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The power of queer community: When aid is cut, we don’t disappear. We organize

US funding withdrawal has had global impact

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HIV/AIDS activists place Black Styrofoam coffins in front of the State Department on April 17, 2025. (Washington Blade photo by Michael Key)

The global LGBTIQ+ movement is being systematically undermined, not just by eroding legal protections and escalating political harassment, but by the sudden withdrawal of vital funding. What began in the U.S. as a flurry of policy changes under Donald Trump has become a global flood of cuts, bans, and deliberate dehumanization. This week in Nairobi, prominent ultra-conservative campaigners from around the world, who are against abortion, transgender and LGBTIQ+ rights, and sexuality education, are speaking at the Pan-African Conference on Family Values.

Grassroots organizations, which are the backbone of queer survival and resistance around the world, are struggling to stay afloat. The global funding squeeze will and has already started to directly impact frontline organizations, forcing them to scale back, shut down programs, or close entirely.  

In South Africa, support groups have slashed services due to the sudden disappearance of U.S. aid. In Mali, new laws criminalize LGBTIQ+ identities altogether. These regressions are not organic, they are engineered as American evangelicals continue to export anti-LGBTIQ+ ideologies across Africa. 

In Europe, trans rights are being rolled back under the guise of biological essentialism, most recently validated by the U.K. Supreme Court’s ruling to exclude trans women from the legal definition of “woman.” In Hungary, LGBTIQ+ events have been constitutionally banned. 

In the U.S., Trump is once again weaponizing his platform to push bans on gender-affirming care for minors and cut LGBTIQ+ research funding, all under the banner of “protecting children.” Elon Musk, once a corporate ally for LGBTIQ+ rights, now echoes far-right voices and launches transphobic tirades in tandem with personal attacks against his own daughter. 

This is a coordinated, well-funded, and transnational anti-rights campaign to strip queer people of rights, dignity, and resources. At Hivos, we see this backlash as a call to deepen our commitment to centering queer voices, challenging harmful narratives with data and lived experiences, and working to strengthen the LGBTIQ+ movement globally. 

We cannot fight this movement with performative IDAHOBIT posts on social media alone. We need action, international solidarity, and a recommitment to protecting queer lives.

What’s at stake? 

This isn’t about identity politics. It’s about survival.

When the USAID funding freeze came into effect in early 2025, the Hivos-led EU SEE network conducted a survey on the impact of the freeze on civil society organizations around the world. Most surveyed organizations are reducing staff, scaling down programs, or reallocating budgets

Outright International had to cut more than 120 grants to LGBTIQ+ organizations in 42 countries following U.S. aid freezes with devastating consequences: Lost access to trauma care for survivors of gender-based violence, the dismantling of HIV prevention networks, and increased discrimination, arrests, and violence. Outright International is only one of many organizations that have had to cut grants and funding.

Grassroots mutual aid groups in East Africa, working with minimal resources, have pioneered radical community models by providing housing, legal aid, and emergency support in the absence of government protection. These groups don’t just serve communities; they are the communities. Their defunding is not only cruel; it is a death sentence for countless individuals.

Economic justice and LGBTIQ+ liberation

Justice isn’t just legal, it’s economic. In most contemporary societies, justice is also closely tied to economic power. Around the world, LGBTIQ+ people face disproportionate levels of poverty, unemployment, housing insecurity, and workplace discrimination. Economic inclusion shouldn’t be an afterthought to queer rights around the world – it is foundational to their survival and dignity. 

And yet, reports from Outright International, the Williams Institute, and the World Bank affirm that LGBTIQ+ economic inclusion benefits society as a whole. When the queer community is excluded, the human and financial costs are steep. The economic marginalization of LGBTIQ+ people lowers GDP, deepens inequality, and entrenches cycles of sexual and gender-based violence. So we also need systemic change that includes LGBTIQ+ people in broader economic opportunities — from education to employment and entrepreneurship opportunities. 

