LGBTQ+ Refugees Left Behind

The Human Cost of Foreign Aid Cuts

Published in the lead-up to commemorate Africa Day on 25 May
by Charity Austin

Charity is an activist, writer, and community leader, and the founder of Trans Inclusion Group (formerly Trans Initiative Gorom). Her work focuses on human rights, social justice, displacement, resilience, and amplifying marginalized voices through storytelling and advocacy. Through her writing and activism, she brings attention to the lived experiences, struggles, and resistance of LGBTQ+ communities in East Africa.

Kakuma (photo supplied)

For many people living safely in wealthy countries, foreign aid may sound like a political debate or a government budget issue. But for refugees in Africa, especially LGBTQ+ refugees, foreign aid is often the difference between life and death.

Under the U.S. administration led by President Donald Trump, major changes to foreign aid and humanitarian funding have been introduced. One of the most significant shifts has been the restructuring and severe reduction of the United States Agency for International Development (USAID), which was formerly the world’s largest foreign aid agency. In 2025, USAID’s operations were significantly cut back, with many of its functions reduced or transferred into other government structures, including the U.S. State Department.

For refugee communities across Africa, these changes have had immediate and life-threatening consequences.

In already under-resourced refugee settlements, people are now facing even deeper shortages of food, clean water, shelter, and essential medical care. For transgender refugees and other LGBTQ+ people, who already experience discrimination and exclusion within these systems, the impact has been especially severe.

Reality on the Ground

According to Trans Inclusion Group (TIG), a trans-led initiative supporting LGBTQ+ refugees in displacement, reduced humanitarian funding has directly worsened the living conditions of transgender refugees who rely on aid programs for survival.

Many transgender refugees live with HIV/AIDS and depend entirely on donor-funded clinics and humanitarian health programs for antiretroviral medication. When funding is reduced or programs are disrupted, access to treatment becomes unstable. Missing medication is not a minor interruption—it is life-threatening.

Image by Dan Sudermann from Pixabay

The mental health impact has also been devastating. Many LGBTQ+ refugees fled persecution, violence, and arrest in their home countries, only to find themselves trapped in overcrowded and unsafe refugee settlements where protection is limited and stigma is widespread.

At the same time, reductions in refugee resettlement pathways to the United States have worsened the crisis. For many LGBTQ+ refugees facing ongoing threats, resettlement is not a privilege, it is often the only route to safety. When these pathways are slowed or suspended, people remain stuck in dangerous environments with no realistic exit.

Some transgender refugees previously escaped extreme violence in places such as Kakuma Refugee Camp in Kenya, hoping for safety through resettlement programs. Instead, many now remain stranded in other settlements with shrinking international support and increasing vulnerability.

These policy decisions are not abstract. They directly determine whether a person receives HIV medication, whether someone eats that day, or whether a refugee survives another attack.

For many refugees in Africa, daily life is already a struggle for survival. Reducing humanitarian funding and restructuring key aid institutions like USAID only deepens that crisis.

Trans Inclusion Group (TIG) continues to highlight these realities and calls for urgent international attention, renewed funding, and stronger protection mechanisms for LGBTQ+ refugees who are being left behind in global policy shifts.

LGBTQ+ refugees deserve dignity, healthcare, protection, and the chance to live safely. Their lives should never be treated as collateral damage in political decisions about foreign aid.

“I was thirsty”

In Kakuma refugee camp (Kenya), water has become a daily struggle for many refugees following cuts to humanitarian support. These photos capture people digging into dry ground in search of water, filling jerrycans by hand because formal water systems are under severe strain. With reduced USAID funding affecting essential services, families are forced to spend hours searching for unsafe and scarce water sources just to survive. Access to clean water is not a privilege, it is a basic human right.

Searching for water in Kakuma (photos supplied)

I can personally testify that this crisis is real because I experienced it myself together with other transgender refugees before being resettled. In Kakuma refugee camp, there were days when my friends and I would wake up very early and spend hours searching for water because the normal supply points had run dry or were overcrowded. Sometimes we had no choice but to dig shallow holes in the ground and wait for dirty water to collect so we could fill our jerrycans. The water was often unsafe, but when people are desperate, they use whatever they can find. For transgender refugees who already faced discrimination, violence, and exclusion inside the camp, the struggle for clean water became even more dangerous and exhausting.

(Photo supplied)

This situation is not only happening in Kakuma. Many transgender refugees in Gorom refugee settlement in South Sudan are also facing severe water shortages and humanitarian neglect. People walk long distances under extreme heat just to access a small amount of water for drinking, cooking, and bathing. In some cases, refugees are forced to rely on unsafe water sources – even from swamps – that expose them to disease and other health risks. These experiences show that the humanitarian crisis affecting transgender refugees is not abstract — it is happening to real people every day, across different refugee settlements, where survival itself has become a daily struggle.

