9 August 2025
Opinion: Global funding cuts are threatening the survival of LGBTQ+ health centres in Botswana—putting lives, safety, and progress at risk.
Botswana only legalised consensual same sex conduct in 2019, sogrowing up as an openly gay manwas tough, and I experienced numerous setbacks. When I was 25 years old, my uncle discovered a photo of me putting on makeup and dreadlocks. He took it from my social media and shared it with my mother. After that, my mum didn’t speak to me for a year.
I was finally able to be myself when I went to university, which is where I became an activist. I learnt vast amounts about LGBTQ+ people’s rights, and I discovered the incredible LGBTQ+ centres in Botswana’s capital, Gaborone.
The centres soon became a haven for me and LGBTQ+ people throughout Botswana. With the support from organisations across the country, they have offered legal advice, therapy support for individuals and families, and provided contraceptives and drugs to prevent and treat HIV.
Whenever I’ve gone to a public medical centre for support, I have felt judged because of my sexuality, and I know many others feel the same, too. By comparison, these LGBTQ+ centres make us feel safe and supported.
Ten years on, I still use these centres for medicines that can prevent HIV spread, like PEP and PrEP, and it’s where I get tested regularly.
Although things are changing, it is still a challenge to be a gay man in Botswana. We have a long way to go in terms of mobilising the wider community to accept LGBTQ+ people. It’s incredible how these centres directly serve and influence societal norms, leading to a greater acceptance of us. Now, we can celebrate our identities at Pride events, which usually take place in October.
Despite the progress we’ve made as a country, these centres are now at enormous risk due to global funding cuts. Several employees who work for LGBTQ+ organisations have been terminated, and now access to these centres is dwindling.
There’s a shortage of condoms, and we can’t access psychosocial support anymore, which is devastating.
Families are disowning their loved ones for their sexuality. We have also experienced disruptions in critical services, leaving people without essential care and support. The transgender community is also suffering, as they cannot access their gender-affirming treatment, which otherwise comes at a considerable expense.
If this continues, these centres will close, and I worry that suicide rates will go up because of the lack of access to health care. Doctors and nurses won’t hear our plight. We desperately need more healthcare workers who understand our situation. I am calling on Botswana’s new government to ensure our needs are prioritised and that funds are distributed appropriately. Our healthcare system has to improve; otherwise, thousands of people’s lives will be put at risk. Countries such as the USA and the UK must also reconsider their funding cuts so we can continue with our work.
Thankfully, several organisations on our side have continually supported these centres in Botswana through legal advocacy and support. Amnesty International has also advocated on our behalf to create awareness of the harmful impact of laws criminalising various aspects of LGBTQ+ people. I want to see others follow suit and ensure our LGBTQ+ friendly centres survive.
We stand at a critical crossroads. The recent cuts to the HIV response by major donors have dealt a severe blow to our efforts to support the health, dignity, and rights of LGBTQ+ individuals.
These cuts threaten not only our programmes but also the lives and futures of those we serve. But let it be clear—we are not defeated. This moment calls for unity, innovation, and activism. We must come together to reassess, re-strategise, and amplify our voices.
We need to strengthen our networks. Going forward, we must build stronger coalitions among local centres, grassroots organisations, and activists. We need to explore alternative funding sources by engaging regional and international LGBTQ+ and health-focused donors. It’s time to examine community-led solutions by empowering communities to take initiative through peer education, volunteer-run programmes, and community health outreach.
We must boldly advocate for the restoration of funding and equitable health access. Most of all, though, we have to take care of each other. The emotional toll of this struggle is real. Let our centres remain safe spaces of love, resistance, and hope.
These fund cuts may slow us down, but they will not silence us. LGBTQ+ people in Botswana have always risen against the odds—and now, more than ever, we rise again. Our lives matter. Our health matters. Our voices will be heard.
Source: https://shorturl.at/SbF8b