There are strategies to bring LGBTIQ+ inclusion to the forefront. At Hivos, through the Free to be Me program, we have seen successes in LGBTIQ+ economic inclusion from the establishment of the Queer and Allied Chamber of Commerce of Africa to our partners in the Philippines successfully supporting the Lapu-Lapu city council’s Anti-Discrimination Ordinance. Positive developments like these are just one part of creating safer social, political, and legal environments allowing LGBTIQ+ people to have equal access to resources, opportunities, and decision-making. 

What do we do now? 

If governments won’t lead, then LGBTIQ+ communities and our allies must.

  • Philanthropic foundations must step up. Some foundations have pledged to increase support, but the momentum pales in comparison to the urgency. Funding must be flexible, long-term, and led by community input.
  • Media and influential individuals must confront hate speech head-on. Political leaders like Donald Trump aren’t “debating” gender identity — they’re inciting division and violence. Do not let bigotry define the narrative. Bigotry is not a “debate” its incitement
  • Corporations must put money where their rainbows are. Pride-themed products without meaningful reinvestment into queer causes are nothing more than branding and pinkwashing. Corporations must ensure LGBTIQ+ employees are supported and protected.
  • Solidarity demands more than words, donating directly to grassroots organizations and mutual aid funds. Speak up. Pressure local leaders. Boycott non-inclusive organizations and corporations. Demand change.
  • Bring LGBTIQ+ voices into policymaking spaces. When the LGBTIQ+ community participates in the legislative process — and when advocates and organizations receive the funding they need to support long-term, transformative impact — the potential for positive change and inclusivity is endless.  

Continuing the fight from previous generations 

Queer communities have always faced adversity with grit, love, and radical imagination. But resilience is not infinite. Without funding, protection, and political will, resilience can end up in burnout. 

Let’s do more than celebrate the queer community — let’s mobilize. We can take inspiration from the 2024 protests in Peru against a law classifying transgender people and other LGBTIQ+ people as mentally ill, which succeeded in getting the law scrapped within a month. The future of LGBTIQ+ rights will not be decided in courtrooms or campaign rallies alone. It will also depend on whether we show up right now, with our money, our voices, and our actions. Because when aid is cut, we don’t disappear. We organize.

Susan Githaiga is a Pan-African, feminist and human rights defender grounded in the belief that none of us are free until all of us are free as inspired by Lilla Watson and collective Black feminist thought. As the Global Program Manager of Free to Be Me Hivos, she leads a transformative initiative across 12 countries in Africa, MENA, and Southeast Asia, partnering with over 160 LGBTIQ+ CSOs and movements to advance human and economic rights and resilience. A strategist, bridge-builder and movement weaver, Susan thrives at the intersection of advocacy and grassroots power. 

Susan Githaiga (Photo courtesy of Hivos International)
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Capitalism, patriarchy, and neocolonialism are repackaging the scramble for Africa

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(Photo by NASA)

The old scramble for Africa was about land, minerals, and control. The new scramble is cloaked in buzz phrases such as “promoting and protecting African family values,” “natural family,” and “defending the sanctity of the African family,” but it is driven by the same trio: capitalism, patriarchy, and neocolonialism. 

Across the African continent, violence against marginalized people, such as women, girls, and LGBTIQ+ people, is not just some unfortunate result of ignorance and intolerance. It is not a cultural misunderstanding. It is deliberate. It is precise. It is profitable. It is pro-hate legislation. It is ideologies. It is business and is being packaged, exported and sold under the glossy buzz phrases used by the same big global forces that have long treated Africa as an experimental lab, an extraction of resources and a playground with African lives. If we zoom out far enough to what looks like moral panic is actually a business model where patriarchy meets capitalism galvanized with extreme religious ideologies, leaving that familiar colonial aftertaste. 

Can ‘Ubuntu’ counter hate?

