In Uganda, homophobia is a harsh reality for LGBTI people (lesbian, gay, bisexual, transgender and intersexual). Since 2009, the country has tried several times to tighten its legislation against homosexuality. Recent parliamentary debates have reinforced an already deeply rooted intolerance, fuelled by certain evangelical missions and spread by some media. Because of real or perceived homophobia among caregivers, LGBTI people are often afraid of using health services, particularly sexual and reproductive health care. The impact on their health is significant, especially for men who have sex with men and transgender people. Thus, HIV prevalence is close to 14% amongst homosexuals in the capital Kampala.
In Kampala, Doctors of the World supports the work of MARPI (Most At-Risk Populations Initiative) in Mulago Hospital, which offers services to key groups; gay, transgender people, sex workers, etc.. Sexual and reproductive health services are adapted to their needs and constraints. Following initial training, Doctors of the World provided support to MARPI practitioners in the detection and treatment of sexually transmitted infections such as anal condylomas.