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Queer Kenyans with HIV/AIDS face double burden of stigma, discrimination

Advocacy group released findings of 2024 report on March 3

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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.

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Kenya

Kenyan judge rules government must legally recognize transgender people

Trans athlete challenged arrest, detention, forced medical examination

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A Kenyan judge has directed the government to legally recognize transgender people and to guarantee their constitutional rights are protected.

Justice Reuben Nyakundi of the Eldoret High Court in western Kenya in his Aug. 20 judgment holds trans people have the right to determine their “self-identified gender” and the government’s legal system should recognize it.

Nyakundi made the directive after a years-long case of a trans athlete and government agencies over an unwarranted arrest, detention, and forced medical examination to determine her gender in 2019.

Government officials sued the director of Public Prosecutions, attorney general, commissioner general of prisons, and the Moi Teaching and Referral Hospital, which conducted the medical examination following her arrest in Eldoret. The petitioner, only identified as S.C. in the case, was arrested at the same health facility for allegedly impersonating a woman. 

“That it is proposed the State consider undertaking appropriate legislative measures to address the rights and protections of individuals within its borders, in line with Article 27(4) of the constitution, which prohibits discrimination on any grounds, including race, sex, social origin, gender, birth, or other status,”Nyakundi ruled. “In this regard, the enactment of a Transgender Protection Rights Act is recommended as a potential mechanism to ensure equal protection and recognition for transgender persons.” 

The 34-year-old plaintiff, who is also a board member of Jinsiangu, a local trans rights organization, (“My gender” in Swahili), told the court about the mistreatment to which she was subjected while in custody and demanded compensation for the violation of her rights. 

For instance, S.C., who said she realized she was a woman when she was 5-years-old, told the court that police officers forced her to remove her clothes when she was in their custody and ridiculed her for “pretending” to be a woman after they saw male genitals.

She was transferred to a men’s ward before being escorted to her home.

S.C. said officers ransacked it in search of doping drugs they said she used while mocking her female clothes. The plaintiff also stated officers repeatedly slapped her to coerce her to produce her birth certificates and national identity cards. She described the experience as “humiliating and traumatizing.” 

The plaintiff also noted that while in the men’s ward, inmates abused and slapped her while some attempted to remove her clothes. They backed off when she screamed to attract officers’ attention before they transferred her to an isolated hallway for her safety.

Nyakundi in his ruling awarded her $10,000 in damages over violation of her privacy and dignity. The court also directed the government to undertake policy reforms to protect the rights of detained trans people in prisons.

“That a declaration be and is hereby made that there is a compelling sense of urgency for the state in the interim to make provision of the physical and structural facilities at the police stations and the prison facilities for these ‘third gender’ who may be in conflict with the law because of their gender identity with a view to guarantee their constitutional rights as envisioned in this judgment,” Nyakundi stated. 

He further directed parliament to enact the law that protects and recognizes trans people while also directing the proposed Intersex Persons Bill 2024 be another alternative to identify the rights of the trans community in the country. Intersex people in Kenya are legally recognized as a third gender with an “I” marker, and the community has an intersex representative in the country’s human rights body to champion their interests.

Transgender Education and Advocacy, Jinsiangu, Amka Africa Justice Initiative, and the Kenya Human Rights Commission are among the human rights NGOs that represented S.C. in the case.

Jinsiangu, which works closely with the intersex group, welcomed the decision as one of the “landmark” rulings marking a growing judicial recognition of trans rights in Kenya’s constitutional framework.  

“This is the first time a Kenyan court has explicitly ordered the state to create legislation on transgender rights, and a first in the African continent,” Jinsiangu said in a statement.  “If implemented, it could address decades of legal invisibility and discrimination faced by transgender persons by establishing clear legal recognition of gender identity, protection against discrimination in employment, housing, healthcare, and education, and access to public services without bias or harassment.”

The trans rights group has committed to monitoring the state’s compliance with the ruling to ensure the legal framework to protect the group is put in place.  

“We commit to working hand-in-hand with lawmakers, civil society, and the public to ensure the legislation is inclusive, evidence-based, and enforceable,” Jinsiangu affirmed.

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Kenya

Kenyan queer groups want MPs to dismiss anti-LGBTQ petition

Activists claim motion lacks evidence

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Kenyan flag (Photo by rarrarorro/Bigstock)

Kenyan queer rights groups want MPs to dismiss a petition by anti-LGBTQ activists and religious organizations seeking a crackdown on what they describe as a proliferation of homosexuality in the country.

