Human rights

#NotYetUhuru: 60-year-old Patson Manyati reflects on being gay in Zimbabwe*

17 May 2021

Patson Manyati cuts an awkward and lonely figure in a room bustling with young people in their twenties. His elegant poise, greying beard and baby blue shirt place him at least 40 years too old for this scene.

Mr Manyati is on one of his first visits to the drop-in centre of Gays and Lesbians of Zimbabwe (GALZ) in Mutare, in eastern Zimbabwe. GALZ is a membership-based association that promotes, represents and protects the rights of lesbian, gay, bisexual, transgender and intersex (LGBTI) people in Zimbabwe.

While Mr Manyati may look out of place, being at GALZ is the most “comfortable” he has ever felt as a gay man living in Zimbabwe in his 60 years.  

“When I see people like me, I feel very happy,” says Mr Manyati in his musical, soft-spoken voice. His eyes don’t stop shimmering while he talks. Remarkable for someone who has grown up around pervasive homophobia. The kind of homophobia that, as recently as 2017, saw the former president describe gay people as, “worse than dogs and pigs.”

GALZ maintains that the hatred and fear caused by the late president’s particular brand of homophobia, “is still being felt in Zimbabwe today.”

While being at GALZ makes him happy, as soon as Mr Manyati ventures out beyond the gates of the premises, he must be guarded and vigilant. Beyond the insults, the threat of jail is real, as Zimbabwe punishes same-sex sexual relationships with up to 14 years imprisonment.

Beyond jail, there is the everyday lived experience of discrimination, violence and hate crimes with which LGBTI people must contend—not only in Zimbabwe, but also in the 69 countries worldwide that criminalize same-sex sexual relationships.

And even in countries that don’t, like neighbouring South Africa. While same-sex marriage is legal and LGBTI rights are constitutionally enshrined, being gay is dangerous. In the first half of 2021, there has been a spate of murders of young gay men and an outcry from the LGBTI community for the government, media and public to take hate crimes more seriously.

Under these conditions, it is an act of defiance just to exist and, even more so, to be deliberately happy.

Happiness is something Mr Manyati has tried to carve out for himself, despite the odds.

Born in Mutoko, a small town in Zimbabwe’s Mashonaland East Province, Mr Manyati says his parents expected him to get married in his twenties to a woman and to carry on the family name as one of the seven Manyati sons.

While his parents insisted on marriage for some time, Mr Manyati stood his ground. As the sole caregiver for his parents and siblings, they eventually gave in and he lived his life single, never coming out to his parents. 

“I couldn’t get married because I have the body of a male but, inside, I feel like a female. I know I am … I feel … like a female. So why should I marry a female?”, he says, visibly grappling with complex concepts about his gender identity without the vocabulary to do so.

Here at GALZ, everyone tells him “who they are,” says Mr Manyati. Perhaps with a few more visits and more interaction with the young people around him, who are so much more self-assured in their sexual orientation and gender identity, it may not be too late for Mr Manyati to give name to his feelings.

GALZ is a lifeline for its members. It offers regular clinic days at its Harare drop-in centre and referrals at its other drop-in centres, in Mutare and Masvingo, for a range of health-care services, including HIV prevention and treatment. It also provides critical counselling services and safe spaces for LGBTI people to socialize and relax, away from the “harsh” streets.

The leadership at GALZ says that things are slowly getting better for LGBTI people in Zimbabwe.

In 2017, GALZ was included as an official participant in the funding proposal developed for the Global Fund to Fight AIDS, Tuberculosis and Malaria. This helped to secure US$ 2 million for programmes that serve gay men and other men who have sex with men, the largest investment ever in an HIV and sexual and reproductive health response for the community. The funding resulted in the three GALZ drop-in centres.

The National AIDS Council (NAC) of Zimbabwe has a key populations forum, supported by UNAIDS, and of which GALZ is a member. The NAC is visibly working to improve the health and well-being of key populations even while their activities remain criminalized.

Despite progress, the lingering stigma and discrimination that the LGBTI community faces in Zimbabwe has resulted in Mr Manyati and people of his generation leading an isolated life. 

“It makes me feel safer to rather stay by myself,” says Mr Manyati, adding that all his peers and friends from the LGBTI community have since died. “Sometimes I cry,” he sighs.

