When night falls, young men can be seen sitting on a dismantled bus stop on a remote hill far from the centre of the Cuban capital. Later they climb uphill to have sex with other men in the thick forest.
During the events surrounding the eighth annual celebration of the Day Against Homophobia in Cuba, it emerged that a young transsexual had recently been killed in the city of Pinar del Río near the western tip of this Caribbean island nation.
In addition to other forms of discrimination, lesbian and bisexual women in Cuba face unequal treatment from public health services. Their specific sexual and reproductive health needs are ignored, and they are invisible in prevention and treatment campaigns for women.
Although it might not seem to be, Latin America is the most active region in the world when it comes to the defence of the rights of lesbian, gay, bisexual, transgender and intersex (LGBTI) people.
Latin America and the Caribbean cannot hope to have truly advanced, progressive policies in sexual and reproductive health as long as women do not have the right to decide to interrupt their pregnancy, says Mariela Castro.