Human Stories, Not Statistics

For many transgender refugees, the impact of aid cuts is not just political, it is deeply personal and life-threatening

One transgender woman living in the refugee camp had been relying on antiretroviral medication (ARVs) to manage HIV and stay healthy. But when she recently went to the clinic for her routine refill, she was told that the medication was no longer available. With humanitarian health services under strain and supplies running low, she returned home without the treatment she depends on to survive. She now lives in fear, uncertain when or if she will be able to access the medicine again.

I also have a friend who stopped taking the ARVs he had before the aid was cut, because he wasn’t sure that he would get another dose of medication.

Trans Inclusion Group advocates for queer refugee safety

Such stories reflect the reality facing many vulnerable refugees whose lives depend on consistent medical care. For transgender refugees, accessing healthcare is already difficult because of stigma, discrimination, and insecurity inside refugee settlements. Now, with funding cuts affecting clinics and humanitarian programs, many are being pushed into even more dangerous situations. These are not just statistics or policy discussions — they are real people losing access to food, clean water, and lifesaving medication every single day.

Looking the Other Way

Searching for water (photo supplied)

What makes this situation so painful is that these decisions were made by political leaders and administrations who chose to cut foreign aid despite knowing that millions of vulnerable people depend on that support to survive. The reduction of humanitarian assistance under the Trump administration has had devastating consequences for refugees already living in desperate conditions. Today, people are struggling to access food, clean water, shelter, and lifesaving medication, and many feel abandoned by the very countries and leaders that had the power to help.

I have painful news for those who made these decisions: people are now dying because of these cuts. Refugees who were already vulnerable are being pushed beyond their limits, with some unable to access medicine, food, or safe water. For refugees, this is not a political argument — it is about survival. The suffering taking place in refugee communities is real, and the world should not look away from the human consequences of these decisions.

Refugee Rights

Read other human rights contributions from Charity:

Protection Briefing
Published: 20 December 2025
Protection Challenges and Advocacy Engagement for LGBTQ Refugees in Gorom Refugee Settlement, South Sudan

Kakuma Pride 2023
Published: 11 July 2023
A report from Kakuma Refugee Camp in Kenya, possibly the only refugee camp in the world to ever have a Pride March, brutally shut down by homophobic Kenya Police.


This blog ©2026 Geoff Allshorn. All rights are hereby returned to the author, who can be contacted via this blog. I acknowledge the Wurundjeri-Willam people, the Traditional Custodians of the land on which this blog was prepared, and show my respect for Elders past and present.

IDAHOBIT Day 2026

(Remembering LGBT+ refugees whose voice is often silenced)

Why May 17th?

Today’s date is not arbitrary. On 17 May 1990, the World Health Organisation removed homosexuality from its International Classification of Diseases and Related Health Problems (ICD), formally ending its designation as a mental disorder. It was a landmark moment: a recognition that queer people are not sick, not deviant, not in need of cure or correction. Yet thirty-six years later, that hard-won ground is being eroded. Conversion practices remain legal in many countries and are experiencing a quiet resurgence, including the USA which currently has many anti-LGBTIQ bills and anti-trans bills in progress. Transgender identities are increasingly framed in political and legal discourse as a pathology requiring intervention. IDAHOBIT Day exists to mark how far we have come, and to remind us that the battle the WHO helped settle in 1990 is not lost.

Today is the International Day Against Homophobia, Biphobia and Transphobia, or IDAHOBIT. It is a day to mark, to remember, and to refuse to look away.

Across the world, being queer can still cost you your home, your safety, your life.

In more than 60 countries, homosexuality remains criminalised. In some, it carries the death penalty. In Uganda, the Anti-Homosexuality Act has driven thousands of people from their homes, their families, their communities, fleeing not just prejudice but imprisonment, torture, and murder. It is the same in Tanzania, Rwanda, and many other nations across Africa and the Middle East and the Commonwealth. People run for their lives, often with nothing, heading for the nearest border and whatever uncertain safety lies beyond it.

This is not only an African story. Across Asia, the Middle East and beyond, 64 countries criminalise same-sex relations, with the death penalty legally prescribed in at least twelve of them.

