Senegal: Rising homophobia drives patients away from HIV care and prevention services

Senegal’s LGBTQ+ community lives in fear as fight against AIDS faces setback

The country has regularly seen homophobic protest fueling assaults and public denunciations. Within this climate, organizations working to fight HIV worry that individuals will turn away from vital care and prevention services.
On February 20, Ousmane gathered a few belongings and fled his home. “Since then,” the Senegalese man said, speaking under a pseudonym, “I’ve been living in hiding, in a city I can’t name. I’m petrified. People in my neighborhood found out things about my life. They know I’m gay.” If word spreads, the man in his 30s went on, “I risk being beaten and arrested, or arrested and then beaten. I don’t see any solution other than leaving for another country as soon as I can.”
Denunciations, extortion and assaults: Over the past several weeks, people who are gay or who are suspected of being gay have faced a surge of hostility across Senegal, a country that has already been marked by regular homophobic mobilizations over the past decade.
Violence against LGBTQ+ people has escalated dramatically following the arrests in February of 14 suspected members of a pedocriminal ring targeting young boys; two days earlier, 12 men, including local media figures, were accused of homosexuality. The two cases are entirely unrelated.
Several media outlets, relying on evidence gathered by police, published the HIV status of some defendants in both cases, fueling “the conflation, already present at times in Senegal, between homosexuality and pedophilia, homosexuality and HIV positivity,” said Marane Kane, a French-Senegalese consultant and a specialist in gender issues based in France. “Since then, there has been a surge in reports of assaults, and people are living in hiding,” she stressed.

Calls for hatred

According to Free Sénégal, a support network for LGBTQ+ people, about 30 arrests have taken place since then in Dakar, Touba and Saint-Louis. “I’m afraid of everyone’s gaze. I feel like I could be denounced at any moment. I don’t eat, I don’t sleep,” explained a young man.
Prime Minister Ousmane Sonko responded to the media frenzy and, reiterating a promise made three years ago, announced on Tuesday, February 24, that he had submitted a bill to toughen sentences targeting “acts against nature” – a term that includes same-sex relations – raising the penalty to five to 10 years in prison, up from the current one to five years. The move was hailed by Mame Mactar Gueye, the influential leader of the Islamic NGO Jamra, which campaigns for the criminalization of homosexuality; his supporters, meanwhile, are demanding even harsher repression.
On TikTok and on Facebook, in videos viewed hundreds of thousands of times, influencers, including some based in Europe, have hurled condemnations at both ordinary citizens and public figures. The well-known actor Sanekh, star of the hit series Bété Bété, has been targeted. And Elimane Ndao, the Senegal correspondent for the French television channel France 24, has filed a complaint for similar reasons. To avoid being singled out, some people have even started posting proof of their HIV-negative status on social media.
Encouraged by these calls for hatred, assaults have multiplied, often taking the form of carefully planned ambushes. “He doesn’t want to talk to you, he’s too scared. I’ll tell his story for him,” said a Senegalese man living in France, describing a friend in Senegal. “He was chatting with a man on a dating app. They agreed to meet. It was a trap. He was threatened with a knife and had to hand over money to get away. Things like this happen all the time.”
The situation is alarming human rights advocates. “Gay people have become scapegoats for society. There’s the conflation with pedophilia, conspiracy theories painting them as Trojan horses for Western values, to the detriment of all local knowledge… Everything that goes wrong is blamed on them,” explained Kane. “Meanwhile, real issues like sexual violence against children are forgotten. People think they’ve done enough by cracking down on homosexuality.”

‘There’s nothing left to do but flee’

This pressure has organizations that work to fight AIDS worried that people will turn away from care and prevention services. Senegal has managed to keep HIV prevalence low (0.5% of the population in 2020). “We’re already seeing a drop in consultations. Many patients are skipping appointments, and the few who dare to come hide their identities,” said Safiatou Thiam, the executive secretary of the National Council for the Fight Against AIDS in Senegal.
After the disclosure of some citizens’ HIV status, panicked patients have asked health centers to erase their records. As for the network of community outreach workers serving at-risk populations, it has collapsed; outreach staff no longer dare ask about people’s health or try to promote prevention among a group facing such intense stigma.
In his address, Sonko insisted on the ban on sharing people’s health status. He also emphasized that the prison sentences in his bill for “promoting” so-called “acts against nature” – a provision targeting NGOs and advocacy groups that might defend the rights of gay people – should not prevent the health system from continuing its work on AIDS prevention. According to health professionals, they discreetly reached out to the government as soon as rumors emerged of a possible bill imposing harsher penalties for homosexuality.
“We can’t live in our country anymore. It’s too dangerous, there’s nothing left to do but flee,” said a young man in his 30s, his voice breaking with sobs, who spent all his savings to escape Senegal for Europe five months ago. “I can’t imagine a gay person seeking medical care in this climate.”
As for Gueye, he is showing no sign of ending his campaign. After thanking “all the TikTokers, valiant defenders of our cause,” he recently announced his intention to “tackle the scourge of lesbianism.”