“Health” issues faced by the gay, lesbians, trans-gender and intersex persons in Uganda: Meta-analysis of reports 2008-2011

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Muyunga Thomas[1], Mulucha J.[2], Bukenya Deo, Martin Golooba, Julius Lumanyika, Dan Onyango[3]
BACKGROUND: Health seeking practices depend on the way sexual minorities are treated. Criminalisation compounds the health issues presented by this sub-population in Uganda.
METHODS: Using sample size of 1,000, data from 13 organisations,  reports from activities at 72 gender and dignity affirming community based safe spaces, social interaction by sexual minorities, anecdotal experiences and responses using FGD Guides formed basis of generating this report.
RESULTS: All 1,000 demanded and were provided with targeted information, education and communication on sexuality, orientation, gender, identity and keeping relationships. 200 gay, 450 TG, 50 lesbians, 7 intersex, 150 MSM, 73 WSW were identified and provided responses. 70 were bisexual MSM, 10 were bisexual lesbians, 100 were FTM and 350 were MTF. 20 FTM and 25 MTF had benefitted from affirmation counselling. 7 intersex benefitted from sexuality support counselling. 80 MSM engaged in sex-work. 32 MSM living with HIV have been attached to 24 ART accredited health facilities. 155 respondents experienced evictions from their homes. 55 respondents reported domestic-violence. 19 were provided relocation support. 12 MSM had experienced black-mail due to their same sex behaviour. Clinical cases reported were as follows: 352 cases of STIs, 40 cases of HIV, 4 post abortion care, 500 malaria cases, 2 TB cases, 411 URTIs cases, 75 cases of UTIs, 320 cases of anal discharge, 72 with wounds, 26 with cuts, 3 cases of acid burns, 16 with burns, 13 cases of scalds, 79 cases of battering, 38 cases of blows from blunt objects and 14 with foreign bodies in orifices (10 vaginal and 04 anal).
CONCLUSION: A non discriminative space promotes case finding, timely and appropriate diagnosis.
RECOMMENDATION: Decriminalisation is a basic context in Uganda that will influence demand, enjoyment and access social services.



[1] Clinician
[2] FEM Alliance Uganda
[3] Clinician

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