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The Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, Dainius Puras visited Paraguay from September 23 to October 6, 2015 to carry out an independent evaluation of the enjoyment of the right to health in the country in which he devoted special attention to the groups at vulnerability, social exclusion and poverty. SOMOSGAY was invited to provide input to the assessment and detailed information on the situation of the right to health of LGBT people in the country.


The information and data contained in the report provided by SOMOSGAY, were included from a review and analysis of existing documentation regarding health in general (laws, regulations, policies, plans, programs and projects), and in this specific case, the health of lesbian, gay, bisexual and transgender (LGBT).

 

As a second part, a comparative analysis of the existing documentation and the actions that were projected and/or carried out or not, in full compliance to it, so as to identify gaps in the availability, accessibility, acceptability and quality of services, products and sanitary facilities, human rights related to health, in the primary care and the medical attention towards LGBT people.

 

The status and rights of LGBT people, has become more visible in Paraguay in recent years.

 

The National Plan for Sexual and Reproductive Health includes non-discrimination on grounds of sexual orientation and gender identity. During the visit of the rapporteur, the Senate held a debate on the situation of transgender women and met with several senior officials who are aware of the specific characteristics of this group.

 

However, LGBT people face significant obstacles to the full enjoyment of their right to physical and mental health, especially because of the deeply entrenched discriminatory attitudes in society at large, which carry stigma, violence and abuse. The situation of LGBT people living far from major urban areas is of particular concern, since they are isolated from the main networks of support and living and working in difficult environments, they face discrimination by health personnel and lack of comprehensive health services tailored to their needs.

 

Moreover, a confidential health service is not always guaranteed.

 

The rapporteur has noted that many people do not use health services for fear of stigmatization and rejection, which can lead to concealment of many health problems with negative consequences for their health and that of society in general.

 

Finally, in his press conference, held last October 6th, the reporter said: "I encourage the promotion of the participation of all people without exception, including those in situations of greatest vulnerability. This will strengthen accountability and transparency of the system, which are crucial to the realization of the right to health and related rights. "

 

Dainius Puras, the Special Rapporteur is an independent expert appointed by the Human Rights Council of the UN to assist States and other stakeholders, to promote and protect the right to the highest attainable standard of physical and mental health (right to health). It is a medical professional with considerable experience in mental health, the health of children, and public health policies.

 

Photo: UN Human Rights in Paraguay

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