unfortunate that it took this long to respond, because the warning signs were always there,” Sinusetaki added.
“For LGBTQ+ people, experiences can differ depending on how comfortable they are accessing services,” Sinusetaki said. “At the same time, LGBTQ+ communities in Fiji have been one of the driving forces behind prevention efforts. Yes, accessing services independently can be a challenge because of fear, particularly stigma and discrimination. But because many LGBTQ people are also part of the Peer Outreach Worker network, they have established trust within their communities and networks to help people access information and services.”
Sinusetaki said access to HIV testing remains a major challenge, with testing unavailable at many local health centers, forcing some people to travel to sexual and reproductive health clinics or hospitals. He said that can be a significant barrier in a country where people often do not seek medical care unless they are already sick, making it unlikely that someone would make a separate trip simply to get an HIV test.
“The emergency has also highlighted that HIV cannot be treated as a stand-alone issue,” said Sinusetaki. “LGBTQ people need access to a broader package of sexual and reproductive health services, STI screening and treatment, mental health and psychosocial support, prevention information, condoms and lubricants, PrEP and PEP and, where relevant, harm-reduction services.”
“For people who receive a positive diagnosis, the challenge does not end with testing,” Sinusetaki added. “We need to ensure that they are linked rapidly to treatment, supported to remain in care and treated with dignity throughout that journey.
The Blade reached out to Lalabalavu multiple times for comment, but did not receive a response.
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