Transgender refugees from Ukraine have met various challenges including access to hormone medicine since fleeing the war torn country. Credit: Ed Holt/IPS

By Ed Holt
BRATISLAVA, Apr 25 2022 (IPS)

Soon after Russia invaded her country, Anastasiia Yeva Domani found herself forced to abandon the regime of vital medicines she was taking.

The transgender activist could no longer get hold of the hormone medicines she needed to regularly take in Ukraine as supply chains were disrupted and the vast majority of pharmacies were closed.

“I, like many others, had to pause hormone treatment for a while. We had no choice,” she told IPS.

Domani spent two weeks off her treatment before she managed to get hold of medicines from Poland.

Now, her home in Kyiv has become the headquarters of a network she and other members of the transgender support organisation that she heads, Cohort, are running that helps find and then distribute hormones to those who need them across Ukraine.

It is not an easy task, though. For transgender people in Ukraine, both among those who have remained in their homes and those who make up part of the estimated 6.5 million internally displaced people in the country, a shortage of hormone medicines remains a major problem.

“There is a big problem getting hormone drugs. Some can be found in some cities in Ukraine, some abroad, and using the internet, and with the help of various LGBT activists and others all over the country, we have managed to get what we can,” she said.

“We have sent some hormones to people in March, but at the end of April, they are going to need more, and we will have to find them somewhere,” she added.

But having to halt hormone therapy is not the only serious problem transgender people are facing because of the conflict.

Activists say many transgender people, especially transgender women, have problems leaving Ukraine.

At the start of the war, all Ukrainian men aged 18-60 were ordered to stay in the country. As refugees began leaving, reports emerged of transgender women being turned back at the border, often because the gender marked on their identification documents did not match their actual gender, but sometimes simply because border guards who gave them physical examinations declared them to be men and told them they could not leave.

LGBT+ organisations which spoke to IPS confirmed they knew of such cases.

“Some transgender people have made it over the border into Poland, but there are many who have not been able to come over,” said Julia Kata of the Polish TransFuzja Foundation, which helps transgender people.

“They have been stopped because of problems with their ID documents where gender markers have not yet been changed, or they do not have the necessary medical confirmation that they have started transition,” she added.

This has led to some taking drastic action to get out of the country, and migration experts have also pointed to other dangers, such as violence and exploitation, which refugees can be exposed to when taking illegal routes out of countries.

“I know some trans women have resorted to leaving the country illegally, but this is not something we would support,” Domani said, adding how dangerous such attempts could be.

However, even when transgender people do make it out of Ukraine, they, and other members of the LGBT+ community, are facing further challenges as they find themselves in countries where LGBT+ communities have in recent years faced increasing prejudice, stigma, and discrimination.

The International Lesbian, Gay, Bi-Sexual, Trans and Intersex Association (ILGA) produces an annual ranking of the laws and policies impacting the human rights of LGBT+ people in individual European countries. In its most recent edition, many states bordering Ukraine scored very poorly.

Wiktoria Magnuszewska, an activist with the Polish Lex Q LGBT+ advocacy organisation, told IPS: “There is a lot of fear among transgender people who come here. This is connected to the general social atmosphere in Poland towards the LGBT+ community.”

Activists in other countries agree. Viktoria Radvanyi of Budapest Pride in Hungary told international media: “They are fleeing from Ukraine where their rights and dignity are not as respected as in other places in free societies. Then they arrive in countries like Hungary, Poland, and Romania where the state doesn’t support LGBTQ equality….”

Some organisations in receiving countries are working to provide help specifically for LGBT+ refugees when they arrive, including finding LGBT+-friendly accommodation, advice, help in dealing with local institutions, psychological support, and helping with access to other healthcare services.

The latter is expected to be of particular importance for transgender people, explained Kata, who said her organisation is co-operating with “trans-inclusive healthcare providers” so that any transgender refugees who need to access Polish healthcare will get appointments with doctors “who view them inclusively”.

She added that one of the main priorities of transgender refugees when they come to Poland, alongside “surviving and finding somewhere to stay”, was how to continue their transition. So far, she said, there had been no reports of any transgender refugees having any problems accessing the hormones they need.

Despite this help, some LGBT+ refugees prefer to move further into Europe rather than stay in countries that do not have a positive attitude toward their community.

“What we are seeing is that some LGBT+ people are leaving because of the situation in society here towards their community,” Justyna Nakielska, an advocacy officer with the Campaign Against Homophobia (KPH) in Poland.

Meanwhile, back in Ukraine, Domani says, attitudes to the LGBT+ community seem, for the moment at least, to have changed markedly in recent weeks.

Before the war, President Volodymyr Zelenskyy had pledged to fight discrimination based on gender identity and sexuality. There had been advances in legal safeguarding of LGBT+ rights, including a ban on workplace discrimination based on sexual orientation and gender identity.

But general attitudes in society towards the LGBT+ community were ambivalent at best, and in the ILGA’s latest rankings, Ukraine had an even worse score than most of the other countries on its borders.

But since the outbreak of war the situation has changed, said Domani.

“Since the war started, all Ukrainians think about are the Russian occupiers – they forgot their homophobia, their xenophobia, and all the focus now is on Russia,” she said.

