WINDHOEK, NAMIBIA — Namibians who are part of the LGBTQ+ community often find it difficult to get decent health care and many report discriminatory practices within the health care system.

For example, when 20-year-old Immanuel Uirab sought contraception at a health facility, the nurse on duty would not assist him.

“I don’t know if it’s the shorts I was wearing or you can generally just tell by looking at me that I am gay,” he said, “but then this particular nurse … came out and she was, like, ‘No, we don’t offer contraceptives for people who practice sodomy. We can’t do that for you. … You can go buy them if you want to use them in your private space, but we … won’t give them to you because our government does not support homosexuality.’”

A recent two-day training workshop facilitated by the group Our Equity Advocacy was aimed at encouraging health care practitioners in Namibia to not discriminate against sexual minorities.

Discrimination in health care services violates the right to health care and the human rights principles of equity, privacy and dignity, said the United Nation’s special rapporteur on the right to health, Dr. Tlaleng Mofokeng.

Mofokeng held a workshop last weekend in Windhoek where she trained health care practitioners and young people about the role of health care in human rights.

There are many opportunities in which health care workers “can take a seat at the table,” she said. “Not just in policymaking, but importantly in advocacy … also in understanding human rights.”

The executive director of Namibia’s Ministry of Health, Ben Nangombe, said that discrimination in health care based on sexual orientation is against the law and that practitioners who refuse health care to patients for any reason can lose their jobs.

“The official position [of the] government on this matter is that the Namibian government provides health care services to all Namibians who need it without any discrimination whatsoever,” he said.

One theme from last weekend’s workshop was the need for nurses to become agents of change and advocates for their patients.

Letlhogonolo Mokgoroane, a legal practitioner and health rights activist from South Africa who co-facilitated the workshop, said members of sexual minority groups in Africa often face intrusive questioning when they seek medical care.

“Let’s say you are going to a hospital or a clinic for a broken arm or a headache, some tummy ache, whatever,” Mokgoroane said. “What often happens is when you are trans or when you are gender nonconforming or when you are a member of the LGBTI community, immediately what happens is that the questions veer away from why you are actually there to really invasive and discriminatory questions, right? ‘I have a headache, why are you asking me about my sex life? … I have a headache, why are you asking me about my genitalia?’”

Mokgoroane said the issue can be addressed by training health care workers to affirm the gender of their patients when they treat them.

However, Mokgoroane expressed worry that the rise of anti-LGBTQ+ laws in Africa will further drive discriminatory practices in the health care system and undermine public health altogether.
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