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REVIEW OF LEGAL AND POLICY REFORM ISSUES IMPENDING THE EFFECTIVE IMPLEMENTATION OF HIV AND OTHER HEALTH RELATED INTERVENTION FOR MEN WHO HAVE SEX WITH MEN AND OTHER SEXUAL MINORITY GROUPS IN MALAWI By JESSIE KABWILA KAPASULA PhD. CHANCELLOR COLLEGE BOX 280 ZOMBA FEBRUARY, 2012 CONTENTS Abbreviations and Acronyms iii Definition of key terms iv-vi Introduction, Background and Objectives of Study 1 Methodology 2 1.0 Legal Review 2 1.1 MSM 2 1.2 Sex Workers 6 1.3 The Prison Act 8 2.0 Policy Documents Review 10 2.1 THE MALAWI OVERTY REDUCTION STRATEGY 10 2.2 MALAWI NATIONAL HIV and AIDS POLICY 11 2.3 REPRODUCTIVE HEALTH POLICY 15 2.4 NATIONAL YOUTH POLICY 16 2.5Towards a Cultural Development Policy 17 3.0 Issues Impacting HIV/AIDS Interventions for Sexual Minorities 18 3.1 Is MSM and Homosexuality Malawian? – A Specialists Debate 18 3.2 From the Gay/Homosexual MSM Horse’s Mouth 22 3.3 Legal Issues 27 3.4 Policy Issues 29 4.0 MSM/Sex workers, HIV/AIDS Interventions, Malawi 31 – Stakeholder’s Views of Status Quo. 4.1 A View from Higher Education 31 4.2 EDUCAIDS 32 4.3 The View of District AIDS Coordinators 34 4.4 The view of a Human Rights Activist Lawyer 35 4.5 View of University, College HIV/AIDS Counsellors 36 4.6 View of the Clergy 37 5.0 Sex Workers, Victims of Malawi’s Double Patriarchy 38 5.1 From the Horses Mouth 39 6.0 Action Points 46 7.0 Conclusion 47 8.0 References 49 ii ABBREVIATIONS AND ACRONYMS AIDS ART ARV CBO DAC FBO KAP MBC MGDS MSM NAC NGO OI PEP PTA PLWA SADC SSM STI TBA TTC UNDP UNAIDS VCT WHO WSW Acquired Immune Deficiency Syndrome Antiretroviral Therapy Antiretroviral Community Based Organisation District Aids Coodinator Faith Based Organisation Knowledge, Attitudes and Practice Study Malawi Broadcasting Corporation Malawi Growth and Development Strategy Men who has sex with men National Aids Commission Non Government Organisation Opportunistic Infection Post Exposure Prophylaxis Parents and Teachers Association People Living With HIV/AIDS Southern Africa Development Community Same Sex Marriage Sexually Transmitted Infection Traditional Birth Attendants Teacher Training College United National Development Programme Joint United Nations Programme on HIV/AIDS Voluntary Counselling and Testing World Health Organisation Women who have sex with women iii DEFINITION OF KEY TERMS Gender Identity defines the gender by which a person identifies themselves, it refers to each person’s deely felt internal and individual experiences of gender: Cgendered is persons identify their gender as that given to them at birth. transgender persons identify their gender as different from that given to them at birth. Some say that they have a female brain trapped in a male body, or vice versa. Some identify with neither gender; some with both genders; some feel that they are disengaged from the concept of gender. Intersex is a term that refers to a person whose biological sec cannot be classified as clearly male or female. Some people do not identify as either exclusively female or exclusively male. This happens whether they are physically intersex or not. Sexuality refers to a central aspect of being human throughout life and encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction. Sexuality is experienced and expressed in thought, fantasies, desires, beliefs, attitudes, values, behaviours, practices, roles and relationships. While sexuality can include all the dimensions, not all of these are always experienced or expressed. Sexuality is influenced by the interaction of biological, psychological, social, economic, political, cultural, ethical, legal, historical, religious and spiritual factors. Sexual Orientation is a term that is embraced by some and rejected by others. It refers to emotional, romantic, sexual, affectional attraction and/or actual sexual behaviors. Sexual minority groups do not agree on the number, some say there are two sexual orientations whilst others give figures as high as thirty. The majority of lesbians, gays, bisexuals, intersexed and transsexuals have reached a consensus that there are three: heterosexuality, bisexuality and homosexuality. Homosexuality is a term that generally refers to same-gender sexual behaviour. When used by religious conservatives, it usually refers to (what one does). When used by the LGBTI community, therapists, etc. it generally refers to sexual orientation (what one is). A homosexual orientation means that one is attracted to members of the same sex and/or gender only. Gay means a homosexual person. This study uses the words interchangeably. Gay and homosexual generally refers to homosexuality as a way of life, a gender and sexual orientation rather than MSM as a sexual practice. Both terms are in use in Malawi to the point of being vernacularised as zamagey or za(u)mahomo. A heterosexual orientation means that one is attracted to members of the opposite sex and/or gender only. A bisexual orientation means that one is attracted to both men and women, although not necessarily to the same degree. Lesbian is a term that describes emotional, romantic, sexual and affectional attraction and/or actual sexual behaviours between females. It can be used as a noun to refer to women who identify with female homosexuality or as an iv adjective to describe characteristics of female same sex desire objects or activities. Men who have Sex with Men (MSM) is an umbrella term constructed by development health workers in recognition of the fact that sex between men occurs in divers circumstances and among me whose experiences, lifestyles, behaviours and identities vary greatly. The term refers to the act of sex between men and may therefore involve men who identity as homosexual, gay bisexual, transgendered, intersexed or heterosexual. It can be used to denote a practice and/or group. A recent study lists kinds of sexual activities of MSM in Malawi include: Fucking 16.4 Being fucked 9.5 Sucking 14.5 Being sucked 12.1 Masturbation 15.8 Rubbing 3.2 Kissing 14.2 Licking 5.5 Being Licked 2.9 Being finder fucked 2.1 Finger fucked 2.9 Sex Toys (Vibrator etc) .5 Other .3 KAP of People in Same Sex Relationships in Malawi, CEDEP, 2007, 12) Women who have Sex with Women (WSW) is an umbrella term constructed by development health workers in recognition of the fact that sex between women occurs in diverse circumstances and among women whose experiences, lifestyles, behaviours and identities vary greatly. The term refers to the act of sex between women and may therefore involve women who identity as lesbian, bisexual, transgendered, intersexed or heterosexual. It can be used to denote a practice and/or group. Living on the Down-Low is an African-American sexual slang word that refers to a subculture of men who due to the racialised and gendered stigma and ostracisation, usually identify as heterosexual but who have sex with men. Research has shown this to be an urban middle and upper class phenomenon. These men use heterosexuality and heterosex to cover up for their being homosexual. As a result, they often are characterised by having many public ‘posturing’ heterosexual relationships so that they can pass as heterosexual. In public, they deny vehemently being homosexual and do all they can to convince the world that they are heterosexual. This group is often confused with bisexuals. They can also use the latter as a front and cover to hide their homosexuality. They avoid sharing information of their homosexuality with their female sexual partner(s). Patriarchy is an ideological and hegemonic system of gender governance that advocates the creation and maintenance of male dominance in societies globally. It is v power that is used to dominate women of different ages, classes, religions, races and occupations. Sex Workers in the Malawian context refers to women who receive money or goods in exchange for sexual services, either regularly or occasionally. Sexual Minorities refers to people whose sexual orientation, gender identity, and or consensual adult sexual behaviours do not conform to majority norms and values. LGBTI is an acronym commonly used in English speaking countries as a more inclusive descriptor of the ‘gay community’ often views as a useful way to refr to people who are ton heterosexual. From Global Fund Information Note: Sexual Orientation and Gender Identities (May 2010) vi INTRODUCTION This report is a desk review of Malawi’s legal and policy documents, identifying how the latter impact the implementation of HIV and other Health related interventions for men who have sex with men (MSM) and other sexual minority groups in Malawi (LGBTI and Sex workers). The legal issues that stand out are the criminalization, discrimination of sexual minorities and, the contradiction between the Constitution and laws pertaining to sexual minority groups. Policy documents such as the HIV and AIDS, Gender, Youth, Reproductive Health, Social Welfare Cultural, Malawi Growth and Development Strategy (MDGS) and Prison Act evidence an endemic denial of the presence and human rights of sexual minorities, especially MSM. The policies show an acute failure to link sexual reproductive health right to HIV/AIDS interventions of MSM and Sex workers. The report is has seven sections. After introducing the study and giving its background, a review of legal and policy documents follows. The third section lists issues that have emanated from the reviews, focusing on issue number one that arose, ‘Is MSM/Homosexualtiy number Malawian? The views of MSM members are chronicled. Section four looks at views of stakeholders on what is on the ground in Malawi, when one engages the question of HIV/AIDS interventions of MSM and Sex workers. The views of sex workers are featured in Section 5. Section 6 has action points, then the reports is concluded. BACKGROUND AND OBJECTIVES OF STUDY Centre for the Development of People (CEDEP) in collaboration with other partners is implementing a project called Unite for Body Rights (UFBR) programme with the prime focus on addressing the strong link between sexual reproductive health and rights among different groups. CEDEP will primarily focus on the marginalized groups and specifically LGBT. Sexual and reproductive ill health among marginalized groups is rooted in Sexual and Gender-Based Violence, stigma and discrimination. This is compounded by an unfriendly health system which does not have the capacity to meet the specific needs of marginalized groups. CEDEP UFBR programme will therefore initially focus on MSM. MSM are acknowledged in the National HIV Prevention Strategy 2009-2013, and there is more data and debates on MSM issues. This provides an opportunity for the SRHR Alliance to join the debate and explore opportunities for addressing broader LGBT issues. The UFBR Programme is targeting communities in the Dedza, Mangochi and Chikwawa districts. These districts have been selected on the basis of the District Poverty Rate, 14 the presence of existing partners and other actors and the track record of SRHR Alliance partners. It is estimated that the UFBR Programme in Malawi will reach at least 70% of the target groups in the Dedza, Mangochi and Chikwawa districts. . One of the project activities is to review the available policies and laws in order to identify key issues that impede the effective implementation of HIV and other health related interventions to most-at-risk populations specifically MSM. Special focus will be on the review of the penal code and the HIV and AIDS draft Bill and other national 1 HIV reports and interviews with key stakeholders. A report that outlines and analyzes such key issues and specifies action points will be produced. This report will provide useful input for CEDEP advocacy activities. This advocacy will aim at soliciting the support towards implementation of policies and laws that are non-discriminatory and friendly to marginalized groups. Strategies to be used will be such as holding sensitization meetings, policy papers etc. This in return will improve the conditions for providing comprehensive sexuality education, providing comprehensive SRH services and addressing issues of sexual violence. The target for the advocacy will be parliamentarians and key policy makers. METHODOLOGY In order be clear on the legal and policy issues and have a comprehensive contextualised understanding of how they impact HIV and other health related interventions on sexual minorities in Malawi, focusing on MSM, desk reviews of legal and policy documents are complimented by oral interviews of, MSM and Sex workers; NAC; Activists; District AIDS Coodinators; Lawyers; Education officials; Human Rights activists; NGO’s working on HIV/AIDS; Members of Parliament. Academics The study employs a literary narratology approach. This method is subject centered, it privileges subjectivities that are constructed by the experiential knowledge, lived experiences of sexual minorities because they are criminalised. This study privileges their voices because sex and gender minorities come from a history of being spoken for and infantilised into non-existence. This study centers and chronoligises what comes comes from the ‘horses mouth’ as that is one way to recognise they are human and remind those who deal with HIV/AIDS interventions that the personal is political. What sexual minorities feel, think and believe should be taken seriously because they are people who have rights just like the majority. It will be seen that in this study, views of sexual minorities who are own their sexual orientation, citizenship and HIV and AIDS status are given a lot of space and weight. 1.0 Legal Review 1.1 MSM In Malawi, men who have sex with men (MSM) are arrested on the basis of a series of Sodomy laws of the Penal Code for example, Section 153 on ‘Unnatural Offenses’: Any person who(a) has carnal knowledge of a person, against the order of nature; or 2 (b) has carnal knowledge of an animal; or (c) permits a male person to have carnal knowledge of him or her against the order of nature, shall be guilty of a felony and shall be liable to imprisonment for fourteen years, with or without corporal punishment. Section 154 buttresses 153 stating that, Any person who attempts to commit any of the offences specified in the last preceding section shall be guilty of a felony and shall be liable to imprisonment for seven years, with or without corporal punishment. Another section that is employed is Section 156 on ‘Indecent Practices’ between males: Any male person who, whether in public or private, commits any act of gross indecency with another male person, or procures another male person to commit any act of gross indecency with him, or attempts to procure the commission of any such act by any male person with himself or with another male person, whether in public or private, shall be guilty of a felony and shall be liable to imprisonment for five years, with or without corporal punishment. A male who has carnal knowledge of a female person is also booked under Section 148: Conspiracy to defile Any person who conspires with another to induce any woman or girl, by means of any false pretence or other fraudulent means, to permit any man to have unlawful carnal knowledge of her shall be guilty of a felony, and shall be liable to imprisonment for three years, with or without corporal punishment. Section 157of the Penal Code is also employed and a person found guilty is liable to imprisonment for five years. Section 158 of ‘Incest by females’ also engages the issue of carnal knowledge: Any female person of or above the age of sixteen years who with consent permits her grandfather, father, brother, or son to have carnal knowledge of her shall be guilty of a felony and shall be liable to imprisonment for five years. What this means is that in Malawi, the only sex that is legal is the heterosexual one that is, the penis to vagina one and, it must be for procreative processes. According to the foregoing sections of the Penal Code, if a heterosexual couple engages into other forms of sexual practices, for example anal, that is an offense. If they have sex just for the sake of sex that is for fun, that is also offense. This is problematic on many counts. To start with, one wonders who has the prerogative to define ‘order’ and ‘nature’ that is referred to in section 153 of the Penal Code. A critical analysis of these sodomy laws characterises them as ‘alien legacies’ (Human Rights Watch 2008) of the Malawi’s British Judeo-Christian colonial past. Locating these laws in Malawi’s colonial history, helps characterise the colonial nature of these laws. A Colonial Legacy Malawi was a British Protectorate 1891 to 1961 and Christianity came to Malawi through this colonisation. Most Malawians are Christians -and some statics put their majority to be as high as 75% of the population1. In Christianity, sex is presented as a 1 Christianity is the majority religion in Malawi . Sixty percent of Christians are Protestant and 15% are Catholic. Other sects include Baptists, Seventh Day Adventists, Anglicans, Church of Central African Presbyterians (commonly called CCAP), and Jehovah’s Witnesses. Jehovah’s Witnesses have had a particularly hard time proselytizing in Malawi . The first Jehovah’s Witness missionary was forced out of Malawi in the 1910’s, but the religion took hold anyway. President Banda did not approve of Jehovah’s Witnesses, so he outlawed the religion. President Muluzi made it legal again in 1995, and it has flourished since. 3 marital act whose primary function is procreation. This belief is pivoted on the Genesian Adam and Eve story and that is taken to be the norm and prescription for sex and sexuality. It is believed that God’s creating Adam and Even and not Adam and Steve or Eve and Eve, validates heterosexuality and dams homosexuality. The Adam and Eve sex formula unashamedly constructs a heterosexism that dictates that sex must only happen in marriage and between a man and woman. This Christian background that Malawians come from is compounded by the Sodom and Gomorrah story in the bible, hence the legal term Sodomy and sodomisation. This is the history of that term. So we have here proof of a legal term coming from the Judeao-Christian notions and values. It is clear that when the Penal Code talks of the order of nature, it is referring to the order and nature as defined by Christian beliefs and ethics, specifically what is the order deemed to be sanctioned by the Christian God. As a result, the laws mainstream, normativise and logicise Christianity, making the latter’s stand on sex and sexuality, law and making legal any stand that is to the contrary of Christianity’s. We end up with the law being used to advance morals of the majority and from a human rights perspective, this is dangerous and wrong because then the law silences and criminalises morals of the minority. In other words, just like in other former colonies of Britain like India, Bangladesh, Myanmar, Pakistan and Sri Lanka, these laws are an oppressive legacy of British Colonialism and Victorian morality. In fact, a 2008 Human Rights Watch report, “The Alien Legacy: The Origins of ‘Sodomy’ Laws in British Colonialism” Describes how laws in over three dozen countries, from India to Uganda and from Nigeria to Papua New Guinea, derive from a single law on homosexual conduct that British colonial rulers imposed on India in 1860 (5). The report shows that British colonial rulers brought these laws to inculcate British morals (9). It is also because they saw the colonised as sexually lax and morally weak therefore, in urgent need of control in issues of sexuality (7, 9). Some of the colonialists also saw the colonies as Sodom and Gomorrahs, places whose vices colonialists needed to be protected from. So, In the early 19th Century, the British drafted a new model Indian Penal Code, finally put into force in 1860. Section 377 punished “carnal intercourse against the order of nature” with up to life imprisonment. …Versions of Section 377 spread across the British Empire, from Africa to Southeast Asia. Through it, British colonisms imposed one view of sexuality, by force, on all their colonised people (8, 9). In Africa, the following are the countries that inherited versions of this law: Christianity has a huge presence in Malawi . Until 2001, Bible Knowledge was a required subject for all Malawian secondary school students—it has since been replaced with a Religious Education curriculum that includes other world religions. Christianity was first introduced to Malawians by David Livingstone and other missionaries who worked along the lakeshore in the late 1800’s. Christianity spread rapidly under British colonialism despite an initially hostile welcome. Now most villages have a mission or an extension of some Christian sect. Some of the missions provide vocational training, schools, or hospitals at cost for the local community. Services are in the local language in all areas and areas with large populations of whites/expatriates may offer services in English. Although Christianity has had a number of positive influences on Malawi (i.e. education and provision of health care institutions), it has not been without cost. In many cases Christianity considers traditional beliefs and ways of living to be incompatible or inferior, and as a result, these cultural values have dwindled, if not disappeared altogether. ‘Friends of Malawi’. http://www.friendsofmalawi.org/learn_about_malawi/culture/religion.html. Retrieved February, 15 2012. 