The anti-rights and anti-gender movement is sweeping rapidly across Africa on a mission to cement hate within African communities, thus making our nations and governments their experimental lab, as mentioned earlier. But we all know that hate is inherently un-African. It does not originate from Africa. It was exported onto our African soil through colonialism, patriarchy, and capitalism.  

When I say that hate is un-African, this is not to claim that our communities — pre and post colonialism — were utopias. It really is to push back against the idea that supporting and protecting marginalized groups is foreign, and that rejecting them is somehow essential to preserving African culture. Protecting and empowering groups such as women and LGBTIQ+ destabilises the pillars of patriarchy and threatens capitalism, as there would be no market to sell refurbished colonialism. 

Africa is not immune to hate, but it is the result of intolerance and inequality that is being imported. Africa has long been a place of respecting diversity, and professor Sylvia Tamale describes it best in “Exploring the Contours of African Sexualities: Religion, Law and Power,” by alluding that “plurality is simultaneously the boon and the bane of Africa. The cultural diversity and richness found between and within the continent’s religious and cultural communities lend to its versatility and beauty.” Tamale reminds us that African diversity enriches and offers multiple intersectional ways of being, navigating the world, and living in community grounded in compassion and humanity — “Ubuntu!” 

In their article “Understanding Ubuntu and Its Contribution to Social Work Education in Africa and Other Regions of the World”, Mugumbate et al. explore the African philosophy of “Ubuntu” and its relevance to social work education. In taking lessons from their article, “Ubuntu” emphazises interconnectedness, compassion, and communal responsibility. The authors argue that integrating “Ubuntu” can be a weapon used to counter imported hate theories and practices. In our current climate, where anti-rights and anti-gender sentiments are gaining traction across Africa, the principles of “Ubuntu” are more pertinent than ever. It serves as a reminder of the importance of community and shared humanity, advocating for inclusive practices that uphold human rights and dignity for all individuals regardless of their social status, gender identity or sexual orientation.

In all honesty, there is money in hate and exclusion. This is evident in the anti-rights and anti-gender U.S. and European religious conservative organisations’ funding of anti-rights legislation, to supporting conferences where “protecting African values” is code for keeping white supremacy, protecting patriarchy and keeping colonial control. “We see a kind of investment that pays off in political influence and dominance. But who is really in control? African leaders or global north anti-rights and anti-gender groups?”

Anti-rights and anti-gender conservative groups, such as Family Watch International, La Manif Pour Tous and Alliance Defending Freedom have been linked to supporting laws that criminalize LGBTIQ+ identities, strengthening platforms that silence women and girls and manipulate African politicians, Presidents and first ladies who are eager for power, votes and validation. It is colonialism in high definition, backed by capitalism and masked as African traditional values. It is no different from Europe’s scramble for Africa in the 19th century, but this time, they are after our minds, bodies, rights and democracy. 

These are not random acts, they are coordinated crackdowns on humanity. From Uganda’s Anti-Homosexuality Act to Ghana’s Human Sexual Rights and Family Values Bill to Namibia’s amended Marriage Act, we are seeing regressive legislation that is cut from the same hate cloth. Across Southern Africa, from Tanzania, Namibia, Malawi to Zambia, LGBTIQ+ people are being harassed, arrested, or killed. While human rights instruments, such as the Maputo Protocol, which protects women’s rights and bodily autonomy, have come under massive scrutiny by Family Watch International, possibly leaving the rights of women and girls at the mercy of these groups. What is even more saddening is that one can see African leaders mimicking hate sentiments that are being pushed by the global north’s anti-rights and anti-gender groups. “Do our leaders know that these hate groups are controlling them?” Some African leaders have adopted rhetoric that portrays women’s autonomy and LGBTIQ+ people as a threat to national identity and traditional values. But these sentiments are not rooted in African customs but are instead borrowed and repackaged from the anti-rights and anti-gender books. 

