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‘Confront legal and policy barriers to HIV’: Sub-Saharan Africa Regional Dialogue on HIV and the Law

Via UNAIDS.

In Sub-Saharan Africa, the region most heavily affected by HIV, legal, policy and social barriers, including stigma, discrimination, gender inequality and the criminalization of key populations at higher risk of HIV infection, continue to make people vulnerable to HIV and hamper the ability of individuals, communities and states to respond to the epidemic. This was the conclusion of the Regional Dialogue for sub-Saharan Africa, part of the Global Commission on HIV and the Law, held at the beginning of August in Pretoria, South Africa.

No taboo should be left unchallenged

A significant breakthrough came from the pledge of participants to highlight and discuss all aspects of the legal environment relating to HIV, including laws and practices related to stigma and discrimination, access to affordable treatment, children and adolescents, women’s rights and gender-based violence.

“This regional dialogue is a great opportunity for us, as Africans, to confront the difficult issues including discriminatory and punitive laws that target sex workers and men who have sex with men, and other populations vulnerable to HIV,” said Bience Gawanas, African Union Commissioner for Social Affairs.

The criminalization of drug use, sex work and same-sex sexual relations was also confronted by the participants in a bid to challenge all taboos. This is remarkable as recent punitive legal and policy developments in a number of countries in sub-Saharan Africa relating to the situation of members of key populations has raised concerns about the readiness of stakeholders in the region to confront this issue. Some 31 countries in the region criminalize sex work, and same-sex sexual relations constitute a criminal offence in at least 30 countries.

Read the rest here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

The Lagos HIV Stigma

Via Next, by Gbenro Adeoye.

The first case of HIV/AIDS in Lagos was reported in 1986, unlike the global stage, where it was first reported 30 years ago by the Centres for Disease Control and Prevention (CDC) in the United States among gay men. Since the discovery in Lagos which was also the first in Nigeria, HIV has steadily grown to a status of silent foreboding among the general public. According to the Lagos State AIDS Control Agency (LSACA), the current HIV prevalence rate in the state is 5.1 percent, ahead of the country's 4.1 percent prevalence rate recently announced by the Health Minister, Onyebuchi Chukwu.

But in the 25 year period, the state has seen significant progress in the level of public awareness, testing, treatment and care for persons living with HIV. In his assessment, the Head of Lagos office, United Nations Population Fund, Omolaso Omosehin, described the achievements made so far in the state as remarkable, highlighting improvements in the prevention and treatment of the disease. He said, "The situation is better than what it used to be; many people are now aware of how to prevent HIV/AIDS and there is hardly any health centre where you are not required to the test. Many more people are able to access antiretroviral (ARV) drugs which were not so available some years ago."

Yetunde Ababi, a health educator, who tested positive for HIV in 1991, also acknowledged the improvements made in the treatment and care for persons living with HIV. Mrs. Ababi said "the epidemic was so much in the 90s and the drugs were so expensive that people were being screened into the mortuary. Then, we were spending about N90, 000 monthly on ARVs, but the drugs and treatment are now free in government hospitals in Lagos."

Unfortunately, the stigma associated with HIV still denies infected persons job appointments and prevents many others from openly declaring their status. Patrick Akpan, the deputy coordinator of Plan Foundation for Health and Development, formerly called Positive Living Organisation of Nigeria (PLON), a nongovernmental organisation aimed at supporting persons living with HIV/aids, said the stigma against persons living with HIV in Lagos has been ‘modernised.' According to him, people have invented new ways of discriminating against persons living with HIV. He said, "People won't tell you that they are not relating with you because of your HIV status; they will rather find another excuse for avoiding you. They would rather say ‘you are not qualified for the job', rather than say it's because you are HIV positive."

Read the rest here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Narrow Window To Avert HIV Epidemics Among MSM in Middle East and North Africa

Via AIDSMap, by Michael Carter.

HIV epidemics are emerging among men who have sex with men (MSM) in a number of Middle Eastern and North African countries, an international team of investigators report in the online journal PLoSMedicine.

Prevalence of HIV was as high as 28% among some populations of MSM in Pakistan, and in 2008 over 50% of new HIV infections in Lebanon were in men who reported anal sex with another man.

High levels of risk behaviour in many countries suggested that there was the potential for further spread of HIV.

Alarmed by their findings, the investigatorssuggest “there is an urgent need to expand HIV surveillance and access to testing, prevention, and treatment services in a rapidly narrowing window of opportunity to prevent the worst of HIV transmission among MSM in the Middle East and North Africa.”

Worldwide, MSM are one of the groups most affected by HIV. The epidemic in most industrialised countries is focused on MSM, and research conducted in sub-Saharan Africa has found evidence of large but generally hidden MSM epidemics. Moreover, epidemics in MSM are well established and growing in Latin America and South East Asia.

In contrast, little is known about the MSM HIV epidemic in Middle Eastern and North African countries. Sex between men is often highly stigmatised in this setting, and in five countries homosexuality is punishable by death.

