Sexual minorities
Documents
Implementing comprehensive HIV and STI programmes with transgender people: practical guidance for collaborative interventions
06 April 2016
This tool describes how services can be designed and implemented to be acceptable and accessible to transgender women. To accomplish this, respectful and ongoing engagement with them is essential. This tool gives particular attention to programmes run by transgender people themselves, in contexts where this is possible. It is itself the product of collaboration among transgender people, advocates, service-providers, researchers, government officials and non-governmental organizations (NGOs) from around the world, as well as United Nations agencies, and development partners from the United States.
Related
U=U can help end HIV stigma and discrimination. Here’s how

27 February 2025
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
Lost and link: Indonesian initiative to find people living with HIV who stopped their treatment

21 January 2025

Feature Story
Botswana Court of Appeal upholds ruling in favour of registration of LGBTI organization
17 March 2016
17 March 2016 17 March 2016On 16 March, the Botswana Court of Appeal ruled that the refusal by the government to register LEGABIBO, an organization of lesbian, gay, bisexual, transgender and intersex (LGBTI) people, was unconstitutional. The Court of Appeal thus upheld the November 2014 decision of the Botswana High Court on this matter. In its ruling on the case, the Court of Appeal highlighted the potential role of LGBTI organizations in public health and HIV efforts and ordered the Registrar of Societies to register it.
The ground-breaking decision concludes a four-year legal proceeding initiated in February 2012, when several individuals filed an application for the registration of LEGABIBO as an organization under the laws of Botswana. The government denied their application, arguing, among other things, that LGBTI rights were not recognized by the constitution. Activists challenged the decision in court.
In November 2014, the High Court ruled that the government’s refusal to register LEGABIBO violated the rights to freedom of expression, assembly and association protected by the country’s constitution. This was the first time a high jurisdiction in Africa had upheld freedom of assembly and association for LGBTI people. The government appealed against the ruling.
In the lead-up to the United Nations General Assembly High-Level Meeting on Ending AIDS, to be held in June, the decision by the Botswana Court of Appeal highlights the importance of advancing zero discrimination and of creating a legal and political space for the protection and involvement of LGBTI people and other key populations in the AIDS response.
LEGABIBO’s mission is to promote the recognition, acceptance and protection of all human rights of the LGBTI community in Botswana. One of if its main objectives is to promote sexual health among LGBTI people.
Region/country


Feature Story
United Nations calls for end of violence and discrimination against LGBTI people
29 September 2015
29 September 2015 29 September 2015Twelve United Nations (UN) entities have released a joint statement calling for an end to violence and discrimination against lesbian, gay, bisexual, transgender and intersex (LGBTI) people. The joint statement highlights the UN’s inter-agency commitment on working with Member States to protect, respect and fulfil the right of LGBTI people to live free from violence, persecution, discrimination and stigma. It also calls on countries to repeal discriminatory laws.
LGBTI people face a wide range of human rights violations. The UN and others have documented widespread physical and psychological violence against LGBTI people in all regions, including murder, assault, kidnapping, rape and sexual violence, as well as torture and ill-treatment in institutional and other settings.
In many countries, the response to these violations is inadequate; in others, human rights defenders challenging these violations are frequently persecuted and face restrictions on their activities. The legislative framework can exacerbate the situation, with 76 countries criminalizing consensual same-sex relationships between adults. These laws expose individuals to the risk of arbitrary arrest, prosecution, imprisonment and even the death penalty in at least five countries.
Punitive environments that marginalize LGBTI people also create significant challenges in responding to HIV. Gay men and other men who have sex with men are 19 times more likely to be living with HIV than the general population, and HIV prevalence among gay men and other men who have sex with men is rising in certain regions, including Asia and the Pacific and Latin America. Transgender women are 49 times more likely to be living with HIV.
In addition to violating the fundamental human rights of LGBTI people, punitive laws severely restrict the ability of LGBTI people to access critical HIV and other health services. Service providers are often forced to stop working, owing to harassment or fear of prosecution.
The UN Secretary-General, Ban Ki-moon, re-affirmed his support for LGBTI rights with a message delivered during last year’s UN General Assembly. “The fight for human rights—and the fight against discrimination—lies at the core of the mission of the United Nations. The fight for equal rights demands global engagement. That is why the United Nations actively works to tackle homophobia and transphobia around the world,” he said.
The UN entities that have signed the joint statement on ending violence and discrimination against LGBTI people are: the International Labour Organization (ILO); the Office of the High Commissioner for Human Rights (OHCHR); the United Nations Development Programme (UNDP); the United Nations Educational, Scientific and Cultural Organization (UNESCO); the United Nations Population Fund (UNFPA); the Office of the United Nations High Commissioner for Refugees (UNHCR); the United Nations Children’s Fund (UNICEF); the United Nations Office on Drugs and Crime (UNODC); the United Nations Entity for Gender Equality and the Empowerment of Women (UN Women); the World Food Programme (WFP); the World Health Organization (WHO); and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

