November 30, 2023
Dr Paul Mushombe Nibhumba: Testimonial from Doctors of the World Medical Coordinator in Mali
Ignoring the admonitions of those around her, Rihanna bravely continues along the road to the cramped room that she has been renting for 6 months. When she was 16 years old, she attended a workshop supporting the LGBTQ community and began to realize that her identity did not match her biological gender. 4 years later, she was kicked out of the family home before she had been able to finish school and find a job. Rihanna is now used to people mocking her, insulting her, and even threatening her. She spends most of her time locked inside her room.
Since 2015, Doctors of the World has been working at the Mulago Hospital in Kampala with our local partner the Most At Risk Populations Initiative (MARPI). MARPI provides free healthcare services, such as screenings for seuxally transmitted diseases, for marginalized communities such as those identifying as LGBTQ, sex workers and drug users.
Doctors of the World has also helped MARPI increase their capacity by building new waiting rooms that are almost always full. Free condoms are provided to those who want them, and Doctors of the World has trained multiple doctors and nurses in the field of proctology.
In Uganda, homosexuality is illegal. Those engaging in same-sex relationships are often harrassed and thrown into jail. Identifying as LGBTQ can be extremely dangerous and Ugandan tabloids are known to publicly out and shame people who identify as gay by publishing their photos. In 2010, one tabloid posted dozens of people’s photographs next to the words: “Hang them.”
Gay men and women face constant intimidation, causing many to lead secret lives, afraid to be open about their relationships for fear of the repercussions and stigma they will face.
Many members of the LGBTQ community are refused treatment by healthcare providers, which means diseases and illnesses remain undiagnosed – especially in rural regions. MARPI plays an important role in reaching those in the remoter areas of the country to ensure they receive access to healthcare. “Discrimination exists amongst healthcare providers too,” explains Peter Kyambadde, Director of MARPI, “But there is no law that says we cannot provide healthcare or provide psychological support to a person in need. Here our patients know they can be treated with respect.”
Despite the threat of violence and constant harassment from the police and government, Doctors of the World, MARPI and other health groups continue to promote and defend the rights of the LGBTQ community in Uganda in the hopes that one day Rihanna can live openly and in peace.