None of this happened by accident. The Uganda Anti-Homosexuality Act, and laws like it across Africa, did not emerge fully formed from local politics. US evangelical activists — among them Scott Lively, who travelled to Kampala in 2009 to meet with politicians, pastors and community leaders — helped provide the ideological framework and the legislative language. Organisations like Family Watch International have spent years and significant funding exporting their culture war to countries where the consequences are not protests or political setbacks, but imprisonment, torture, and flight. The people in Kakuma are not only victims of African homophobia. Some of them are there because of US politics pursued abroad.

Nor is this only a story about distant governments. In April 2025, the United Kingdom’s Supreme Court ruled that the word “woman” in the Equality Act refers to biological sex — a ruling with immediate practical consequences for trans people’s access to services, shelters, and legal protections. Many of the countries that criminalise homosexuality are Commonwealth nations, shaped by British colonial law. The line between the countries that imprison queer people and the countries that legislate them out of public life is less clear than it is comfortable to believe.

Some of them end up in Kakuma, or in Gorom.

Kenya Police tear gas LGBT+ refugees in Kakuma Refugee Camp.

Kakuma is a refugee camp in the remote north-west of Kenya. Gorom is a refugee settlement in South Sudan. Both are harsh, remote, under-resourced places at the edges of the world, the kind of places that exist precisely because the rest of the world has decided it doesn’t need to look too closely.

Both are home to LGBTQI+ refugees who fled persecution in Uganda, the Democratic Republic of Congo, Sudan, Somalia and beyond, people who ran for their lives because of who they are, and arrived hoping for safety. What many found was more of the same.


Machetes in Kakuma refugee camp

In Kakuma, LGBTQI+ refugees face homophobic and transphobic attacks from other refugees and from locals. They are beaten, stabbed, burned out of their shelters. They are denied medical care. They cannot work. Their food rations from the World Food Programme — already meagre — now last less than a week, because the Trump administration’s sweeping cuts to foreign aid have gutted the humanitarian system that kept them alive.

They wait for resettlement that may never come. They await a world that will acknowledge they exist.


IDAHOBIT exists because the world keeps forgetting.

It needs reminding that homophobia and transphobia are not distant abstractions; they are policies, laws, and fists. They are people sleeping in shifts, taking turns to stand guard through the night against attack. They are mothers separated from children. They are people surviving on hot water and grass soup.

They are human beings who asked for nothing more than to live honestly and safely, and were told that was too much to ask.

IDAHOBIT is not a celebration of what has been won, but a reminder of what remains unfinished.

Days like this matter only if they change something for the people who cannot wait for the world to catch up. If you want to make that change real, support the organisations that keep them alive.

If you would like to support LGBTQI+ refugees in Kakuma, Gorom and beyond:

MAREPA — emergency shelter for LGBTQI+ refugees in Nairobi, Kenya

Rainbow Railroad — helping LGBTQI+ people escape persecution worldwide

Queer Pride Africa — GoFundMe — refugee-led sustainable projects in Kakuma

Kakuma Refugee Camp — Food, Medication & Security — GoFundMe — direct support for LGBTQI+ refugees in the camp

Amnesty International Australia — advocacy for refugee and human rights protection

I am also happy to advise people on how to assist individuals or extended families and communities across Kenya, Uganda, Tanzania and other African problem areas.

©2026 Geoff Allshorn. I show my respect for Elders past and present and acknowledge the Wurundjeri-Willam people, the Traditional Custodians of the Land on which this blog was prepared. Some editorial/artistic assistance supplied by Claude AI.

This Mother’s Day, Remember Her

Artist: Louis Chow.

She didn’t choose to flee her home.

She didn’t choose to gather her children in the dark and run: from war, from persecution, from a government that wanted her family dead, from militias that burned villages, from bombs that fell on schools, from the kind of danger that makes a leaking boat in open water seem like the safer option.

She didn’t choose to have her children ostracised, attacked and forced to flee home and family because of their sexuality.

She didn’t choose years of living in limbo… in camps, in temporary shelters, in bureaucratic purgatory… while the UNHCR processes and defers, while her children grow up without permanence, without a future they can count on, without a place to call home, or a community to call village or family.

She didn’t choose to have her case ignored, delayed, or denied by nations that speak of compassion and practise indifference.

She didn’t choose to flee to countries in Europe or Australia, only to be met with suspicion, hostility, and hatred… told she is a burden, a threat, an inconvenience… by people who have never had to choose between danger and dignity.

She didn’t choose to live under the shadow of forced deportation: to watch governments like the current United States administration tear families apart and send people back to the very dangers they escaped, caring nothing for what awaits them there.

She didn’t choose to watch her children go hungry in refugee camps stripped of funding, camps where foreign aid was cancelled, where food ran out, where clean water became unavailable, where medicines disappeared, because powerful men in powerful countries decided her children’s lives were unimportant.