When Mr Manyati’s friends were alive, they would live their lives to the fullest, even though the law was a constant threat and they remained unlucky in love with the men they encountered. 

“[You would know] he doesn't really like you because he has another love somewhere and you are just one on the side. In the end, he gets married and leaves you,” says Mr Manyati of these encounters.

Mr Manyati is adamant that he is “too old” to look for love now, and that he would rather focus on looking after his health as one of the estimated 1.4 million Zimbabweans living with HIV.

Mr Manyati discovered he was living with HIV when he developed a cough five years ago. He went to a local nongovernmental organization, New Start, for an HIV test and after a course of tuberculosis treatment he was initiated immediately onto HIV treatment. His health is his main priority.

“I continue with HIV treatment. That’s how I’m looking healthy now,” Mr Manyati concludes, eyes still shimmering.

* Not Yet Uhuru is a quote by the Kenyan freedom fighter Oginga Odinga. Uhuru is a Swahili word meaning “freedom”; thus, it loosely means “not yet free”. It is a hashtag routinely used by GALZ in its social media posts.

UNAIDS condemns new law that further criminalizes and marginalizes vulnerable groups of people in Uganda

06 May 2021

GENEVA, 6 May 2021—UNAIDS is deeply concerned by the Ugandan parliament’s decision earlier this week to adopt the Sexual Offences Bill 2019, which includes provisions that further criminalize entire groups of people, such as the lesbian, gay, bisexual and transgender community, sex workers and people living with HIV. The bill criminalizes same-sex sexual relations, extends the criminalization of sex work and imposes mandatory testing for HIV and harsher sentences on people living with HIV than the general population accused of some similar crimes.

Although UNAIDS welcomes some aspects of the bill, such as the extension of protection from sexual harassment, violence and sexual exploitation to groups of people such as people in detention and migrant workers, it urges parliamentarians to reconsider the provisions that discriminate against some people.

“I am deeply troubled by the Ugandan parliament’s adoption of portions of this bill that further criminalize and marginalize vulnerable groups of fellow citizens and deny them their human rights, including their right to health,” said UNAIDS Executive Director, Winnie Byanyima. “Targeting people living with HIV, lesbian, gay, bisexual and transgender communities and sex workers increases stigma and discrimination and undermines the HIV response by preventing people from receiving the HIV treatment, prevention and care services that they so urgently need.”

UNAIDS recognizes the good progress that Uganda has made in recent years in reducing the impact of HIV. The number of AIDS-related deaths has fallen by 60% since 2010, with 1.2 million people out of 1.5 million people living with HIV on medicines to keep them alive and well. In addition, the number of new HIV infections has fallen by 43% since 2010. However, many vulnerable groups of people, such as gay men and other men who have sex with men and sex workers, continue to be less likely than the general population to receive the HIV treatment, prevention and care services they need.

UNAIDS urges Uganda to join the growing number of countries in Africa and globally that are removing unjust laws from their penal codes. The Ugandan parliament’s adoption of the new law comes just weeks before the United Nations General Assembly High-Level Meeting on AIDS, which will take place from 8 to 10 June 2021.

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.

Contact

UNAIDS Geneva
Michael Hollingdale
tel. +41 79 500 2119
hollingdalem@unaids.org

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Human rights

UNAIDS welcomes Lord Fowler as an ambassador

30 April 2021

GENEVA, 30 April 2021—Norman Fowler, the pioneering United Kingdom Secretary of State for Health, human rights campaigner and respected Lords Speaker, will champion law reform, health for all and girls’ education worldwide to help end HIV as an ambassador for UNAIDS. 

Lord Fowler, who steps down as Lord Speaker at the end of April, will take up his new role as an advocate on AIDS in May 2021. 

In his new role, he will focus on engaging leaders across the world in advancing three transformational shifts that are central to ending AIDS: ending punitive laws against and stigmatization of lesbian, gay, bisexual, transgender and intersex (LGBTI) people; ensuring universal access to health care; and ensuring the empowerment and education of all girls so that they finish secondary school and benefit from a dramatically reduced risk of acquiring HIV. 


Lord Fowler served as the United Kingdom’s Secretary of State for Health from the beginning of the HIV epidemic. He has decades of service at the highest levels of government and has been a champion for people affected by HIV and for the human rights of LGBTI people. 