21.35pm. 4 Botswana, Gambia, Ghana16, Kenya, Lesotho, Malawi, Mauritius, Nigeria, Seychelles, Sierra Leone, Somalia, Swaziland, Sudan, Tanzania, Uganda, Zambia, and Zimbabwe (10). Clearly, Scott Long of Human Rights Watch is right to assert that, ‘Half the world’s countries that criminalise homosexual conduct do so because they cling to Victorian morality and colonial laws’ and ‘getting rid of these unjust remnants of the British Empire is long overdue’ (6). Diametrically Opposing the Malawi Constitution Criminalising the sexual rights of same sex attracted people, who are a minority in Malawi, diametrically opposes Chapter four of the Malawi Constitution. It opens by making it clear that, the human rights and freedoms enshrined in this Chapter shall be respected and upheld by the executive. Legislature and judiciary and all organs of the Government and its agencies and, where applicable to them, by all natural and legal persons in Malawi and shall be enforceable in the manner prescribed in this Chapter (Section 15, The Constitution of the Republic of Malawi 1999). The Malawi Constitution categorically states that, ‘Every person has a right to personal liberty’ (Section 18) and ‘The dignity of all persons shall be inviolable’ (Section 19-(1). This means the rights to personal liberty and dignity of ALL people in Malawi and that includes men who have sex with men, women who have sex with women, just like transgendered, intersexed and bisexual are recognised and protected because, they are persons. According to the Constitution, criminalising someone on the basis of their sexuality, which is what the Sodomy laws in the Penal Code do, is wrong because all persons are equal before the law in Malawi. It is unlawful to discriminate against any person on the basis of sex, language or any other status: Discrimination of persons in any form is prohibited and all persons are, under the law, guaranteed equal sand effective protection against discrimination on grounds of race, colour, sex, language, religion, political or other opinion, nationality, ethnic or social origin, disability, property or other opinion, nationality, ethnic or social origin, disability, property, birth or other status (Section 20). The Constitution is the supreme law of the land. This means its standards and principles must be observed by every person, institution or process in Malawi. It is what frames the relationship between citizens and the government. Section 12 (1D)of the Constitution talks of human dignity being a fundamental value. If someone is being asked to mandatory go through a sex test as sex workers are going through in Malawi see annex (1) that is not upholding their human dignity. Our Constitution is fairly progressive. It is the Penal Code that has retrogressive laws. One would have thought that after 1994 when we adopted Democracy and Constitutionalism, we would take every opportunity to repeal these retrogressive laws. But we seem to be backsling and a good example is the Tiwonge and Monjeza issue. It was not used to repeal the sodomy laws that clearly go against the Constitution. It should concern Malawians that we have a parliament that can pass laws that contravene the constitution in a democratic dispensation. For example initially, the order of nature law concerned men only, now we have added Section 138 in the Penal Code and it now talks of indecency between males. 5 Defilement of girls under thirteen years of age (1) Any person who unlawfully and carnally knows any girl under the age of thirteen years shall be guilty of a felony and shall be liable to imprisonment for life, with or without corporal punishment. Attempt (2) Any person who attempts to have unlawful carnal knowledge of any girl under the age of thirteen years shall be guilty of felony and shall be liable to imprisonment for fourteen years, with or without corporal punishment: Provided that it shall be a sufficient defence to any charge under this section if it shall be made to appear to the court, jury or assessors before whom the charge shall be brought that the person so charged had reasonable cause to believe and did in fact believe that the girl was of or above the age of thirteen years. (Section 138). 1.2 Legal Review - Sex Work On paper, sex work in Malawi is criminalised under the term prostitution. The offense is not of one being a prostitute per se but of soliciting and living on the earnings of prostitution. According to the Penal Code of Malawi Section 145 a Male person living on earnings of prostitution or persistently soliciting (1) Every male person who— (a) knowingly lives wholly or in part on the earnings of prostitution; or (b) in any public place persistently solicits or importunes for immoral purposes, shall be guilty of a misdemeanour. (2) If it is made to appear to a magistrate by information on oath that there is reason to suspect that any house or any part of a house is used by a woman or girl for purposes of prostitution, and that any person residing in or frequenting the house is living wholly or in part on the earnings of the prostitute, the magistrate may issue a warrant authorizing any police officer to enter and search the house and to arrest that person. (3) Where a male person is proved to live with or to be habitually in the company of a prostitute or is proved to have exercised control, direction or influence over the movements of a prostitute in such a manner as to show that he is aiding, abetting or compelling her prostitution with any other person or generally, he shall unless he shall satisfy the court to the contrary be deemed to be knowingly living on the earnings of prostitution. Evidently, it is the living on the earnings that is the main focus. Section 146 focuses on ‘Woman aiding, etc., for gain prostitution of another woman’: Every woman who knowingly lives wholly or in part on the earnings of prostitution, or who is proved to have, for the purpose of gain, exercised control, direction or influence over the movements of a prostitute in such a manner as to show that she is aiding, abetting or compelling her prostitution with any person, or generally, shall be guilty of a misdemeanour. 6 Section 147 looks at ‘Brothels’: Any person who keeps a house, room, set of rooms, or place of any kind whatsoever for purposes of prostitution shall be guilty of a misdemeanour. In reality, a prostitute is a woman in Malawi and prostitutes are arrested on any of the following three laws: i. Section 180 Idle and disorderly persons (a) every common prostitute behaving in a disorderly or indecent manner in any public place; ii. Section 184 Rogues and vagabonds (1) The following persons— (a) every person going about as a gatherer or collector of alms, or endeavouring to procure charitable contributions of any nature or kind, under any false or fraudulent pretence; (b) every suspected person or reputed thief who has no visible means of subsistence and cannot give a good account of himself; (c) every person found in or upon or near any premises or in any road or highway or any place adjacent thereto or in any public place at such time and under such circumstances as to lead to the conclusion that such person is there for an illegal or disorderly purpose; Section 192 of Penal Code is abused to arrest sex workers in Malawi. This section criminalises a ‘Negligent act likely to spread disease dangerous to life’; Any person who unlawfully or negligently does any act which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be guilty of a misdemeanour. Please note this targets acts likely to spread a dangerous disease. This is the section that is being used to mandatorily test sex workers for HIV and AIDS (see annex 1). Criminal case number 302/2009 is about six ladies who were clearly suspected to be sex workers. They were forced to have an HIV and AIDs test. So Malawi is using the law to prosecute sex workers. Criminal case number 298/2009 of Mwanza first grade magistrate also involved mandatory testing of sex workers. They were given the same charge of section 192 of the Penal Code. What is baffling is that AIDS is not a disease so not only is Malawi using to law to violate human rights, we are using the law erroneously. Phallic Law When one examines the charges that are given on prostitution, you would expect to see mostly men arrested for prostitution but it is baffling that only women are picked when Police raid bars or pick ‘prostitutes’ in the street. One cannot prostitute alone and if the main offense is procurement, that is pimping, one would expect to see the face of men, the pimps, when one talks of prostitution in Malawi. Instead, a prostitute, or what is locally called ‘Hule’ is solidly the face of a woman. It is unfair that two people, a man and woman can engage in the same act but one is deemed a criminal 7 whilst the other is left to go scot free. When you consider that it is mostly men who pay the female prostitutes for services, the way the law is being in forced in Malawi encourages men to procure the services but punished women for supplying the service. When a commercial sex act happens, the woman is a loitering rogue and vagabond whilst the man is absent from it all thereby legally validated. This shows the patriarchal and phallic nature of the law. Legalising Alien Sex Definition The noun prostitute derives from the verb to prostitute which means ‘to use one’s abilities, etc wrongly or in a way that is not worth of them, especially in order to earn money’ (Oxford Advanced Learners Dictionary 1995, 930) and the example given is that of a prostitute. The question is who is judge of the worth and correctness of the act, it is according to whose opinion? In communities where women are oppressed and patriarchal communities like in most European communities, historically, it is the men who decide what is worthy, wrong or right ((Pateman 1996, Mies 2006). In general, in acts that involve both genders, one often finds that it is women who are declared villains especially in acts involving sex. Mies (2006) argues that this is especially true for capitalist communities as they criminalise women in sex issues so that that service is devalued and not paid for. In Malawi, defining someone who is receiving money in returning for sex, needs to be balanced with the way sex has multiple uses in Malawian communities, unlike in British Christian morals and ideals. The many uses of Sex in Malawi The problem with the colonial Christian defined function of sex defined in the Penal Code is that research evidences that in Malawi as in many African societies, sex has many functions (see Mbiti on African Religions 1970, 1975). This monolithic view of the functions of sex is alien. In Africa, sex can be for: a. procreation b. rehabilitation c. healing d. identity e. rituals f. rites of passage. The history of Malawi shows that people have sex for more reasons than procreation and with more than one person. Oral interviews conducted by the researcher for this study also buttressed this view. An interview of Professor Wiseman Chijere Chirwa on his forthcoming publication on Multiple and Concurrent Partners in Malawi, not only shows the presence but institutionalisation of sexual practices that are based on concurrent and multiple partners. Going Against the Constitution Grain Arresting prostitutes on the basis of them being idle and disorderly, when the Constitution grants everyone freedom of movement (39), does not make much sense. If someone is of the opinion that they want to have sex with multiple and concurrent partners, Malawians need to remember that the Constitution grants freedom of ‘opinions without interference to hold, receive and impart opinions’ (34). It also gives people the right to belief and thought (33) and if one’s belief on sex is one that is anti- 8 monogamy, is polygamous and other versions of sexuality, their rights is guaranteed of in the Constitution (35). Once again, the criminalisation of prostitution and sex work resonates with morals of the Christian religion. But as argued above, this system of moral code is an issue that Malawians differ on. 1.3 THE PRISONS ACT of 1966 According to the Laws of Malawi (Cap 9.02), The Malawi Prison Service is established under The Prison Act of 1966. Under Section 163 of the Constitution of Malawi, its task is to house, detain and rehabilitate incarcerated persons. One of its objectives is to better the human treatment of prisoner and that includes addressing the HIV/AIDS question. Even though Malawi prison officials repeatedly Malawi’s print media has run several stories that attest to the presence of men who have sex with men in Malawi prisons. A good example is Lucius Banda’s testimony of the presence of MSM and homosexuality after his stay in Zomba prison.2 Timothy Chirwa’s ‘Malawi Sodomy Law, Constraints on Prisoners’ Access to Condoms and Implications on Human Rights: Call for Provision of Condoms in Prisons’ (2010) eloquently demonstrates the presence of MSM and homosexuality in Malawi prisons. An analysis of the Prison Act, hereafter referred to as the Act, illustrates a very MSM blind document. Since sexual minorities are a right, one would not want to see it as an offense but given that MSM is criminalised in Malawi but there is proof it happens in the prisons, one would have thought it would be in Part VI, Discipline of Officers and/or Part XIV Discipline of Prisoners but both parts have do not have it. Part IV deals with duties of medical officers and given the extent of HIV/AIDS and MSM in our prisons, one would expect that they mention it in that section as that would make it mandatory for the authorities to ascertain the provision of condoms for the inmates. The importance of Malawian prisons making condoms readily accessible to prisoners, is underlined by the process that led to two male Malawian prison lovers being arrested and charged in 2011. According to Nation on line of April 2011, one of the men was found with sperms on the anus and he confessed to being in love with a male inmate and having anal sex with him on several occasions. This means condoms and lubricants are materials that should be readily available in prisons of Malawi. The act does not even mention the presence of such medical issues later the need for adequate provision of necessary provisions such as condoms. What is surprising is that according to the National HIV/AIDS Policy3, the state is ‘enjoined to ensure hat all men, women, young people including people in prisons’ have condoms at any time they one (My emphasis). If the Prison Act is the main way for prisons to improve the lives of prisoners in Malawi, it has to make sure it clearly provides for processes and personnel that provide prisoners with condoms and dental dams (oral sex barriers).’ Not recognising MSM and homosexuality in Malawi prisons, when there is clear evidence that is it is happening, is violating the human rights of men who have sex See Nation on line Saturday 16th April, 2011. ‘Two Malawian Male Prison Lovers Arrested’ http://www.mwnation.com/index.php/national-news/17900-two-malawian-male-prison-loversarrested.html. Retrieved 20 February, 2012, 17.41pm. 3 See HIV/AIDS AND Human rights in Malawi (Pretoria: Center for the Study of AIDS and Centre for Human Rights, University of Pretoria, 2004), p51) 2 9 with men and those that are homosexual. Not distributing condoms not only heightens the risk of those infected but that of those who are not yet infected. It actually prevents the prisoners from enjoying a good number of their rights. We need to remember that human rights are inalienable and universal.4 Prisoners, according to Gabriel Masangano v The Attorney General et al, prisoners are entitled to their basic and fundamental rights (qtd. in Chirwa 9). They have the right to, Health Life, be free from discrimination According to Chirwa (2010), the lack of provision of condoms in Malawi Prisons is an issue that courts in Malawi can be moved to grant relief on, it is justiciable5. Chirwa cites examples from England amongst others. In Conclusion, it is clear that the Prison Act is in acute denial of the MSM and homosexuality that happens around inmates. If it is to achieve its goals, it has to acknowledge MSM and structure a response to a sexuality that is a real and is part of it. Evidence abounds that MSM and HIV/AIDS are major parts of prison life in Malawi. An act that is the basis of Malawi Prison Services and purports to be the engine of improving the lives of prisoners in Malawi should not deny MSM, unless it is a tool to perpetuate the death of prisoners living with HIV/AIDS. A review of the legal documents engaged above illustrates that the Malawi Constitution is liberal and democratic document– what is says is that people should not be stopped from doing what they want to do because someone does not like it. So to a large extent, it aims to protect minorities and make sure that the freedom of one begins from where the other stops. The Penal Code is the one that is bent on ascertain that the majority oppress the minority especially on issues of sexuality, spearheaded by the sodomy laws. 2.0 POLICY DOCUMENTS RIVIEW 2.1 THE MALAWI POVERTY REDUCTION STRATEGY If one is to sustainably map HIV/AIDS intervention strategies for sexual minorities in Malawi, The Malawi Poverty Strategy Reduction Strategy (MDGS) is one of the documents they have to critically interrogate. This is because this is the ‘overarching operational medium-strategy for Malawi designed to attain the nation’s Vision 2020. It is the major route map for Malawi’s attainment of the Millennium Development Goals (MDG). Whilst the MDGS identifies HIV/AIDS as one of the key six areas in need of attention if Malawi is to overcome the multidimensional challenge of poverty, it evidences a serious denial of sexual minorities in Malawi, especially that of MSM. Commercial sex workers are minimally mentioned and even then, their engagement is not nuanced. It is very telling that under the section on ‘HIV and AIDS Prevention and Management’, it does not define the pandemic as a human rights issue. It also does 4 5 Vienna Declaration and Programme of Action 1993) see the Gable Masangano v The Attorney et al case qtd. in Chirwa 2010. 