In Lagos, Nigeria, the journey to a doctor’s clinic can be a distressing experience for LGBTQ+ individuals, where seeking medical care can lead to discrimination and even deter people from addressing their health issues, particularly those related to sexual health. Homosexual acts in the country carry a severe penalty of up to 14 years of imprisonment, and in regions adhering to sharia law, the consequences can be even more severe, as seen in the recent death-by-stoning sentence for three men engaged in homosexual acts.
Adeyinka Shittu, a healthcare professional specializing in sexual health issues, acknowledges that the discrimination faced by LGBTQ+ individuals often stems from misinformation and a lack of understanding. This, coupled with widespread homophobia, means healthcare professionals are often inadequately trained to address the unique health needs of the LGBTQ+ community.
Unfortunately, the lack of health awareness campaigns contributes to LGBTQ+ individuals feeling ashamed to seek help in medical clinics, leading some to resort to potentially harmful “cures” purchased online or from unqualified underground practitioners. Transgender and non-binary people, who face even greater obstacles, lack access to gender-affirming healthcare and psychological therapy.
Despite the prevailing stigma, there are glimpses of growing acceptance in the country. A 2019 poll by the Initiative for Equal Rights (TIERs) found that 60% of Nigerians would not reject an LGBTQ+ family member, marking progress from 83% in 2017. However, this improved acceptance is yet to translate into a comprehensive understanding of the community’s health needs, leaving many LGBTQ+ individuals unaware of available treatments.
To address this issue, Ugochukwutuberem Nnamdi, a sexual health activist, emphasizes the importance of education campaigns to empower LGBTQ+ individuals to overcome their fear of discrimination and seek appropriate healthcare, including pre-exposure prophylaxis (PrEP) medication for HIV prevention. Sensitization programs and training for health workers are also advocated by rights campaigners to eliminate discrimination and offensive language faced by LGBTQ+ patients.
In their pursuit of equal healthcare access, LGBTQ+ groups have formed partnerships with medical centers that offer gender-affirming care for transgender individuals. These alliances aim to build understanding and ensure better access to necessary care. However, for Matthew Blaise, an activist from the Obodo Nigeria rights group, true equality in healthcare access can only be achieved if the country’s laws against same-sex relationships are abolished.
As Nigeria grapples with its stance on LGBTQ+ rights, it is essential to prioritize education, sensitivity training, and advocacy for equitable healthcare access for all citizens, regardless of their sexual orientation or gender identity. By breaking down these barriers, the nation can work towards a more inclusive and compassionate healthcare system for everyone.