The 2025 anti-rights and anti-gender Africa tour

If you thought the colonial era was over, think again. Between May and October 2025, Africa is hosting a series of anti-rights and anti-gender convenings that are supported by US and European conservatives.

From May 9-11, the Ugandan parliament hosted the third Inter-Parliamentary Conference, which was supported by conservatives pushing the controversial African Charter on Family Values. The conference was attended by 29 African MPs, including the deputy speaker of the National Assembly of Zimbabwe. The second Pan-African Conference on Family Values, which was held in Kenya from May 12-17, convened African political leaders, policymakers, and religious leaders. The Africa Christian Professionals Forum organized the conference under the theme “Promoting and Protecting Family Values in Africa.” Attendees included representatives from the Supreme Court of Kenya.

In June 2025, Sierra Leone will host the seventh edition of the Strengthening Families Conference, an event endorsed by the first lady of Sierra Leone. Notable attendees include leaders from Cote d’Ivoire, Congo, Ghana, Gambia, Kenya, Mali, Nigeria, and Senegal. The African Advocates Conference in Rwanda, funded by the U.S.-based Alliance Defending Freedom International, will take place from Aug. 12-17. Think of them as lawyers for oppression. The conference will host delegates from 43 African countries, including government officials, judges, academics, lawyers, and students. Advocates Africa has members from Angola, Botswana, Eswatini, Lesotho, Malawi, Namibia, South Africa, Zambia, and Zimbabwe. Finally, from Oct. 19-23, 2025, Ghana will host the Africa Bar Association Conference, a platform that pushes anti-feminist, anti-rights, and anti-gender narratives, under the guise of debating foreign interference.

These are not African-led spaces, they are U.S.- and European-led laboratories for exporting hate and mayhem. A global machine fueled by capitalism, patriarchy, and neocolonialism.

This article is part of the Southern Africa Litigation’s campaign around addressing hate speech, misinformation, and disinformation. #StopTheHate #TruthMatters

Bradley Fortuin is a consultant at the Southern Africa Litigation Center and a social justice activist.

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I interviewed Biden in late 2024 and he was attentive, engaged

CNN narrative about former president’s mental state is unfair, exaggerated

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President Joe Biden speaks with White House correspondent Christopher Kane in the Oval Office on Sept. 12, 2024. (Washington Blade photo by Michael Key)

In the weeks since Jake Tapper and Alex Thompson’s “Original Sin” came out, there has been so much speculation about Joe Biden’s cognitive health that feels so pointlessly retrospective to me, or conveniently certain — even though I wouldn’t say I disagree fundamentally with what seems to have emerged as the consensus view.

Writing in POLITICO, James Kirchick took the Beltway reporters to task for what he argued was their (our) failure to investigate and cover the “truth” about the president’s mental acuity, as if the truth were a simple binary (is he okay?) and as if the answer was as evident at the time as it now appears with the benefit of hindsight.

“Lack of access is no excuse,” he wrote. I happen to disagree: Not only is that an excuse but it’s also a perfectly serviceable explanation.

We can report only what we know, and we can know only what we can observe with our own eyes and ears. If you happened to catch a White House press briefing in 2023 or 2024, there’s a pretty good chance you heard difficult questions about Biden’s health. When we don’t have much time with the president, we rely on the testimony of those in his inner circle who did.

And at this point I become agnostic on the question of whether there was a coverup by those closest to him or an effort to obfuscate the truth. Because even now the reality looks murky to me, and I was fortunate enough to spend more time with Biden than many of my colleagues near the end of his tenure in the White House.

As many of our readers will know, in September 2024 I had the great privilege of interviewing the president one on one across the Resolute Desk in the Oval Office.

Biden was as attentive and engaged as anyone I’ve spoken with. When I reflect on the experience, I remember how blue his eyes looked and how electrifying it felt to have his gaze and focus fixed on me.