10 not identify the criminalisation of sexual minorities in Malawi, yet those groups are high risks in terms HIV/AIDS. This criminalisation impacts HIV/AIDS prevention and management but the MDGS is mum on this issue. Consequently, data of sexual minorities is missing, even the fact that that data is absent is not there, thereby effecting a total blackout on the issue of sexual minorities and HIV/AIDS prevention and management. This blackout can be traced in the chronicling of Malawi’s response. As a result, the way Malawi has responded to this pandemic in terms of sexual minorities like MSM and sex workers, falls out of the HIV/AIDS discourse and agenda. It is not surprising that it is absent on the list of challenges. In this section, the MDGS states that its goal is to ‘prevent further spread of HIV and AIDS and mitigate its impact on the socio-economic and psychosocial status of the general population and high risk group (26). Given the glossing over sex workers and total absence of MSM and other sexual minorities, the next section entitled ‘Mediumterm Expected Outcomes’ becomes lines documenting wishful thinking. One cannot expect to stop the bleeding when one major leaking hole is not even identified so that it can be closed. There are no prizes for guessing that in the strategies, there are no plans to produce, enact and enforce HIV and AIDS legislation for sexual minorities. This group does not exist in this document. The document is in denial of the presence of MSM in Malawi and how sexuality other than heterosexuality impact truly comprehensive HIV and AIDS interventions. The link of poverty, sexuality, gender and identity, how all that speaks to HIV and AIDS IS an issue that falls of the radar. Another issue that needs a document as crucial to the livelihood of Malawi in the era of HIV and AIDS as the MDGS, is that of HIV/AIDS, Nutrition and Sex work. When the policy tackles the issue of labour, it does not engage sex work as a profession. This means the policy closes the discourse on HIV and AIDS and those whose work involves selling sex as heterosexuals and homosexuals, for commercial purposes. The link of sexuality, identity and HIV/AIDS is something the document needs to interrogate if the document is to really be an overarching operational strategy. When it talks of recruiting personnel of HIV and AIDS, it must clearly demonstrate that engage specialists of minority sexes so that their needs are strategised towards. The way the MDGS treats HIV and AIDS can also be read in its gender section. A critically analysis of this section illustrates a policy that does not treat gender as a fluid category but a static one made up of the two sexes on two polar opposites. It does not treat gender as a continuum who classification points meet at a certain point thereby giving room for the presence of intersexed, transgendered, lesbian, gay and bisexual people. The way gender is treated in this policy does not bring out the power relations that are skewed against women. The policy operates from a gender parity perspective, a position that does not explain why it is only women who are called prostitutes in Malawi when prostituting involves both men and women. The local word for these women is derogatory and often used to policy women’s sexuality. The researcher has experienced this first hand and evidence abounds in popular songs.6 It is clear that the MDGS suffers from an acute denial of the presence of sexual minorities, especially MSM in Malawi. Its treatment of sex workers, the only sexual minority it mentions does not enable the strategy document to engage sex workers in a 6 see Kabwila Kapasula in (ed) Shehu. Gender Sport and Development in Africa 2010 and forthcoming (OSSREA) paper that critics Malawi’s use of gender as a category in development policy documents ‘Doing ‘Gender’ Cannot Improve Malawian Women’s Lives: A Critical Assessment of the Malawi Growth and Development Strategy treats the genders, http://pantondo.blogspot.com/, 11 way that understands the moments that produce them as workers, women and people at a high risk of HIV and AIDS. 2.2 MALAWI NATIONAL HIV/AIDS POLICY If one critically analyses the s of the Malawi National HIV/AIDS policy (2003), aiming to, identifying how it impacts the implementation of HIV and other Health related interventions for men who have sex with men (MSM) and sex workers, one finds it wanting on many grounds. In many ways, its HIV/AIDS prevention strategies do not focus on sexual minority groups that epidemiological evidence shows are at higher risk specifically, men who have sex with men and sex workers. Even though the policy starts of by underlining the HIV/AIDS is one of the major challenges facing the country, sexual minorities do not feature anywhere in the introduction be it at background and/or context levels. For example, the history of HIV/AIDS excludes any data on prisons and HIV/AIDS in Malawi. The fact that Eastern and Euro-western organised religions influence what is called the Malawian culture and religion, people’s lifestyle and the choices them make on issues concerning sex, are laid bare (6). The Preamble binds the policy to pursuing its goal: To prevent HIV infection as, to reduce vulnerability to HIV , to improve the provision of treatment, car and support for people living with HIV/AIDS and to mitigate the socio-economic impact of HIV/AIDS on individuals, families, communities and the nation (6) in ‘accordance with the Constitution of Malawi and existing international human rights principles, norms and standards’ (6). The policy commits itself to advancing a comprehensive public response to HIV/AIDS Promoting and protecting human rights in accordance with the Constitution and international human rights instruments to which Malawi has committed to effectively address the social, political economic factors that both increase vulnerability to HIV infection and negatively affect the lives of people living with HIV/AIDS (7). Under the multisectoral Approach and Partnerships, the policy recognises that an effective response to HIV/AIDS requires the active involvement of all sectors of society (7). It identifies sex workers and ‘persons engaged in same sex sexual relations’ (8) in groups of people suffering from discrimination which makes them vulnerable in the context of HIV/AIDS (8). Cosmetic Minimal Engagement The problem with the document is that its mention of sexual minorities is rather minimal and cosmetic. Compared to other vulnerable groups, for example women as a category, MSM and Sex workers are mentioned very briefly. In several instances, the document lumps the vulnerable groups together, preferring to isolate women and young people. This ends up creating an impression that the few times sexual minorities are mentions are for window dressing, to satisfy international donor requirements. There is no sustained, committed attention paid to sexual minorities. As a result, the do not attain a personhood in the document, they remain appendages that are more of a ‘by the way’ than an intended target of analysis. For example, sexual minorities are not clearly mentioned in the section on policy statement on whom government will ensure they have effective participation. Women are mentioned (9). 12 In Chapter three, a section on prevention, treatment, care and support and impact mitigation, education on sexual minorities is excluded. It is also left out when it comes to psychosocial support. Given the role that religion plays is issues of sexuality in Malawi, this section would have benefited the nation if it engaged the impact of Christianity and Islam on sexuality in Malawi, how that impacts HIV/AIDS prevention strategies. After all, according to the United Nations General Assembly 65th Session Agenda Item 10, ‘Political Declaration on HIV/AIDS: Intensifying our efforts to Eliminate HIV/AIDS’, Although HIV/AIDS are affecting every region of the world, each country’s epidemic is distinctive in terms of drivers, vulnerability, aggravating factors and the populations that are affected, an therefore the responses from … countries themselves must be uniquely tailored to each particular situation taking into account the social context of each country concerned ((2011, 2). For Malawi, the impact of the Christian religion is an issue that requires to be clearly interrogated. It speaks directly to the way sexual minorities are treated in our policy documents. It also is crucial to unpack if one is to design and implement HIV/AIDS interventions that can truly reach MSM and Sex workers in Malawi. Chapter five adequately underlines how the policy pays lip service to sexual minority rights. Considerable attention is paid to women as a vulnerable group but sexual minorities are just mentioned inside two sentences (19). MSM are not mentioned under prisons (22). Section 5.10 deals with ‘Same Sex Relations’. Whilst it is good that the policy recognises this group, the way it engages the group defeats the policy goals because it is very minimal. Unlike the other sections that nuance the groups they are dealing with, it is very generic, ensuring that Government and its partners put in place mechanisms to ensure that HIV/AIDS/STI prevention, treatment, car and support and impact mitigation services of this vulnerable group’ (23). The policy does not mention lesbian, bisexuals, transgendered, or intersexed people. It goes on to permit the Army, Immigration, Prisons and Police carry out HIV testing as part of their pre-recruitment and periodic general medical assessment for fitness. Privileging Christian Monogamy Given the Christian background of monogamy in Malawi, it is important for the policy not to give the impression that monogamy is the answer to HIV/AIDS prevention because one could argue that monogamy, given the practice of extra marital sexual relations is more dangerous than polygamy. Research needs to be done to establish this before the policy says out rightly that it will ‘encourage monogamous marriages’. Marriage, which in most postcolonial African communities is patriarchal, peddles a lot of gender and sexual oppression. The institution of marriage is something that feminist research has shown to be at the heart of the a lot of the oppression of women and various forms of sexual minority groups. The Christian and Muslim marriage actually draw the marriage contract on the basis of power relations that are skewed against women and this plays a role in the definition and performance of gender and sexuality. The category woman and wife is defined on subservience, a role that impacts why and how one has sex. These patriarchal definitions of gender impact how a society views and sanctions sex and sexuality. So by sanctioning monogamy, given the religious climate of Malawi, the Malawi National HIV/AIDS 13 policy mainstreams and privileges the indigenous and colonial forms of patriarchy that unite to oppress sexual minorities. Attack Religio-Homophobia Given the prevalence of Christianity and Islam in Malawi, when the policy traditional and religion leaders, the homophobia and its impact on HIV/AIDS is an issue that needs to be brought up convincingly. This is an issue that is closely linked to the way sexual minorities behave and how they can be engaged on HIV/AIDS prevention strategies. Dehumanising Sexual Minorities The denial and reductionist manner with which sexual minorities are engaged, makes the policy dehumanise sexual minorities like MSM and sex workers. Categories of vulnerable groups like women are treated in a way that not only gives them a human identity, attention is paid to engage the day to day activities and experiences that make them vulnerable to HIV/AIDS. The laundry list approach employed on sexual minorities, makes the policy treat them as a static rather than people who have fundamental rights to health amongst other rights. If one listens to programs on HIV/AIDS propelled from this policy on heterosexual sex, it is evident that NAC is aware that one cannot curb HIV/AIDS without taking the trouble to understand the vulnerable groups as human beings and enter their life spaces. HIV/AIDS intervention strategies do not just call for people to stop a certain practice, through popular culture and many other tools, they engage everyday spaces and times that produce the practices. This is not done for sexual minorities because they do not even attain a human status in the policy. It is not surprising that bill boards, radio adverts or popular songs do not directly address any of the sexual minorities as a vulnerable group. Not Engaging Criminalisation The policy does not engage the criminalisation of sexual minorities like MSM in Malawi. This is very unfortunate especially when one considers NAC’s knowledge of the role that criminalisation of a practice plays in propelling infections and crippling HIV/AIDS interventions. No where in the policy is criminalisation of some high risk HIV/AIDS groups mentioned. As a result, the policy not only fails to whistle blow on this criminalisation, it also fails to help the country engage this criminalisation, something it would have a chance of doing if it at least registered and admitted it. That would help the policy chatter ways to reach those living with HIV/AIDS who are criminalised and open avenues to debate the wisdom or folly of the criminalisation. NAC’s view The researcher interviewed NAC officials regarding the review of their policy documents. I spoke with research officials and the Executive Director. NAC stressed the importance of them understanding the minority groups before one can engage them. They said they needed to who these people are the spaces they occupy. This is not easy to do since they are not legally recognised. They said they are conducting studies to understand them. They have just finalised a study on sex workers, which they shared with the researcher of this study. They say they used the size estimation method to do this study so that they can capture and recapture the figures of the study. Such reports will help to document the numbers of these sexual minority groups. Up until now, they have been hearing anecdotal comments about the groups. They are 14 understudying them and there is another study on MSM in the pipeline, results are about to come out. They also underlined that MSM was rather problematic to handle because it had come from a volatile part of the nation, insinuating that it is an issue that is linked to donors and foreigners. They however repeated that NAC has a mandate to provide public health facilities even to people in prisons so it does not judge people. Conclusion In general, the policy does not recognise sexual minorities as human beings in Malawi who therefore have rights. The minimal attention paid to some of the sexual minority groups them fail to attain a human identity. The policy is in denial about about MSM more than sex workers and other sexual minorities. There is need for an overt human rights approach to engaging MSM and Sex workers in the Malawi HIV/AIDS Policy if it is indeed to be comprehensive and successful in its goals. 3.3 REPRODUCTIVE HEALTH POLICY (2002) Sexual Reproductive and Health Rights (SRHR) is a relatively new concept globally. It was first mentioned at a conference in Tehran in 1969. They were also engaged in the 1985 Nairobi conference called “Forward Looking Strategies”. For SRHR to be clearly recognised and put in black and white, it was in 1994 at a conference on population and development. SRHR gained prominence at the 1995 “Fourth World Conference on Women”, the famous Beijing conference. There, it was emphasised that a person needs to be free to get sex in the way they want, free from violence. SRHR have been recognised internationally. They are enshrined in the rights to liberty, right to health, which ensures that government takes steps to make sure people are healthy. The Malawi Constitution binds Malawi to observe SRHR. It is the supreme law of the land. Malawi also committed to 1964, 1969 laws made earlier. What had happened in foreign case law also guides us. Section 211 of the Constitution, outlines the importance of respecting international agreements. A good example is the Gable, Masangwi case. Comprehensive Reproductive Health in Malawi is implemented in ways that conform to the recommendations of the International Conference on Population and Development (ICPD) held in Cairo, Egypt, 1994. ICPD defines Reproductive Health (RH) as A state of complete physical, mental and social well-being and not merely the absence of disease and infirmity in all matters related to the reproductive systems and its functions and processes (qtd. in Reproductive Health Policy 2002, 1). RH therefore means in Malawi, people should be able to have a satisfying and safe sexual life and that they have the compatibility to reproduced and the freedom to decide if, when and how often to do so. In addition RH is defined as Health as part of RH and included healthy development, equitable and responsible relationships fulfilment and freedom from illness, diseases, disability, violence and other harmful practices related to sexuality (1). This means Malawi Reproductive Health Policy (RHP), recognises that the scope of RH goes way beyond physical well being but must be holistically to include the 15 mental and social well being of a person. The policy admits that in Malawi, as in all countries that have adopted recommendations of ICPD, everyone who is a person has the right to have the kind of sex that satisfies them. They also have the right to have sex or not to, have it for procreation or not. This makes one fail to understand how that very country criminalises sex that is done through the anus. It is as if we give with one hand and take with another, the contradiction is glaring. In ‘What is Violence’ (1975), Arblaster eloquently describes as violent, policies that construct harm and destruction at personal and collective human levels, be it through declaring people non existent, inferior or demonising them. The RHP states clearly that it aims to ascertain that give people freedom from violence related to sexuality. But, we have seen the policies and laws analysed above, criminalising and denying the existence of sexual minorities in Malawi in many ways. This is a form of violence on the sexual minority groups especially when one considers that the criminalisation and denial produces a lot of physical, mental and social unhealthiness/diseases. Criminalising a practices, especially one closely linked to HIV/AIDS like anal sex, makes it difficult for institutions and processes to reach those living with HIV/AIDS. It pushed MSM more under the table and makes the HIV/AIDS interventions harder to reach men who have sex with men. If one examines the components of RH in Malwi, you find that issues concerning gender and sexual minorities are missing. Patriarchal sexual relations, human sexuality and (minority)sexual rights are missing. When considers that data coming from the ground, the patriarchy in most Malawian communities (Tizifa 2003, Kabwila Kapasula 2010), what is happening in the prisons, sex workers and the growing debate on homosexuality, it is not surprising that recent surveys show that ‘the status of Reproductive Health of Malawians ranks among the lowest in Sub-Saharan Africa (RPH 2). The components of RH do not speak to the systemic issues that inform the fibre of RH in Malawi. Sexual minorities are not identified in any way. Diseases that are pertinent to sexual minorities such as MSM or sex workers are absent in the objectives of the RH programme. None of the objectives support the principle of right of someone to choose the kind of sex they want. This could be done by some of the aims focusing on sexual minorities. The policy mentions that ‘SRH services shall be provided to those with disabilities’. Such direct and visible inclusive helps generate policies to engage the disabled. The same is not done for any of the sexual minorities. They are not directly engaged. What the policy says concerning family planning and safe motherhood is very pertinent in the discourse of sexual minorities and HIV/AIDS interventions in Malawi. This is because one of the main arguments used against homosexuality and sex work is that sex is for procreation and it should happen in marriage. It is worth pointing out that nothing is said about a person having a right not to have children or to have sex at all, be it hetero or homosexual. The policy emphasises that one is allowed to have any number of children they want. Ordinarily one would think silence on celibacy as a right means the right is observed but when not having one kind of sex is actually criminilised based on a formular of having the other type, I believe it is imperative that the right not have sex at all is an issue Malawi has to engage. After all, the homosexuality debate shows a good number of us in support of government prescribing the type and functions of sex citizens should have in Malawi. The section 16 on HIV/AIDS/STIs does not mention any of the sexual minorities, no MSM or sex workers. Prisoners do not feature at all. Just like the policies analysed above, the RHP is in denial of sexual minorities. It does not even just mention them, later on engage them meaningfully in its quest to provide reproductive health in Malawi. 2.4 NATIONAL YOUTH POLICY Currently, over half of the population of Malawi is below the age of 25. This means Malawi is a youthful nation state today and tomorrow. A policy on the youth in Malawi needs to be engaged is one is to embark on any HIV/AIDS interventions. A policy on the youth provides a framework for their participation in development and accessing services at different national levels. The youth are defines as young people, female and male, from the age of 14 to 25 years. Already, the policy treats gender not a social category but a static biological one that does not recognise that some youths are intersexed or transgendered like South Africa’s Caster Semenya. The policy begins by identifying the challenges of the youth of Malawi and just like the other policies, there is not challenge related to sexuality for example being of a minority sexual orientation. HIV/AIDS is identified by it is not linked to sexuality in any way. In the values, respect citizens regardless of rage, age, gender, socioeconomic status are identified but not sexual orientation. Sexuality is featured in family life education and Counselling but it does not engage sexual minorities. It can easily be read as heterosexuality especially when you consider that the policy calls on religious organisations to motivate and encourage the youth of Malawi in social services, recreation, sports and culture. The policy engages the issue of culture in its discourse on the youth. Even though it talks of Malawian culture being diverse, sexuality is not brought up under culture so that one can bring up the question of diverse sexuality. One knows that it defines culture as a static entity when it talks of preservation. The latter word reveals that the policy is not looking at culture as a dynamic entity that changes and is being defined from the privileged position of those who are in power and are producing whatever it is we call the ‘Malawian culture’. Culture is defined in terms of dances, games, arts and crafts. It is not defined in terms of lived experiences of minority voices but the history that privileges those producing the nationalist project. When the policy identifies priority target groups, not even one sexual minority group is part of the list. In this age of technology, there is not talk of cyberspace groups even though we know the youth now spend more time with gadgets more than without. Gadgets are increasingly becoming a way of life. There is no group of youth living with HIV/AIDS. As in other policies, even though Malawi is a youthful nation and HIV/AIDS is a huge problem, the youth policy does not engage the sexual minorities issues. Oral interviews with sex workers and MSM show that their members are getting increasingly younger. But, the policy on the youth is in utter denial of sexual minorities. 