The U.S. Government and Global LGBT Health: Opportunities and Challenges in the Current Era

U.S. Global Health Assistance, FY 2013, by Program Area & Presence of Anti-LGBT Laws by Country

Country Criminalizes Homosexuality Country TotalU.S. Global Health Assistance PEPFAR (HIV)
(26)
TB
(15)
 Malaria
(17)
MNCH
(23)
FPRH
(21)
Nutrition
(15)
Water
(21)
Yes Afghanistan 169,937,000 250,000 8,000,000 101,100,000 21,700,000 2,310,000 36,577,000
Yes Angola 49,557,000 15,691,000 28,548,000 1,312,000 4,006,000
Armenia 2,868,000 1,425,000 200,000 761,000 482,000
Yes Bangladesh 96,883,000 1,000,000 13,008,000 28,547,000 26,644,000 24,406,000 3,278,000
Benin 23,466,000 16,653,000 3,806,000 3,007,000
Yes Botswana 61,294,000 61,294,000
Brazil 1,081,000 1,081,000
Burkina Faso 11,571,000 9,421,000 2,150,000
Yes Burma 20,848,000 10,000,000 1,427,000 6,566,000 2,855,000
Yes Burundi 40,100,000 18,860,000 9,229,000 2,004,000 3,007,000 7,000,000
Cambodia 37,914,000 13,745,000 6,185,000 3,997,000 7,018,000 5,005,000 1,009,000 955,000
Yes Cameroon 25,325,000 25,325,000
Chad 500,000 250,000 250,000
China 2,977,000 2,977,000
Cote d’Ivoire 135,269,000 135,269,000
DRC 166,018,000 48,733,000 13,008,000 41,869,000 34,354,000 16,177,000 3,808,000 8,069,000
Djibouti 1,800,000 1,800,000
Dominican Republic 13,824,000 12,872,000 952,000
Yes Egypt 2,893,000 2,893,000
Yes Ethiopia 329,754,000 181,698,000 13,008,000 43,773,000 37,111,000 30,450,000 13,204,000 10,510,000
Georgia 3,664,000 1,430,000 804,000 1,430,000
Yes Ghana 73,014,000 12,170,000 28,547,000 8,003,000 13,008,000 6,509,000 4,777,000
Guatemala 26,846,000 5,710,000 6,566,000 14,570,000
Yes Guinea 17,880,000 12,370,000 2,503,000 3,007,000
Yes Guyana 8,866,000 8,866,000
Haiti 162,882,000 129,865,000 14,007,000 9,002,000 10,008,000
Honduras 3,578,000 2,151,000 1,427,000
Yes India 77,560,000 26,650,000 9,992,000 19,032,000 21,886,000
Indonesia 48,924,000 8,000,000 13,512,000 20,002,000 7,410,000
Jordan 49,000,000 10,000,000 15,000,000 24,000,000
Kazakhstan 2,234,000 2,234,000
Yes Kenya 356,030,000 269,585,000 4,501,000 34,257,000 11,419,000 25,140,000 3,007,000 8,121,000
Kyrgyz Republic 4,282,000 4,282,000
Yes Lebanon 11,993,000 11,993,000
Lesotho 26,165,000 26,165,000
Yes Liberia 53,932,000 3,500,000 12,370,000 13,038,000 7,004,000 4,000,000 14,020,000
Madagascar 52,930,000 26,026,000 9,982,000 14,007,000 1,375,000 1,540,000
Yes Malawi 138,657,000 73,513,000 1,504,000 24,075,000 15,804,000 12,704,000 9,146,000 1,911,000
Yes Maldives 955,000 955,000
Mali 64,241,000 4,352,000 25,008,000 13,655,000 11,010,000 4,006,000 6,210,000
Yes Mozambique 273,804,000 207,212,000 5,006,000 29,023,000 12,085,000 12,846,000 5,005,000 2,627,000
Yes Namibia 77,877,000 77,877,000
Nepal 40,489,000 3,001,000 15,501,000 13,893,000 6,661,000 1,433,000
Niger 4,200,000 1,750,000 700,000 1,750,000
Yes* Nigeria 625,974,000 455,746,000 13,008,000 73,271,000 45,676,000 33,496,000 4,777,000
Yes Pakistan 31,349,000 17,500,000 12,500,000 1,349,000
Yes Papua New Guinea 4,853,000 4,853,000
Philippines 36,632,000 12,304,000 2,502,000 18,004,000 3,822,000
Rwanda 136,694,000 92,100,000 18,004,000 9,016,000 12,370,000 3,007,000 2,197,000
Yes Senegal 64,416,000 4,538,000 24,123,000 8,469,000 14,654,000 4,511,000 8,121,000
Yes Sierra Leone 5,500,000 500,000 2,500,000 2,500,000
Yes* Somalia 1,911,000 1,911,000
South Africa 489,576,000 477,335,000 12,009,000 232,000
Yes South Sudan 64,371,000 16,349,000 1,503,000 6,947,000 20,078,000 8,003,000 11,491,000
Yes Swaziland 26,054,000 26,054,000
Tajikistan 7,500,000 3,475,000 2,008,000 1,008,000 1,009,000
Yes Tanzania 443,442,000 340,670,000 4,501,000 46,056,000 12,622,000 25,702,000 7,203,000 6,688,000
Thailand 1,000,000 1,000,000
Timor-Leste 2,013,000 1,004,000 1,009,000
Yes Uganda 409,244,000 316,140,000 5,005,000 33,781,000 12,416,000 26,549,000 11,054,000 4,299,000
Ukraine 29,587,000 24,363,000 4,006,000 1,218,000
Yes Uzbekistan 3,045,000 3,045,000
Vietnam 65,676,000 65,676,000
West Bank & Gaza 1,929,000 1,929,000
Yes* Yemen 11,689,000 5,490,000 2,855,000 3,344,000
Yes Zambia 363,207,000 301,461,000 4,501,000 24,027,000 11,826,000 13,008,000 3,607,000 4,777,000
Yes Zimbabwe 123,121,000 88,355,000 6,005,000 15,035,000 3,530,000 2,008,000 7,564,000 766,000
Total 67 countries $5,722,807,000 3,596,491,000 167,884,000 592,976,000 549,342,000 451,071,000 159,579,000 205,464,000
Subtotal (w/laws) 34 countries $4,065,977,000 2,548,157,000 94,014,000 451,998,000 394,920,000 320,177,000 111,026,000 145,185,000

NOTES: *Imposes the death penalty (in Nigeria, this applies to 12 northern states). Represents FY 2013 enacted amounts. Does not include additional funding that may be provided to individual countries through regional programs, or funding for “other” global health of $10,489,000 that was provided to Afghanistan in 2013.
SOURCES: KFF analysis of data from www.foreignassistance.gov; IGLA, State-Sponsored Homophobia, 2013; State Department, Country Reports on Human Rights Practices for 2013.

Conclusion

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