In the countries surrounding Rwanda, same-sex sexual
activity is punishable by several years’ imprisonment, life imprisonment,
corporal punishment, or death. By
contrast, the Rwandan government has not created any legislation explicitly
criminalizing homosexuality. Instead,
the official policy is one of complete denial.
When PSF approached the Rwandan Biomedical Committee with their proposal
for MSM research, they were given permission to proceed, but they were also
laughingly told that they wouldn’t find any MSM in Rwanda. Since then, more than 1,000 men have been
interviewed and about 400 study participants have been enrolled. The goal of the study is just to get a handle on MSM networks and health behaviors while providing STI testing and some basic health services, but it will serve as groundwork for broader initiatives in the future.
I knew the study was going on but I didn’t meet the MSM
research team until just last week. The
founder of PSF arrived from Zambia to check on our progress and brought with
her a young man I’ll refer to as David.
David is a Zambian activist for LGBTQ rights. He works with an NGO that promotes LGBTQ
health and supports what he referred to as the “rainbow platform,” candidates
who run for public office in Zambia with the explicit intent to de-criminalize
homosexuality nationwide. The night he
arrived we all had dinner – him, the MSM study team, the founder of PSF,
several other senior staff, the other summer interns and myself – and we talked
uninhibited about our mutual ambition to bring the issue of LGBTQ health to
light in southeastern Africa. As Peace
Corps Volunteer, I sat on my opinions about homosexuality for fear of
alienating myself from people in my village.
Talking to David, I felt as if five years’ worth of weight was being
lifted.
Before leaving PSF the following Thursday, David made a
small speech to express his thanks. He
said he had come to Rwanda to learn how PSF is engaging with the issue of LGBTQ
stigmatization and persecution and that he is excited by the work we are
doing. He said, “In Africa, many people
think that the HIV epidemic can be stopped by simply treating members of the ‘general
population’ – the heterosexual population – and that the rest of us can be
ignored because we are a minority. But the situation is more fluid than that.
There are married men who are also members of our community. There are people who move in and out of our
community. We are not an isolated group –
we are part of the population too, and if you don’t attend the needs of MSM and
other LGBTQ people, you may as well do nothing at all.”
I couldn't have said it better.
*MSM stands for “men who have
sex with men.” While the terms “gay” and “homosexual” may be commonplace in the
U.S., such terms carry little meaning in countries where homosexuality is
neither condoned nor acknowledged, and where gay culture and networks remain
thoroughly underground. Furthermore, in public
health research, sexual behaviors often take primacy over how a person identifies
because behaviors directly cause things like the transmission of HIV.