17 2.5 TOWARDS A CULTURAL DEVELOPMENT POLICY It is very important to engage a cultural policy in the discourse of HIV/AIDS interventions and sexual minorities in Malawi. However, Malawi does not have a cultural policy. National Archives in Zomba reported that there is a document in the works to that effect but it has not been passed by parliament. An analysis Charles Phillips’ ‘Towards a Cultural Development Policy’ (1982) shows that pre-democracy dispensation Malawi, defined culture in very static, materialistic and politicised ways. Philips’ document is irrelevant for this study which focuses on contemporary Malawi. 3.0 ISSUES IMPACTING HIV/AIDS INTERVENTION FOR SEXUAL MINORITIES Oral interviews of stakeholders in the discourse on legal and policy documents on the issue of HIV/AIDS intervention of MSM and Sex workers largely supported the foregoing legal and policy documents review. New issues also emerged. One issue that emerged, straddling and underlying the legal and policy documents review, was the question of homosexuality being a Malawian or Euro-western, borrowed or owned practice. Specialist views of lawyers, historians and sociologists were consulted on the issue. 3.1 Is MSM and Homosexuality Malawian? – A Specialists Debate The Natural Argument A Historian argued that homosexuality is part of human nature. It is experimentation with one’s body and peers. If most men are honest, they will accept having touched their parts or having their penis touching the anus of a male peer. The interviewee reported that reports of such acts are widespread in Malawi, it is just that people are secretive about it. What needs more research though is why some persist with this practice whilst others stop. Speculation is that the men who get exposed to the opposite sex, if successful, lose appetite for same sex but that is just speculation. Rise and Entrenchment of the Penitentiary/Prison The Historian went to argue that homosexuality in prisons in Malawi is an issue that has received a lot of attention in research but it has not been unpacked. There is need to establish if it is brought into prison from outside or is it an internal development. The rise of the prison as punishment predates colonialism. There forms of holding hostage as punishment but this definitely gained ground during colonialism. Indeed, the rise of the penitentiary is close to the subjugation methods. ‘Fucking someone in the buttocks’ has been an instrument of subjugation of the black race historically, when one examines colonial discourse on prisons. ‘Fucking someone in the ass’ was a form of inferiorising someone. It was a product of power relations. It was encouraged by the white masters as a way of showing who is boss. Readings of the rise of the prison shows that national liberators after being arrested, were put into prison and ‘fucked in the ass’. This was the ultimate symbol of being subjugated. Literature on subjugation shows that the act of the men being penetrated by the police, the white master, was seen as punishment. This is also evident in literature on race relations in 18 the US for example the rape of Derrick Vinyard in American History X (1998)7. The subjugation takes on class and race dimensions characteristics of liberation discourses. It now becomes an entrenched prison culture. In Malawian prisons, we see the Nyapala8, taking on the power of the master and performing the power on the prisoner. This is the context of prison homosexuality in Malawi. This view is buttressed by an interviewer who is a prominent human rights defender. She has been doing interviews on this issue in prisons and she stated emphatically that a Malawian Policeman once told her on his way to arrest a man who was said to be very dangerous: Timugwila ameneyo, ndipo tikamugwila, akakhala nkazi We will arrest him, and when we do, he will be a woman/wife. This meant that that they will ‘fuck him in the anus’. An interviewee stated that when asked about the issue of homosexuality in prisons, one of the guards told the interviewee that one of the reasons they had become a prison officer was because of being homosexual themselves. Migration Labour Charles Van Onselen argues that rise of homosexuality in Southern African countries like Malawi is closely linked to the history of migration labour. He argues that social relations that emerged at the point of production need to be interrogated critically. These create social relations that define the context of the emergence of homosexuality. People who went to work at the mines left women behind but they needed sex. One might argue that their needs were met by prostitutes but, there is need to factor in the creation of compounds at the mines. The latter were closed male accommodation units. So homosexuality emerged as a way of dealing with what Onselen calls ‘emotional peaks and troughs’. Sexually starved men ironed out their emotional and sexual issues and this is connected to the social reproduction of labour. Human being always need and find ways to recharge their labour. This could be through good, leisure, sport amongst other tools. That is why we find places like bars, restaurants and so on and so forth, where ever there is a point of labour production. Onselen’s theory links back to the fact mines were a very violent place. The structures of control were heavy. There was patrolling and other ways to control people. The amount of social violence was very high and once gain, ‘fucking someone’s ass’ was a way to feminise and degrade them. It was a way to inferiorise and emasculate them. Prisons in such a place were also very violent and homosexuality was a way for white elites to inferiorise and make the black man docile. It was a way to remove a black man’s militancy once they are arrested. Miners also transferred this to each other under sexual pressure, in the absence of women. One could ask why anal sex in particular was seen as a way to inferiorise a black man, research has shown that the belief was that the anus is where ‘shit’ faeces come from and if someone can ‘fuck’ you there, that is the ultimate humiliation and punishment, confirmation of your being 7 Derek Vineyard is paroled after serving 3 years in prison for killing two thugs who tried to break into/steal his truck. Through his brother, Danny Vineyard's narration, we learn that before going to prison, Derek was a skinhead and the leader of a violent white supremacist gang that committed acts of racial crime throughout L.A. and his actions greatly influenced Danny. Reformed and fresh out of prison, Derek severs contact with the gang and becomes determined to keep Danny from going down the same violent path as he did. http://www.imdb.com/title/tt0120586/plotsummary. Retrieved 22 February, 2012. 14.52pm. 8 Vernacular word for the leader of inmates in cell. He is the head of the leadership ranks that develop in prison. 19 subjugated. Also, it was believed that the only anus visible to the world is that of a child and if one can see that of an adult’ then that adult has been made a child, infantilised. A Malawian Sociologist’ View When asked if there is MSM and Homosexuality in Malawi, especially since many Malawians argue that homosexual is unMalawian, the following is the reply I got from a Malawian sociologist. He replied by saying, ‘That is nonsense. If you consider homosexuality as deviance – it is part of every society. Malawi and societies in Malawi are part of a global village. If you say homosexuality is not Malawian, what exactly do you mean? It is the same as saying English is not English, after all, English is being spoken by the Chinese, Malawians etc. What does that mean? There has been so much interaction between cultures and societies. Certain things cannot be said to be unique to one group of people. Is homosexuality then British, Indian or American? Homosexuality is an aspect of human interaction, unless you say Malawians are not human. Heterosexuality and homosexuality are both products of human interaction’9. The specialist in societal interactions went to historicise homosexual behaviour in Malawi. Prisons and prisoners are not importations from Europe or America. Prisonership is a Malawian concept. We have concepts of mphala, gowelo – where boys stay together without women. We have had girls secondary schools, boys schools and there have been reports of homosexuality. The students did not meet foreigners there. Girls who are lesbians in Malawi did not meet foreigners who taught them lesbianism there. In such places, media is controlled, there is no television, censorship is very strong. But, it was and is happening. We even have cryptic songs that describe local practices. MSM is just like masturbation, can we then say masturbation is unMalawian? Deviance is a way that society changes. The researcher also interviewed a specialised who had done research using snowball sampling. In one month, the research brought out 100 MSM only within the Southern region – BT, Mangochi, Ntcheu. It was within a limited time, funds and geographical space. But we came up with that sample. This is very significant because in this kind of sampling, you follow the core that is identified and then the ripple effect that comes up as they identify others and the others connect to others too. It is a geographical progression. It is ideal if the research is able to follow all the connections identified. What is clear is that with more time, we can identify a much larger sample. The hundred people who were identified are all Malawians. A third were graduates, over secondary school level. It is important to mention that being a graduate does not mean being brought up out of the country. It also has to be pointed out the snowball is a biased sample because it starts from the eight and works by building on them so if the eight are graduates, changes of a good number of the rest being graduates too are very high. There were also the rural poor in the sample. In Malawi, the anti-homosexuality often invokes culture as the basis for denial, condemnation and criminalisation. People are more concerned with what many call 9 Interview was done 11 January, 2012, English Department, Zomba. 5 to 7pm. 20 this ‘Malawianess’, lagelling homosexuality unMalawian. But, homosexuality is not something that is a cultural trait. In other words, it is not something that fathers teach sons, it is not transgenerational. If that is the case, how do people whose fathers were not prisoners become gay. The same applies to people who were not prisoners during colonial days, people whose fathers were not prisoners. Historians might say these experiences were copied over time. But, research shows that the age at which those who say they are gay in Malawi knew their sexual orientation is below the age of 14. This is the time when people start to discover their sexuality and attain sexual recognition. Heterosexuality can be learnt, it is a transferable cultural trait. Rate of homosexuality could have gone up during colonial times but it is not the source of the practice. Sociology is concerned by mainstream norms and values. A Mainstrean norm is heterosexuality. When people do not achieve success in mainstream norms, they set up other norms and values. The separation of sexes, the sexual distinction traumatises some people when they mix up, if they grew up in separated contexts. We cannot hug our sisters, when you try to approach a girl for the first time, it can be traumatic. This can produce withdrawal. A goon number of MSMs that ere interviewed claimed MSM was a natural practice but the specialist interviewed said one has to ask if men who have sex with men are the right source of such information. They argued that most MSMs lacked the last straw to become MSM, just like a relative who leaves home for town will not accept it is because of poverty. Is Christianity the reason for the Homosexual/MSM denial? Many specialists, including human rights activists were asked if Christianity is the underlying cause for the denial and MSM and homosexuality in Malawi? Some said there a genuine belief by people of morality. But there is no universality of belief on homosexuality in Christianity Malawi. Desmond Tutu takes a liberal view on this issue. So invoking religion is not an acceptable way to look at this issue. There is no one Christianity, religion talks of repenting, not you should kill those who sin etc. Hypocrisy of Malawians – Bestiality This interviewee argued that Malawians are hypocritical because that very police man mentioned earlier, stated that there was bestiality in Malawi and to prove it, he said there was a chicken that had been ‘fucked by a man.’ She said she had seen the chicken being moved around with at the station. What baffled the human rights defender was how we [Malawians] do not reject bestiality as unMalawian, but have a problem with two people having sex with each other. She argued that people hate anything new. The same thing happened with gender and feminist issues. People like her have even been labelled male when they are female, just to discredit who they are. Interviewees asked why there was such talk against MSM when we had Malawians being arrested for trafficking human body parts, what is worse? We have had men chopping off women’s hands, doing all sorts of violence against women. They asked the researcher which is worse, homosexuality or such life threatening acts. Scapegoating Religion Malawi is a rigid society and Malawians like to use the bible as a scapegoat. What is interesting is that homosexuality can be found in the bible. An Christian human rights activist argued that If God wanted to punish and end it, Malawians should let him do 21 it himself, not to do it for him, why help him? The activist stressed that they knew that there is MSM and lesbians in Malawi but many people want to deny it in Malawi. There is no doubt that homosexuality and lesbianism is Malawian. She fortified the truth of her statement by citing a song that used to be sung in her home area (village) when she was young: AMangaliza pitauko AMangaliza[name of a lady] go there Tikakumane kuchitsime eeh! Let’s meet at the well eeh! Tikanyulane chapanchombo eeh! We squeeze each other’s bellybutton Interview of a Chanco Media Class on MSM and Lesbianism in Malawi10 The researcher interviewed a Chancellor College fourth year media for development class on the presence of MSM, lesbianinism and homosexuality in Malawi and campus. A student reported that there is a woman in Area 18b Lilongwe, who wears men’s clothes and dates women only. They gave her name. One student confirmed that there are lesbians and several MSM in Chanco A student reported that she actually saw two males having sex at the law department, one was ‘scared and nervous’ but the other one was very confident about it. One was a ‘Yo, wothelatu’ wina ‘Tradi’11. Apparently, there was a gay student who graduated and is now working for MBC. One man went to confess at one of the Pentecostal churches. He said he used to pick form one students and children to have sex with, while at high school. He continued this ‘sin’ whilst in campus. He said he had stopped. In the confession, he confirmed that are gays in Chancellor College They are just afraid to come out. There was report of a member of staff who was gay and proposed students in the class of one of the students. After hearing all these testimonies, especially views from specialists, I decided to hear from the horses mouth, men who have sex with men who are homosexual or gay. Please note that the focus group discussions held with MSM and sex workers not only engaged the question of is homosexuality Malawian and whether it is really happening in Malawi, it raised other issues that buttress the review of the legal and policy documents that has been done above. 3.2 From the Gay/Homosexual MSM Horse’s Mouth Two groups of MSM in Malawi had a focus group discussion with the researcher. They confirmed the presence of MSM in Dedza12 (about 10) and (at least 100) Mangochi. The Mangochi group underlined the presence of MSW but the Dedza one English Language Lab, Chancellor College. January 12 2012. MFD 431 ‘Sexuality in Malawian Media’. 10 11 Yo, from the African American slang word Yo man! Refers to a social class of males (boys) who are deemed to be well to do and usually put on American, often basketball attire. They are seen as ‘been to’ or with parents that have been abroad. Tradi refers to boy and girls who are behave and dress in what is deemed Malawian, basis attire and they usually come from economically challenged backgrounds and speak chichewarised English unlike Yos who often speak Americanised/European accented English, what is usually called speaking from the nose. 12 Apparently, Danka did a research in 2011 that has more accurate figures. 22 said they had not met or heard of any. The Mangochi group cited an example of WSW, a couple that recently moved from a place called Makawa (Mangochi). Some of the people interviewed were not only MSM but HIV and AIDS councillors and they confirmed that MSM that they were aware of, were a mixture of the youth and adults; students and working class; Muslims and Christians, people of the major political parties in Malawi, literate and illiterate. In Dedza, the average age of members was said to be twenty to thirty. When asked if MSM is a western concept, they emphatically rejected this view, arguing that it is natural, an inborn sexual orientation. One of them gave an example that when there were young, they used to get wet dreams of a man, not a woman, yet they are male. The respondent added that they had never been out of Malawi and one chimed in to add that the y had never had a foreign boyfriend and had not come into contact with foreigners. They asked how foreigners can teach them how to dream or be attracted to men’s genitalia from a young age. One MSM respondent argued that they come from the Southern region and have never been out of the country. They have never slept with a partner who is white or foreign and have never been to prison. The researcher asked if maybe they learnt this practice from an imprisoned uncle or some other relative and they vehemently refused having such contacts. They argued that when they were a very young, ‘Ndimasilila/I be very attracted(salivate) when I saw a man’s penis as they urinate. The respondent narrated an event when they stood for a long time waiting to view the penis of a handsome man, watch him till he put his penis back into his pants after urinating. He says he grew up doing that and whenever he saw a good looking man, he would be ‘genuinely attracted, ndimasilila pakana akhale mzanga basi/I would be so attracted to the point of making him my friend. I could not help myself, the responded added. I would stop to gaze and admire, wishing they could fondle the penis of that man. The respondent emphasized that they had always been like that, no one taught them to be attracted to members of the same sex with them. He said despite his feelings, he never acted on the feelings, got a lover till he got to high school. He was in boarding school but he did not know how to ‘do it’ or approach people. Then when he was in form four, he met a boy whom he got close with one night when he was escorting him from his house, during school holidays. This person was a neighbour and after the first sexual contact, when the respondent was asking what had just happened and surprised with himself for doing what he had done, the boy gave him a list of neighbours he occasionally had sex with. The list was made up of Malawians and there was no sign of these Malawians having contact with western tourists. After this encounter, the respondent gathered courage and started approaching people on his own. Christianity and Homosexuality One of the respondents is a Seventh Day Adventist Christian and when asked how he makes peace of his sexual orientation since Christiantity is generally seen to label MSM a sin, an ambivalent reply followed. On one hand, the respondent seemed self determined when they cited they scriptures that say we are all created equal and this includes men who have sex with men. On the other, they seemed disillusioned because they questioned God why they created people like him if they did not want them to do what they do. The respondent explained that when they are in church, nthumanzi imandigwila/I get psychologically traumatised when the pastor talks of Sodom and Gomorrah. Whenever that happens, he said he cringes and hopes the 23 pastor will not ‘go there’ that is, denounce homosexuality and homosexuals. He said some pastors go there and when that happens, it really hurts him but then he asked, ‘what can I do, this is who I am’. This respondent explained that they once had a girlfriend, trying to cure himself of the attraction to women but every time they had sex, he would fantasise