Part of that is charm and charisma, but I also think he took very seriously the opportunity to talk about his legacy of helping to advance the equality of queer people in America. He wanted to be there. He spoke clearly and from the heart.

The president came with a binder of talking points prepared by the press secretary and the communications director, but he barely glanced at the notes and needed assistance from his top aides only very briefly — on two moments when he stumbled over the name of the Heritage Foundation’s Project 2025 (specifically the “2025” part) and Karine Jean-Pierre spoke up to help him.

On the one hand, Project 2025 was a critical part of the messaging strategy of his and then his vice president’s 2024 campaign, and our conversation came at the tail end of the election cycle last year. On the other hand, considering the totality of my experience talking with Biden, looking back it doesn’t seem like those lapses were that big of a deal.

I guess what I am ultimately trying to say is this: I think we should extend some grace to the former president and those closest to him, and we should also have some humility because a lot of these questions about Biden’s cognitive health are unclear, unsettled, and even to some extent unknowable.

And another thing. I am grateful for the opportunity to interview him, for his years of public service, and for his unwavering defense of my community and commitment to making our lives better, safer, richer, healthier, happier. I pray for his recovery such that these words might come to describe not only his legacy in public life, but also his years beyond it. 


Christopher Kane is the Blade’s White House correspondent. Reach him at [email protected].

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LGBTQ health equity must not be abandoned

Beneath the glitter of Pride there is a simmering fear

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(Image by vladm/Bigstock)

Pride month feels different this year. There is a simmering fear beneath all the glitter. Of course, Pride has always been a festivity interwoven with a certain amount of unease. Our rainbow parades were forged from protest marches, demonstrations that erupted from a community under the searing fire of violence and humiliation. Accordingly, our rhinestone costumes and glimmering disco balls have always held an element of precarity, though that edge may have felt less present recently. Nevertheless, Pride is a holiday in active conversation with our communities’ place in society. At once, it is a moment of radical celebration while also an act of resolute defiance. 

However, Pride month feels different this year because that conversation has shifted. The discourse around our communities carries a renewed threat of violence: systemic, political, and physical. In just six months since the inauguration, the Trump administration has worked swiftly to strip protections from LGBTQ+ communities, erase our histories, and demonize us in the public imagination. The vitriol that Trump and his lackeys have spewed against the trans community specifically is completely baseless and profoundly dangerous. Although our communities have long weathered such abuse, the return of such bigoted ideology at the highest levels of power is alarming, to say the least. 

One of the key ways Trump has attacked LGBTQ+ communities is by targeting our access to healthcare. While healthcare is essential for anyone, for LGBTQ+ people, it can mean life or death. Our medical needs are unique and complex, often compounded by intersecting identities of race, ethnicity, gender, and sexual orientation. Denying us affirming, equitable care is not just negligent, it’s dangerous. By enacting barriers to gender affirming care, slashing tens of millions of dollars in grants for LGBTQ+ medical research, and stripping away essential protections, the current federal administration is carrying out a calculated assault with catastrophic consequences.

As a queer, nonbinary person and practicing psychiatrist, I have an intimate, visceral understanding of these issues. Even before Trump ever set foot in the Oval Office, the medical disparities affecting my LGBTQ+ friends, colleagues, and patients were obvious to me. As a young medical student in Indiana, I quickly became aware of the substantial gaps in access to healthcare for LGBTQ+ communities. At a base level, there is already significant distrust between LGBTQ+ patients and their providers, stemming from a long history of mistreatment and, in many cases, outright gaslighting, abuse, and trauma. This distrust can prevent patients from seeking care, and even when they do, providers often lack the training to deliver the affirming care they need. 