The groups in their written submissions to the National Assembly’s Public Petitions Committee argue the petition presented to parliament in February last year lacks evidence to back up the claims.

“The raft of allegations is presented on their own strength and have no documents to substantiate the said claims,” reads part of the submissions led by KELIN, a coalition of health and human rights bodies. “They claim diseases attributed to the community without any medical proof of the same. The community requests parliament not to be swayed by opinions, preferences, and biases in considering the petition.”

Mohamed Ali, an MP from Kenya’s ruling party that fiercely opposes LGBTQ rights, is the representative of the petitioners as one who presented the measure in the House for probe. The petitioners comprise a group of more than 70 Kenyans from anti-LGBTQ lobby groups and religious bodies under the Kenya Christians Professional Forum and the Muslim Council of Imams and Preachers of Kenya.

The parliamentary committee on Aug. 5 had invited queer rights groups, including KELIN, GALCK+, the Center for Minority Rights and Strategic Litigation, and Initiative for Equality and Non-Discrimination for a hearing.

“We arrived with partners prepared to make submissions opposing the petition by Hon. Mohamed Ali on the so-called ‘proliferation of LGBTQ persons in the country.’ The committee was not ready to proceed and rescheduled to Aug. 7,” CMRSL Legal Manager Michael Kioko said. 

The rescheduled meeting was again postponed indefinitely to an unclear date because the Public Petitions Committee was “illegally constituted” and the queer rights groups were told to wait until members elect its leadership to be duly composed.

The prolonged delay by the committee to inquire into the petition, while the groups wait to appear before it, has been further extended after the parliament on Aug. 20 proceeded on a long break of one month.   

The LGBTQ rights groups’ submissions the Washington Blade has seen acknowledge the petitioners’ constitutional right to engage parliament on legislative matters as the people’s representatives, while noting the House should not be used as a platform to discriminate against the queer community.

“The community points out that the petitioners, while relying on the Constitution to approach parliament, are deliberately orchestrating unconstitutional actions against the community,” the queer rights groups state.

They also argue that the petitioners’ bid to have the queer rights curtailed violates national laws under the Bill of Rights forbidding any form of discrimination and the international conventions like the Universal Declaration on Human Rights, which Kenya has ratified.

The respondents, while challenging the petitioners over the accusation that the Supreme Court overstretched its mandates in an attempt to legalize homosexuality from its recent rulings in favor of the queer community, argued that the anti-LGBTQ lobby groups were simply “fear-mongering” on the effects of the judges’ decisions. They accuse the petitioners of spreading misinformation and note that the court only granted the queer community their constitutional freedom of association by allowing the registration of their LGBTQ organization blocked by the NGOs’ regulator.  

“The community prays that parliament, in considering the petition, is guided by the same ruling as actually summarized and with regard to the right of association and all other rights of the community as members and simply as human beings,” the submissions read.

On the petitioners’ plea for MPs to probe what they describe as an infiltration of the LGBTQ agenda into the Kenyan school books for children to “confuse and mislead them,” the queer rights groups term the claim “far-fetched” for not being backed by evidence from the body overseeing the school curriculum.   

The respondents also note the petitioners did not provide any proof of having shared their concerns with the Kenya Institute of Curriculum Development on the alleged LGBTQ materials in school books. 

While asking MPs to reject the petition “in toto” over lack of proof, the queer rights groups note that LGBTQ people have faced harassment and systemic derogation of their rights guaranteed under the constitution and various international laws.

“The petitioners have now resorted to parliament to pass their discriminatory agenda against the LGBTQ community,” the submissions read.   

The parliamentary committee, when fully constituted to inquire into the petition, will also hear from several government ministers, including Education, Health, Foreign Affairs, Labor and Social Protection, and the Police Inspector General.

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Africa

Kenyan, Ugandan groups demand inclusive HIV programs to fill US funding gap

USAID contributed 80 percent of funding to sub-Saharan Africa programs

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Seven months since the Trump-Vance administration froze U.S global aid, African countries whose health programs have been seriously affected have devised new ways to address the funding challenge.

The governments’ urgent interventions, however, come with calls of inclusion from queer rights groups in Kenya and Uganda and elsewhere that have also been seriously impacted, warning their sidelining only implies a lack of seriousness to end HIV/AIDS.  

“We must fund, protect, and institutionalize community leadership to survive this moment and build systems that endure,” Richard Lusimbo, founder of Uganda Key Populations Consortium, said.

Lusimbo noted community-led organizations, including LGBTQ networks, not only implement public health programs but have co-designed them. They have created referral systems, peer support structures, and delivered medical clinics in remote areas that public systems cannot reach.   