about a man. We are hiding, How do Interventions find us? When asked if the criminalization and demonization of homosexuality is impacting MSM, participants of a focus group discussion made it clear that hiv and aids interventions are designed with people like them in mind so they cannot relate to them. After all, they are living in hiding so how can interventions find them? Bisexuality The focus group discussion made it clear that most of the MSMs in their area are bisexual so they have wives and girlfriends. Interventions do not take the bisexuality into account, they just presume that all people are heterosexuals. Living on the Down-Low It was found that many MSMs are living on the down-low. Participants were not aware of this term but the description of the behaviour of some of the men they have worked and had relationships with, described this phenomenon. They stated that most Malawian men who speak loudest against MSM were said to be the first one to do sleep with men when the light go down. They get married and/or involved in multiple affairs in order to cover up for their being MSM. Participants reported that a good number of MSM spent a lot of money on prostitutes just to come and sleep with a man at the end of the night, after making sure that the community sees them with lots of women. They make it a point that they act in ways that earns them a playboy reputation. They want the community to say, ‘Koma nde amakonda akazi kwambili/Wow, he is a playboy, he is into women a lot’. ‘Amafuna awomense kuti aku menya konse/ they want to show that they are hitting (having sex) both sides. This means he has to sleep around and this increases the vulnerability of hiv and aids transmission for the MSM person, his partners and the prostitutes too. Participants made it clear that it is the prostitutes who are spreading the infection to them. Both groups interviewed emphasized that those living on the down low are usually linked with so many women. Dedza is said to have a very large number of prostitutes. Interviewees there complained that MSM and straight men visit prostitutes and then come to ‘me’[an MSM person] and infect me. Orders The interviews and focus group discussion shows that the MSM community in Malawi, typical of an underground movement, has developed a language for acquiring sex partners. A sex partner is called an ‘order’ and these orders are posted through phone calls and one needs to specify the sexual preference of the one ordering and of the order, to work out matches. For example, some like licking, whilst others it is fondling and others not only like anal penetration but like to be on top, whilst for others it is below. All this politics of sexual intercourse has to be worked out in advance so that one does not get an order that will fail to satisfy its customer. After all, if one sends a wrong order, that is an order that ends up not delivering sex wise, 24 you can end up souring relations between the one who sent the order and the one who was sent the order. Apparently, no money exchanges hands for accessing or sending the orders. It is understood that a good turn deserves another, if you send a good order to your friend, tomorrow he will find and send a perfect order for you. This is a community of few people so helping each other out is a survival mechanism that everyone understands is the lifeblood of the community. If someone tests positive, then ‘orders’ pass them by because they are labelled to be a bad order. They are cut out of the order circles. So many people hide their hiv and aids status so that they are not cut out of the order process. I cannot go Alone It was reported that there is a problem of some MSM who test positive deciding that they do not want to go (die) alone. They try to sleep with as many people as they can. Instead of going to be tested and warning others about it, they just go on a killing spree to infect as many people as they can and say ‘tipite ambili/many of us should accompany me in death’. Sexual Practices - Sharing of Orders When one gets an order and they like the encounter, especially if the order is a gay person too, rather than an straight person, they will share the order with a fellow MSM person. Because MSMs are few in the country, it is very rare to find a fellow gay person and straight men who participate in MSM are rarely shared. Usually, you share someone you are done with. Some people just never share. Material Needs - Lubricants Scarcity MSM members in the focus group conducted complained of lubricants being scarce. Apparently those in towns can access them by going to organisations like CEDEP but the further one is from the towns, the harder it is. MSM is not a static category Participants explained that there are members who can have sex with a man today and deny ever doing it, or refuse to engage or approve of it vehemently the next day. Some get back into the act after some time, others never do. Such people are dangerous because they can report others and/or become the worst enemy of MSM. They also stated that some of the men they meet are in denial of their sexual orientation and some are just plain confused. Some accept at one time but end up in an identity crisis. For those who are HIV and AIDS counsellors, they explained that when they go into the community, they prefer to let MSM members come out from the community. They do not take MSM into the community because they say they know that is something that can compromise their lives, they can be put in prison. So they ask if there are any MSMs who need hiv and aids counselling in a community, just as they ask if there are women who need help. They reported that in most occasions, it took time for people to point out the presence of MSM but once one did, they were usually supported by the rest of the community and once that happened, many examples of MSM would flow from the communal discussion. After such discussions, according to them, was often followed by an MSM person approaching them for lubricants and other forms of counselling. 25 They explained that they faced the fiercest opposition from, the worst form of homophobia from the church, police/government and community, in that order of intensity. It was interesting to not note that most of them believed Islam was less intense in its criticism of homosexuality and they reason they gave is that Islam ‘does not look at personal life’ as much as Christianity does. Amongst the Christians, both focus group discussion identified the Evangelicals as the group that is churning the worst forms of homophic oppression. When asked how families react when they get to know of their sexual orientation, most of them said families prefer to ‘hadle the issue inside the house’. They do not want to the issue to go public for fear of embarrassment. They often contact a pastor to pray for the MSM member. The people who suffer most embarrassment and who pause the worst threat to an MSM member are the wife of a bisexual MSM member. They are the ones who can use the knowledge they have to blackmail the MSM man. The embarrassment they will get from the community also fuels them to want to embarrass the MSM man even more. Fathers of MSM men tend to be more angry than the mothers, when disclosure of sexual orientation happens. The members who were interviewed agreed that grandparents often react by saying that during their time, things like MSM never happened and they try to give advice, to change the MSM grandchild. One of the members took exception to this experience and narrated a story of an MSM old man (about 60 years) who reported that he has been gay for a long time. He used to ask his grandchild to play with his genitalia for sexual satisfaction. Apparently, when the participant heard this from the grandchild, they went there so they could do this duty instead of the grandchild. He knew he would derive sexual pleasure from this too. Apparently the Gogo used to stay at Nansenga. The old man argued that MSM always existed in his community. strongest value, who amongst the church. Blackmailing Participants in all the both focus groups conducted complained that they are being blackmailed by those who come to know of their being MSM. They are asked to pay for the people to keep quiet or else they will report them to the police. Participants wanted to know how the law can protect them. Mushrooming of MSM in Malawi The number is increasing at a very fast rate and the ages are getting younger. A respondent cited the average age of MSM members who attended a regional meeting he attended. He put the age between 18 and 25 and stated that at this particular meeting, there were two members from Ntchisi, another pair from Dedza and also from Dowa. He said they exchanged phone numbers to keep in contact. There was a Muslim member, a man who was having an affair with a male Bishop, lawyer and Member of Parliament. He said most of the mushrooming members ‘ndima Yo’. When asked to account for this kind of mushrooming – the respondent argued that people are getting more attractive, dressing better and more confident to embrace their sexual orientation. The Tiwonge/Monjeza Backlash This issue has made life very difficult for some MSMs. Some complained that it brought their orientation into the limelight and made them targets in the community. The felt that the timing was bad. The backlash was dangerous to their lives. In 26 Blantyre, they could not wear tight pants in some places for some time after that incident. If you did, you were in trouble, you could be booed or even undressed. The gay profiling that resulted came about because the issue was why would a man want to wear tight pants, whom do they want to attract, they should be gay? Now it has died down but it was bad, according to the respondents. One of the respondents argued that the coming out of Tiwonge and Monjeza was shocking because they did not like they way people denigrated being gay. ‘Anthu amanyoza/People spoke very rudely’ and it was painful to hear. It really hurt and frustrated people who are MSM. Conclusion Clearly in Africa, MSM behaviour exists in many ethnic groups. The issue is that MSM, WSW, Inter-sexed and Transgendered people just have not had space to express themselves. In Europe and other western spaces, the practice is increasingly being accepted within the human rights discourse. In Asia and Africa, it often clashes with the discourses on culture and religion. This has complicated its incorporation into the human rights discourse. There is evidence in the history of African communities of same and bisexual attraction. In some communities, it is even alleged that children who were born and exhibited what was deemed a sexual deformity, were killed. There is also proof that in many societies as people grew up, those who were found to be same sex attracted were and are ridiculed, forced to change and they face several attempts to punish and control their sexuality. Two incidences shared at a February, 2009 conference in Mangochi are worthy of mentioning. There was a Malawian Reverend’s son who is gay. The father tried to force him to change. The practice was branded a sin and they he asked a friend to pray for him. But because the issue was a biological condition for the son, nothing changed. In Zomba, there is a man who upon discovering that he was attracted to fellow men, he went to a Pastor for help. For a year, he would attend the prayers but the Pastor gave up because he had started to fall in love with the Pastor. In any group that is criminalised, it is very hard to get space and time where members of such groups are able to tell their story. It is for that reason that this research privileges the views of MSM members that were brave enough to tell their story and what comes out clearly is that they are men who have sex with men because that is their sexual orientation. They admit that some people do it not because that is the sex of their choice, some do it once and never again but for the people who are homosexual or gay, those that identify in that way, MSM is a practice they do for sexual satisfaction, out of choice and from a time they knew who they are sexually. 3.3 Legal Issues a. Constitution and Penal Code are at odds b. Criminalisation A review of the legal and policy documents of Malawi shows that sexual minority groups like MSM and sex workers are crimanalised, declared to be outside protection of the law. This complicates working with them, especially when it domes to HIV/AIDS interventions. They are declared outlaws therefore one cannot engage them in the public space. For example, two university lawyer lecturers went to run a workshop in Mangochi on an issue not even related to sexual minorities. Just after 27 leaving the workshop area, Police came asking after them, accusing them of having to come to talk about homosexuality. Their response to this experience underlines the criminalisation of MSM in Malawi and its impact because they assert that ‘In fact, we were lucky not to be found in the space of the workshop, we could have been arrested.’13 Kanyongolo argues that the criminalisation of the sexual minorities is further evidenced by the character of the Sodomy laws he calls vagrancy laws. It is also evidenced by the fact that laws concerning sexual minorities are in the penal code 14 – the place where we find criminal law. The problem with criminalisation is that it pushes the practice underground, making it harder for interventions to engage, understand and access it. Interventions are difficult when there is criminalisation. You end up with a subterfuge situation. You end up having to disguise your interventions. A good example of this is the billboard you see in Paul Kagame street in Lilongwe. It says ‘Minorities are people too’ – this is something meant to combat the stigma and ostracisation of sexual minorities but it ends up being so vague and that is counter productive. Sex workers in South Africa can meet openly but because the act is criminalised here, they meet under names such as peer to peer groups etc. Clearly, criminalisation compromises the effectivity of the interventions. You end up with a lot of sugarcoating. Criminalisation closes off state support, financially and structurally. The state cannot fund illegal stuff. The issue cannot access state media. Major interventions like those of HIV/AIDS require public/state funding. One needs resources of the state. In addition, donors are moving away from directly running projects to funding through government, that is, direct budget support. They prefer to pour into the government bucket. This method has its weaknesses such a corruption but this also means that the state decides what will be funded and that edits out what is deemed criminal. Criminalisation reduces government’s attention on an issue. c. Colonial Legacy As illustrated above, sodomy laws are colonial, alien legacies. This allows the government to say it is not them, they are not to blame, they are only implementing the law, it is not their law, they inherited it. This allows them to distance themselves from blame and argue that they are just enforcers. However, there is deceit in this argument because they have the ability and power to amend the laws. They choose not to do anything. d. Exploitation of Inherent Vagueness of the law By design, the law is drafted broadly for it to cater for the unforeseen future, so it is not too specific to the point of being easily redundant. For example, a law on phones can fail to cope when the internet comes into place. One needs to have drafted the law in broad way. The problem is that often, this vagueness tramples on rights of specific minority groups. e. The Rule of Law Scapegoat The government can use the rhetoric of rule of law, saying that it is the courts that make the laws and they follow the rule of law. They leave the courts to be 13 See interview with Associate Professor’s Edge Kanyongolo . Law Faculty Building, Chancellor College, 2pm 3.15pm to 5.30pm 14 The Penal Code is one of the chapters in the laws of Malawi. It is found in Volume 2. 28 independent. This is something they do when they face donors who ask why there are laws that go against the Constitution on sexual minority rights. They will just say they do not want to interfere with the courts, they follow the rule of law when what they are really following is rule by law. f. Exploiting the Language The language of the law is inherently vague. The executive branch of government can exploit the institutional configuration of the law. g. Elitisms’ of the law The legal system assumes a fluent chain that links the citizen to the members of parliament and Minister of Justice. The problem is that citizenship is not a given but social construction. Some people attain citizenship whilst others can fail. Attaining it once does not guarantee having it all the time. Sexual minorities are some of the people that often fail to attain it, especially when their identity is criminalised. They find themselves falling out of the chain. For example, the list of delegates to the Malawi Constitutional Review of 1995 does not include sexual minorities. They are not included in the list of institutions or individuals who attended the review. h. Legal Moralism The laws are very reductionist. They engage in legal moralism where one is trying to get the law to enforce morals. See the Hart Devlin debate. 15 i. Heterosexist and Heteropatriarchal Law By criminalising a minority sexual orientation, it normativises heterosexuality and heteropatriarchy. This makes the law heterosexist and heteropatriarchal. j. Elitist Colonial Patriarchy In Malawi, we use British law to prosecute sex work. This is a law that emanated from the elite. They were concerned with morality, religion and culture issues. Sex is considered from a moral point of view. Sex worker is viewed as a morally bad person. Sex work is not recognised as a right but stigmatised. The concept of adultery shapes the law in many ways. The problem with morals is that people want to look morally good in public but what they do in the darkness is usually different. So there is a lot of public posturing in these laws, what really matters is what, who and how one is seen in the public. It is therefore not surprising that in patriarchal communities like we have in the many Euro-western societies, having multiple partners is seen as a wrong when done in public and by women more than men. Our laws in Malawi show that the 15 The Hart-Devlin debate is one of the most well-known arguments in legal philosophy. Named after H.L.A. Hart and Lord Patrick Devlin, the debate itself ranged over subsequent pieces of writing that spanned the 1950s and 60s. The exchange itself is over the use of laws to enforce societal norms. The issue was raised after the Wolfenden Report was released in Britain in 1957. The report basically revolved around legalising homosexual acts (which was previously illegal) as well as prostitution. The conclusion of the committee presented in the report stated that homosexual acts between consenting adults should be legalised, as it was not the business of the law to make decisions on private moral issues. Both Devlin, a judge, and Hart, an academic, sat on the committee. However, they objected to each other’s stance and continued the debate long after the report was made and expanded it to morality and law in general rather than just about homosexuality and prostitution. Lord Devlin rejected this basis for legalising homosexuality and in general. Devlin wrote several books and papers outlining his dismissal of the committee’s report and Hart’s stance on the subject. He believed that without morality the law “… destroys freedom of conscience and is the paved road to tyranny”. He thought that if the law did not enforcement moral norms that society would start to fall apart. Devlin believed that uniform moral standards were what held cities and countries together. These norms could be discerned by the general consensus of everyday people based on what they find to be acceptable. While he thought that privacy should be respected, Devlin definitely felt that there was nothing that was off limits to the law. http://www.politonomist.com/the-hart-devlin-debate-002607/ Retrieved February, 24 2012, 10.36am. 29 definition of the sex worker targets women and not men, yet the sex work involves two people, man to man, woman to woman and since Malawi is predominantly heterosexual, it usually involves men and women. Sex workers are an easy target. k. Non-Disaggregated Law The Law does not disaggregate sexual minorities. They are just lumped together thereby fixing sexual minorities as a category. This makes the law fail to recognise the social realities of sexual minorities such as MSM and sex workers. The fixed categorisation obscures particular realities of the people concerned. It masked the identity and personhood of same sex attracted people, generating labels that flatten then and bury their particularities. These legal issues have adverse effects on HIV/AIDS interventions of MSM and sex workers in Malawi. 