Let's address a crucial matter that profoundly impacts our LGBTQIA+ community in Uganda. Inspired by DNA's Founding Editor, Andrew Creagh, and his impassioned plea against the Ugandan Anti-Homosexuality Act 2023. ThePack firmly stands for equal rights for all individuals working toward creating a safe and healthy environment irrespective of sexual orientation or gender identity.

So, what's the deal with this Act?

Well, it's a serious violation of human rights and poses a threat to the well-being of LGBTQIA+ individuals in Uganda. This new legislation is the harshest of its kind anywhere in the world, making life difficult for our family in the LGBTQIA+ community.

But why is it such a big deal for public health?

When marginalized and discriminated against, sexual minorities are more likely to face challenges with their health. Studies have shown that stigma and discrimination can increase the risk of HIV infection, as individuals may avoid HIV testing and care out of fear (Gautier Ndione et al., 2022) (Levy et al., 2014) (Beyrer, 2014) (Mbeda et al., 2021) (Hladik et al., 2012). The Act also impacts healthcare providers, who might be scared to offer essential health services to sexual minorities, just like what happened in Senegal when they criminalized same-sex practices (Poteat et al., 2011).

The Act is harsh, calling for life imprisonment for consensual same-sex behavior among adults and even introducing the death penalty for what they call "aggravated homosexuality". Promoting homosexuality can land you in prison for up to two decades. This is downright scary stuff!!! AND it could undo all the progress made in HIV testing, treatment and prevention in Uganda, making it even harder for the LGBTQIA+ community to access healthcare.

But it's not just about LGBTQIA+ individuals; this Act affects the whole healthcare system in Uganda. The successful fight against HIV/AIDS in Uganda was largely due to inclusive healthcare programs that served everyone without any discrimination (Chamie et al., 2012) (Collins et al., 2023). With this legislation in place, LGBTQIA+ individuals might be too afraid to seek essential health services, which could weaken the entire healthcare system, impacting everyone in Uganda.

Think about it; during the COVID-19 pandemic, Uganda's healthcare system was supported by programs like PEPFAR (U.S. President’s Emergency Plan for AIDS Relief) which had a strong laboratory network for HIV and TB testing. These kinds of programs helped the country respond effectively to the pandemic. But if LGBTQIA+ individuals are too scared to use such services it puts the entire nation at risk.

This Act also adds more worries for our LGBTQIA+ community making them hesitate to talk openly about their health concerns and seek medical help when needed (King et al., 2020). This can lead to serious health disparities within the community, as they might face violence, housing insecurity and social exclusion in addition to the legal threats (AP News, 2023) (Human Rights Watch, 2023) (Amnesty International, 2014).

We're not here to just talk; we want to make a difference! ThePack is standing up against this Act and we encourage YOU TO JOIN US. We call for a repeal of the Act. We encourage support for local organizations in Uganda advocating on behalf of gender and sexual minorities and in opposition to this legislation, including:

• Sexual Minorities Uganda (SMUG)
• Uganda Key Populations Consortium (UKPC)
• Coalition for Health Promotion and Social Development (HEPS- Uganda) 
• Rainbow Shadows Uganda

Join us in our mission to build a world where everyone is treated with respect and dignity regardless of their love or identity. Together we stand for equality and unwavering support for the LGBTQIA+ community in Uganda and beyond. Let us unite in this ongoing fight as our unwavering light shines brightly against this injustice!