The UNAIDS Executive Director, Winnie Byanyima, said, “We can beat AIDS, but only through bold action by leaders. Lord Fowler is respected as a great parliamentarian and courageous leader across the world. He has delivered bold change to fight AIDS, and can help other leaders to do the same. We are so grateful to Lord Fowler for supporting us in this way.” 

Lord Fowler said, “As I said when I announced that I was stepping down as Lord Speaker, I am not retiring, only resigning. I am determined to see the end of AIDS, and to see the end of the inequalities that stand in the way of the end of AIDS. We have come so far but this last mile is the most challenging one. The COVID-19 crisis is not a reason to step back but a reason to step up and beat AIDS.”

This is a key year for the HIV response, which marks the fortieth anniversary of the discovery of HIV. This year will also see the United Nations High-Level Meeting on AIDS, at which leaders will set out the steps they will take to achieve the end of AIDS by 2030.

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.

Contact

UNAIDS Geneva
Sophie Barton-Knott
tel. +41 79 514 68 96
bartonknotts@unaids.org

Watch: HIV is about life and death

Statement by Winnie Byanyima, Executive Director of UNAIDS, on the occasion of World Health Day

07 April 2021

Winnie Byanyima, Executive Director of UNAIDS and Under-Secretary-General of the United Nations

7 April 2021

Tisha (not her real name), a young woman from the slums in east Africa, was three weeks past her due date when she was referred as an emergency case to the maternity facility in the main town.

With specialist medical attention, Tisha gave birth to a healthy baby boy, whom she named Okello. But instead of being a moment of joy for Tisha and her family, when she was unable to pay the US$ 30 delivery fee the hospital refused to discharge her.

Tisha was promptly moved to a special detention ward housing 42 other poor mothers and allocated a bed already shared by two women and their babies. Tisha and Okello would not be allowed to leave until she cleared her bill, which, the nurses told her, would rise daily. Tisha and her son were held captive until she could find the money to pay her bill.

This tragic story is all too common. Paying for health is the most regressive way of financing health care. Yet, according to the World Bank, two thirds of African countries are charging user fees at all levels of care.

Ten thousand people die every day because they cannot access health care and the cost of health services mean that every year 100 million people are pushed into extreme poverty paying for them. That equates to three people every second.

These huge inequalities in health care continue to widen as health systems around the world increasingly become profit-led. Many of the poorest countries in the world are trying to sell health through health insurance and user fees. But how can you sell health to somebody who does not have even the basics to survive, to someone who doesn’t have a job and is struggling to find the next meal.

Many governments claim that they cannot afford to pay for health, but the reality is that they can if they tax progressively so that everyone pays their fair share, stop companies from hiding their profits offshore and end tax exemptions. This would go a long way towards balancing the glaring inequalities in access to public services, including health care.

These profit-driven models have fragmented already weak health systems that exclude many people—poor people, lesbian, gay, bisexual, transgender and intersex people, prisoners, sex workers, people who inject drugs and numerous marginalized groups. The way health is financed is inequitable. In addition, the lack of human rights for marginalized groups denies them access to quality health care.

Inequalities in human rights result in inequalities in health. The right to health of ALL is part of the 1948 Universal Declaration of Human Rights. It states that, “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.”

The biggest steps forward in health have often happened in response to a major crisis—think of the post-Second World War health systems across Europe and in Japan, or how AIDS led to universal health care in Thailand.

Now, in the midst of the COVID-19 crisis, leaders across the world have an opportunity to build the health systems that were always needed, and which cannot be delayed any longer. We cannot tinker around the edges—we need radical, transformative shifts. The COVID-19 response gives us an opportunity to change the rules and guarantee equality.

On World Health Day 2021, let us make that call to ensure that people’s lives come before profits. Let governments make the commitment that they will guarantee that everyone, without discrimination, has access to quality health care. The right to health is an inalienable human right.

This coronavirus crisis we find ourselves in today could, like other global crises before, create the global and national solutions in health care we so desperately need. Let’s seize the moment! 

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.