3.4 POLICY ISSUES a. A Policy of Denying MSM, Sexual Minorities Malawi comes from a history of cultural and political denial. We have an entrenched policy of denial. When it comes to issues concerning sex, we have a history of denial. From 1985 to 1989, there was no official recognition of HIV and AIDS. In fact, there was a time when you could not mention the words Aids in public. People would say, matenda aBoma, matenda amasikwano (The Government disease, The disease of nowadays). One has to remember that the National Aids Committee, now National Aids Committee (NAC), it was formed from a push from the donors. For us, we kept on saying we are a ‘God Fearing’ nation, it is a foreign problem. We blamed it on Burundi’s, Zambians etc. We are not the only ones to do that in the region, see Kabwila Kapasula’s ‘Challenging sexual Stereotypes: is cross-dressing ‘unAfrican”?’ in Feminist Africa Issue 6 (2003) for an example of how AIDS, just like homosexuality, was blamed on black foreigners in Botswana at height of the pandemic. This denial has implications: i. The issue becomes a black issue and this makes it thrive because there is a mystic about it. This crates a curiosity, it gains status, bravado. This make the behaviour proliferate. ii. Interventions are stifled, efforts o deal with it are stifled and develops dimensions that makes it uncontainable. This proliferates into other issues. For example, some of the interviewees say they got married in order not to be suspected to be gay but what is the effect of that? How does one intervene in terms of health issues, for example in terms of HIV/AIDS. You cannot intervene in what does not exist, you put handcuff on yourself. In Malawi, leadership is putting handcuffs on itself and dragging the society with it into the abyss. How does one intervene on issues of HIV/AIDS when they are criminalised. iii. The issue of MSM and sexual minorities becomes donor driven. Donors drive the dialogue, then it becomes a conditionality of donor aid. Malawi does not have participation in the issue. There is no ownership. iv. Policy becomes technocrat based without participation of the citizenry in at large. This possesses a problem in country with vast differences 30 of illiteracy that are more pronounced along gender lines. It becomes an elitist project. The whole issue becomes a technocratic exercise. v. Public awareness becomes a huge challenge. MSM and HIV and AIDS intervention becomes an issue that is starved of publicity. It is hard to draw awareness to the grassroots. It fails to come out into the public domain so that is interrogated and stand a chance to be owned. Impact on Youth b. Sexual Minority ‘Uncomfortable’ An issue that is clear with our policies is their uncomfortably with the issue of sexual minorities and this evidenced by the way they are addressed minimally. They are addressed in a way that fails to disaggregate the groups of people. For example, there is failure to look at age groups, class and space differences, something that is done for groups like children and women. There is a tendency to monolithise but one needs to break them down in order to show their specificities and nuance the interventions. One has to identify different groups and be prepared to show how institutions can best engage the people in the vulnerable groups. A good example is the way domestic violence has been linked to women and HIV/AIDS interventions. In any intervention, you need to disaggregate the groups of people in order to nuance the intervention c. Schizophrenia/Multiple Identity Policies Interventions are affected when there are policies and policy makers change their rhetoric. For example, when Mary Shawa16 and the Government of Malawi went to present documents on HIV/AIDS to Global Fund, the document reflected sexual minorities such as MSM but when they came here, especially as when they came, they found the Tiwonge Chimbalanga issue, they played down the presence of sexual minorities in Malawi. We saw an instance of policy schizophrenia. They changed when they got into the country. Policy consistency is very important if interventions are to have positive, measurable, visible and consistent results on the target group concerned. If there is to be a viable impact o the environment, one needs a stable policy environment, one that one can program and work with without it being changed in midair at different places. When you have a policy environment that evidences multiple identities, it is hard to being interventions to fruition. Our documents on sexual minorities keep changing in interpretation and this is problematic when one meets groups like Members of Parliament. The changing brings an element of mistrust and non-productiveness. This has a negative impact on interventions. Government is a major stakeholder in interventions. d. Using HIV/AIDS as a Neo-colonial State Survival Tactic The history of Malawian legal and policy documents on HIV/AIDS enables the government to play a blame game and use the issue of HIV/AIDS intervention for sexual minorities as local and international political and social currency. They can blame the donors, elites, diaspora Malawians or NGOs, process of interventions, political climate and or religious fundamentalism. They can decide to personalise the issue and attack those that fight for sexual minority rights as we have seen them do this past three years. They can blame that policy and not that one. This is a problem especially given the policy proliferation in Malawi. The latter has caused contradiction and loss of focus of policy on issue. The government can also use their need to survive politically by playing the nationalist, culture, religion card/s. Bottom line is they need to survive politically and how they behave before, during and after elections depends on their political thermometer and health bill. 16 See Mary Shawa on Global Fund, Nyasa Times, CEDEP website. 31 e. Culture of Hypocrisy The reason is hypocrisy. They want to tow the high moral ground. So they pick on issues that can support their moral stand. So Malawi is being put on a high moral ground. If we can show that ‘here it does not happened, then Malawi is better than others, we are better than others. This means leadership is seen as good. People coming on this are ministers. We do not have social ills, out nation is sanitised. f. An illogical ambivalence Our policies evidence an illogical ambivalence because they criminalise what is said not to exist. 4.0 MSM/Sex workers, HIV/AIDS INTERVENTIONS, MALAWI - STAKEHOLDER’S VIEW OF STATUS QUO 4.1 A View from Higher Education In formal education HIV/AIDS Education is being tackled through social studies and life skills. The latter is more the base of such instruction. An interview with highly ranked education officials on HIV and AIDS in the Malawian education sector, underscored that the issue of fighting HIV/AIDS in the classroom has been casual and business as usual. Officials actually said when it comes to that, ‘Timangokhala’, we are not fighting this disease as a pandemic in the education sector, what we have now is adhoc and reactive17. Baselines surveys have indicated that not much is happening. Malawi is failing to respond to emerging issues in our country. The classroom has failed to make itself relevant in the discourse HIV and AIDS interventions when it comes to MSM, LGBTI and Sex workers. For example, an analysis of departments such as Higher Education illustrates a body that is not a think tank on this issue. By and large, our classrooms treat the issue of sex and sexuality as a taboo. Given the time that students spend at school as compared to any other place, the role of the youth in fighting this pandemic, education is key in sex education. But, the teacher or teacher trainer has to be comfortable with their own sex, gender and sexuality in order to engage students and impact productively. Student Support is central to sex education but it is lacking a lot in Malawi. We seem to be more interested in doubling the numbers at university, secondary school and primary instead of worrying about the quality of instruction. We know we do not have resources; one wonders why we then go ahead and double intakes all over. There is need for Malawi to equip students to fight this HIV/AIDS themselves. 4.2 EDUCAIDS EDUCAIDS18 is formally two years old. It is brainchild of EDUKANS of Netherlands. They have branches in Uganda, Ethiopia and Kenya. It aims to promote comprehensive and integrated SRHR for the youth (ages 9 to 30) in the fight against HIV/AIDS. Their target groups are in and out of school youths ages 9-30, girls, 17 18 Higher Education offices, Lilongwe. Friday 3rd February, 2012, http://www.educaids.nl/page/637 Retrieved 23 February, 2012, 17.46. 32 teachers trainees, tutors within TTC, PTA and School Management Committees, TeachersThey look at advocacy, capacity building and service provision. They integrate and network with partners. Half of the partners are faith bases so there are limitations on what the organisations can do. EDUCANS promote the ABCDEF+.19 But, most of the partners do not even reach the C, they do not even talk about condomising as it is seen as problematic religious wise. EDUCAIDS accepts that their training does not engage homosexuality, their services focus on heterosexuality because of the faith based nature of the institutions involved. Activities do not talk of MSM because doing that would be seen as taboo. Clearly, if talking about condomisation is a problem, homosexuality is non starter. It must be stressed that the EDUCAIDS personnel appreciates the urgent need of engaging homosexuality and LGBTI issues in HIV/AIDS education because there is MSM and WSW in Malawi. They said the latter sexual minorities exist and secondary schools in Malawi were cited as examples. Not talking about it means that the approach of EDUCAIDS is not comprehensive. Same sex relationships, specifically MSM need to be recognised or else efforts of institutions like EDUCAIDS are fighting a losing battle, they will not meet their goals. In and out of school youths include those that go to prison. But, EDUCAIDS does not talk about homosexuality, yet we know homosexuality happens in prisons. This makes EDUCAIDS fail to address new infections that come from that route. The target groups of EDUCAIDS are girls, Parents and teachers and so by not addressing a big target group of the youth, they are missing a crucial target. Programs focus on targets and if this is not registered, it is not worked on. It is a fact that there is MSM and WSW in Malawi. Interviews conducted by EDUCAIDS of girls in schools evidence that they speak of WSW as normal occurrences. It is not a strange concept at all. They even have words for it, they call each other ‘aDarling’ and so on and so forth. We need to factor this in HIV/AIDS training. The strategies being used in HIV/AIDS training this far, do not address this problem. EDUCAIDS works with teachers that are living positively. They have trained district education managers whom they equip to handle issues of stigma and discrimination. They have trained Primary School education Advisors. There is an organisation called TILIPO. It comprises of teachers lving positively and its membership is over 3000. They look at issues of treatment, care and support. EDUCAIDS trains them to be trainers of trainers. There is also Uchembere Wabwino. They deal with sexual reproduction rights, focusing mostly on the maternal side of issues. In Zomba there is sexual and reproductive heath alliance. They can be found close to YONECO. But, all these trained people, the councillors, are not equipped to deal with MSM/homosexual, LGBTI issues. The problem is that they are generally ill equipped. To start with, they are not inadequate in number and most importantly, they are often not youth friendly. They often bring the culture discourse into their work. The problem starts with the way they dress. Youths complain that most of them dress very conservatively. Once a young person comes to them with an STI, they judge them and take a judgemental, accusatory attitude towards the youth. Youths report that they are often advised, even ordered not to be sexually active. Now, a person like that is not someone one would 19 This acronym refers to abstinence, be faithful, condomise etc and the + means positive living. 33 take the issue of MSM to. There is an urgent need for the councillors to be well trained so that they can provide youth friendly health services. They are supposed to provide services with confidentiality but there are so many reports of that not happening. In the end, the youth prefer to get advice from their peers. Many youths say they cannot not even talk of menstruation and sex to such councillors, these are issues that most councillors deal with silently. Our culture has a problem on this issue, it is silent about issues of sex and sexuality. This makes it hard for the youth to get help on those issues. In schools, the subject that is supposed to equip the youth to fight and manage HIV/AIDS is life skills but an analysis of how it is being taught, has shown EDUCAIDS that the curriculum is too loose. It does not cover sexual and reproductive and health rights adequately. It does not equip students with the relevant skills to achieve its goals. It is not age appropriate. It needs to ascertain that students know and own their body, know the changes that will happen as they grow up. Issues of menstruation, sperms and wet dreams are not covered. Tutors have admitted to EDUCAIDS that they do not deal with sexual and reproductive rights. They do not have the content, no the resources for example, they do not have dummy penises and other gadgets needed for one to teach this subject effectively. The curriculum of life skills needs to be reviewed urgently at TTC levels. It needs to be made comprehensive. An analysis of how this subject is being taught shows that culture is holding people back progress in this subject. Instructors often complain of having problems to discuss issues that they feel should not be discussed in the open. The problem we have now is that if these issues are labelled taboo at home, the school needs to talk about them, especially if they are linked to a pandemic like HIV/AIDS but alas, even in class, the teachers are not comfortable talking about them. Some teachers even say they stopped teaching this subject because they are uncomfortable talking about issues of intimacy. Some they say they do not like teaching this subject. Others have said they substitute it with other subjects when they get to parts they are not comfortable with. The research that EDUCAIDS did on this issue was evidence based and it focused on sexual reproductive rights and it showed that many teachers cannot facilitate discussions on issues that touch on sex. But, we need to be comprehensive in our approach to this subject. If we cannot even talk about sex, how can we hope life skills to broach the subject of MSM? There is need to review he curriculum and teachers need capacity building. There is an urgent need for a culture paradigm shift. 4.3 The View of District AIDS Coordinators The District Aids Coordinators (DAC20) explained that they mainly work with community and faith based organisations21 and that, together with the legal framework defining sexual minorities issue, largely meant that they do not address issues of sexual minorities when they are doing their job. Those who train them also do not engage this issue. Their approach on HIV/AIDS intervention was largely 20 Zomba and Mangochi DACs were interviewed face to face. Zomba is said to have 18% HIV and AIDS prevalence. This research is crucial to places such as Zomba because it is surrounded by places that house high risk populations such students, prisoners and tourists. 21 The examples of such groups I was given were St. Charles Lwangwa, Shukura Mubarak Complex (Muslims). St. George Anglican and Sadzi Community Based Organisation. 34 restricted and not open to such issues. Even prison HIV/AIDS Coordinators do not engage this issue, it is not registered. The DAC’s do their work based on target groups and MSM are not an audience that they can target as it is not registered. Some insisted that they needed confirmation for them to have programmes that can engage MSM and sex workers. In the face of the number of MSM in their district, some of the DACs stressed that the silence on MSM meant that ‘tikungongowaula that is, not looking at the issues systemically but looking at it cosmetically. One argued that what they do is in tandem with the way the HIV and AIDS policy treats the issue of sexual minorities, it just scraps on the very top, bypassing them/imangodutsa pamwamba peni peni. They argued that even when the policies they use mention MSM, it is mainly to window dress/kuchongetsa so that Malawi can appear to be in line with international standards and access funding, not because MSM are a group that is recognised as a stakeholder in the HIV/AIDS discourse. They argued their efforts are restricted by the constitution. The presence of MSM was resoundingly confirmed and it was said to be rampant. Many tour guides are said to have reported its presence. But the anal sex that is involved in most MSM sexual contacts means many need lubricants but DAC’s complained that they had no access to MSM. When the MSM’s contract HIV and AIDS, the system does not ask them if they have same sex partners, it is just assumed that everyone sleeps with a woman. If the counsellor does not attribute the transmission to heterosexual sex, they rush to link it to drug use, ‘mumazibaya/you inject yourself’. Counsellors are not trained to deal with MSM. A good number of the MSM are bisexual and this puts wives at risk too. When there were asked if MSM is a Malawian practice, some said the problem is that even for those who ‘learnt’ the practice from foreigners, the fact of the matter is that such Malawians have developed an appetite for the practice. The issue is not the nationality of the source of the practice but the fact that the practice is amidst this nation, it is being practiced by Malawians. For those who argue that MSM is a sin, the question that some DAC’s were asking is ‘Is this the only sin?’ Our papers are full of sex scandals by preachers yet all we hear of everyday is that Malawi is a religious nation. The problem is that because it is a practice that is criminalised. 4.4 The view of a Human Rights Activist Lawyer a. Periodic Assurance of Protection In Malawi, MSMs sometimes get assurance of protection from authorities as long as they do not reveal their sexual orientation. So as long as one stays under the radar, protection can be assured. This makes it harder for them to access MSM HIV and AIDS prevention programmes. b. Fear, No Liberty , No Safety MSMs are constantly afraid of the law, church, community and the system as a whole. There is no liberty for them to live the life of their choice. The major challenge is that of space. They are afraid of being arrested at every time. Fear of arrest accounts for the main reason to stay in the closet for many MSMs. 35 c. Ready for Mass Action Even though they live in fear, what people interviewed underlined is that they are ready for mass action. This is especially because this will be done as a group and afterwards they will go to their homes and continue hiding. d. Lesbians They face triple oppression because of being female. This is in view of the oppression that women face in Malawi. e. Need to separate Homosexuality with Paedophilia f. Gays are normal Human Beings There is a tendency for those who engage the issue of gay rights to think that those fighting for gays are saying gay people are perfect and they do no wrong. It is important for people to understand that gay people are normal. They cry, laugh and so on so forth. Like heterosexuals, some of them steal, rape, kill and so and so forth. The fight for their rights is not to accord them extra rights, it is to have them enjoy human rights. g. Hetorosexist HIV messages The issue that surrounds them on HIV and AIDS is about penis and vagina. Penis to penis, vagina to vagina or penis to vagina of the same person is not talked about. h. No MSM condoms You cannot find special condoms for MSM if you do, it is not easy. These condoms are thicker and they protect the MSM user better. i. Challenge of Trust Due to the criminalisation and ostracisation of sexual minorities in Malawi, it is hard to gain their trust. Human rights lawyers emphasize that gaining their trust takes time and is something that one has to invest in heavily to attain. The researcher experienced this first hand in conducting this study. I discovered that the phone, given the pivotal role it plays in the getting of MSM ‘orders’, was a difficult source of communication to use when setting up appointments. Since MSMs are criminalised, one has to rely the one you know contacting the other, the snowball approach. I asked one member of the focus group to contact an MSM member in the next district I was conducting research but the MSM member on the other side of the line was evasive. When I asked what was going on, I was told that that gay/homosexual guy was highly suspicious of the one calling to ask the number of another MSM as that could be a way of getting that ‘mwamuna/male lover’ for himself. I was told that phones are very difficult to carry out conversations with MSM as they are the main ways to get ‘orders’. 