We are not there to patch holes,” said Lusimbo. “We are there to lead. Our leadership must be recognized, resourced, and embedded within national systems, and not only consulted once programs are already designed.”

The queer community’s demand for the government interventions comes amid UNAIDS’s latest warning of a serious global HIV response crisis if U.S funding is halted permanently. The agency’s report said this gap would reverse decades-long gains of saving 26.9 million lives from the virus.

“UNAIDS projections show that a permanent discontinuation of support from the United States President’s Emergency Plan for AIDS Relief (PEPFAR) for HIV treatment and prevention could lead to more than 4 million additional AIDS-related deaths and more than 6 million additional new HIV infections by 2029,” its report states.

The annual UNAIDS reportreleased on July 10 notes the sudden dismantlement of the U.S. Agency for International Development — which was the world’s largest contributor to HIV programs for low- and middle-income countries in sub-Saharan Africa and elsewhere — has disrupted prevention and treatment programs.

USAID contributed 80 percent of the total funding for the aforementioned efforts.

The UNAIDS report also notes half of the 9.2 million people with HIV/AIDS around the world last year who needed treatment but were not receiving it lived in Kenya, Uganda, and other sub-Saharan African countries.

It notes the largest gaps are in diagnosing men living with HIV and linking them to treatment and care, while singling out men who are gay and are members of other key populations as the most affected because of discriminatory laws, violence, and stigma.

“In the absence of a cure for HIV, millions of people will continue to need HIV treatment for many decades to come, but funding losses are destabilizing many treatment programs and the efforts to make them more equitable,” UNAIDS warns.

Key populations, including gay men whose clinics, community-led health groups, and queer rights organizations depend largely on PEPFAR and other foreign aid programs, are reeling from the U.S. funding cuts. UNAIDS data notes around 25 percent of people from vulnerable populations in sub-Saharan Africa are denied access to HIV/AIDS programs, which causes new infections.

GALCK+, a Kenyan queer rights group, noted the freezing of PEPFAR funding has impacted most LGBTQ programs. The result has been fewer HIV testing clinics, queer mental health centers and safe spaces, and hospitals no longer offering gender-affirming care.

“Our lives are on the line, and we must fight for every life. Donate, volunteer, and uplift local LGBTQ+ organizations working on healthcare access and community support,” GALCK+ said.  

The queer lobby group also noted forging new partnerships with other international donors is crucial to address the new funding challenge.

Kaleidoscope Trust, a U.K.-based queer rights organization, has stepped in to support LGBTQ groups affected by the U.S. funding freeze.

Although the Global Fund has picked Kenya and Uganda as among the first sub-Saharan African countries to benefit from lenacapavir, a new long-acting injectable PrEP drug, anti-gay discrimination has prevented many people from accessing it.

“This long-acting option has the potential to revolutionize HIV prevention, especially for our community who continue to face stigma or barriers in accessing daily oral PrEP,” Lusimbo said.

Kenyan, Ugandan governments work to bridge funding gap

The PEPFAR funding cut has led to the closure of hundreds of HIV treatment clinics and disrupted the supply of antiretroviral drugs, forcing Kenya and Uganda to reconsider domestic financing through national budgets passed last month. 

Kenya, which received a total of $322 million in PEPFAR funding in 2024, increased its national budget for the health sector by $85 million, from $983 million in the previous financial year to $1.07 billion in the current one, in an attempt to bridge the shortfall.

The additional funding resulted from a joint high-level meeting of top officials from national and local governments, health sector players, and relevant communities in March to agree on a sustainable HIV response plan.

The plan entails redesigning medical service delivery to integrate HIV and other diseases in reproductive, maternal, newborn, child, and adolescent health programs. It also involves more domestic funding for HIV products, vaccines, and effective health management systems.

NEPHAK, a Kenyan national network that works with people living with HIV and those at risk of the virus, has called for immediate integration of HIV care into general health care. NEPHAK has also said HIV treatment should be included in the country’s universal health coverage plan.

Uganda also convened a high-level national health financing dialogue in May in response to the U.S funding pause to explore ways of increasing its health sector spending, which has stood between $52-$57 per capita, below the World Health Organization’s recommended $86 minimum.

“Organizations in Uganda are asking for more local money for health and SRHR (sexual and reproductive health rights), better use of budgets, and more community involvement and engagement in all the processes,” stated CEHURD Uganda, a local health social justice rights group. Uganda this financial year increased its health sector’s budget to 8.1 percent from 4 percent in the last financial year, a move lauded by CEHURD as the only way towards having a robust health sector.     

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