Press Statement
International Day against Homophobia, Transphobia and Biphobia
14 May 2015 14 May 2015Message from UNAIDS Executive Director Michel Sidibé
GENEVA, 17 May 2015—We are living in a time of rapid social change. Lesbian, gay, bisexual, transgender and intersex (LGBTI) people are now reaching new frontiers and celebrating remarkable achievements.
Despite this transformation, acts of discrimination and violence continue against the LGBTI community.
We cannot tolerate picking and choosing rights in a modern society—a society where diversity is celebrated; a society where everyone, no matter where they live or whom they love, is able to live in peace and security; a society where everyone can contribute to the health and well-being of their community.
We can make this society a reality, but we will need global solidarity.
We did this when we fought against apartheid—and we won!
As we observe the International Day against Homophobia, Transphobia and Biphobia, I call on everyone to join the movement for social justice, equality and equity so that all people can live with respect and dignity.
This is the future I commit to—this is the future I embrace.
Multimedia
Press centre
Download the printable version (PDF)

Press Statement
Botswana High Court rules in favour of registration of LGBTI civil society organization
18 November 2014 18 November 2014GENEVA, 18 November 2014—UNAIDS welcomes the recent ruling by the High Court of Botswana upholding the right of an organization that supports lesbian, gay, bisexual, transgender and intersex (LGBTI) people to register in the country.
In its groundbreaking judgement, the court held that the refusal by the government in 2012 to register the organization known as LEGABIBO (Lesbians, Gays and Bisexuals of Botswana) violates the rights to freedom of expression, assembly and association protected by the country’s constitution. The ruling represents the first time a high jurisdiction in Africa has upheld the freedom of assembly and association for LGBTI people.
“Through the courage of civil society organizations and the boldness of its judiciary, Botswana is sending an important message of inclusiveness and freedom,” said Michel Sidibé, UNAIDS Executive Director.
A valuable lesson learned in over 30 years of the HIV response is that civil society, particularly organizations of people living with and vulnerable to HIV, is essential to advancing health, dignity and development.
While Botswana has sharply increased access to antiretroviral therapy in the past decade, HIV prevalence in the country is still one of the highest in the world, at 21.9%. In response, Botswana is implementing a national strategic framework that includes the protection of human rights for all as a guiding principle.
UNAIDS
The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.
Press centre
Download the printable version (PDF)
Region/country