4.5 View of University, College HIV/AIDS Counsellors a. Councillor Silence on MSM A Chancellor College HIV and AIDS Councillor and Zone Supervisor stressed that sexual minorities, for example MSM and WSW were not issues they mentioned or included when training counsellors and/or counselling students in Chancellor College. The counsellor said male to female transmission was what they focused on because that is what they are equipped to handle. Even when they deal with prison communities, much as they MSM is said to be prevalent in prison, interventions do not mention MSM or WSW ‘we just talk of AIDS as a sexual disease’. This is done even though MSM often means anal penetration which has a high level of HIV and AIDS transmission. b. The Present Absence 36 Most respondents agreed that there is MSM in Chancellor College but it is a silent presence, present absence. A Chancellor College HIV and AIDS Councillor reported that there had been strong rumours of a male student who was having an affair with a lecturer but none of the two ever came to him. A large of part of the silence is attributed to the triple taboo suffered by MSM. It is criminalized, condemned by organized religion and labelled sin culturally. It is defined as an alien act that is wrong and beneath acts of humans. c. We do not Care of Sexual Minorities The interviewees stressed that if we do not incorporate the issue of sexual minorities in our HIV/AIDS education, prevention, treatment and management, what we mean is that we do not care about the same sex attracted people of Malawi. Given the evidence that is coming from the ground, we are running the risk of perpetuating a big and real threat to the community. There is real danger of leaving one pillar of this war, we are leaving out a substantial target group and all those linked to them. ‘There is an urgent need for us to open up’. Councillors need to open up and stop looking at HIV/AIDS as a female to male issue. If someone tests positive, there is need to treat the partners not just as heterosexual but expect there to be same sex partners too. d. Not using a Human Rights Approach HIV/AIDS Counsellors and those who train them admitted that they operate from a structural, anatomical point of view, not from a human rights perspective. The human rights approach is not employed. For example in Chancellor College, where a good amount of Gender Based Violence (GBV) and Violence Against Women (VAW) takes place, we know the link of these two to HIV and AIDS prevalence – councillors and those in authority admit that they do not strive to educate male and female students of sexual and reproductive rights. There are trainers who do not want to talk about sex, they cannot mention genitalia. 4.6 View of the Clergy A Person vs Institutional Stand Disconnect in Christianity There is a disconnect between the church stand and church personnel, in this case, reverends – when it comes to the issue of homosexuality in Malawi. Interviewees emphasised that the official stand is that homosexuality or LGBTI sex is a sin in Christianity and those laws will not change. However, the peole made it clear that their personal positions are different from that of the chuch. They stressed the need for the church to change its stand, especially with the advent of HIV and AIDS. ‘The same sex attracted people are our Christians and they are dying’, they argued. They went on to argue that the central message of Christianity is love. Love is not qualified so we should love homosexuals just as we love heterosexuals because they were created in the image of God too. They are human beings. The church needs to accept and assist them to fight this pandemic. However, they were very clear that Christianity teaches that homosexuality is a deviant behaviour and the church is treated as a hospital to cure this sexual orientation. This is where they are expected to to get cured of this sin. The reverends called for the church to open oup. Given the authority that the Christianity wields in the lives of people in Malawi, opening up will increase ways safe sex practise that will help prevent and/or manage the pandemic. They also noted that change is hard, it is not an event, it is a process. They were sure that things will change with time. After all, Zomba Theological has homosexuality in its Christian Ethics’ curriculum. If we are to intensify on behaviour change methods, 37 reverends are crucial in CCAP because they impact change in many ways. For the Catholics, it was the Bishops who need to be involved in this discourse most. They can help open up avenues to engage HIV and AIDS interventions. Evangelical Donor Hindrance Sometimes, it is the donor, especially those funding evangelicals that dictate conservative views on sex and sexuality and fuel a lot of homophobia in the Christian world in Malawi. MSM unprotected sex safer than Heterosexual Sex The researcher was very shocked to find out that there is a general perception in Malawi that a man stands to catch HIV/AIDS more if they sleep with a woman than a man. When this was mentioned, the researcher was challenged to ask people in the street, to test the prevalence of the view. I asked a sample of ten that I chose randomly and ten out of ten, they confirmed this. They had not been privy to the interview and when asked why, the reason given was that it is women who spread HIV and AIDS. One can see the products of a community that views women from a biblical Genesian perspective that sees women as the news who eat and spread sin, as Even did. What is also evident is that the message of HIV and AIDS has really been delivered and consumed from vagina enters penis perspective. Anything else seems less harmless. The heterosexism that is peddled by heteronormative HIV and AIDS discourses has really demonised women and defined them as the producers, distributors and perpetrators of the pandemic. The fact that anal MSM sex, especially one that does not include lubricants and relevant condoms, is more dangerous due to the soft tissues of the anus, is more dangerous than the penis enters vagina sex, is something that many of the people interviewed exclaimed was a new thing they never thought of or knew. An interrogation of what the legal and policy documents say about MSM, it is clear that men who have sex with men in Malawi are not enjoying their sexual health and reproductive rights. Even though there is ample that they are there, they are there in living flesh but policy documents deny their presence. Policies also have very loud silence on them. The main reason, especially when one talks to them and specialists in the field is that they choose to have sex with men. The Malawian legal documents that criminalise them show that Malawi is saying they cannot exercise their right of choice when it comes to who have sex with and for what reason. The discourse on homosexuality in Malawi, especially the one following the Tiwonge/Chimbalanga saga illustrates that the issue of procreation, the Genesian story of how to have sex and why, is what Malawi wants to prescribe to all citizens. This means the rights of a man to have sex with a man is being surprised. 5.0 Sex Workers, Victims of Malawi’s Double Patriarchy An analysis of the legal and documents review and the issues emanating, emphasises the double patriarchy (Ajayi Soyinka 1996) that is the organising principle at institutional and communities level. This system that inferiorises women is informed by a host of factors such as, Indigenous and Eurowestern religions Global capitalisms, 38 Indigenous and Euro-western cultures, Physiology, Organised Euro-western education Historical female oppression (Kabwila Kapasula 2009, 2010) These factors work together to weave an oppression that is pertinent to HIV/AIDS interventions of sex workers in Malawi. The patriarchy affects the way Malawi unpacks and implements Sexual Reproductive and Health Rights (SRHR). Like MSM, there is a debate on the source of sex work in Malawi. The researcher decided to interview specialists who work with sex workers in the HIV/AIDS. Sex Work Causes – An HIV/AIDS Councillor’s View One interviewee revealed that nationally, the drive for ‘prostitution’ is poverty and high sex drive or what he called ‘hormonal’ cause. The latter is when a woman hunts for the next sexual encounter with a man because she cannot get enough sex in a normal affair. She cannot stay without a heterosexual sex. Respondents talked of women who can move from Mangochi to Lilongwe, pub crawling, looking for the next sexual satisfaction. It was interesting to note that many respondents attributed the largest number of prostitution to the second, not the first reason. When asked how this category plays out in campus, the specialist stated that The girls in campus are considered ‘normal’ not prostitutes yet we know there are prostitutes in campus. So this is a much classed term in Malawi. The interviewee went on to add that sex workers outside campus, those in the communities behave more freely, they come to meetings and protect themselves when councillors call meetings. In campus it is tricky. He emphasised that sex worker is a term that refers to a woman, not a man. Even though we know that the sex act involves both men and women, only women are taken to be prostitutes, there is no word for the men. When we do interventions, we target the women. This means the transmission that goes to men is not targeted. The researcher decided to seek the view of a sex worker and once again, the interview yielded much more than just the source of sex work and its link to HIV/AIDS. 5.1From the Horses Mouth The first thing the sex work stressed what that when the Police raid bars to pick people for rogue and vagabond, sex workers are surprised that they just pick women and not the men – the Johns. Yet, what they are being accused of is not something that they can do alone. One of the sex workers interviewed lamented that ‘It is men who find us at our place of work, we will have beautified ourselves, wearing our pair of trousers – it is just another day at the office’ but the Police only pick us when they arrest people. Sometimes, they are picked behind a building having sex with a client not because they wanted to loiter but because the client had no money to book a room but they want to make their money. But, it is them who pay the price for ‘timangopolama (just bending to have sex)’ and trying to make money, service a poor client. Sex workers do not recognise their basis rights She stressed that illiteracy is a big problem. Not many know their rights since the rights discourse is not only a driven from the fabric of literacy, it also tends to be 39 elitist. Sex workers tend to not recognise their basic rights. So if they get arrested, the do not ask why or for a lawyer, pastor or parents. If you ask them if they know they have basic rights of SRHR they ask you where those rights are? It is evident that most of them do not know that rights are not given by someone, one has them. This is a very hard concept for them to buy as all they see is how stigmatised they are by the law and the community. The sex worker interviewee lamented that most of them only know the law when they have broken it or when one of them is in trouble. She said they learn most of the laws from the radio. She gave an example of the fact that it took her a long time to know the difference between the Constitution and Penal Code, later on the disconnect between the two when it comes to people who do the job that she does. When they get arrested, because of not knowing and enjoying their rights adequately, most of them accept the charges meted out to them out of ignorance and get prosecuted. The police are abusing their powers and the sex workers on their part, do not know what to do. –They do not enjoy basic rights. Profession not recognised She emphised that every job has its own space, dress and code of conduct. Sex work also has this but it is not recognised as a profession. Its spaces include the bar, street and hotels, just to mention a few. This is our office and when we are there, we are at work, looking for money to feed our children and families. There we meet doctors, lecturers and people of different walks of life. The main purpose is to make money after giving them sex. But people do not recognise us as workers. Stigmatisation/Carrying the HIV and AIDS face She explained that when they get go to work, they can have sex with a medical doctor and catch an STI in the line of duty. Because they are stigmatised and labelled to be the source of HIV and AIDS and other STIs, they are afraid and embarrassed to go the same doctor whom they slept with last night. If they go to the hospital, everyone, from female nurses (who might be the wife of a last night’s client) to the male doctors, wherever they go, amatiloza chala, kuti Hule22 uyu./ They point at us and say there goes a whore’. In Zomba, sex workers who find themselves in this situation have been called AK 47, meaning they are murders of people, they are peddling HIV and AIDS and STIs. They are seen as the face of HIV/AIDS. So some sex workers end up using herbs or going to the traditional doctor (sing’anga) and some of them say in order for the medication to work, you have to sleep with him. They can also contract the pandemic in that way, after all, no one knows if the doctor has been tested and the ‘hule’ is desperate for medical assistance, she is not in a position to demand proof of testing. 22 There is debate about origins of this word. Some specialists say it is from the English word whore whilst others say it is from a Boer (South African) word meaning meaning hoe. Apparently the word is used to denote that women who sleep with men for sex are like hoes that are just used and discarded after use. What is clear is that it is used as Chichewa vernacular and is employed as a derogatory word for women who are deemed to be sex workers and/or prostitute. It is also used to belittle, discipline and infantilise women. Any woman who is seen to be behaving in ways that a group of men consider unacceptable morally, they are called Hule. We have seen women ministers get called this term in parliament. Popular songs use this word but it is good to see that the term is getting critiqued with women speaking back to ask who really is a Hule. 40 Castigated by Clients The very men who sleep with the sex workers, be it at pubs, the police or other entertainment places, are the first to verbally, physically and mentally abuse them, especially when they are in public, during daylight and far from the cover of the night. Multiple Oppression The interview with the sex worker demonstrated that women are oppressed in Malawi. Female sex workers face multiple forms of oppression mainly because of their sex and gender. They are the very definition of sex work. They get condemned at gender, religion, race, moral and personhood grounds. They are an easy target for the community, men, police, the law and media. An analysis of popular music evidences several songs that castigate and ostracise female sex workers. They are dehumanised, criminalised and blamed for breaking marriages. They are defined as the people to avoid and stay away from if one wants to live long. A good example is Albert Khoza’s ‘Akunenepa nako kachilombo’. There are several programmes on the radio that also define sex workers negatively. A sex worker gave the example of Joy Radio program that comes up at 9pm. In this programme, a heterosexual marriage is always potrayed to be suffering because of a sex worker, yet the view of the sex worker is never sought or represented23. Infantilised, Commoditised Female sex workers do not get support from the community because women in general, are seen as sex objects in most Malawian communities. This has been heavily evidenced by the current discourse on undressing of women in markets in Lilongwe and Mzuzu. The reasons advanced for the acts illustrate that women in Malawi are largely defined from a domesticity, sex object perspective, that believes they are children that need guidance from the society. Society feels they are going wayward, they need to be brought back into line and their opinion on the matter is never sought Ostracised The society judges and marginalises them , treating them as disposables. A sex worker explained how in her community, she would be passed by and not told when there is funeral. This is the highest form of ostracisation in many African and Malawian communities. She actually had to approach the chairlady of the area she stays in, to ask why this was happening. The chairlady was evasive but she promised to change her deeds. Self Pathology The sex workers themselves, believe they are condemned. Talking to them, one sees lots of traces of horizontal violence (Duffy 1992) in the form of a self pathology. They see themselves as condemned. Suffering Patriarchy of Religion 23 The sex worker interviewed went on to argue that the fact that when some women stop taking care of themselves when they get married, is never looked at. That a sex worker will never be rude to a client and will do all that the clients wants, unlike most wives, who are often rude, is not even talked about. She stated that it infuriates her when the wife in the program is angry that her husband has built a house for the ‘Hule’ and what baffles her is is the Hule not a person? If the man wants to thank her for good services, why cant he do that? she asked. 41 They are victims the patriarchy of indigenous and Euro-western religions. A sex worker narrated an experience with a Christian church leader who refused to pray for her son when he was not well. A neighbour advised her to take her ill son to the pastor and when she got there, she found three male pastors and one female one. These were Pentecostals. Instead of praying for the child, the leading Pastor told the sex worker that the neighbour who had directed her to him, told him everything about the sex work she does. The reason why the child was not well was because of the sex work and the pastor ordered her to repent right away. In fact, he informed her that if it was not for the fact that his visitors bedroom was full of bags of maize, he was going to ‘admit’ her overnight and ‘discharge’ her the next day. She says she just prayed with them and left. After some time, she met the wife of that pastor(M’busa) complaining that a sex worker had taken her husband. He had moved out of the house and moved with the sex worker into a boy’s quarters. The sex worker he had moved in with was on ARVs. The sex worker raided him on one of the few times that he had visited his wife and reminded him that he has wanted to ‘admit’ her but now, look at what he was doing. She asked him to come back to his home because a sex worker is not interested in marriage, she just wants money. He returned some before the end of the month. No Protection from Institutional Violence Since the law is not on their side, they have no protection against institutional Violence. When they are arrested, a good number of them report that they the police demand to sleep with them. The power relations between them and the police mean that they cannot not even use the sex as a negotiating tool, they are usually forced into sleeping with the police, and violence is used. In this way, they can be infected with HIV/AIDS and various forms of sexually transmitted diseases (STI). They cannot fight back, they are stuck between a rock and hard place. Meanwhile, they are labelled reservoirs of HIV and AIDS when sometimes, they become vehicles and containers of disease due to the position they occupy in society. Deprivation of Property A good number reported losing their cell phones and other forms of property they have at the time of arrest. They report that they have even tried to give some Policemen condoms but they refuse, they tell them that they are HIV/AIDS, how can they seek protection from that which they are? Some Police men are reported to be telling them that their profession is not allowed by the head of state. Parental Hardships When they are arrested, they cannot take care o their children and the latter suffer during their absence. It was very touching to human rights HIV/AIDS trainers testify that during sex worker’s training sessions, some brought their children with them, showing that sex workers are human, they are parents. They are normal human beings whose rights should be respected at all times. Mandatory HIV and AIDS testing A sex worker who was interviewed asserted that they are put in the cell, in the morning; they are usually taken to the clinic for mandatory testing. She cited an example of what happened 2009 when 42 sex workers were arrested and taken to prison. Apparently they were asked to pay 5000MK to be releases. By the the time she had followed them to the station to check on them, she found those that had failed 42 to raise the money. She is an empowered sex worker who is attended several local