This lack of equitable and affirming healthcare led me to found OutCare Health. OutCare started with a carefully curated list of medical professionals with the knowledge, training, and experience to provide LGBTQ+ people with the care they desperately need and deserve. That list has since blossomed to more than 6,000 providers and has become a vital resource for LGBTQ+ communities, their families, and allies. Over the last decade, our grassroots efforts have grown into a national force, and our programming has expanded to include health equity training, care navigation, and public education. That early momentum gave me hope that we were making headway in the fight to ensure that LGBTQ+ communities have access to the care they deserve. 

However, with the return of Trump to the White House, it feels like everything has changed. We endured his first administration, bolstered by what felt like a nationwide resistance to his presidency, but this time, something is different. Instead of resistance, the air feels thick with despair, lulling the country into a doleful acceptance of our fate. Moreover, there is a pervasive sense of fear. Some providers have asked to have their names removed from our OutList of affirming providers, not out of a desire to stop helping our community, but out of a legitimate fear of retribution, professional retaliation, and even their own safety. This is a request I completely understand. There is nothing wrong with protecting yourself, your livelihood, and your family, but the need to do so speaks volumes about the political climate in which we find ourselves. 

What has been truly demoralizing has been the behavior of the healthcare field at large. The willingness to grovel to the unscientific, harmful, and ignorant policies of the Trump administration is not just disappointing, it’s disgraceful. Even more disturbing is the speed and enthusiasm with which some health systems and organizations have preemptively distanced themselves from LGBTQ+ equity work, as if racing to prove their compliance with regressive ideology. Many of our past partners have vanished, most without a last goodbye. To those outside our communities, this quiet retreat from providing life-saving care to those of us who are being vilified may seem unfortunate yet pragmatic. But let me be clear: if you abandon your values in moments of inconvenience, you never really held them in the first place. 

Nevertheless, I do not believe we can resign ourselves to walking despondently into the future being laid out for us. Although we are seeing an attempt to systematically dismantle many of the structures that we have put in place to help ensure health equity for LGBTQ+ communities, it is worth remembering that it was we who built those structures. Fifty or even 25 years ago, we had so much less than we do now, even after these attacks. Today, we have life-saving medications and therapies that we used to only dream of. We have networks and coalitions with deep knowledge and formidable strength. They may force us to take a step backward, but they cannot and will not make us turn around. 

Most importantly, we have each other, and we have the wisdom of those who came before to guide us. From the Stonewall Riots to seizing control of the FDA, the LGBTQ+ community has shown a staunch resilience and strength of spirit that has always been one of our greatest assets. Although we are a broad and diverse banner and may not always agree, we must remember that our sense of community and our ability to organize are what have gotten us where we are today. We must stand shoulder to shoulder, hand in hand. The echoes of our footsteps drumming the streets can cause even the most unyielding enemy to cower. These are lessons we cannot afford to forget. Our survival depends on it. 

So yes, Pride month does feel different this year. There is indeed a simmering fear beneath the glitter, but deeper than that fear, more enduring and infinitely stronger, there is grit—grit forged in fire and defiance. We are vibrant, colorful, and unapologetically queer, but do not mistake our joy for weakness. We’re loud, we’re resilient, and we’re holding the damn line. 

In this spirit, let me make one thing abundantly clear: OutCare Health is not going anywhere. When I founded this organization 10 years ago, I knew it wouldn’t be easy, but I didn’t do it because it would be easy. I did it because it was necessary. Because it was right. Because it was my life. Your life. Our lives. We will not back down, and we will not be erased. We will continue to uplift our communities and fight for truth, equity, and democracy—no matter what the bigots throw at us. 

To my OutCare family and all LGBTQ+ families, know that we are here for you, and we will not stop. To our allies, now is the time to show up—loudly, proudly, and relentlessly. To those who fear our freedom, despise our joy, and resent our very existence: our glitter may catch your eye, but don’t underestimate the strength burning beneath it. We will not break. We will not be silent. We’re not going anywhere. 

Happy Pride!


Dustin Nowaskie, MD is founder and chief medical officer of OutCare Health.

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