Contact

UNAIDS Geneva
Sophie Barton-Knott
tel. +41 79 514 6896
bartonknotts@unaids.org

UNAIDS joins human rights community in mourning Christof Heyns, legal academic and expert

31 March 2021

By Patrick Eba, UNAIDS Country Director for the Central African Republic

Tributes have been pouring in since the announcement of the sudden passing of Christof Heyns, the South African human rights academic and expert. For Amnesty International, he was, “A baobab in the human rights world. A giant in his field, [who] fought hard for a just world.” For Edwin Cameron, a former judge of the Constitutional Court of South Africa and a leading global voice on HIV and human rights, “[Christof] was a meticulous, conscientious, persistent, courageous fighter for justice and human rights.”

A former member of the United Nations Human Rights Committee (2017–2020), Mr Heyns served as the United Nations Special Rapporteur for Extrajudicial Execution from 2010 to 2016 and as a member of the Working Group on Death Penalty, Extra-Judicial, Summary or Arbitrary Killings and Enforced Disappearances in Africa of the African Commission on Human and Peoples’ Rights. In 2015–2016, he chaired the United Nations Independent Investigation on Burundi.

Mr Heyns was one of the world’s most prominent experts on the African human rights system. He was the Director of the Centre for Human Rights at the University of Pretoria from 1999 to 2006 and Dean of the Law Faculty from 2007 to 2010. He later helped to establish and led the Institute for International and Comparative Law in Africa at the same university.

To many of his students, colleagues and partners, he was an accessible lecturer, a trusted ally and a thought leader who embodied the values of excellence with ubuntu (humanity). I first met Mr Heyns in August 2001 as a third-year law student representing the University of Abidjan in Côte d’Ivoire at the 10th African Human Rights Moot Court competition in Pretoria, South Africa. It was an exhilarating opportunity. This was my first-ever air travel. And It took me to no other place than South Africa, the land of Nelson Mandela, the (then) vibrant beacon of human rights optimism. The theme for the continental oratory joust that year focused on human rights violations against people living with HIV—how fitting.  

Some two years later, I was privileged to be awarded a scholarship to join what is arguably one of Mr Heyns’s most enduring legacies, the Centre for Human Rights’ master’s programme on human rights and democratization in Africa. Since 2000, this programme has trained a generation of human rights scholars, practitioners and activists from across Africa and other parts of the world. During his tenure as the Director, Mr Heyns enabled the transformation of the Centre for Human Rights into a world-class academic and activist institution that took an active role in education, advocacy and litigation.

As he later became involved as a member of United Nations human rights mechanisms, Mr Heyns took with him the values of dialogue and academic generosity that he had honed in South Africa. In a world that overemphasizes uniqueness, he was an internationalist who championed experience-sharing and cross-fertilization across human rights systems. It was thus naturally that UNAIDS and the Office of the United Nations High Commissioner for Human Rights turned to him when we were seeking allies for a joint dialogue on the human rights norms and practice relating to sexual orientation and gender identity between the African Commission on Human and Peoples’ Rights, the Inter-American Commission on Human Rights and the United Nations from 2015 to 2018. Mr Heyns was at the time the United Nations Special Rapporteur on Extrajudicial Executions and I was working as the Senior Human Rights and Law Adviser with UNAIDS in Geneva, Switzerland. Throughout the process, Mr Heyns was generous with his ideas, and, as ever, courteous and considerate with his peers as well as with support staff.

This year will mark 30 years since the creation of the African Human Rights Moot Court competition. We will miss Mr Heyns but his spirit will be with us as we mark this milestone. Across Africa and globally, his legacy will live on with those he defended as a human rights expert, and in the continued fight for justice and democratization of the thousands of students, academics, practitioners and activists that he has supported and nurtured.

Au revoir professor, the struggle approach to human rights shall continue.

“It is argued that legitimate resistance is the conceptual and historical counterpart and the ultimate guarantor of human rights. Human rights = legitimate resistance … The ongoing nature of history is emphasized, as well as the creative potential of members of the present generation to influence history, and as such the nature of human rights, through their struggles.” Christof Heyns, 10 January 1959–28 March 2021.

Christof Heyns, third from left (front row) with other participants during the joint thematic dialogue on sexual orientation and gender identity between the African Commission on Human and Peoples’ Rights, the Inter-American Commission on Human Rights and the United Nations, 3 November 2015, Kairaba Hotel, Banjul, the Gambia. Credit: UNAIDS

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