She warned, though, that in areas which Russian forces had managed to fully occupy, there was already great concern over the fate of LGBT+ people, particularly in light of the Kremlin’s stance towards the community in Russia and reports that before the invasion, it had drawn up ‘kill lists’ targeting activists.

“There are no problems with LGBT+ people in Ukraine at the moment – with the exception of those in the Russian-occupied territories. We already know of some trans people who left the Kherson region [in southern Ukraine] on the day the war started because collaborators gave Russian occupiers information about human rights and LGBT+ activists,” Domani warned.

IPS UN Bureau Report

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The crisis in Ukraine has put Egypt’s wheat supply in jeopardy and could impact millions who rely on subsidised bread. Credit: Abdelfatah Farag/IPS

By Hisham Allam
CAIRO, Mar 3 2022 (IPS)

Egypt is scrambling to find alternate sources of wheat after the Russian invasion of Ukraine has put supply to the country in jeopardy. This is especially urgent because the price of bread in Egypt has in the past sparked protests in the country.

Russia and Ukraine are key players in the global grain market, with their wheat exports accounting for 23% of international trade in 2021-22, according to the US Department of Agriculture.

Egypt, Lebanon, and Libya are among the MENA region’s top wheat importers from Ukraine.

In 2021, Egypt imported 6.1 million tonnes of wheat; 4.2 million came from Russia, worth $1.2 billion, representing 69.4% of total Egyptian wheat imports. Imports from Ukraine amounted to 651,400 tonnes, worth $649.4 million, accounting for 10.7% of total imports.

Over the last 50 years, the price of bread has been a politically controversial topic in Egypt, triggering various protests. A subsidised flat loaf costs 0.05 Egyptian pounds, less than one US cent.

Naguib Sawiris, the Egyptian tycoon, appealed to Egypt’s Minister of Supply on February 22 to acquire and store large quantities of wheat.

“We must purchase and stockpile wheat as quickly as possible before the Ukraine-Russia war breaks out, “Sawiris Tweeted.

Mohamed Elhady, who runs a family-owned bakery at Menoufia Governorate, 80 km north Cairo, is deeply concerned about the business he has been running for 20 years.

“The government-subsidised bread diminishes the bakery’s profit margin since we are required to sell a loaf of bread at the government-set price. But we get the cost difference through banks after calculating the number of loaves produced by each bakery using a smart ration card system,” Elhady told IPS.

“Some bakeries gather cards from ordinary residents and report fictitious sales to gain the value of subsidised bread for themselves, increasing their earnings considerably while reselling raw wheat on the informal market,” he explains.

In August 2021, Egyptian President Abdel Fattah al-Sisi said it was time to increase the country’s subsidised bread price, revisiting the issue for the first time since 1977, when then-president Anwar Sadat reversed a price rise in the face of riots.

“It is time for the five-piece loaf to increase in price,” Sisi said.

Elhady believes that the government will turn the president’s words into action soon, expecting that the new increase in subsidised bread will take place by April, the anticipated time for receiving wheat from the new suppliers. This will decrease daily production rates and, therefore, his profits.

“Once the wheat prices increase, the government will reduce the number of subsidised loaves from five a day to three or increase the price of the 5-piaster loaf,” Elhady says.

The president is also expected to exclude more citizens from the subsidy programme covering more than 60 million Egyptians.

“People will have to choose; to eat less or to pay more,” Elhady adds.

Egypt’s main state buying agency, the General Authority for Supply Commodities (GASC), has issued a second international wheat tender to import wheat from April 13 to 26. The tender was issued 48 hours after it was cancelled because it only received a single offer of French wheat. A least two offers are required before a purchase can go ahead.

The Egyptian GASC set the end of February as a deadline to receive offers for the new tender. In addition to Russia and Ukraine, the GASC sought bids from the United States, Canada, France, Bulgaria, Australia, Poland, Germany, the United Kingdom, Romania, Serbia, Hungary, Paraguay, and Kazakhstan. The delivery needs to take place before April 1, 2022.

Despite the ongoing Russian-Ukrainian military escalation, an Egyptian ship carrying 60 tons of Ukrainian wheat has left the Ukrainian ports and is en route to Egypt, a grain consultant at the Ministry of Supply, Salah Hamza, told IPS.

“This shipment was contracted with Ukraine for $361 per ton in an international tender in December 2021. The consignment is part of a 300 000-ton wheat shipment that will arrive by March 2022.”

“Egypt produces 275 million loaves of bread per day, consumes 900,000 tonnes of wheat per month, and the strategic stock is enough for the next five months, in addition to 4 million tons expected from the domestic harvest by mid-April, “Hamza adds.

Egypt has a strategic reserve of wheat, enough to cover the local market’s needs for nine months, the Cabinet’s spokesman, Nader Saad said.

The strategic wheat stock is approximately five million tonnes, according to Saad, and will be augmented when the local wheat harvest season begins on April 15.

In February of this year, the price of an ardeb of wheat climbed by 65 percent compared with February of last year.

The US Foreign Agricultural Service expected Egypt’s wheat consumption in 2021-22 would exceed 21.3 million tonnes, up about 2.4 % from 2020-21.

IPS UN Bureau Report

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