Update
People at higher risk of HIV infection rally for an equitable AIDS response
18 November 2014
18 November 2014 18 November 2014Around 100 representatives of populations at higher risk of HIV infection from 18 countries in eastern and southern Africa are convening in Johannesburg, South Africa, from 17 to 19 November to discuss ways to improve access to HIV services.
Under the theme Close the Gap—Leave No One Behind, sex workers, gay men and other men who have sex with men, transgender people and people who inject drugs will engage in the first regional consultation for key populations in the region. During the meeting, the participants will share experiences and take stock of the remaining challenges.
During the 30 years of the AIDS epidemic, it has become evident that better and faster health outcomes are achieved through smart investment and community-centred systems that leave no one behind, noted UNAIDS Deputy Executive Director Luiz Loures.
People at higher risk of HIV infection contribute to substantial proportions of new HIV infections in some countries in the region. According to the latest Modes of Transmission study conducted between 2008 and 2010, sex workers and their clients, gay men and other men who have sex with men and people who inject drugs accounted for an estimated 33% of the total number of new HIV infections in Kenya, 26% in South Africa and 18% in Mozambique.
Daughtie Ogutu, Africa Coordinator for the African Sex Workers Alliance and a sex worker from Kenya, noted that countries can control the HIV epidemic only when all of its citizens, including people vulnerable to HIV infection, are guaranteed access to comprehensive HIV prevention, treatment and care services.
In the three days of the meeting, communities and development partners will focus their discussion around access to HIV prevention and treatment services, HIV-related stigma and discrimination and strategic information for people at higher risk of HIV infection.
Quotes
“We have the scientific solutions to overcome the HIV epidemic, but what is holding us back is the stigma and discrimination that is leaving key populations behind. The HIV movement will only be stronger with inclusion and active participation of vulnerable populations.”
“We should not only dwell on challenges but celebrate the hard-earned successes we have made as key populations so far. However, we have to be mindful that we continue to witness killings of sex workers and lesbian women and homophobic attacks towards gay men. Our transgender people still have no access to services that are tailored to their needs and people using drugs continue to be criminalized.”
Region/country
Documents
Services for gay men and other men who have sex with men
14 November 2014
Gay men and other men who have sex with men have been profoundly affected by HIV, and have a 13 times higher HIV prevalence than the rest of the population. New HIV infections among men who have sex with men are driving or substantially contributing to national epidemics in all regions, accounting for 10% or more of new infections in Côte d’Ivoire, Ghana and Nigeria; 33% in the Dominican Republic; and 56% in Peru.
Related
Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa
30 January 2025
A shot at ending AIDS — How new long-acting medicines could revolutionize the HIV response
21 January 2025
To end AIDS, communities mobilize to engage men and boys

04 December 2024
UNAIDS data 2024
02 December 2024









Publications


Participants at a consultation on LGBTI rights organized jointly by UNAIDS, ILGA-Europe and IGLYO in Geneva, 15-16 July 2014.
Update
Young activists bring HIV back on the agenda of the LGBTI movement in Europe
17 July 2014
17 July 2014 17 July 2014The high and increasing burden in Europe of HIV among gay men and other men who have sex with men and transgender women and the implications for the human rights of lesbian, gay, bisexual, transgender and intersex (LGBTI) people was discussed at the consultation Nothing for Us Without Us—Unleashing Youth Leadership to Address the Challenge of HIV and LGBTQI Rights in Europe, organized jointly by UNAIDS, ILGA-Europe and the International Lesbian, Gay, Bisexual, Transgender and Queer Youth and Student Organisation in Geneva on 15 and 16 July.
Participants
Twenty LGBTI rights activists aged between 18 and 30 years from European countries attended the consultation.
Key messages
- Across Europe the dual and intertwined crisis of HIV and human rights affecting gay men and other men who have sex with men, as well as transgender people, persists.
- Young gay men and other men who have sex with men are particularly affected by a new wave of HIV infections in the past decade in many European countries. This is also affecting gay men and other men who have sex with men who live in rural areas and smaller cities and who were previously at lower risk.
- The LGBTI rights movement has a significant potential to leverage its momentum and regain its role as a strong political voice and a force for the HIV response.
The HIV response must be anchored in a broader agenda for health, equality and inclusion of LGBTI people.
Quotes
"The new generation of activists is experiencing a remarkable political and public support of human rights of LGBTI people in Europe, but the legacy of the movement must be revived to confront the expanding HIV epidemics and support the growing number of gay men and transgender people living with HIV."
"Nothing for us without us! The dual crisis of HIV and human rights of LGBTQI people in Europe can only be solved with the full involvement of the LGBTQI movement."
"Whilst HIV is now no longer a death sentence, and can be managed with one pill a day, it's no walk in the park. The complications, side-effects and social stigma can be unbearable."
Related
Documents
UNAIDS Executive Director visits Lebanon
UNAIDS Executive Director Michel Sidibé concluded an official visit to Lebanon on 29 September. Mr Sidibé recognized and supported the country’s achievements in the HIV response and welcomed the Government of Lebanon’s strong commitment to introduce oral substitution therapy into the country’s public health system.
Related
UNAIDS data 2024
02 December 2024
Global celebrities unite behind UNAIDS’ call for world leaders to “take the rights path to end AIDS”

01 December 2024
Take the rights path to end AIDS — World AIDS Day report 2024
26 November 2024
Can this innovation change the way people think about HIV?

16 October 2024
UNAIDS statement on anti-LGBTQ+ legislation in Georgia

01 October 2024