She didn’t choose any of this.

She chose only to fight against all odds to keep her children alive; to keep going when everything said stop.

She chose to love fiercely in conditions designed to break her.

On Mother’s Day, we celebrate the mothers we know and love. But let’s also hold space for the mothers we never see: the ones at the edges of our world, carrying the unbearable with grace we will never be asked to find.

They are mothers too.


Photo by Ante Emmanuel (Pexels)

This Mother’s Day, consider supporting organisations working with refugee families and those most at risk:


©2026 Geoff Allshorn. I show my respect for Elders past and present and acknowledge the Wurundjeri-Willam people, the Traditional Custodians of the Land on which this blog was prepared. Some editorial/research assistance supplied by Claude AI.

The Hard Work of Being Human

May Day – Melbourne reflections

There’s an old line from Melbourne’s labour movement that still calls us today:

Eight hours work,
Eight hours play,
Eight hours sleep,
Eight bob a day.

The National Museum of Australia documents that this verse was part of a popular slogan: “A fair day’s work for a fair day’s pay”.

Eight-hour day banner, Melbourne, 1856 (Wikimedia Commons). Public domain in the USA, believed public domain elsewhere.

It began here in 1856, when stonemasons walked off the job and insisted that a human life should be divided into thirds: one for labour, one for rest, and one for living. It wasn’t a radical demand so much as a human one, a recognition that dignity begins with each of us and that a society reveals its values in how it treats the people whose work keeps everything standing.

Art by CoPilot AI

You don’t have to go far in Melbourne to find where the whole eight hour idea took shape. There’s a statue up on the corner of Russell and Victoria Streets, the big 8‑8‑8, that most people breeze past on their way to the pub or the museum. That’s the spot where the stonemasons basically said, “Yeah nah, fourteen hour days can get stuffed,” and walked off the job. Their pitch was simple enough to fit on a pub coaster: eight hours to work, eight hours to play, eight hours to sleep, get paid eight bob a day. The point wasn’t the exact amount. It was the principle that a fair day’s work deserved fair pay. And somehow, from that little corner of Melbourne, the idea went everywhere.

There’s a temptation on days like this to talk about labour as if it were only an economic category: hours exchanged for wages, productivity measured. But human beings don’t experience work that way. We feel it in our bodies, in the ache of a long shift, in the quiet pride of doing something well even when nobody is watching. We make it part of our identity almost without noticing: we introduce ourselves by name and then by occupation, as if the job were the second half of who we are. But inequity exists. As George Orwell put it, “All animals are equal, but some are more equal than others.” The hierarchy shifts with time and industry, but the bias stays the same: some labour is celebrated, but some is quietly dismissed, even when the dismissed work is the work that keeps everything running.

Meiji‑era silk workers ,the disciplined origins of Japan’s modern overwork (Art by CoPilot AI).

There is a word in Japanese — karoshi — that has no real English equivalent. It means death from overwork. Not burnout but actual death, from working too hard for too long. Japan had to coin the term because the phenomenon became too common to leave unnamed. It tells us something important about what happens when the idea that work defines us goes all the way to its conclusion.

Humanism begins with the recognition that every person’s labour is an expression of their humanity, not a resource to be mined. And while much is being said about AI transforming the future of work, for most of the world, the struggle is still for the basics: safety, rest, fair pay, and the right to a life outside work.

Of course, May Day isn’t just about history. It’s also about the places where the eight hour promise never arrived, or arrived and was quietly taken back. People whose labour stays hidden because that’s convenient: migrant workers without protections, and women providing unpaid care that still doesn’t count as real work. Entire communities where dignity is optional.

Even in this country, the promise was never universal. For much of the 20th century, Aboriginal and Torres Strait Islander workers were legally required to have their wages paid into government trust accounts that many could never access, and from which money simply disappeared. The eight-hour day was being celebrated in the streets while, out of sight, an entire people’s labour was being taken without even the pretence of fairness. The 8-8-8 monument stands a short walk from where that happened. That proximity matters.

A quiet refusal: tǎng píng rendered in a classical Chinese fashion (art by CoPilot AI)

The resistance takes quiet forms. In China, a movement called tang ping — lying flat — has spread among young workers exhausted by the 996 culture: nine in the morning until nine at night, six days a week, the schedule that much of the tech industry simply assumed was reasonable. To lie flat is to refuse, to just stop performing for a system that has decided their time is worth very little. In South Korea, the government proposed extending the maximum working week to 69 hours. The backlash was swift enough that the proposal was shelved.