Given this lack in knowledge, a team of investigators lead by Dr Ghina Mumtaz undertook a systematic literature review to gain a better understanding of the HIV prevalence in MSM, their risk behaviour and knowledge of HIV in 23 North African and Middle Eastern Countries.

The authors believe their study “provides an integrated analysis and synthesis of the evidence to address the gap in our knowledge of what could potentially materialise as the key risk group for HIV sexual transmission in this region in the next decade.”

A total of 26 studies were included in the investigators’ analysis. They defined MSM as men who had insertive or receptive anal sex. However, the researchers emphasised that there was a huge diversity in MSM self-identity, role and behaviour in the region.

Overall, the prevalence of MSM behaviour was consistently between 2-3%. However, in some populations such as truck drivers (9%-49%) or street children (15%-77%) it was considerably higher.

Read the rest here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Homophobia in Ghana


Understanding the Drivers of Homophobia in Ghana


Recent condemnation of homosexuality by religious and political leaders in Ghana has led to a climate of fear preventing men who have sex with men (MSM) from accessing vital health services, say local NGOs.

The minister of Ghana’s Western Region, Paul Evans Aidoo, publicly described homosexuality as “detestable and abominable” after media reports in late May that 8,000 homosexuals had registered with health NGOs in the country’s west (the information appears to come from records kept by the NGOs of people who accessed services for MSM). Aidoo has since called for increased security in the region and the arrest of all homosexuals. Other religious leaders and politicians have followed suit, condemning homosexual activity.

As a result, far fewer MSM are accessing safe sex education and support programmes run by the Centre for Popular Education and Human Rights (CEPEHRG) to prevent the spread of HIV, said MacDarling Cobbinah from the Coalition against Homophobia in Ghana and a member of CEPEHRG.

“It has brought about a lot of fear and stigma for the people. It is difficult to organize programmes,” Cobbinah said. “It is very difficult for people to walk freely on the street… The call for arrest has really pushed people down.”

He added that one of his colleagues was recently accused of being gay and beaten up by a group of men.

Cobbinah said numbers had dropped at a regular HIV peer education programme that once had more than 20 people attending; two weeks ago only half the people came, and last week no one came, he told IRIN on 27 July. “They said, ‘If we come, we might be arrested.'”

An estimated 25 percent of Ghanaian MSM were HIV-positive in 2006, according to the US Agency for International Development (USAID).

According to the UN World Health Organization, since the beginning of the epidemic in the early 1980s, MSM have been disproportionately affected by HIV. The organization said social discrimination of MSM led them to delay or avoid seeking HIV-related information, care and services.

Other organizations in Ghana are also facing obstacles to providing vital services. An NGO based in the Western Region’s capital Sekondi-Takoradi, which distributes condoms and safe sex information to MSM, told IRIN that since Aidoo increased security and called for arrests they have felt threatened.

Male-to-male sexual relations are a crime in Ghana. Considered a misdemeanor, it carries a maximum sentence of six months, according to Kissi Agyabeng, a law lecturer at the University of Ghana. However, despite Aidoo’s calls for a crackdown, arrests do not yet appear to be taking place.

A spokesperson for the Sekondi-Takoradi NGO, who did not want his name or the organization’s name published for security reasons, said the NGO was now coming under pressure from the government to stop their work on HIV prevention if they did not reveal the names of MSM who have registered to use their services.

Stopping this work would affect thousands of people. In 2008, 2,900 people accessed their services, and by this year numbers had quadrupled, the spokesperson said.

...

Read the rest of the article here. For a fascinating personal story from a gay Ghanaian, read Paula Stromberg's article A Good Day in Ghana here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

UNAIDS rejects prejudice and misconceptions about men who have sex with men and transgender people

Via UNAIDS.

UNAIDS lauds efforts by India’s National AIDS programme to provide HIV services for men who have sex with men and transgender people. Currently around 67% of men who have sex with men in India are accessing prevention services. According to estimates of the National AIDS Control Organization, there are more than 400 000 men who have sex with men inIndia; HIV prevalence in this population is about 7.3% compared to a national adult HIV prevalence of 0.31%.

“India’s rich tradition of inclusivity and social justice must include men who have sex with men and transgender people,” said Michel Sidibé, UNAIDS Executive Director, on the side lines of the National Convention of Parliamentarians and elected representatives. “India’s successful AIDS response has been possible due to the strong participation of communities of men who have sex men, sex workers, people who inject drugs and transgender people backed by a strong and progressive National AIDS policy.”

UNAIDS welcomes the call by the Prime Minister of India, Dr Manmohan Singh, to have an “HIV sensitive” policy and programmes so that the marginalized populations affected by HIV are not denied the benefits of health and development programmes. “We should work to assure for them a life of dignity and wellbeing. We have to ensure that there is no stigma and discrimination towards HIV infected and affected persons,” said Dr Singh. During the inauguration of the National Convention, Dr Singh reiterated his government’s strategy to provide HIV services to groups at higher risk of HIV infection.