and international training sessions on how to handle situations such as arrest. She decided to document the names and reasons of arrest of the sex workers she found at the prison. Apparently, one was on her way to pick a braii stand with her boyfriend when she met the police and they picked her, left the boyfriend. The others wanted to go to Matawale for drinks and they were picked for loitering and being disorderly. They were forced to be tested and what pained them most was the manner in which those of them who were positive was told, and it was most of them. Apparently, they were just called and they were announcing in the lobby that ‘you and you, positive, you, STI’, no one was counselling before or after this announcement. In the end, the Police asked for them to pay 3000MK and then they were released. The problem with this mandatory testing is that some of the women who were tested here had been tested already and sex workers are wondering if the government is using testing material economically if they will test them every time they catch them, yet they can test people who were already tested. Given the scarcity of drugs in the country, one would have thought they do not want to waste resources on someone who was already tested. Cannot access PEP PEP is a drug that is given to a woman who has been raped and she is supposed to take it within 72 hours of the rape. When sex workers get raped, they cannot access this drug because people do not believe that they can be raped, after all, their profession is having sex. When they go to the hospital, the first question is the toughest, according to them and the question is ‘What do you do?’ as in what kind of employment do you do? That question is often followed by a question that shows a society that judges a woman who is not formally employed and not married. One can try to say I am not employed but that question is often followed by the question of so how do you make a living and that is hard to make up or give a convincing answer. Right to Dignity Violated A problem with these arrests is that they violate one’s right to dignity. Some sex workers are on treatment, like the one interviewed. It is not right for them to have to report to each Police man that they are on treatment, that is an issue that they have a right to keep to themselves. When she is arrested, she cannot take her medication in time and that jeorpadises her health. It is wrong and impossible to profile a sex Worker The sex worker that was interviewed explained that some people are sex workers due to impoverished situations they find themselves for example herself. Her parents died consecutively and she found herself saddled with two brothers she has to take care of. Her story illustrates that she is a product of child trafficking, an elderly relative used to pimp her out in exchange of food. After sex working for some time, she found that some of the men would give her money and food directly to feed her brothers. The brothers soon found out what she did for money but she told them that as soon as they go through school, and start work, she would stop. She later found that she was AIDS positive. For her, she is in this profession because she is the mother and father of her child and brothers. In the same breadth that she mentions her work, she emphasises that she is a mother just like any woman. But, people point to her as that one who sleeps around with men. She is not working and for one to access credit facilities, you need collateral and she does not have that. She is in a job where she employs herself. 43 She has brought land and built a house for her family so that when she dies, they atlest have somewhere to stay. You cannot Stop Sex Work Sex workers who were interviewed say that this is not a profession they are willing to stop. Just like any job, it was precipitated by a context and as long as that context exists, they cannot just stop sex work. Like any job, it is a source of income. Sex workers also have needs and they need money too. Financial Abuse, Physical Violence, Death Sex workers are easily abused by their male clients. Men can sleep with them and refuse to pay. Some are stabbed in the process of demanding payment. A sex worker recently died from acid being poured on her genitalia. She could not come out clearly to her friends about this criminal and cruel treatment she had received because of the stigma that surrounds sex work and sex workers. Some are strangled to death. A human rights defender lawyer reported that in Chigwirizano (Lilongwe), a sex worker was strangled to death. The community did not even bother to investigate, even the Police did not care about this case. The same thing happened at N’gona(Lilongwe). Instead of seeing that the right to life of these women is being violated, the street talk was that the person who had died was a sex worker, she had it coming. Lack of Sex workers Network/Sisterhood Their failure to have a good network, support system amongst themselves means that they do not share experiences, knowledge and survival skills that are very crucial for their livelihood. They need to know the assistance available. They need to know their rights. They need to know how to deal with the challenges they face, the police, clients, community, HIV/AIDS, the list is endless. This will help them not to treat sex work as an underground thing, an issue that is very crucial for HIV/AIDS interventions. The more a practice goes underground, the harder it is to intervene in it. Conference, Government Hypocrisy In 2009, sex workers had a conference “National Dialogue on the Most at Risk Populations in Malawi” at Crossroads, Lilongwe. It was very well attended. There, Malawi Sex Workers Network was formed. Mary Shawa attended this conference but she just came to open the conference and deliver her speech. She did attend the sessions where sex workers were presenting their papers. A sex worker interviewed for this research found this very disturbing, she said she expected and wanted to interact with her so she can get to hear our challenges and know our issues. Shawa’s speech lamented that sexual minorities in Malawi were not coming out in the open so that her department can work with them fight HIV/AIDS. After three weeks, that is when the Tiwonge Chimbalanga issue happened and what surprised this sex worker is that now the government was in the forefront arresting these sexual minority members who had come out in the open. She was surprised that now the Radio was awash with the laws that the two men had broken by getting married yet at the conference, the same government had encouraged them to come out. Theatre for Change has also approved the suggestion to have Lilongwe Sex Workers Assistance Group formed. This still has to go through the formalisation process, it has not taken off. It needs legal assistance. 44 Lack of formal Organisation Because of being criminalised, the complain that they cannot have a formal organisation. So they have no way to organise themselves. They live a life of hiding, operate under the table and this hampers their access to information and prevention strategies. The sex worker interviewed emphasised that as long they are in hiding, HIV and AIDS cannot be defeated in Malawi because the one being peddled by and through them will be operating under the table, unengaged – AIDS “siingathe mMalawi chifukwa amatisala.” Sex workers in Zomba have an underground grouping. They meet but for those that sex work from their parents’ home, it is hard for them to attend meetings. When asked about the complexion of the group that attends, it was explained that some are married, others are quite elderly, some are 65 years old. The number is apparently increasing. High Transmission Vulnerability – A concoctions of power relations skewed against the female sex worker and male client, the feminisation of poverty and criminalisation of the profession, sex workers are very vulnerable to being transmitted with HIV/AIDS. Some men do not disclose their status and an interview with a sex worker revealed such a client might negotiate for 500MK for short time and later they might say they want the lady to stay and she might charge 2500MK. In the night, the man might ask to sleep with her ‘plain’ meaning without a condom and because one has already stayed the night and needs the cash, especially in traditionally financially stressful months like January and February like now – the lady might accept to sleep with the man without a condom, figuring that it is better to go home with 2500 rather than 500MK. Coming morning time and the sex worker wants to go home, the man can feign having lost his money and them accuse the sex worker of having stolen the money. The man might attack the girl and she runs away without any money and having contracted HIV and AIDS. The women say they cannot report because their job is illegal, we cannot exactly what we do and where we are coming from, we will be arrested. Apparently, the number of men who want anal sex from sex workers is not the increase. They can offer 1000MK for plain and 500MK, of course most of the sex workers will go for the higher paying act. One of the sex workers who was interviewed cited an example of a friend in Mwanza who accepted to have ‘plain’ anal sex with a white man. He was offering 3000MK but just after the act, she fell very ill. When she went to the hospital, they told her that she had a torn vein in the anal area, she needed immediate assistance. She was helped at Mlambe but vowed never to do it again. She had not used lubricants and she said it was very painful. The Dangers of Female Condoms Female condoms have to be warn at least eight hours before the act so that they stick to the vagina and do not disturb the male client as they make noise if not they are not fitting properly. The problem is that when one has many customers, they can service four men at one go. There is no time to remove the condom and as result, the male clients can end up infecting each other. Low Payment 45 Sex workers can be paid as low as 300MK. If you see them in a morning with a lot of money, chances are they have stolen it. Many end up stealing because many men are stingy, they do not pay well. Conclusion The transmission rate for sex workers is 71% in Malawi. This means that not focusing on how HIV/AIDS can work for them and people who do their work, means HIV/AIDS interventions are futile in Malawi, as far as fighting HIV/AIDS is concerned. If the fights is comprehensive, it has to focus on the harm that is peddled by sex work having to be done under the radar due to ostracisation and criminalisation. We need to open up and transcend the moral discourse on this issue and engage this issue from a human rights perspective. Such an approach would not concern itself with whether sex worker is right or wrong, as that is something we cannot agree on, since it often enters the realm of morality, religion and culture. Such an approach focuses on the fact that sex workers in Malawi are human and therefore they have rights. What we need to focus on is mapping ways for them to enjoy their rights in ways that do not harm other people. The less they are stigmatised and forced to hibernate, the better for HIV and AIDS prevention and management strategies. As argued before, the less a practice is forced to go underground, the more accessible it is to messages, people, institutions and resources. An analysis of the way sex workers are treated, from the perspective of legal and policy reviews right into interviews with stakeholders and sex workers themselves, underlines that HIV/AIDS interventions are not linking them with sexual reproductive health rights. Because sex work involves them having sex with many people, they cannot access PEP, they are raped in prison, forced to go for HIV/AIDS tests (see appendix 1). All this is happening because in Malawi, women have limited control over their sexual and reproductive health because of the patriarchal gender norms and gender relations that are skewed in favour of men. The patriarchy in Malawian communities is deeply embedded in sexual relations. That is why we wee that legal and policy documents condone male promiscuity. A man and a woman can engage in a sexual act, only the woman will be called Hule. Sex workers are not getting HIV/AIDS interventions that reach them because the interventions are not propelled from a sexual rights perspective. The kind of sexual and reproductive health rights education that is going on the country does not define them as human beings who therefore have rights. This is mainly because sexual minority rights, the rights of MSM and sex workers are criminalised. 6.0 ACTION POINTS End the criminalistion of MSM and sexual minorities. There is no way HIV/AIDS interventions can succeed when the people we are trying to engage, for example MSM and Sex workers are underground. The fact that they are having to develop coded language shows that they are now operating underground and the main reason is that their sexual orientation is criminalised. What must be criminalised is any law that criminalises people’s sexual orientation. Through the law commission, vagrancy laws in the Penal Code should be repealed so that same sex attracted people are not persecuted. 46 Provide training workshops for lawyers, judicial officers such as judges and magistrates on sexual orientation and SRHR so that they can appreciate how the Penal Code is institutionalising and perpetuating discrimination and how that impacts HIV/AIDS interventions. Provide training workshops on sexual orientation education, the link between SRHR and HIV/AIDS interventions of sexual minorities illustrating how ineffectivity in the latter impacts the majority for, HIV/AIDS Counsellors, Chiefs, Parliamentarians, Education policy makers, Life skills teacher trainers and teachers, Youth Organisations, Ministry of Culture, Health, NAC s, Political parties, Executive arm of government, Religious leaders Popular artists, especially musicians. Increase capacity in sexuality expertise through Ministry of Gender. Set up special educational programs on human rights, sexuality and HIV/AIDS, illustrating impact of not safeguarding minority rights on the majority. Initiate research an African comparative history of Malawi on sexuality that excludes Euro-western/Eastern organised religion – focusing on LGBTI, involving indigenous institutions such as Gule Wa Mkulu (Masked dance of central region) and religious rites. Increase publications of testimonies of Malawians who are MSM, let them tell their story like what we see in Queer Malawi Increase publication of personal stories of Malawian sex workers. Investigate Police who are raping sex workers, prosecute them. Engage NAC on HIV/AIDS interventions on MSM and Sex work from a SRHR and Human Rights perspectives Implement HIV/AIDS interventions on MSM and Sex work from a SRHR and Human Rights perspectives Engage Ministry of Education on National Education Sector Plan 20082017 on HIV/AIDS and sexual minorities. Rely on expertise of MSM and sex workers living with HIV/AIDS on designing interventions and train them Let evidence on sexuality and sexual orientation present in Malawi drive policy, not the other way round Policies should clearly state that they will focus on groups marginalised due to sexual orientation and disaggregate them. A good example is The Global Fund’s ‘Sexual Orientation and Gender Identities in the Context of the HIV Epidemic’ May 2010 document. Policies should give clear data on MSM and LGBTI in Malawi Increase sex worker, MSM organisations. 47 Propagate the definition of sex worker to include male, transgender adults and young people. Increase programmes targeting LGBTI and Sex workers Recognise the human rights approach strides in the Law Commission’s HIV/AIDS Prevention Amendment Bill. KPA research on LGBTI and sex workers 7.0 CONCLUSION An intergrated analysis of the report, from the legal review to issues that are raised illustrates that Malawi cannot fight HIV/AIDS comprehensively if it does not resolve the disconnect between the Constitution and Penal Code, especially if we argue that we are a democracy and follow the rule of law. Malawi’s laws need to stop criminalising minority sexual orientations. There is urgent need to outlaw all homophobic and hate laws that are discriminatory. The Penal Code should be in tandem with the Constitution, thereby making the Constitution truly the supreme law of the land in Malawi. World Heath Organisation has seen the importance of fighting HIV/AIDS from an SRHR perspective because it makes visible and personalises sexual minorities such as MSM and Sex workers. National AIDS Commission needs to borrow a leaf from this. The fact that some MSM members are bisexual and leave on the down-low, illustrates that not engaging such people as Malawians risks leaving an avenue that is infecting the majority of the population, the so called heterosexual majority. NAC itself agrees that as long as national HIV/AIDS interventions leave out a major high risk group, our fight against this disease is futile. In other words, intensity of the HIV/AIDS pandemic in Malawi, from a strictly health security perspective of all Malawians, not just the sexual minorities, Malawi needs to stop criminalising sexual minorities like MSM and Homosexuality. There is an urgent need for all stakeholders in HIV/AIDS interventions to be sensitised on the need to link SRHR to sexual minority identities in the discourse on HIV and AIDS, at policy and legal documents levels. Whilst there is room for change in the Malawi Law Commission’s HIV/AIDS Prevention Amendment Bill, it is important to note that it is an improvement in the legal discourse on HIV/AIDS and sexual minorities in Malawi, especially when read along the Penal Code. The bill has a section on HIV and AIDS and Human Rights. It takes a stand against mandatory testing. It has weaknesses, especially when one classes its recommendations and MSM denial but on the whole, those who passionately care about sexual minorities and value the importance of an SRHR approach to HIV/AIDS interventions, know that recognising baby steps of a human rights approach to HIV/AIDS interventions in Malawi, is one way to improve the situation. The recently concluded NAC study on sex workers illustrates that their numbers are growing. Married men sleep with sex workers and go back to their wives. Instead of treating them as dustbins of the world, legal and policy documents need to give them a human status and approach them from an SRHR perspective so that HIV/AIDS interventions can reach them. Policy documents of Malawi should stop window dressing and behaving as if Malawi has been forced to include MSM and sex workers in interventions HIV/AIDS. There are no programmes targeting sex workers, they are 48 neglected, as if they sex work with themselves and do not impact the rest of the community in any way. Not targeting them means missing a big component of stakeholders in this pandemic. The case of the transgendered black South African Caster Simenya should be used as a stepping stone to open a robust discourse on being transgendered, Malawian and living positively. It is important to ask what is happening to the Simenyas of Malawi, especially the rural illiterate ones. There is need for Malawi to understand that we have intersexed, lesbians, bisexual and transgendered people. Malawi has a growing problem of child and human trafficking, orphans and both of these open situations that are breeding grounds for HIV/AIDS. Our papers report that children and youths are being used to transport cocaine, what if this leads them experience anal sex? Malawi cannot afford to bury its head in the sand. Sexual minorities are a reality in every community, HIV/AIDS interventions need to engage them. They need to be owned as Malawians. This will end the tendency to make MSM a donor driven issue. Ownership of MSM and sex workers as human beings who are Malawians will allow the state to spearhead HIV/AIDS interventions that will truly reach them as the sexual minorities will not have operate under the table. Instead of having national policies and laws propelling oppression and violence against MSM and Sex workers, they would now protect them. If MSM is decriminalised, interventions will be in line with the country’s policies. Local experts and donors can design and implement HIV/AIDS interventions that can reach their MSM, sex workers and other sexual minorities. This report has endeavoured to present the MSM discourse in Malawi from a systemic and subject centered approach. From a place where one can say, this is the dominant view of MSM and Homosexuality in Malawi, this is what informs the views and the following is that needs to be done in order to for HIV/AIDS interventions to reach the sexual minorities of Malawi. Evidently, and SRHR, human rights propelled approach is long overdue, for the good of all Malawians, in their diverse sexual orientations. 49 REFERENCES CEDEP, Knowledge, Attitudes and Practice Study (KAP) of people in Same Sex Relationships in Malawi. January 2007. 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