Some work has always been pushed to the margins. Sweatshops still operate in the twenty first century, hidden in supply chains that rely on people being too desperate to refuse the terms. The work that keeps households and whole communities functioning (cleaning, caring, domestic labour) is still maligned in no small part because it has traditionally been seen as women’s work. The stigma lingers even when the labour is essential, and the distinction has nothing to do with effort or skill. It has everything to do with who has historically done the work and who has had the power to define its value.

Then there’s the labour that isn’t paid at all: the volunteer work that keeps communities functioning but never makes it into the national accounts. Unwaged and unrecognised, treated as optional decoration rather than the skeleton that holds things together. Other countries track and value this work. Here it’s still framed as charity rather than labour, which is convenient, because it hides just how much of the structure depends on people giving their time for nothing.

Beyond our own borders, the inequity runs deeper. People in the developing world are often denied the stable, fairly paid work that wealthier nations take for granted. Even when they migrate, their qualifications and experience are dismissed as if knowledge only counts when it is earned in the West. The global economy is built to reward some lives more than others, and most people never chose the side of that equation they were born into.

The Philippines has become one of the world’s largest exporters of nurses and carers: people who leave their own children to raise the children of wealthier families, who tend to the elderly parents of people who can’t afford to do so. The work and care are real, but the arrangement depends on a global hierarchy within which one family’s needs are simply worth more than another’s, and on the willingness of people to carry that cost quietly, across oceans, away from home.

In some parts of the world the abuses are blatant: forced labour, unsafe factories, people trapped by debt or coercion. In others they are disguised as flexibility or the price of staying competitive. Different language, same harm. The body knows the truth long before the policy does.

Other species work too. Ants build, bees organise, beavers shape rivers, primates forage with remarkable coordination — but their labour is only for survival. Humans are the only species that turned work into meaning. We attach identity to it, pride, aspiration, even morality, and we build whole systems around deciding whose time matters. A hive optimises for efficiency, but it cannot ask whether the bees flourish. Human societies can — and are judged by whether they do. The point of a society is not to function like a hive or an economy, but to recognise that a life is more than its output. Rest, connection, creativity, and time that belongs to no one else are not luxuries; they are the conditions under which a human life becomes fully human.

And then there are the stories that remind us it doesn’t have to be problematic. Sidney Myer arrived in Australia as a refugee, fleeing persecution with almost nothing but his skills and determination. He built a business empire from a market stall and became one of the country’s wealthiest men, yet he never forgot what it meant to be poor or to be a stranger in a new land. He treated his workers with respect and compassion, paid them fairly and kept people on during the Depression when other employers were cutting staff to the bone. His philanthropy is well known, but his everyday decency as an employer mattered just as much. It shows that the problem isn’t migration or ambition or difference. The problem is a system that chooses to undervalue some people while elevating others, even though dignity costs far less than exploitation.

Humanism asks us to look at all of this without flinching. To remember that the eight hour day wasn’t a gift from above, it was won by ordinary people who refused to accept that exhaustion was the natural state of things. The question now is the same as it was in 1856: what kind of life, or indeed what kind of world, do we believe people deserve, and what are we willing to do to make that real?

And maybe that’s the point of May Day, not the marches or the slogans, but the reminder that rights are only ever secure when people insist on them. The stonemasons didn’t wait for permission. They didn’t wait for the perfect moment. They simply decided that a human life needed room for more than work and exploitation, and they acted as if that were already true.

We can do the same. In our workplaces, in our communities, in the quiet everyday ways we choose to treat one another. The world we live in is made by human hands, and it can be remade by them too. Not through grand declarations, but through the steady, patient work of insisting that people matter and behaving as if that’s the baseline, not the aspiration.

The ancient Greeks had a word for what the stonemasons were really fighting for: skholē — leisure. Not idleness, but free time used for its highest purpose: philosophy, friendship, civic life, the examined life. It’s where we get the word school, which tells you something about how they valued it. They believed leisure wasn’t the opposite of work, it was the point of work. The stonemasons in 1856 would have understood that instinctively, even without the Greek.

Art by CoPilot AI

Come back to that corner of Russell and Victoria Streets. The big 8-8-8. Eight hours to work, eight hours to play, eight hours to sleep. What the stonecutters were really asking for was not just a shorter shift, it was the right to be human outside of work. To have a life that didn’t belong to someone else for most of its waking hours. We are still asking, and we are still, slowly, imperfectly, remaking the answer.

©2026 Geoff Allshorn. I show my respect for Elders past and present and acknowledge the Wurundjeri-Willam people, the Traditional Custodians of the Land on which this blog was prepared. Some editorial/artistic assistance supplied by Claude AI and CoPilot AI.