It is quite a significant challenge. Homosexuality is strongly discriminated against in many countries, particularly in Africa, and it becomes particularly difficult if then some countries issue legislation, as you probably have followed, where they criminalize homosexuality. We had the examples of Uganda, Nigeria and others. Then, basically, you drive a certain part of the population simply underground and they will not even access prevention services and come forward for treatment, and you make the whole problem much worse. That is a significant problem.
The Global Fund has a role here. We always talk to those governments, but we do that in a diplomatic way because anything else would be interpreted as western dominance, and so on, and we have different cultural values. So you have to do that in a very sensitive way. We do engage those governments and point out this is not just a human rights issue, because there they say, “Oh, don't teach us about human rights,” but it is also a public health issue at the same time. Often you can maybe make that point more clearly and say this does not make sense from the public health point of view if you discriminate against a significant part of your population.
We always try to make those points, but we do understand these are deep-seated cultural prejudices, if you like.