“There is no place for stigma and discrimination on the basis of sexual orientation,” said Mr Sidibé. “I welcome the bipartisan call by Mrs Sonia Gandhi and Mrs Sushma Swaraj to end all forms of stigma and discrimination against people at increased risk of HIV infection.”

In 2009 the Delhi High Court overturned a law that criminalized consensual adult sexual behaviour. This stand was also supported by the Government of India in its affidavit filed with the Supreme Court.

“Consistent with WHO’s disease classification, UNAIDS does not regard homosexuality as a disease,” said Mr Sidibé. According to the recently released UNAIDS and WHO guidelines on prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people, legislators and other government authorities should establish anti-discrimination and protective laws in order to eliminate discrimination and violence faced by men who have sex with men and transgender people.

UNAIDS is committed to providing support to India’s successful AIDS response, which has seen new HIV infections drop by more than 50% in the last decade. India currently produces more than 85% of high-quality generic antiretroviral drugs for the majority of low- and middle income countries.India’s courts have progressively protected the human rights of people living with HIV and men who have sex with men by striking down discriminatory laws.

UNAIDS will work with the Government of India, civil society and community groups in realizing the vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths in India.


Find the statement here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Pink community sees red over 'disease' comment

Via Mid-Day, by Rinkita Gurav.

"Men having sex with men (MSM) is not only a 'disease' but is also 'unnatural'," uttered by Union Health Minister Ghulam Nabi Azad has ruffled the feathers of many gay activists and members from the LGBT (Lesbian, Gay, Bisexual, and Transgender) community.

During the national convention of Zila Parishad chairpersons and mayors on HIV/AIDS, Azad said, "The disease of MSM is unnatural and not good for India. We are not able to identify where it is happening as cases of it being reported are very few."

However, these words have angered the LGBT community causing many to question Azad's knowledge on homosexuality. Ma Faiza, a famous lesbian found it utterly outrageous for a health minister to make such a comment.

She said, "When the country is growing economically, then why can't it grow spiritually and culturally? Why does such a mindset still exist?" Faiza asked, adding "Azad's comments are prehistoric. Homosexuality has existed in society for many centuries and it's sad that a man at such a high position has made this comment."

Vikram Phukan, former editor of Bombay Dost said, "All I can say to Azad is get well soon and get some education. Instead of trying to garner brownie points, he should display more empathy for the sexual minorities."

Phukan added that the remark made by Azad would undo all the good Dr Ramadoss, the previous health minister had made, adding that such comments were taking the country back to the dark ages.

Read the rest here.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Vietnam: Gay rights group tackles insensitive medical care

Doctors believed, for example, that becoming a homosexual was a fashion statement. They teased gay patients, and criticised anal sex despite training on gay issues, the survey revealed.
via VietNamNet

Nguyen Thanh Trung (not his real name), a gay man who lives in Ha Noi, was very upset by the way doctors discriminated against him when he was undergoing an anal health test in one of the city's many health clinics.

"The doctor told me to my face that having sex with men is not a natural act and asked me why I did it," Trung recalled.

"I was so upset that I left the clinic and will never return," he said.


Read the rest.




[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

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Namibia: HIV Keeps Locals Out of Foreign Universities

Via allAfrica.com, by Jana-Mari Smith

Banning HIV-positive Namibians from obtaining overseas scholarships is discriminatory, unconstitutional and a human rights violation. These, and other concerns, were raised by the AIDS Law Unit at the Legal Assistance Centre (LAC) in a press statement yesterday.

The statement referred to recent newspaper advertisements by the Ministry of Education offering international scholarships, which stipulated that Namibians who are HIV positive do not qualify for the opportunity. The ban on HIV-positive applicants from taking up the education opportunities offered by countries such as China, Cuba and the Slovak Republic, among others, goes against the grain of Namibia's purported stance on equal opportunities for all.

One of the advertisements offers a Cuban medical scholarship to young Namibians from low-income families. The notice specifically requires a health certificate "acknowledging HIV-negative tests". A medical scholarship offered by China asks applicants to "undergo a thorough medical check-up, including HIV-AIDS tests". An official at the Namibia Student Financial Assistance Fund (NSFAF) yesterday told a prospective applicant that neither China nor Cuba will accept HIV-positive applicants.

"These are their policies," he said, adding that these countries do not want foreigners to "go and multiply your HIV there". An official at the Directorate of Scholarships and Awards within the Ministry confirmed that an HIV-positive applicant does not stand a chance. "That is their requirement. You cannot go there if you are HIV positive". The press release from the LAC yesterday condemned the condition attached to the scholarship offers. The ostracising of HIV-positive individuals is "discriminatory and unconstitutional".

The LAC argues that the exclusion of HIV-positive students from educational opportunities "unreasonably discriminates against young people living with HIV-AIDS and excludes them from having the same kind of opportunities".

Read the rest

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]